Question 1 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Based on the information provided, Jose's principal diagnosis would likely be:

A. Alcohol use disorder

B. Cannabis use disorder

C. Adjustment disorder with mixed anxiety and depressed mood

D. Major depressive anxiety disorder

Question 2 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Jose reports "occasional" cannabis use. What diagnosis might be given?

A. F12.10 Cannabis Use Disorder, Mild

B. F12.20 Cannabis Use Disorder, Moderate

C. F18.129 Inhalant Intoxication, with Mild Use Disorder

D. F14.23 Cocaine Withdrawal

Question 3 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Which specifier might be given when considering Jose's alcohol use?

A. Mild

B. Moderate

C. Severe

D. None of the above

Question 4 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Jose should be diagnosed with F10.929 Alcohol Intoxication without use disorder?
True
False

Question 5 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Jose should be diagnosed with F10.229 Adjustment disorder with mixed anxiety and depressed mood.
True
False
 
Question 6 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Which disorders would you want to consider for Jose?

A. Posttraumatic stress disorder

B. Generalized anxiety disorder

C. Attention deficit disorder

D. Opioid use disorder

Question 7 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
What additional information would you like to know about Jose?

A. More about his relationship with his wife and children

B. The frequency of his cannabis use

C. The nature and frequency of his symptoms of anxiety

D. All of the above

E. None of the above

Question 8 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
According to the DSM-5 Cultural Formulation Interview, the clinician should inquire about the client's cultural identity. In Jose's case, which cultural considerations would be most relevant?

A. The languages he speaks

B. His race or ethnic background

C. His religion

D. A and B

E. All of the above

F. None of the above

Question 9 Jose is a Latino client who presents with occupational difficulties. He was laid off from a construction job 8 months ago and has been unable to find work. Ever since he lost his job, he has been drinking alcohol heavily throughout the day. He also reports "occasional" marijuana use. Jose recently was arrested for driving under the influence of alcohol and has to appear in court next month. His wife is angry with him because she depends on him to pick up their 3 children from school, and now he may lose his driver's license. Jose has always been a hard worker, but he admits that there were times that he often drank alcohol while working on construction jobs to eliminate his stress. He reports having intermittent episodes of anxiety since adolescence.
Which V code would NOT apply in Jose's case?

A. Z56.82

B. Z56.9

C. Z65.3

D. All of the above would apply.

Question 10 Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her "for no reason." Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie's boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he "really loved her," he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having "mood swings" throughout her life. She says that she does not have many friends, because people describe her as being "moody."
Based on the information provided, Stephanie's principal diagnosis would likely be:

A. F34.0 Cyclothymic disorder

B. F60.3 Borderline personality disorder

C. F43.23 Adjustment disorder with mixed disturbance of emotions and conduct

D. F33.1 Major depressive disorder, recurrent, moderate

Question 11 Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her "for no reason." Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie's boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he "really loved her," he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having "mood swings" throughout her life. She says that she does not have many friends, because people describe her as being "moody."
Which disorders would you want to consider for Stephanie?

A. F90.1 Attention deficit disorder, predominantly hyperactive/impulsive presentation

B. F31.12 Bipolar I disorder, moderate

C. F331.1 Major depressive disorder, recurrent episode, moderate

D. None of above

E. All of the above

Question 12 Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her "for no reason." Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie's boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he "really loved her," he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having "mood swings" throughout her life. She says that she does not have many friends, because people describe her as being "moody."

Which Z Codes would apply in Stephanie's case?

A. Z59.0

B. Z64.0

C. Z91.5

D. All of the above

E. None of the above

Question 13 Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her "for no reason." Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie's boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he "really loved her," he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having "mood swings" throughout her life. She says that she does not have many friends, because people describe her as being "moody."

What other information would you want to know about Stephanie?

