Assessment Flashcards
What four composite scores are generated by the WIAT?
1) Oral Language
2) Total Reading
3) Written Expression
4) Mathematics
Results from the WIAT can contribute to the formalising of a ____ diagnosis.
Specific Learning Disorder
MMPI stands for…
Minnesota Multiphasic Personality Inventory
PAI stands for…
Personality Assessment Inventory
How many scales does the PAI contain?
Twenty-two scales (in four categories - validity, clinical, treatment, interpersonal)
‘Dominance’ (DOM) and ‘Warmth’ (WRM) are examples of which type of PAI scale?
Interpersonal
‘Somatic complaints’ (SOM) and ‘Schizophrenia’ (SCZ) are examples of which type of PAI scale?
Clinical
‘Inconsistency’ (INC) and ‘Infrequency’ (INF) are examples of which type of PAI scale?
Validity
‘Aggression’ (AGG) and ‘Non-support’ (NON) are examples of which type of PAI scale?
Treatment
What should you do if the Validity Scale Score of the PAI is high?
Continue to score the assessment BUT interpret with caution.
PAI scores are presented as t-scores. A score above XX is above the norm in the general population. A score above YY is significantly/clinically above the norm in the general population.
XX = 50
YY = 70
What model of personality is the NEO based on?
Five-factor model (i.e. OCEAN)
Which of the following personality tests can be used as a measure of psychopathology?
NEO
PAI
MMPI
PAI and MMPI
The Self-Directed Search (SDS) and the Strong can both be used to…
aid in career decision-making by assisting individuals to gain an in-depth understanding of their interests, strengths, and values.
How are scores in the Self-Directed Search (SDS) and the Strong reported?
Scores are calculated on RIASEC categories with the three highest scores used to generate a three-letter code known as Holland Code.
What are the six categories represented by RIASEC?
Realistic
Investigative
Artistic
Social
Enterprising
Conventional
After completing the SDS, a client receives a Holland Code of ISA. Which of the following careers might they be suited to?
a) flight attendant
b) psychologist
c) clock repairer
b) psychologist
After completing the SDS, a client receives a Holland Code of CRI. Which of the following careers might they be suited to?
a) mechanical engineer
b) firefighter
c) chef
a) mechanical engineer
When/why would you use a WASI?
When a full IQ test is unnecessary, to determine if a full test is necessary, or as a retest measure
The STAI measures two types of…
anxiety - trait and state
A client shares that they feel highly anxious every time they drive on a busy motorway. What type of anxiety is this?
state anxiety
A client shares that they feel anxious when their partner is more quiet than usual; they fear that their partner wants to break up. What type of anxiety is this?
trait anxiety
Which ‘Big Five’ dimension best aligns with ‘trait anxiety’?
neuroticism
You want to assess strengths and weaknesses in cognitive processing, what tests can you use?
WISC/WPPSI/WAIS/WASI, KAIT, Stanford Binet, Woodcock-Johnson
What does the Raven’s Standard Progressive Matrices test?
General intelligence & fluid intelligence
On the WIAT, which composite scores contribute to the Total Reading composite?
Basic Reading
Reading Comprehension and Fluency
What would you use to measure a person’s overall psychosocial functioning?
WHO-DAS or GAF
The following are the domains of which assessment?
- cognition
- mobility
- self care
- getting along
- life activities
- participation
WHO-DAS
When/why would you use a WHO-QOL?
To assess an individual’s perception of their position in life in the context of their goals, expectations, standards, and value systems.
A client has scored a 10 on the PHQ-9. What does this tell you?
They are showing moderate depressive symptoms.
What are the DSM scales of the CBCL?
Depressive problems, anxiety problems, somatic problems, attention deficit/hyperactive problems, oppositional defiant problems, conduct problems
What are the 6 domains of the WHO-QOL?
1) Physical capacity
2) Psychological
3) Level of independence
4) Social relationships
5) Environment
6) Spirituality, religion, or personal beliefs
A score of 10 is what level of severity on all domains of the DASS?
Depression - mild
Anxiety - moderate
Stress - normal
Any score above ‘normal’ in the DASS represents significant distress levels. This means that a score of XX in Depression, YY in Anxiety, and/or ZZ in Stress warrants further investigation.
XX = 10 or more (in Depression)
YY = 8 or more (in Anxiety)
ZZ = 15 or more (in Stress)
The K10 is scored out of 50. A score of ____ or more is clinically significant.
20
The DASS Depression domain corresponds most closely to which disorders on the DSM?
Mood disorders
The DASS Anxiety domain corresponds most closely to which disorders on the DSM?
Anxiety disorders EXCEPT GAD
The DASS Stress domain corresponds most closely to which disorders on the DSM?
GAD
A client scores 24 in the Stress domain of the DASS. What diagnosis should be considered when formulating?
GAD
A score of ___ or below on the Mini-MSE is considered clinically significant.
