Prep For Lcsw Exam 2010

Front 1

What book is the DSM compatible (but not identical) to and why?

Back 1

International Classification of Diseases (ICD); diagnostic codification

Front 2

What is the major limitation of the DSM?

Back 2

It generally focuses on descriptive rather than etiological.

Hint 2

Cookbook vs. underlying cause

Front 3

Does the DSM suggest tx approaches?

Back 3

No

Front 4

What is the DSM based on?

Back 4

Research and Cultural Factors

Front 5

Diagnosis Deferred

Back 5

information is inadequate to make a formal diagnostic judgement

Front 6

Culture Bound Syndrome

Back 6

These conditions resemble the symptoms of a mental disorder but are related directly to the culture

Front 7

Examples:
Culture Bound Syndromes

Back 7

brain ***
ataque de nervios
ghost sickness
rootwork

Front 8

What is included in Axis I from the DSM-IV-TR?

Back 8

Clinical Syndromes
PDD
Learning Disorder
Motor Skills Disorder
Communication Disorder
Other Disorders

Front 9

What are Other Disorders as used in Axis I?

Back 9

Disorders that may be a focus of clinical intervention:
Academic Problems
Childhood/Adolescent/Adult
Antisocial Behavior
Borderline Intellectual Functioning
Malingering
Bereavement

Front 10

Academic Problem- axis I

Back 10

Underachievers

Front 11

Childhood or Adolescent Antisocial Behavior- axis I

Back 11

Isolated Acts

Front 12

Adult Antisocial Behavior- axis I

Back 12

ex. professional thieves,
drug dealers

Front 13

Borderline Intellectual Functioning- axis I

Back 13

IQ between 71 and 84

Front 14

Malingering- axis I

Back 14

VOLUNTARY produce symptoms in presence of exaggerated of exaggerated voluntary physical symptoms, there is an obvious recognizable goal

Hint 14

manipulation
ex. If you leave me I will kill myself.

Front 15

Bereavement- axis I

Back 15

has to be the death of a loved one

Front 16

Medication-induced movement disorders: axis I

Back 16

Neuroleptic Malignant Syndrome and Tardive Dyskinesion

Front 17

Acculturation Problem: axis I

Back 17

exposure to living in a new culture

Front 18

Aging Associated Cognitive Decline: axis I

Back 18

normal aging causes stress or impairment

Front 19

Mental Health and Medical most likely to be reimbursed for

Back 19

Bereavement

Tardive Dyskinesia

Front 20

Two questions to be considered in relation to Axis I

Back 20

1) What are the major psychiatric symptoms in relation to the disorder?
2) What is the course and duration of the illness and how does it vary

Front 21

Axis II
DSM-IV-TR

Back 21

Personality Disorders and Mental Retardation

Front 22

When do Axis II diagnosis start?

Back 22

Generally diagnosed in childhood or adolescence and persist in stable form into adulthood (generally no periods of remission).

Front 23

Three questions to be considered when diagnosing Axis II

Back 23

1) Are there any life-long maladaptive patterns (may not always be with MR)?
2) Do the identified patterns tend to cause difficulty in intimate, social or work relationships?
3) What developmental issues are arrested or currently impair daily functioning?

Front 24

Axis III
DSM-IV-TR

Back 24

General Medical Conditions:
medical that goes with mental

Front 25

What medical conditions should Social Workers always consider when assessing Axis II?

Back 25

when was the last physical exam, and could hearing or vision impairment contribute to the mental health problem being assessed

Front 26

Axis IV
DSM-IV-TR

Back 26

Psychosocial and Environmental Problems/Stressors

Front 27

Axis IV stressors as factors

Back 27

primary support
educational
housing
access to healthcare services
interaction with legal system
related to social environment
occupational
economic
other psychosocial problems
p

Front 28

How is Axis IV relevant to Social Work?

Back 28

Axis IV takes into account the environment.

Front 29

GARF

Back 29

Assessment of Family Functioning

Front 30

SOFAS

Back 30

Assessment of Social Functioning

Front 31

Axis V
DSM-IV-TR

Back 31

Global Assessment of Functioning (GAF)

Front 32

What is the GAF?