A. Legal History

B. Family history of mental health issues

C. Substance use

D. B and C

E. All of the above

F. None of the above

Question 14 Stephanie is a 26-year-old female who presents with symptoms of depression. She attributes her depressive symptoms to the recent ending of her relationship with her boyfriend. Stephanie says she has not slept in 4 days because she is devastated by the break-up. She also reports feeling frustrated, because this is her fifth boyfriend this year, and they have all ended the relationship with her "for no reason." Stephanie really wants the relationship to work. However, her boyfriend is not interested in reconciliation. Stephanie's boyfriend suggested that she seek counseling after she wrote a letter to him stating that she was contemplating suicide. In the letter, she told her boyfriend that she would not commit suicide if he agreed to reconcile. She also told him that if he "really loved her," he would attend counseling with her. When he refused to come with her, Stephanie became so angry that she smashed the windshield of his car with a crow bar. Stephanie has a history of self-injury during adolescence. She denies current episodes of self-injury, although she appears to have several superficial cuts on her arms. Stephanie reports having "mood swings" throughout her life. She says that she does not have many friends, because people describe her as being "moody."

Which of the following treatments would likely be most effective with Stephanie?

A. Dialectical behavior therapy

B. Psychodynamic psychotherapy

C. Mentalization

D. parent management training.

E. None of the above would be effective.

Question 15 Lee presents in counseling with relationship difficulties. He is often mistrustful of others and withdraws when he feels anxious. Lee seems rather eccentric, and you suspect that he might have a diagnosis of schizotypal personality disorder. However, you do not feel that you have enough information. Based on the Alternative DSM-5 Model for Personality Disorders, which diagnosis could be given?

A. PD-TS

B. PD-S

C. PD-SCHIZ

D. None of the above

E. All of the above

Question 16 Which of the following are criteria for a diagnosis of a personality disorder?

A. Impairments in personality functioning and personality trait expression that is relatively inflexible and pervasive across a broad range of personal and social situations

B. Disturbances of self and interpersonal functioning

C. Impairments in personality functioning due to substance use

D. A and B

E. All of the above

F. None of the above

Question 17 John is 19 years old and was recently court ordered to counseling after attempting to rob a local gas station. He has been arrested numerous times for shoplifting, vandalism, and other misdemeanors. John dropped out of school at the age of 16 after being suspended numerous times for fighting. It is possible that John could be diagnosed with:

A. F60.2 Antisocial Personality Disorder

B. F60.0 Paranoid Personality Disorder

C. F60.3 Borderline Personality Disorder

D. All of the above

E. None of the above

Question 18 Geneva is a 68-year-old female who has recently been diagnosed with G30.9 Major Neurocognitive Disorder due to possible Alzheimer's Disease. Geneva was referred by her primary care physician for counseling. She is accompanied by her daughter, Stacey, who assists with her care. Which of the following strategies might be helpful in counseling?

A. Behavioral approaches to enhance Geneva's ability to engage in self-care

B. An injection of haldol

C. Nursing home care

D. Supportive therapy for Stacey

E. C and D

F. A and D

G. All of the above

H. None of the above

Question 19 Jeremy presents in counseling with anxiety due to job stress. Jeremy's boss has recently criticized Jeremy's job performance, largely because Jeremy does not work well on group projects. Jeremy does not like to participate in group projects because he is easily embarrassed and he feels inferior to his co-workers. Jeremy feels uncomfortable in social situations and reports that he feels very guarded in his personal relationships. Jeremy could possibly be diagnosed with:

A. F60.2 Antisocial Personality Disorder

B. F60.0 Paranoid Personality Disorder

C. F60.6 Avoidant Personality Disorder

D. All of the above

E. None of the above

Question 20 Which of the following is a challenge when treating individuals with alcohol-related disorders?

A. Individuals with alcohol-related disorders tend to experience a high degree of discrimination.

B. There are few treatment approaches that have been proven to be successful in treating alcohol-related disorders.

C. Many people with alcohol-related disorders also have personality disorders, which are difficult to treat.

D. Many people with alcohol-related disorders leave treatment before therapy is completed.

E. All of the above