Comprehensive Systematic Guide to Treating
Mental Disorders, Fifth Edition by Lourie W.
Reichenberg
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,Chapter One Sample Questions
1. Which of the following does NOT represent one of the changes made in the transition from DSM-IV to
DSM-5? (pp. 4–5)
*A. DSM-5 adopted more of a categorical approach to diagnosis rather than a dimensional approach.
B. DSM-5 utilizes a nonaxial diagnostic system.
C. DSM-5 incorporated the DSM-IV “child/adolescent” disorders into chapters with adult disorders.
D. DSM-5 takes more of a “spectrum” approach to some categories of diagnoses (e.g., schizophrenia,
autism).
2. Motivational interviewing: (p. 7)
A. Is generally incorporated at the end of treatment.
*B. Is designed to help support a client’s readiness for change.
C. Is least successful for ambivalent clients.
D. Has not been found useful for substance use or eating disorders.
3. Regarding the outcome of treatment: (pp. 10–12)
A. The therapist’s race, religion, and cultural background are some of the most important variables.
B. The therapist’s theoretical orientation is the most powerful influence on outcome.
C. Outcome is totally determined by the therapist; clients have little influence on the outcome of therapy.
*D. The quality of the therapeutic alliance is the best predictor of outcome.
4. When deciding on the setting where treatment will take place: (pp. 13–14)
A. Inpatient treatment is usually the best option.
B. Inpatient hospitalization should not be utilized for those who are in danger of harming themselves or
others.
*C. The least restrictive setting that provides optimal care for the person’s needs is usually the best
choice.
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,D. Issues like the person’s diagnosis, severity of symptoms, and financial resources are generally not
considered.
5. Regarding empirically supported treatments (ESTs): (pp. 15–17)
A. Very few currently exist. (<15).
B. A comprehensive list of ESTs is available for every DSM disorder.
*C. According to the American Psychological Association, there are currently more than 75 ESTs and the
list has been growing.
D. While there are some ESTs for adults, there are currently no ESTs for children and adolescents.
6. When determining the emphasis of a therapeutic approach, which of the following is true? (pp. 18–
20)
*A. Evocative approaches are more process oriented and view the person as the expert on his or her
own life.
B. Directive approaches put the client totally in charge and emphasize such things as catharsis and
support.
C. Insight-oriented approaches are necessary because insight is essential for change to occur.
D. Once you know the diagnosis, the correct treatment can be determined with certainty regardless of
individual variables of the client
7. Which of the following is NOT true regarding decisions about the number of people in therapy (e.g.,
individual, group, family)? (pp. 20–21)
A. Individual therapy is often a good starting point, especially for those in treatment for the first time.
*B. Individual therapy is usually the best approach for those who wish to address interpersonal
problems.
C. Those who are extremely fearful or aggressive are generally not good candidates for group therapy.
D. Empirically supported family therapy approaches exist for treating issues like anorexia, depression,
and schizophrenia.
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,8. Which of the following represents an “adjunctive service” for those receiving treatment? (p. 25)
A. An exercise program.
B. Biofeedback.
C. Volunteer services to improve socialization.
*D. All of the above.
9. True or False. Medication will often be a main component of treatment for those with severe mental
health disorders like schizophrenia or bipolar disorder. (p. 22)
*A. True.
B. False.
10. True or False. Nonmedical clinicians today need little information about medications, their
interactions, and side effect profiles; that information is solely of concern to psychiatrists. (p. 23)
A. True.
*B. False.
11. True or False. Only about 20% of people in the U.S. will experience a mental health disorder at some
point in their lifetime. (p. 26)
A. True.
*B. False.
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,Chapter Two Sample Questions
1. All of the following are true regarding the diagnosis of intellectual disability EXCEPT: (pp. 34–35)
A. It is the new name for what used to be called mental retardation.
*B. Severity levels (e.g., mild, moderate, severe) of intellectual disability are based on a person’s IQ score.
C. The diagnosis is based on a deficit in both intellectual and adaptive functioning.
D. The name change of this diagnosis to “intellectual disability” was supported by U.S. federal law.
2. Which of the following is an important intervention component for intellectual disability? (pp. 35–36)
A. Early interventions, including special education.
B. Family involvement and parent training.
C. Behavior modification.
*D. All of the above are important components of intervention for intellectual disability.
3. All of the following are DSM-5 communication disorders EXCEPT: (pp. 37–38)
A. Social (pragmatic) communication disorder.
B. Speech sound disorder.
*C. Regressive communication disorder.
D. Childhood onset fluency disorder (stuttering).
4. Regarding autism spectrum disorder (ASD): (pp. 39–40)
*A. Symptoms are required in two areas: 1) social communication, and 2) restricted and repetitive
behaviors.
