60-64Misdiagnosis Dual Diagnoses of Gifted– Posttest
This is the posttest that accompanies your course. You can print this test out for use while reading the course book. Directions for submitting your test online are located at the end of this document.
1. The authors suggest two reasons why so many gifted children receive so many diagnoses. Which of the following are those two?
a. Gifted individuals are inevitably subjected to more psychosocial stressors than are typical individuals
b. There are specific disorders that are more likely to occur in certain groups of gifted children and adults
c. Gifted children and adults are more likely to receive professional attention than typical individuals
d. Many professionals lack knowledge and may mistake common characteristics of giftedness for pathology
e. a and c onlyf. b and d only
2. All of the following are listed in the text as frequent referral problems for gifted adults EXCEPT:
a. My spouse says my lack of intensity at work and at home is driving her crazy
b. I feel bound to challenge others’ thinking, and they don’t like it when I do
c. I feel different from others; I just don’t enjoy socializing
d. My job evaluation says I am too impatient with others; no one wants to work with me
3. In which of the following scenarios might a highly gifted child be misdiagnosed with Attention Deficit Hyperactivity Disorder (ADHD)?
a. Eager curiosity leads the child to blurt out answers in class
b. Child is tapping his pencil while learning but is not off task
c. Child is off task because he already knows the material and is bored
d. Overexitability behaviors do not impair his own learning but do disturb others
e. All of these
4. Many gifted individuals may have very advanced intellectual skills but social or motor skills that lag far behind. Which of the following terms has been used to describe this phenomenon?
a. Intellectual overexitabilityb. Asynchronous development
c. Auditory-sequential styled. Visual-spatial style
5. Which of the following characteristics of highly gifted individuals can lead to their being rejected as weird or noncompliant?
a. Idealismb. Judgment that lags behind intellect
c. Advanced interestsd. Creativitye. None of the above
6. Regarding the application of a diagnosis of ADHD to gifted children, the authors suggest that:
a. Gifted children are incorrectly diagnosed with ADHD particularly often
b. Gifted children show many behaviors that are similar to children who suffer from ADHD
c. There are empirical data that substantiate overuse of the ADHD diagnosis with gifted children
d. All of the abovee. a and b only
7. Which of the following behaviors is associated with giftedness and NOT ADHD?
a. Poorly sustained attention in almost all situations
b. Diminished persistence on tasks not having immediate consequences
c. Judgment lags behind intellect
d. Impulsivity, poor ability to delay gratification
8. Which of the following behaviors is associated with ADHD and NOT giftedness?
a. Poor attention, boredom, daydreaming in specific situations
b. Impaired adherence to commands to regulate or inhibit behavior in social contexts
c. Questions rules, customs, and traditions
d. Low tolerance for persistence on tasks that seem irrelevant
9. According to the authors, which of the following is the essential approach in making a correct and distinct differential diagnosis of ADHD in a gifted child?
a. To observe the child’s behavior in familiar and novel settings
b. To perform adequate intelligence testing
c. To consider both the characteristics of the gifted child and the child’s situation
d. All of thesee. None of these
10. Which of these is offered in the text as a reason for the common occurrence of anger in gifted children?
a. Intensityb. Sensitivity
c. Inclination to argue with adultsd. All of these
11. The authors suggest that the second most common misdiagnosis (after ADHD) of gifted children is:
a. Oppositional Defiant Disorder (ODD) b. Conduct Disorder
c. Intermittent Explosive Disorderd. Disruptive Behavior Disorder NOS
12. Which of the following behavior features is listed in the text as being incompatible with or contradictory to a diagnosis of ODD in a child or adult of high intellectual ability?
a. Often loses temperb. Is often spiteful or vindictive
c. Behavior causes clinically significant impairmentd. Defiance is limited to one setting
13. Which of the following behavior features is listed in the text as being incompatible with or contradictory to a diagnosis of Intermittent Explosive Disorder in a child or adult of high intellectual ability?
a. Aggressive impulses result in serious assaultive acts or destruction of property
b. The degree of aggressiveness is out of proportion to the precipitating event
c. History of intense emotions of all kinds, including positive feelings
d. The individual does not remember the rageful episode
14. Which of the following behavior features is listed in the text as being incompatible with or contradictory to a diagnosis of Narcissistic Personality Disorder in a child or adult of high intellectual ability?
a. Demonstrates narcissistic behavior in some settings but not others
b. Is preoccupied with fantasies of unlimited success, power, brilliance, or beauty
c. Has unreasonable expectations of especially favorable treatment
d. Lacks empathy – unwilling to identify with the feelings or needs of others
15. Which of the following behavior features is listed in the text as being incompatible with or contradictory to a diagnosis of Obsessive-Compulsive Disorder in a child or adult of high intellectual ability?
a. Beliefs deform and impair day-to-day life
b. Recurrent and persistent thoughts are intrusive and cause marked distress
c. The person attempts to neutralize the thoughts with some other thought or action
d. All of thesee. None of these
16. Which of these is/are listed in the text as keys for accurate differentiation between gifted children and children with Asperger’s Disorder?
