Assessment Flashcards

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1
Q

Bipolar Disorder Type 2 - Key Features (5)

A
  • NO psychosis or mania
  • ONLY hypomania
  • No functional impairment
  • Harder to get medication right
  • More likely to be hospitalised for depression
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2
Q

Bipolar Disorder Type 1 - Key Features

A
  • BOTH mania and hypomania
  • Psychosis
  • Psychotic depression
  • Significant functional impairment
  • More likely to be hospitalised for psychosis or mania
  • Don’t need psychosis or hypomania to have BP1 diagnosed
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3
Q

Cluster A Personality Disorders (Odd/mad)

A
  • Paranoid PD
  • Schizotypal PD
  • Schizoid PD
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4
Q

Cluster B Personality Disorders (Dramatic/Bad)

A
  • Antisocial PD
  • Borderline PD
  • Histrionic PD
  • Narcissistic PD
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5
Q

Cluster C Personality Disorders (Anxious/Sad)

A
  • Dependent PD
  • Obsessive-Compulsive PD
  • Avoidant PD
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6
Q

What cluster do anxious (sad) type personality disorders belong to?

A

Cluster C

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7
Q

What cluster do dramatic (bad) type personality disorders belong to?

A

Cluster B

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8
Q

What cluster do odd (mad) type personality disorders belong to?

A

Cluster A

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9
Q

The W_ _ _ _ is an individually administered test of intelligence for clients aged 16 years to 90 years and 11 months.

A

WAIS-IV

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10
Q

The _ _ _ is a wide range, individually administered test of intelligence for clients aged 2 years to 85 years +

A

Standford-Binet Intelligence Scales (SB5)

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11
Q

What is the maximum age clients can be assessed using the WISC-V?

A

16 years and 11 months

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12
Q

What are the age ranges for the WPPSI-IV?

A

2:6 to 3:11 and 4:0 to 7:7

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13
Q

These are the core subtests for which intelligence assessment: Similarities, Vocabulary, Information, Block Design, Matrix Reasoning, Visual Puzzles, Digit Span, Arithmetic, Symbol Search and Coding

A

WAIS-IV

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14
Q

These are the core subtests for which intelligence assessment: Similarities, Vocabulary, Block Design, Matrix Reasoning, Figure Weights, Digit Span, Coding

A

WISC-V

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15
Q

These are the supplementary subtests in which intelligence assessment: Information, Comprehension, Visual Puzzles, Picture Concepts, Arithmetic, Picture Span, Letter Number Sequencing, Symbol Search, Cancellation

A

WISC-V

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16
Q

The following are the supplementary subtests for which intellgience assessment: Comprehension, Figure Weights, Picture Completion, Letter Number Sequencing, Cancellation

A

WAIS-IV

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17
Q

In what section of the DSM-5 would you find Adjustment Disorder?

A

Anxiety Disorders

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18
Q

In Adjustment Disorder, the development of emotional or behavioural symptoms in repsonse to an identifiable stressor/s occurs within how many months of onset of the stressor/s?

A

3 months

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19
Q

What is the prevalence rate of Adjustment Disorder in outpatient settings?

A

5-20%

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20
Q

Paranoid, Schizoid, and Schizotypal Personal Disorders belong to which cluster?

A

Cluster A (mad/odd)

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21
Q

Antisocial, Borderline, Histrionic, and Narcissistic Personality Disorders belong to which cluster?

A

Cluster B (bad/dramatic)

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22
Q

Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders belong to which cluster?

A

Cluster C (sad/anxious)

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23
Q

Antisocial Personality Disorder can be described as a pervasive pattern of disregard for and violation of the rights of others, occurring since what age?

A

15 years

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24
Q

How old must a person be to be considered for a diagnosis of Antisocial Personality Disorder?

A

18 years

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25
Q

What is the prevalence rate of Antisocial Personality Disorder?

A

0.2-3.3%

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26
Q

For ADHD, symptoms of inattention must have persisted for at least how many months?

A

6 months

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27
Q

For ADHD, symptoms of hyperactivity and impulsivity must have persisted for at least how many months?