B. This diagnosis represents very little change from DSM-IV.
C. Asperger’s disorder remains a separate diagnosis in DSM-5; it was not incorporated into autism
spectrum disorder.
D. Required symptoms can appear for the first time in adulthood and still be diagnosed as ASD.
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,5. Regarding autism spectrum disorder (ASD): (pp. 18–20)
A. Females are more likely than males to develop autism spectrum disorder.
B. ASD is the result of parenting styles; biology and genetics do not play a role.
*C. There is a worldwide increase in the number of children being diagnosed with autism.
D. So far ASD has only been found in lower-class U.S. populations.
6. Regarding autism spectrum disorder (ASD): (pp. 43–44)
A. Children with ASD actually have fewer risks of sexual abuse than other children.
*B. Children and adolescents with ASD are at increased risk for bullying and violence.
C. To date, there are no screening tools to help distinguish children with ASD from other children.
D. ASD ends by age 21.
7. All of the following are true regarding interventions for autism spectrum disorder (ASD) EXCEPT: (pp.
46–47)
A. Communication may be the most important area to address early in the treatment for most children.
B. Effective interventions are based on the child’s interests, engage the child’s attention, and include
positive reinforcement for desired behaviors.
C. Early intervention programs are often very intensive, providing one-to-one treatment for 20–40
hours/week.
*D Parental involvement has been found to have little value in the treatment of children with ASD.
8. Regarding the DSM-5’s diagnosis of ADHD: (pp. 49–50)
A. Adult ADHD requires more symptoms than children with ADHD.
*B. If a child only displays symptoms of ADHD in a school setting, the diagnosis of ADHD cannot be
given.
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,C. Symptoms of inattention include fidgeting, running and climbing, interrupting others, and blurting
answers.
D. Symptoms can be typical for a child’s developmental level (e.g., being unable to sit still or wait one’s
turn) and still be considered ADHD.
9. Regarding ADHD: (pp. 52–53)
A. Most children diagnosed with ADHD will no longer have symptoms as adolescents.
B. Teachers are the best consultants for the assessment of ADHD in children; reports from parents are
not needed.
*C. Behavioral interventions should be incorporated into all aspects of the child’s life (e.g., home and
school).
D. The Yale ADHD Checklist can definitively diagnose ADHD.
10. All of the following are important components in the treatment of children with ADHD EXCEPT: (pp.
54–55)
A. Parent-management training.
B. Behavioral interventions in the classroom.
C. Medication management.
*D. Reality-emotive therapy.
11. Regarding ADHD and medication: (pp. 54–55)
*A. Stimulants are the most common medication used in the treatment of ADHD.
B. Medications are rarely used in the treatment of ADHD.
C. Benzodiazepines are the most commonly used medication in the treatment of ADHD.
D. Antidepressants are the most commonly used medication to treat the symptoms of ADHD.
12. True or False. Specific learning disorders in the DSM-5 include the domains of reading, written
expression and mathematics. (p. 56)
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,*A. True.
B. False.
13. True or False. Tourette’s disorder involves either a motor or a vocal tic. (p. 60)
A. True.
*B. False.
14. True or False. Treatment for Tourette’s and other tic disorders generally involves medication along
with cognitive or behavioral therapy. (p. 61)
*A. True.
B. False.
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, Chapter Three Sample Questions
1. All of the following are true regarding the diagnosis of a delusional disorder EXCEPT: (p. 70-1)
A. It involves the presence of one or more delusions for at least a one-month duration.
B. The delusions can be considered either bizarre or non-bizarre in nature.
*C. This diagnosis is the most disabling of all of the schizophrenia spectrum disorders.
D. Persecutory delusions are the most common type.
2. Believing that someone is loved by another person, usually of a higher status, when there is no evidence
to support that belief is characteristic of the ______ type of delusional disorder. (p. 35-36)
A. jealous
B. grandiose
C. nihilistic
*D. erotomanic
3. When working with clients with delusions, a recommended strategy is for therapists to: (p. 73)
A. place the initial focus directly on the delusions, rather than secondary symptoms like insomnia.
B. participate in and validate the delusions so the person feels understood.
*C. discuss the delusions enough to understand them, then gently suggest alternative explanations.
D. strongly confront and challenge the person about the delusions.
4. Which of the following is true regarding brief psychotic disorder? (p. 74-6)
*A. Culturally sanctioned behavior (e.g., hearing voices as part of a religious experience) does not qualify
as a symptom.
B. The psychotic symptoms must last more than 1 month.
C. It is the same as attenuated psychosis syndrome.
D. The prognosis for full recovery is very poor; a return to the premorbid level of functioning is unlikely.
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