Back 32

rates level of functioning from 1-100;
the higher the number the higher the functioning;
30-50 admission criteria;
rate the highest level of recent functioning

Front 33

Criteria for Mental Retardation

Back 33

Onset prior to age 18 and an IQ of 70 or below

Front 34

Borderline Intellectual Functioning

Back 34

71-84
Axis II

Front 35

Mild Mental Retardation

Back 35

55-70
Educable: able to perform at 6th grade level, can use minimal assistance may need some supervision and guidance, live in community or in supervised settings

Hint 35

Highway Driving

Front 36

Moderate Mental Retardation

Back 36

35-55
Trainable: able to perform at 2nd grade level with moderate supervision can attend to their own personal care, can perform unskilled or semi-skilled work, can live in the community

Hint 36

Residential Driving

Front 37

Severe Mental Retardation

Back 37

20-35
generally institutionalized, have little or no communicative speech, possible group home

Hint 37

school zone

Front 38

Profound

Back 38

below 20
generally total care

Front 39

What is the margin of error on IQ scores?

Back 39

equivalent to a five-point overlap

Front 40

Pervasive Mental Disorders

(involve multiple functions not considered normal at any age)

Back 40

Qualitative Impairment:
reciprocal interaction, verbal and nonverbal skills, imaginative activity, and intellectual skills

Front 41

Autistic Disorder

Back 41

severe form, onset in infancy or childhood, self-stimulating, self-injuring often present
Prognosis: Poor, often moderately mentally retarded
3x more common in males, hereditary factor, DSM age of onset is 3 yrs. old

Front 42

Autism: SW Treatment

Back 42

Generally Behavioral in Nature

Front 43

DSM 3 new categories of Other Pervasive Developmental Disorders

Back 43

Rett's Disorder
Childhood Disintegrative Disorder
Asperger's Disorder

Front 44

Rett's Disorder

Back 44

only in females
deceleration of head growth
start out normal then between 5 and 24 months begin to have difficulty with previously acquired hand skills, social engagement, appearance of stereotyped movement, and impaired language generally associated with severe or profound MR

Front 45

Childhood Disintegrative Disorder

Back 45

normal development for 2 years then drastic decline followed by a loss of previously acquired skills, and development of autistic like symptoms

Front 46

Asperger's Disorder

Back 46

autistic like symptoms without language impairment, severely impaired social interaction, often have normal to above normal intelligence

Front 47

Learning Disabilities

Back 47

Significant difficulties in acquisition of listening, speaking, reading, writing, reasoning, and math. May learn to compensate, but do not outgrow.

Front 48

Signs and Symptoms of Learning Disabilities

Back 48

significant delay in skill level (2 standard deviations below mean), generally noted between 8 and 13, more common in boys, kids don't always catch up- continues into adulthood, involve specific functions rather than multiple

Front 49

SW Intervention for Learning Disabilities

Back 49

Generally Behavioral in Nature

Front 50

ADHD

Back 50

symptoms must persist for at least 6 months
Three Subtypes: predominantely inattentive, hyperactive-impulsive, combined
Symptoms Require 2 or more Situations: ex. home & school
more common in males, may have trouble even when medicated, often co-occuring disorder, may learn to compensate but do not outgrow

Front 51

SW Intervention for ADHD

Back 51

-evaluate by a neurologist or physician for physical
-medication (ex. ritalin which is a paradoxical medication)
-medication helps increase tolerance, decrease impulsivity, sustains attention, reduces complaints of boredom and task irrelevance
-when meds alone are not enough, reevaluate diagnosis
-help families deal with child at home and teachers at school, may need additional academic help (tutoring, extra time on homework and tests)
-Address self esteem in counseling
-Behavioral and Cognitive techniques often used

