Mental Health Diagnosis: Master the DSM-5 for Accurate Assessments

Question 1

Which of the following is a key characteristic of the DSM-5 diagnostic system?

Accepted Answer

Emphasizes symptoms and behaviors, rather than underlying causes.

Answer

Utilizes a multiaxial system for diagnosis.

Answer

Considers cultural factors in diagnosis.

Answer

Adopts a categorical approach to diagnosis.

Question 2

What is the primary purpose of using diagnostic criteria in psychiatric nursing?

Accepted Answer

To guide treatment planning and interventions.

Answer

To categorize individuals with mental disorders.

Answer

To predict the course of an illness.

Answer

To eliminate the stigma associated with mental illness.

Question 3

What is the main criterion for diagnosing Major Depressive Disorder, according to the DSM-5?

Accepted Answer

Persistent feelings of sadness or loss of interest.

Answer

Presence of delusions or hallucinations.

Answer

Excessive anxiety and avoidance of specific situations.

Answer

Repetitive thoughts and compulsive behaviors.

Question 4

What is meant by a comorbid condition in mental health?

Accepted Answer

A condition that co-occurs with another mental disorder.

Answer

A condition that exists independently of any other mental disorder.

Answer

A condition that is caused by another mental disorder.

Answer

A condition that is a subtype of another mental disorder.

Question 5

What is the primary role of the psychiatric nurse in the diagnostic process?

Accepted Answer

Collecting data and conducting assessments

Answer

Formulating diagnoses based on DSM-5 criteria

Answer

Providing treatment for diagnosed conditions

Answer

Referring patients to other healthcare professionals

Question 6

Which of the following is an example of a culture-bound syndrome?

Accepted Answer

Hikikomori

Answer

Major Depressive Disorder

Answer

Generalized Anxiety Disorder

Answer

Obsessive-Compulsive Disorder

Question 7

How do cultural factors impact a mental health professional's interpretation and diagnosis of a client's symptoms?

Accepted Answer

Cultural factors can shape how symptoms are expressed, understood, and diagnosed.

Answer

Cultural factors should not be considered in mental health diagnoses.

Answer

Cultural factors only affect diagnoses in non-Western cultures.

Answer

Cultural factors are not relevant to mental health assessments and treatments.

Question 8

The DSM-5 lacks which of the following?

Accepted Answer

Treatment and Management Guidelines

Answer

Diagnostic Criteria and Codes

Answer

Assessment Measures and Instruments

Answer

Cultural Considerations

Question 9

The primary purpose of the DSM-5 is:

Accepted Answer

To diagnose mental disorders accurately

Answer

To classify mental disorders based on their characteristics

Answer

To guide treatment plans for mental health conditions

Answer

To screen for mental health disorders in the general population

Question 10

In psychiatric nursing, which of the following is a characteristic of a symptom?

Accepted Answer

Subjective experience reported by the patient

Answer

Observable behavior or sign noticed by others

Answer

Indication of underlying physical illness

Answer

Objective measure of mental status

Question 11

Which symptom is a hallmark of psychotic disorders?

Accepted Answer

Auditory hallucinations

Answer

Persistent sadness

Answer

Racing thoughts

Answer

Motor restlessness

Question 12

Which ethical principle is paramount when using the DSM-5 in psychiatric nursing?

Accepted Answer

Non-maleficence

Answer

Beneficence

Answer

Autonomy

Answer

Justice

Question 13

Which of the following is NOT an advantage of using the DSM-5 in psychiatric nursing?

Accepted Answer

Elimination of all cultural biases in diagnosis

Answer

Enhanced communication among healthcare professionals

Answer

Improved accuracy in diagnosing mental disorders

Answer

Reduced stigma associated with mental illness

Question 14

In the diagnostic process using the DSM-5, what is the nurse's primary responsibility?

Accepted Answer

Collecting and assessing patient information

Answer

Establishing the final diagnosis

Answer

Educating patients about their diagnosis

Answer

Prescribing medication based on the diagnosis

Question 15

According to the DSM-5, which of the following is a core symptom of Major Depressive Disorder?

Accepted Answer

Depressed mood or loss of interest in activities

Answer

Anhedonia

Answer

Increased appetite

Answer

Racing thoughts

Question 16

The DSM-5 uses a multiaxial system to diagnose mental disorders. Which axis represents general medical conditions?

Accepted Answer

Axis III

Answer

Axis I

Answer

Axis II

Answer

Axis IV

Question 17

The process of applying DSM-5 criteria to assess and diagnose mental health conditions is known as:

Accepted Answer

Clinical evaluation

Answer

Differential diagnosis

Answer

Psychoanalytic assessment

Answer

Projective testing

Question 18

Which of the following is NOT a purpose of the DSM-5?

