Johnny Mocker, an arrogant sciolist, arrived in class eager to take Dr. BLT's exam, assuming that the mock exam, posted on the internet would be exactly the same as the actual final exam.   Was he in for a big surprise, about to be dramatically humbled, or will his narcissistic orientation to the world be reinforced?  It's up to you to decide when you examine Johnny's answers, posted with the mock exam questions here:

Clinical Assessment I Mock Exam

1. The mental status exam

 

1. is only needed in cases where psychological testing fails to produce consistent results
2. is one of the most important elements in clinical assessment
3. is necessary at some point, but not until you have taken the time to establish a therapeutic alliance with the patient
4. is the most important aspect of clinical assessment
5. all of the above

 

2. In the movie, Donnie Darko, the main character:

1. clearly suffers from a mental health disorder
2. is dealing with a paranormal phenomenon involving time travel that is easily mistaken for mental illness
3. portrays a set of behavioral, cognitive and emotional patterns that in some ways, are consistent with mental illness, and in other ways, are characteristic of a paranormal phenomenon that is not easily categorized by traditional psychological systems

 

3. In the movie, Equilibrium, emotion is disallowed and any artistic expression that stands to trigger passion or emotion is against the law, because:

1. emotions cannot always be trusted
2. the particular society portrayed in the movie is one whose leaders have concluded that the degree of suffering that often results from free emotional expression  (ie. war) outweighs any possible benefit
3. emotions are said to be hard to trust, when compared with facts
4. all of the above

 

4. Among the disorders to rule out, when considering a Brief  Psychotic Disorder, are:

1. Mood disorder with psychotic features
2. Schizoaffective disorder
3. Psychosis due to a general medical condition, like substance abuse, for example
4. All of the above
5. None of the above

 

 

5. all of the following are examples of types of delusional disorders except:

a. Erotomanic type:

b. Grandiose type:

c. Jealous type:

d. Hostile type:

e. Persecutory type:

f. Somatic type

g. Mixed type

 

 

6. While diagnosis only goes so far in allowing us to get a complete understanding of our patients, and has clear limitations associated with it, diagnosing our patients is useful for the purpose(s) of:

1. getting insurance companies to pay for our services
2. organizing our caseloads
3. getting a “handle” on what it is we are dealing with, as clinicians
4. all of the above

    7.

 

1. The song, “One September Mournin,’” in the blog, Psychology Comes Alive, is an example of:
2. how psychological trauma, may be experienced, not only on an individual basis, but collectively, as a society one individual’s psychological distress
3. how the government of the United States plotted to attack its own buildings, making it appear to be the work of foreign terrorists
4. none of the above

 

8. In the book, Dibbs, in Search of Self, we learn about clinical assessment:

1. through rote memorization of text content
2. through the example of the psychologist in the story who is treating Dibbs
3. through literature, which takes psychological phenomena, and brings it to life
4. b and c
5. none of the above

 

9. Based on what you have been exposed to so far, Dibbs, in the story likely suffers from:

1. Childhood Disintegrative Disorder
2. Asperger’s Disorder
3. A combination of some type of disorder falling under the category of “Disorders Usually First Diagnosed in Infancy, Childhood and Adolescence,” in concert with broader familial issues involving severe family dysfunction
4. a or b
5. none of the above

 

 

10. Dr BLT’s three E’s of Education, include all of the following except:

1. Insulting the intellects of graduates students by forcing them to rote memorize the material and then spit it out at exam time
2. Entertainment
3. Engagement
4. Emancipation of the imagination

 

11. The two most important skills to bring to the table as it concerns clinical assessment, treatment planning and treatment are:

1. critical thinking
2. creative thinking
3. behavior modification
4. being able to recite all diagnoses and all criterion corresponding to each diagnosis
5. a and b
6. a, b and c
7. none of the above

 

12. T or F

To diagnose a patient is to gain a complete and comprehensive understanding of a patient

 