Front 52

ADHD Impulsive Type Issues

Back 52

Trouble in School

Front 53

ADHD Inattentive Type Issues

Back 53

Poor Grades in School

Front 54

Conduct Disorder

Back 54

Pattern of behavior that violates the rights of others:
-aggression to people and animals
-deceitfulness or theft
-destruction of property
-serious violations of others

Front 55

Conduct Disorder Criteria for Girls

Back 55

staying out all night and intimidating others

Front 56

Conduct Disorder:
new subtypes

Back 56

Subtypes based on age of onset:
-childhood and adolescent (onset prior to age 10= poor prognosis)
-age 20 diagnosis changes to Anti-Social (not all conduct disorders become anti-social)
Diagnosis More Common in Males

Front 57

SW Intervention:
Conduct Disorder

Back 57

Behavioral Identification of BC's (Behavior and Consequences),family treatment required to reinforce BC's

Front 58

Oppositional Defiant Disorder

Back 58

not as severe as Conduct Disorder, does not repeatedly violate the rights of others, be sure to r/o medical conditions such as hearing impairment

Front 59

SW Intervention:
Oppositional Defiant Disorder

Back 59

Similar to Conduct Disorder but less intense: use of BC's and family tx to reinforce

Front 60

Feeding and Eating Disorders of Infancy or Early Childhood

Back 60

Pica: repeated eating of non-nutritive substances for
1 month, onset age 1 or 2

Front 61

Tourette's Disorder

Back 61

Tic Disorder- vocal and motor all present at same time, onset before 18, symptoms must last for at least a year, neurological

Front 62

Enuresis

Back 62

Elimination Disorder that is not due to a physical disorder:
elimination of urine during day or night, must be age 5 before dx

Front 63

Encopresis

Back 63

Elimination Diorder not due to a physical disorder:
repeated elimination of feces or "soiling" in inappropriate places, occurs 1x a month for 3 months, age 4 before dx

Front 64

What to do first when suspecting elimination disorder?

Back 64

Refer child for physical exam before dx; children not developmentally ready to potty train until after age 3

Front 65

Separation Anxiety Disorder

Back 65

excessive anxiety over separation from home or whom attached, must last four weeks and begin before age 18, use early onset if before age 6

Front 66

Stranger Anxiety

Back 66

normal reaction experienced by an infant when startled or feeling threatened

Front 67

Separation Anxiety

Back 67

feelings of anxiety and fear that result after being separated from a significant other (parent, partner, etc)

Front 68

Selective Mutism

Back 68

one month before dx, exclusion during first month of school, must impair functioning/exclude if due to language problem, persistent refusal to talk, an inability to speak or understand spoken language

Front 69

Delirium

Back 69

abrupt onset of symptoms that fluctuate, clouded sensorium, brief duration, may happen to young or old:
-due to a general medical condition
-substance induced delirium
-delirium due to multiple etiologies

Front 70

Dementia

Back 70

relatively stable symptoms that do not fluctuate, no clouded sensorium, long duration, must have disturbance in occupational and social functioning characterized by multiple cognitive deficits

Front 71

Diagnosing Dementia Involves

Back 71

Characterized by intellectual deterioration that is severe enough to impair occupational or social functioning. Use of psychometric and other mental status testing, measurement of the activities of daily living skills, and radiological techniques to dx

Front 72

Types of Dementia

Back 72

Alzheimer's
Vascular
Parkinson's
Due to Other General Medical Conditions such as HIV

Front 73

Alzheimer's

Back 73

Abnormal nerve cells containing tangles and fibers (neurofibrillary tangles) and clusters of degenerating nerve endings (neuritic plaque)

Front 74

Vascular Dementia

Back 74

small repeated strokes in the brain (used to be called multi-infarct dementia)

Front 75

Parkinson's Disease

Back 75

slow progressing neurological disease involving tremors, rigidity, etc/localized damage, tremors

Front 76

Primary Medication for Parkinson's

Back 76

Sinemet

Front 77

Diagnosing Dementia

Back 77

Memory Disturbance
Language, perception, praxis(behavior) disturbances, decreased ability to learn, and decreased problem solving, decreased judgment, social avoidance, fearfulness, paranoid symptoms, delusions, irritability,agitation, verbal/physical aggression, increasing loss of control