Accepted Answer

To promote social stigma associated with mental illness

Answer

To provide a standardized diagnostic system

Answer

To guide treatment planning

Answer

To facilitate research on mental health conditions

Question 19

According to the DSM-5, a core symptom of major depressive disorder is:

Accepted Answer

Depressed mood

Answer

Elevated mood

Answer

Hallucinations

Answer

Obsessive thoughts

Question 20

According to the DSM-5, what is the primary role of a nurse in applying its criteria?

Accepted Answer

To collaborate with other healthcare professionals in the diagnostic process

Answer

To perform psychiatric evaluations independently

Answer

To provide psychotherapy as the sole treatment modality

Answer

To prescribe medication without consulting a physician

Question 21

Which of the following criteria is NOT essential for a diagnosis of Generalized Anxiety Disorder (GAD) according to the DSM-5?

Accepted Answer

The anxiety and worry are caused solely by substance use or a medical condition

Answer

Excessive anxiety and worry on most days for at least 6 months

Answer

Difficulty controlling the anxiety and worry

Answer

The anxiety and worry lead to clinically significant distress or impairment

Question 22

Which edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) is currently in use?

Accepted Answer

DSM-5

Answer

DSM-4

Answer

DSM-6

Answer

DSM-4-TR

Question 23

In psychiatric nursing, what is the primary purpose of differential diagnosis?

Accepted Answer

Distinguishing between mental health disorders with similar symptoms

Answer

Identifying the most severe symptoms of a mental disorder

Answer

Determining the appropriate treatment plan for a mental disorder

Answer

Excluding physical health conditions that may cause mental health symptoms

Question 24

Which term refers to the incorrect assumption that physical symptoms are the cause of mental health issues, potentially leading to delayed or missed psychiatric diagnosis?

Accepted Answer

Diagnostic Overshadowing

Answer

Diagnostic Overdiagnosis

Answer

Diagnostic Underdiagnosis

Question 25

A client shows signs of both major depression and obsessive-compulsive disorder. What is the correct way to describe this situation?

Accepted Answer

Comorbidity

Answer

Dual Diagnosis

Answer

Axis I and Axis II Diagnosis

Question 26

In psychiatric diagnosis, which often-overlooked factor is essential for accurate assessment?

Accepted Answer

Cultural background

Answer

Age

Answer

Gender

Answer

Socioeconomic status

Question 27

According to the DSM-5 criteria, which of the following is a core symptom of schizophrenia?

Accepted Answer

Hallucinations

Answer

Obsessions

Answer

Depressed mood

Answer

Panic attacks

Question 28

As per the DSM-5 criteria, what is the minimum duration required for a major depressive episode?

Accepted Answer

Two weeks

Answer

One day

Answer

One month

Question 29

What is the primary distinction between obsessive-compulsive disorder (OCD) and obsessive-compulsive personality disorder (OCPD)?

Accepted Answer

OCD involves obsessions and compulsions that cause marked distress or impairment, while OCPD does not.

Answer

The severity of symptoms

Question 30

Which of the following is a characteristic feature of a manic episode, as defined by the DSM-5?

Accepted Answer

Inflated self-esteem or grandiosity

Answer

Depersonalization

Answer

Persistent sadness

Question 31

What is the main difference between substance use disorder and substance-induced disorder, as per the DSM-5?

Accepted Answer

Substance use disorder involves a persistent pattern of problematic substance use, while substance-induced disorder refers to specific symptoms or syndromes caused by recent substance use.

Answer

The type of substance used

Question 32

Which of the following is a well-established risk factor for developing a personality disorder?

Accepted Answer

Childhood trauma

Answer

High socioeconomic status

Answer

Genetics alone

Answer

Advancing age

Question 33

What is the defining feature of a paranoid personality disorder, according to the DSM-5?

Accepted Answer

A pervasive pattern of distrust and suspiciousness toward others

Answer

Excessive need for admiration

Answer

A lack of empathy

Question 34

Which of the following is a common comorbid condition frequently associated with mental health disorders?

Accepted Answer

Substance use disorder

Answer

Heart disease

Answer

Cancer

Answer

Diabetes

Question 35

What is the primary objective of differential diagnosis in psychiatric nursing?

Accepted Answer

To establish the most precise and specific diagnosis that best explains the patient's presenting symptoms and clinical picture.

Answer

To eliminate potential diagnoses that do not fit the patient's presentation

Answer

To assign a label to the patient's condition

Question 36

Which of the following is a central diagnostic criterion for Major Depressive Disorder (MDD)?

Accepted Answer

Persistent depressed mood occurring for most of the day, nearly every day.