A

6 months

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28
Q

To make a diagnosis of ADHD, several inattentive or hyperactive-impulsive symptoms were present prior to what age?

A

12 years

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29
Q

What is the prevalence rate of ADHD in children?

A

5%

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30
Q

What is the prevalence rate of ADHD in adults? (half of children %)

A

2.5%

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31
Q

How many diagnostic criteria are present under ASD in the DSM-5?

A

5

32
Q

For ASD, what is Criteria A in the DSM-5?

A
  • Social/Communication
  • Persistent deficits in social communication and social interaction across multiple contexts
33
Q

For ASD, what is Criteria A in the DSM-5?

A
  • Social/Communication
  • Persistent deficits in social communication and social interaction across multiple contexts
34
Q

What is the prevalence rate of ASD?

A

1%

35
Q

For which disorder is it necessary to have a least 1 manic episode?

A

Bipolar 1 disorder

36
Q

The following is a description of what kind of episode: a distinct period of abnormally and persistently elevated, expansive or irritable mood and abnormally and persistently goal directed activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalisation is necessary)

A

A Manic episode

37
Q

What is the prevalence rate of Bipolar 1 disorder in the US?

A

0.6%

38
Q

In Cyclothymic Disorder, for how long must there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode?

A

2 years

39
Q

The following describes what personality disorder: A pattern of instability in interpersonal relationships, self-image and affects and marked impulsivity

A

Borderline Personality Disorder

40
Q

The following describes what personality disorder: A pattern of disregard for and the violation of the rights of others

A

Antisocial Personality Disorder

41
Q

What is the prevalence of Borderline Personality Disorder in the general population?

A

1.6%

42
Q

True or False: The SDQ has 5 scales with 5 items each. Four of the scales are totalled to provide the total difficulties score (excluding the prosocial scale)

A

True.

43
Q

What does SDQ stand for?

A

Strengths and Difficulties Questionnaire

44
Q

True or False: In Adjustment Disorder, Criteria D stipulates that the symptoms do not represent normal bereavement.

A

True

45
Q

Which is NOT a symptom of MDD: weight gain/loss, Insomnia/hypersomnia, fatigue or loss of energy, recurrent thoughts of death, chronic feelings of emptiness, psychomoto agitation/retardation

A

Chronic feelings of emptiness

46
Q

Which is NOT 1 of the 6 domains involved in Major Neurocognitive Disorder: Complex attention, executive functioning, social cognition, perceptual motor, language, fluid reasoning, learning and memory

A

Fluid Reasoning

47
Q

The following is an essential feature of which Neurocognitive disorder: A disturbance of attention or awareness that is accompanied by a change in baseline cognition that cannot be better explained by a pre-existing or evolving neurocognitive disorder

A

Delirium

48
Q

What are the cutoffs for the DASS_21? What would be considered clinically significant?

A

DASS-21

Depression Anxiety Stress
Normal 0-4 0-3 0-7

Mild 5-6 4-5 8-9

Moderate 7-10 6-7 10-12

Severe 11-13 8-9 13-16

Extremely Severe 14+ 10+ 17+

49
Q

What do you need to remember about the DASS-21 for the exam?

A

Cannot diagnose MDD with DASS or plan any sort of Tx based on a DASS score
alone – needs further exploration via a BDI or clinical interview

ALL DASS Questions are Assessment Questions on exam

50
Q

What do the different scales correlate with when it comes to diagnosis?

A

Depression - Mood Disorder

Anxiety - Specific Phobia and Panic Disorder

Stress - Generalised Anxiety Disorder

Is there a total DASS score - they will try to trick you elevate on the global scores - THERE IS NOOOOOOO GLOBAL SCORES

Board will expect suicide risk assessment with every client that comes through the door ask just a couple of questions at least -

51
Q

DASS scoring - if there are high scores on any of the scales what would be expected to do with the client?

A

If you get scores in the clinical range for anything - expect to do a suicide risk assessment with every client

52
Q

K10 - Global Assessment of Functioning - General Functioning
What is a clinically significant score on the K10?

A

* score under 20 are likely to be well
* score 20-24 are likely to have a mild mental disorder
* score 25-29 are likely to have moderate mental disorder
* score 20-50 and over are likely to have a severe mental disorder

53
Q

K10 What is the maximum score? What scores do you needs to remember?