Front 78

Assessment and SW Intervention for Dementia

Back 78

-Measure Memory (recent vs remote) psychometric: short portable mental status questionaire, 7 digit progression scale
-Measure Judgement Ability: usually first sign families note, use Family Questionaire to measure deficits
-Orient x4 (person, place, time, spatial orientation)
-Assess Affect: depression vs dementia difficult to assess in early stage (strokes tend to enhance neg not pos qualities)
-Monitor intelligence and cognitive ability (confabulation):often use the
clock test)
-Use Reality Orientation or Validation Therapy

Front 79

Separation Anxiety Disorder

Back 79

excessive anxiety over separation from home or whom attached, must last four weeks and begin before age 18, use early onset if before age 6

Front 80

Stranger Anxiety

Back 80

normal reaction experienced by an infant when startled or feeling threatened

Front 81

Separation Anxiety

Back 81

feelings of anxiety and fear that result after being separated from a significant other (parent, partner, etc)

Front 82

Selective Mutism

Back 82

one month before dx, exclusion during first month of school, must impair functioning/exclude if due to language problem, persistent refusal to talk, an inability to speak or understand spoken language

Front 83

Delirium

Back 83

abrupt onset of symptoms that fluctuate, clouded sensorium, brief duration, may happen to young or old:
-due to a general medical condition
-substance induced delirium
-delirium due to multiple etiologies

Front 84

Dementia

Back 84

relatively stable symptoms that do not fluctuate, no clouded sensorium, long duration, must have disturbance in occupational and social functioning characterized by multiple cognitive deficits

Front 85

Diagnosing Dementia Involves

Back 85

Characterized by intellectual deterioration that is severe enough to impair occupational or social functioning. Use of psychometric and other mental status testing, measurement of the activities of daily living skills, and radiological techniques to dx

Front 86

Types of Dementia

Back 86

Alzheimer's
Vascular
Parkinson's
Due to Other General Medical Conditions such as HIV

Front 87

Alzheimer's

Back 87

Abnormal nerve cells containing tangles and fibers (neurofibrillary tangles) and clusters of degenerating nerve endings (neuritic plaque)

Front 88

Vascular Dementia

Back 88

small repeated strokes in the brain (used to be called multi-infarct dementia)

Front 89

Separation Anxiety Disorder

Back 89

excessive anxiety over separation from home or whom attached, must last four weeks and begin before age 18, use early onset if before age 6

Front 90

Stranger Anxiety

Back 90

normal reaction experienced by an infant when startled or feeling threatened

Front 91

Separation Anxiety

Back 91

feelings of anxiety and fear that result after being separated from a significant other (parent, partner, etc)

Front 92

Selective Mutism

Back 92

one month before dx, exclusion during first month of school, must impair functioning/exclude if due to language problem, persistent refusal to talk, an inability to speak or understand spoken language

Front 93

Delirium

Back 93

abrupt onset of symptoms that fluctuate, clouded sensorium, brief duration, may happen to young or old:
-due to a general medical condition
-substance induced delirium
-delirium due to multiple etiologies

Front 94

Dementia

Back 94

relatively stable symptoms that do not fluctuate, no clouded sensorium, long duration, must have disturbance in occupational and social functioning characterized by multiple cognitive deficits

Front 95

Diagnosing Dementia Involves

Back 95

Characterized by intellectual deterioration that is severe enough to impair occupational or social functioning. Use of psychometric and other mental status testing, measurement of the activities of daily living skills, and radiological techniques to dx

Front 96

Types of Dementia

Back 96

Alzheimer's
Vascular
Parkinson's
Due to Other General Medical Conditions such as HIV

Front 97

Alzheimer's

Back 97

Abnormal nerve cells containing tangles and fibers (neurofibrillary tangles) and clusters of degenerating nerve endings (neuritic plaque)

Front 98

Vascular Dementia

Back 98

small repeated strokes in the brain (used to be called multi-infarct dementia)