a. To observe the child for marked impairment in the use of multiple nonverbal behaviors
b. To observe the child for empathy when he is with others who share his intellectual passion
c. To examine the child’s insight into how others see her and her behavior
d. To examine the child for inflexible adherence to nonfunctional routines
e. a and b onlyf. b and c only
17. Which of the following behavior features is listed in the text as being incompatible with or contradictory to a diagnosis of Asperger’s Disorder in a child or adult of high intellectual ability?
a. Persistent preoccupation with parts of objects
b. Is comfortable with abstract ideas and unstructured activities
c. Lack of social or emotional reciprocity
d. Encompassing preoccupation with one or more restricted patterns of interest
18. Which of the following behavior features is listed in the text as being incompatible with or contradictory to a diagnosis of Schizoid Personality Disorder in a child or adult of high intellectual ability?
a. History of situations in which intellectual curiosity was not welcomed
b. Inappropriate behavior as a statement of rebellion or independence
c. Actively seeks peers who share similar interests, and is seemingly comfortable with them
d. All of thesee. None of these
19. Some gifted individuals may be seen as suffering from Avoidant Personality Disorder because they are temperamentally inclined to be introverts and may withdraw when subjected to teasing by peers.
a. True b. False
20. Which of these is offered in the text as a reason for misdiagnosing gifted children or adults as having a mood disorder?
a. The clinician does not understand gifted children and adults
b. The clinician has not paid careful enough attention to the criteria for that diagnosis
c. The clinician has decided that the current diagnostic criteria are not accurate or complete
d. All of the abovee. None of the above
21. Which of these is/are listed in the text as key questions to ask for accurate differentiation between gifted individuals and those with Bipolar Disorder?
a. Is the patient cycling between manic and depressive states?
b. Is the onset prior to age 18?
c. Is the patient’s function impaired?
d. Are symptoms present across virtually all settings and situation?
e. a and b onlyf. c and d only
22. Which of these statements about the occurrence of existential depression among gifted individuals is an accurate representation of the authors’ discussion in the text?
a. There is something inherent in being a gifted individual that makes one more prone to depression than others
b. Existential depression is particularly likely among persons who are highly gifted
c. There is usually a poor fit between the gifted person and his or her environment
d. The concept of existential depression seems to have little connection to gifted characteristics
23. Which of these groups was identified by Brody and Mills as learning disabled gifted children whose disabilities and/or giftedness are likely to remain unrecognized?
a. Students identified as gifted but not able to compensate well enough to remain undiagnosed
b. Gifted students whose learning disabilities are severe enough to be noticed but whose ability is recognized
c. Students whose aptitude and learning disabilities mask or hide each other
24. The research supports suspecting a learning disability when there is discrepancy of greater than 20 point between verbal and performance IQ scores.
a. True b. False
25. Which of the following types of dyslexia has been called “deep dyslexia”?
a. Reading words correctly while remaining unaware of their meaning
b. Ability to read regular words, but not irregular ones
c. Misfiling words: retrieving the right general concept but producing the wrong word
26. The authors identify three turning-point years: those within which parents and teachers tend to grant children a leniency period while they transition to the next level of schooling. All of these are among them EXCEPT:
a. First gradeb. Second gradec. Seventh graded. Tenth grade
27. Significantly short or long sleep patterns, which are not uncommon among gifted individuals, can result in symptoms in which of the following areas?
a. Arousal and activity regulationb. Learning and attention skills
c. Depressiond. All of the above e. None of the above
28. The authors report that their clinical experience indicates that ______% of highly gifted children suffer from allergies.
a. 10% to 20% b. 20% to 30%c. 30% to 40% d. 40% to 50%
29. Which of the following family relationship patterns is exemplified by parents who focus unduly on the achievements of their gifted child?
a. Power strugglesb. Enmeshmentc. Giftedness as an excuse for bad behavior
d. Parent/child manipulatione.Denial of giftednessf. Sibling rivalry
30. Which of the following family relationship patterns is exemplified by fathers who are skeptical about their child’s giftedness because they tend to equate giftedness with hard work and achievement?
a. Power strugglesb. Enmeshmentc. Giftedness as an excuse for bad behavior
d. Parent/child manipulatione. Denial of giftednessf. Sibling rivalry
31. In consideration of the issues for gifted adults within the context of seeking out relationship partners, Arthur Jensen (2004) is quoted in the text as identifying a “zone of tolerance” of plus or minus ____ IQ points.
a. 10 b. 20c. 30 d. 40
32. Which of these guidelines for achieving optimal diagnosis and treatment for a gifted individual involves making clinical recommendations for awareness and preventative tips rather than undertaking treatment for a disorder?
a. Take a detailed developmental historyb. Examine the role of context issues
c. Consider the possibility of dual diagnosesd. Take into account the individual’s level of impairment
33. Of the following reasons for gifted adults or parents of gifted children to seek professional guidance, which is/are endorsed by the authors as valid and compelling reasons?
a. Assessmentb. Consultationc. Preventive maintenance
d. Therapye. All of these
Professional Development Resources 60-64 Misdiagnosis & Dual Diagnoses Page 1 of 4