Answer

Changes in appetite and weight

Answer

Increased energy and activity

Answer

Persistent thoughts of death or suicide

Question 37

Which of the following is NOT recognized as a diagnostic criterion for Generalized Anxiety Disorder (GAD) according to the DSM-5?

Accepted Answer

Recurring thoughts of panic or disaster

Answer

Physical symptoms of anxiety (e.g., restlessness, fatigue).

Answer

Persistent and excessive worry and anxiety about various topics

Answer

Difficulty controlling the worry

Question 38

The presence of delusions and hallucinations is considered a diagnostic criterion for which of the following disorders?

Accepted Answer

Schizophrenia Spectrum and Other Psychotic Disorders

Answer

Anxiety Disorders

Answer

Mood Disorders

Question 39

The DSM-5 provides specific criteria for diagnosing mental disorders in:

Accepted Answer

Adults, children, and adolescents

Answer

Children only.

Answer

Adults only.

Answer

Adolescents only.

Question 40

The development of the DSM-5 was primarily guided by the principles of:

Accepted Answer

Reliability, validity, and clinical utility.

Answer

Prevention and treatment of mental health conditions.

Answer

Neurobiological basis of mental disorders.

Answer

Cultural sensitivity and diversity.

Question 41

Which of the following represents an example of a categorical diagnostic approach?

Accepted Answer

Diagnosis of Schizophrenia based on fulfilling specific criteria.

Answer

Assessing anxiety symptoms on a continuous scale.

Answer

Utilizing a multi-axial system to diagnose multiple disorders.

Question 42

The dimensional approach to diagnosis emphasizes:

Accepted Answer

Symptom severity and patterns of presentation

Answer

Meeting specific criteria for a specific disorder

Answer

Determining the underlying causes of mental illness

Answer

Categorizing behavior as normal or abnormal

Question 43

Which of the following is NOT a core component of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)?

Accepted Answer

Etiology

Answer

Diagnostic criteria

Answer

Description of symptoms

Question 44

What is the primary function of the DSM-5?

Accepted Answer

To provide a standardized system for diagnosing mental health disorders

Answer

To develop treatment plans for mental health disorders

Answer

To classify mental health disorders based on severity

Question 45

What term refers to a group of symptoms that commonly occur together and define a specific mental disorder?

Accepted Answer

Syndrome

Answer

Diagnosis

Answer

Criteria

Answer

Etiology

Question 46

Which of the following is NOT a type of diagnostic criterion in the DSM-5?

Accepted Answer

Prognostic criterion

Answer

Severity criterion

Answer

Course criterion

Answer

Symptom criterion

Question 47

What is the key distinction between a diagnosis and a differential diagnosis?

Accepted Answer

A diagnosis is a definitive determination of a mental disorder, while a differential diagnosis is a list of potential diagnoses under consideration.

Answer

A differential diagnosis is a more specific type of diagnosis.

Question 48

What is the primary role of a psychiatric nurse in the diagnostic process?

Accepted Answer

To gather information, observe the patient, and provide input to the psychiatrist.

Answer

To prescribe medication

Answer

To make the final diagnosis

Question 49

Which of the following is a fundamental principle for diagnosing mental disorders according to the DSM-5?

Accepted Answer

The symptoms must cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

Answer

The symptoms must meet a specific duration criterion

Answer

The individual must have a history of mental illness

Question 50

What is the primary purpose of conducting a differential diagnosis?

Accepted Answer

To distinguish between different mental disorders that may share similar symptoms

Answer

To determine the severity of a mental disorder

Answer

To rule out physical causes for symptoms

Question 51

What is the main characteristic that differentiates Bipolar I Disorder from Bipolar II Disorder?

Accepted Answer

Presence of at least one full manic episode

Answer

Presence of only hypomanic episodes

Answer

Greater frequency of depressive episodes

Question 52

Why is it important to consider cultural factors when diagnosing mental disorders?

Accepted Answer

Cultural factors can influence the presentation and interpretation of symptoms

Answer

Only Western cultural perspectives should be considered in diagnosis

Answer

Cultural factors are irrelevant in psychiatric evaluations

Question 53

Which of the following is an advantage of using the DSM-5 diagnostic system?

Accepted Answer

Provides clear and standardized criteria for diagnosing mental disorders

Answer

Guarantees accurate diagnosis in all cases

Answer

Eliminated all cultural biases

Question 54

What is a potential limitation of the DSM-5 for diagnosing mental disorders?

Accepted Answer

May not fully capture the complexity and individuality of each person's presentation

Answer

Is too comprehensive and difficult to use

Answer

Does not allow for flexibility in diagnosis

Question 55

What is the primary goal of the DSM-5?

Accepted Answer

To provide a standardized system for diagnosing mental disorders

Answer

To guide treatment decisions

Answer

To explain the causes of mental disorders