Law and Ethics
Differential Diagnosis
DSM-5-TR
Mental Status Examination (MSE)
DSM-5-TR (with added focus on Schizophrenia)
100

What is the required amount of supervision for an unlicensed social worker in California?

What is one hour of supervision for every 10 hours of direct clinical experience?  

100

A client presents with excessive worry, difficulty controlling it, and physical symptoms like restlessness and muscle tension. What condition should you consider?

What is Generalized Anxiety Disorder (GAD)?

100

What is the primary diagnostic criteria for Major Depressive Disorder in the DSM-5-TR?

What are at least five of the following: depressed mood, loss of interest or pleasure, weight changes, sleep disturbances, fatigue, feelings of worthlessness, concentration difficulties, and thoughts of death or suicide?

100

What MSE component involves assessing a client’s overall emotional state during the session?

What is Affect?

100

According to the DSM-5-TR, what is the minimum duration of symptoms required for a diagnosis of Schizophrenia?

What is six months, including at least one month of active-phase symptoms?

200

Which document must a social worker provide to a client to ensure informed consent before providing therapy?

What is the Notice of Privacy Practices and an Informed Consent form?

200

A client has been experiencing persistent mood swings, irritability, and rapid speech for several weeks, with episodes of extreme energy and decreased need for sleep. What condition is most likely?

What is Bipolar I Disorder?

200

Which DSM-5-TR diagnosis applies to individuals with symptoms that involve both mood disturbances and psychotic features during episodes of mania?

What is Bipolar I Disorder with psychotic features?

200

What MSE component refers to the client's thought processes, such as coherence, logic, and speed of thinking?

What is Thought Process?

200

Schizophrenia is characterized by the presence of what type of symptoms?

What are positive, negative, and cognitive symptoms?

300

If a client reveals intentions to harm someone else, what is a therapist’s legal obligation in California?

What is the duty to warn and protect the potential victim (Tarasoff ruling)?

300

What disorder should be considered when a client has a pattern of disregard for the rights of others, impulsivity, and irresponsibility, but has no clear mood instability or anxiety?

What is Antisocial Personality Disorder?

300

According to the DSM-5-TR, how long must symptoms be present for a diagnosis of Generalized Anxiety Disorder (GAD)?

What is at least six months?

300

Which MSE domain assesses a person’s level of consciousness or alertness during the evaluation?

What is Level of Consciousness?

300

What is the difference between Schizophrenia and Schizoaffective Disorder, according to the DSM-5-TR?

What is that Schizoaffective Disorder involves a major mood episode (depression or mania) concurrent with the symptoms of schizophrenia, while Schizophrenia does not have a clear mood episode?

400

What is the minimum age of consent for mental health services in California?

What is 12 years old, as long as the minor is deemed mature enough to understand the treatment?

400

If a client has repeated, involuntary thoughts and engages in repetitive behaviors to reduce anxiety, what is the most likely diagnosis?

What is Obsessive-Compulsive Disorder (OCD)?

400

Which diagnosis is characterized by an inability to let go of a particular topic or task, difficulty completing tasks, and excessive focus on details?

What is Obsessive-Compulsive Personality Disorder (OCPD)?

400

If a client demonstrates an altered perception of reality, what type of disturbance might this indicate in the MSE?

What is Hallucinations?

400

What are the three primary subtypes of delusions seen in Schizophrenia?

What are persecutory delusions, grandiose delusions, and delusions of reference?

500

A clinical social worker must report suspected child abuse. What is the time frame for reporting such abuse in California?

What is immediately or within 24 hours of the suspicion?

500

A client has a history of trauma, flashbacks, hypervigilance, and avoidance behaviors. What are some potential diagnoses you would consider?

What is Post-Traumatic Stress Disorder (PTSD)?

500

What are the key criteria for diagnosing Borderline Personality Disorder according to the DSM-5-TR?

What are instability in relationships, self-image, and emotions, as well as impulsivity, suicidal behavior, emotional dysregulation, and chronic feelings of emptiness?

500

When conducting an MSE, what would you be evaluating when observing the client’s posture, gait, and motor movements?

What is Psychomotor Activity?

500

According to the DSM-5-TR, what distinguishes "delusional disorder" from Schizophrenia?

What is that Delusional Disorder involves the presence of non-bizarre delusions (e.g., being followed or poisoned) without the other prominent features of schizophrenia (e.g., hallucinations or disorganized speech)?

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