 

13. Specific diagnoses one would entertain when presented with a patient who reported difficulty managing her moods, would be:

1. Major Depressive Disorder, Single and Recurrent
2. Various Bipolar I Disorder
3. Various Bipolar II Disorders
4. Mood disorder due to General Medical Condition
5. All of the above

 

14. Barry comes in for his first session with his wife, who reports that while Barry appears happy, relaxed and content, his often appears confused and disoriented, and he is losing some of the basic cognitive functions that held him together for so many years---cognitive functions such as the ability to remember dates, times, and appointments and his ability to concentrate on her instructions to him when she sends him on errands.  Before isolating a specific diagnosis for Barry, you would probably formulate the working hypothesis that Barry’s diagnosis is found within this family of disorders:

1. Mood Disorders
2. Delirium, Dementia and Amnestic and other Cognitive Disorders
3. Anxiety Disorders
4.  Somatoform Disorders
5. Schizophrenia and Other Psychotic Disorders

 

15. A caller tells you she’s bringing in her 10-year-old son, Damon, after the school reported that he is having trouble with his school work and that he is getting into a lot of trouble.  Then says she’s in a hurry and will explain more when she arrives at your office.  Already, you have concluded that whatever Damon suffers from, it must fall in the category of:

1. Disorders Usually First Diagnosed in Infancy, Childhood or Adolescents
2. Substance-related disorders
3. Mood Disorders
4. All of the above
5. None of the above

 

1. Bart, 29 years of age and single, believes he is Dr BLT, and that his non-existent students are trying to poison his pen, knowing that he often chews it.   The category of diagnosis you would most likely entertain for Bart is:
2. Schizophrenia and Other Psychotic Disorders
3. Mood Disorders
4.  Sexual and Gender Identity Disorders

 

1. Which demonstration of the Multiaxal System is correct?

Axis I: Personality Disorders; Mental Retardation

Axis II: Clinical Disorders

Other Conditions that May be a Focus of Clinical Attention

Axis III: Psychosocial and Environmental Problems

Axis IV: General Medical Conditions

Axis V: Global Assessment of Functioning

 

Or

 

Axis I: Clinical Disorders

Other Conditions That May be a Focus of Clinical Attention

Axis II: Personality Disorders

Mental Retardation

Axis III: General Medical Conditions

Axis IV: Psychosocial and Environmental Problems

Axis V: Global Assessment of Functioning

 

1. the first one
2. the second one
3. neither one
4. both, depending on the country you live in

 

1. Dr. Billy Bop received a call from a gentleman who identified himself as Al Cole Hall.  Al reported that he his hands had been shaking, than he had been experiencing insomnia, and that he’s been vomiting for three days.  He further reported that he’s been seeing Blue Meanies, and that he lost his job.  Dr. Bop asked him if he had a history of alcohol problems.  He hung up.  What sort of diagnosis is Dr. Bop likely entertaining, given the symptoms he was presented with over the phone?
2. Denial
3. Alcohol-induced sexual dysfunction
4. Alcohol withdrawal
5. Bipolar II Disorder (Recurrent Major Depressive Episodes with Hypomanic Episodes. 
6. 313.23 Selective Mutism

 

19. Jane Deloris, age 20, was very excited when she learned that she would be Tom Delay’s dance partner on Dancing with the Stars.  They had to replace her at the last minute after Tom’s first practice session with her, after he reported that the dance she seemed to be teaching her was more like the Humpty Hump than any serious dance.  More specifically, when officials asked him to elaborate, he said she was “limping to the side like her leg was broken, shaking and twitching uncontrollably, in a manner that was “crazy wack funky.’  He further described her dancing as something that resembled a fit or a convulsion.  Then he added, “She looked like a female M.C. Hammer on crack.  He also said she had been banging her head on the floor, sucking on the props, biting herself, grabbing his head, and hitting his head violently against her body. 