A

Max score = 50; Min score = 10 (Scale 1 – 5)
• Significant cut off score = 25 (half the max score) Above 30 is severe (remember this)
• K10 does not differentiate between Dep, Anx & Stress, just shows distress
• Need further exploration – not diagnostic (screener)

54
Q

If someone says your client has a k10 of 35 - severe anx disorder; mood disorder; no MH issues; severe clinical distress consistent with severe mental H issue; mod stress or severe PTSD

A

ANSWER sever clinical distress

55
Q

Both have been designed to maximize outcomes and see if you are doing what your clients want and measure the success of treatment

A

ORS & SRS

56
Q

ORS Categories?

A

ORS Categories -
Individually
Interpersonally
Socially and
Overall

57
Q

SRS categories are?

A

SRS -

  1. Relationship Goals
  2. Topics
  3. Approach
  4. method Overall
58
Q

What is the CBCL?

A

The Child Behavior Checklist (CBCL) is a widely used questionnaire to assess behavioral and emotional problems.

It is often used as a diagnostic screener, but autism spectrum disorders (ASD) are not included in the CBCL for school-aged children.

59
Q

When would you use a CBCL?

A

Perhaps if you had done an SDQ and the child scored high on internalising

60
Q

State Trait Anxiety Inventory - What is state and what is trait?

A

State is disorder
Trait is personality

61
Q

Who would you use a State Trait Anxiety Assessment for?

A

Someone who never worked
Someone who doesn’t leave house
Someone with physical ailments

Symptoms …questioning are they anxious are they depressed - more as a trait that a state - is this generalized anxiety triggered by something or is this a trait in this person - have they always had this trait and personality

Differentiate state and trait
Long standing symptoms with no medical explanation

62
Q

What age group would you use the state trait anxiety assessment for?

A

Adult Anxiety

63
Q

Facts about the State-Trait Anxiety Inventory;

  1. How many questions?
  2. What are the focus areas?
  3. How long to complete?
A

40
Worry, Tension, apprehension and nervousness.
10 - 20 mins

64
Q

WHODAS - What is the who DAS? What does it do?

A

World Health Organisation Disability Assessment Scale

  1. Disability Ax - looks at disability caused by illness, physical Health, Mental Health, AOD problems
  2. Looks at the impact emotional issues have on everyday life

The adult self-administered version of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a 36-item measure that assesses disability in adults age 18 years and older.

65
Q

WHOQOL

A

World Health Organisation Quality of Life Scale

66
Q

What is the WMS and what is it for?

A

Weshler Memory Scale and immediate and delayed visual and verbal memory

67
Q

Weshler Individual Reading Test assesses which categories?

A

Writing
Reading
Maths
Oral Expression
Listening and comprehension

68
Q

What is the PH9? What is it for?

A

Patient Health Questionairre
Screening for depression

69
Q

What would you used the MMPi for?

A

Minnesota Multiphasic Personality Inventory
Standardised psychometric test of adult personality and psychopathology

70
Q

ABAS …..what is it a what age is it for ? How long doe it take to complete?

A

Adaptive Behaviour Assessment System
Birth to 89 years ( across the life span)
15-20 minutes
Some parts completed by a parent or teacher - self rating option for adults

71
Q

What is the Adaptive Behavioural Assessment System Used for?

A

evaluating those with developmental delays, autism, ID, learning disabilites, neuropsychological disorders , and sensory or physical impairments

72
Q

What are the 3 domains of the ABAS?

A

Conceptual, Practical and Social

73
Q

WHEN WOULD YOU MOVE TO AN ABAS?

A

When a WISC is completed and scores are 70 or below - considered intellectual disability

74
Q

What areas do the WHO-DAS assess?

A

Concentration
Remembering
Self Care
Getting Around
Life Activities
Participation in Society

75
Q

Methods of Direct Behavioural Observations ….

A

Needs to be scientific as possible

Reliability - observing the same behaviours and doing the same things in various environments

Frequency, Duration, Intensity

You need to be specific with what you are measuring so that you can compare at a later time period