23
A client has scored a 15 on the BDI. What does this tell you?
They are showing depressive symptoms of mild severity.
(Remember: mild = 14 to 19)
A client has scored a 25 on the BDI. What does this tell you?
They are showing depressive symptoms of moderate severity.
(Remember: moderate = 20 to 28)
A client has scored a 35 on the BDI. What does this tell you?
They are showing depressive symptoms of severe severity.
(Remember: severe = 29 to 63)
What are the age ranges of the WPPSI-IV, WISC-V and WAIS-IV?
WPPSI = 2 years 6 months to 7 years 7 months
WISC = 6 years to 16 years 11 months
WAIS = 16 years to 90 years 11 months
A client is referred to you for a cognitive assessment. They are 16 years 8 months. What should you consider when deciding between the WISC and the WAIS?
WISC has lower ‘basal’ or floor - use this if intellectual disability is suspected.
What are the age ranges of the WMS and WRAML?
WMS = 16-90 years
WRAML = 5-90 years
Which of the following instruments does NOT give you specific information about a client’s memory?
a. WISC
b. Stanford-Binet
c. Raven’s Standard Progressive Matrices
d. Woodcock-Johnson
c. Raven’s Standard Progressive Matrices
Although memory is considered a component of general intelligence [g], no composite score can be derived for memory in isolation when using the RSPM.
What does the PHQ-9 measure?
Screener and diagnostic tool for mental health disorders (esp. depression)
When/why would you use the 16PF?
To assist with identifying a client’s vocational and occupational preferences and suitability (16 years or older)
When/why would you use the SDQ?
To assess behavioural and emotional problems in children and adolescents (17 years or younger)
What does SCID-5 stand for - and when/why would you use the SCID-5?
Structured Clinical Interview for DSM-5
Use it when you want to gather information about a client in a semistructured manner to help with formulation and diagnosis
Which assessments provide you with a FSIQ?
WISC-V, WPPSI-IV, WAIS-IV, KAIT, Stanford Binet
The WHO-DAS measures disability, and can be used to assess the impact of any disease/disorder (including neurological disorders and addictive disorders) on an individual’s functioning. Which of the following clients would the WHO-DAS be most appropriate for?
A) Asani, 14 y.o., recently developed articulation and attentional difficulties, possible neurological disorders are being explored
B) Brooke, 61 y.o., diagnosed with early onset dementia, carer support is being sought
C) Cillian, 16 y.o., presents with panic, possible anxiety disorders are being explored
D) Dale, 18 y.o., diagnosed with oppositional defiant disorder, incarcerated as a minor, impact of release is being investigated
B) Brooke
The WHO-QOL assesses an individual’s perception of their position in life in the context of their goals, expectations, standards, and value systems. Which of the following clients would the WHO-QOL be most appropriate for?
A) Eve, 28 y.o., diagnosed with major depressive disorder, treatment is commencing and pretreatment baseline is being measured
B) Fadi, 13 y.o., has recently arrived from Turkey and is enrolling in a new school, vulnerability and resilience is to be assessed
C) Gordon, 42 y.o., has spent 6 months working overseas in a highly-stressful setting, mid-year review is being organised
D) Haruki, 51 y.o., struggles with substance abuse, treatment is commencing and motivation to change is being explored
C) Gordon
Which of the following profiles meet DSM-V criteria for moderate intellectual disability?
A) WISC FSIQ 51, Vineland ABC 53
B) WISC FSIQ 61, Vineland ABC 63
C) WISC FSIQ 51, Vineland DLS 53
D) WISC FSIQ 61, Vineland DLS 63
A) WISC FSIQ 51, Vineland ABC 53
Larissa is a ten-year-old girl in Year 5. She is referred to a psychologist for assessment due to concerns about her learning. The psychologist administers the WISC, opting to complete ‘Information’ and ‘Letter-Number Sequencing’ in addition to the 10 primary subtests. Which is the most important reason for administering supplemental subtests in the WISC?
to have more information available to formulate hypothesis
Larissa is a ten-year-old girl in Year 5. She is referred to a psychologist for assessment due to concerns about her learning. The psychologist administers the WISC. In the Matrix Reasoning subtest, the psychologist administers Sample A and B, then moves to Item 5 in line with the start point for Larissa’s age group. Larissa gets Item 5 correct and Item 6 incorrect. What should the psychologist do next?
follow the reversal rule and administer Item 4
Larissa is a ten-year-old girl in Year 5. She is referred to a psychologist for assessment due to concerns about her learning. The psychologist administers the WISC. Larissa achieves the following scores in the WISC:
FSIQ = 83
VCI = 93
VSI = 82
FRI = 85
WMI = 74
PSI = 68
What conclusion can be drawn based on these results?
Larissa is experiencing difficulties with working memory and processing speed.
No conclusion can be drawn about cause of difficulties (e.g. neurodevelopmental disorder) without further investigation/assessment.