 

A psychiatrist, Dr. Timothy Tickataw, was subsequently sent in to examine her.  In the course of his examination, he noted that she had no history of OCD, and that he could not account for her behavior in accordance with a Tic Disorder or a Pervasive Developmental Disorder.  She further denied ever using drugs, and did not appear to be a d.a.i.d. (a term he used to describe a drug addict in denial).    When officials informed her that she would have to be replaced, she replied, “I danced like this in a prior episode about a month ago and have been dancing like this ever since, and you guys said nothing about it, you said then that I was “introducing ground-breaking moves.”   

 

            Among the diagnoses the doctor, if a good one, must be considering would be:

 

a.       Reactive Attachment Disorder of Infancy or Early Childhood

b.      A rare form of adult-onset Stereotypic Movement Disorder, with self-injurious  behavior (formerly Stereotypy/Habit Disorder)

c.       Humpty Hump, early onset, moderate

d.      A rare case of adult-onset Rett’s Disorder

 

20.  Danny Danger his girlfriend Betty that he told his “shrink” he wanted to “thrill himself.”  When Betty asked him to explain, he replied, “You know how I get when I get high on life.  Well, I want to feel that way again.  I’ve been totally depressed lately, and I can’t seem to pull myself out of it.  I’m not suicidal.  I don’t want to kill myself, I just want to thrill myself.

 

When I’m like that, I feel on top of the world, like nothing can harm me. Betty responded, “Well, you could have fooled me, all you do when you’re like that is either ignore me, while you’re caught up in chasing down some foolish dream of yours, or you snap at me at the drop of a hat” He replied, “I’m sorry, I do get a bit irritable and irascible when I’m like this, kind of spastic, but splenetic at the same time. But that all comes with feeling like I’m the king of the world, and I want to feel that way again. 

 

Danny likely suffers from:

 

a.       Bipolar disorder

b.      Major Depressive Disorder

c.       Schizophrenia with saturnine physiognomy

d.      Mood Disorder with or without psychotic features

e.       All of the above

 

Consider the song,

JC Therapy 
Dr BLT
words and music by Dr BLT copyright 2009
then answer the following:

 

21.  The Johnny Cash fan in the song suffers from:

 

1. a clinical disorder
2. a personality disorder
3. a disorder falling under the category of Delirium, Dementia, and Amnestic and Other Cognitive Disorders
4. a disorder falling under the category of Feeding and eating Disorders of Infancy or Early Childhood
5. two clinical disorders

 

22.  The type of mood disorder that this JC fan suffers from, based on symptom presentation in verse two of the song (beginning with “’bin depressed for quite awhile,”) is most likely:

 

a.       A major depressive disorder

b.      A bipolar disorder

c.       A psychotic disorder

d.      An anxiety disorder

e.       None of the above

f.        All of the above, but none of the below

 

23.  The category of disorders that seem to fit the symptoms in the third verse, the verse beginning with “I am anxious in this place..” are suggestive of:

a.       a personality disorder

b.      a mood disorder

c.       panic disorder

d.       none of the above

 

24.  If a panic disorder is evident in the third verse, it is:

a.       panic disorder without agoraphobia

b.      panic disorder with agoraphobia

c.       neither because it’s not a panic disorder at all

d.      both because the agoraphobia comes and goes

 

25.  Tom Keller is really upset that neighbors call him “Peeping Tom,” because after seeing a psychologist, his psychologist determined that Tom:

a.       He had only experienced recurrent, intensely sexually arousing fantasies, sexual urges, or behaviors involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity for 5 months, not the 6 months required for a definitive diagnosis of Voyeurism

b.      He had only experienced intense sexual arousing fantasies, sexual urges, or behaviors involving touching and rubbing against a nonconsenting  person for a period of 4 months, not the 6 months required for a definitive diagnosis of Frotteurism

c.       Was not a premature ejaculator

d.      Tom was a very impotent person and, as such, had a very impotent role to play in society