Chap 28: Neuropsychological Assessment Flashcards
What are the 10 sequential areas/steps of assessment according to G.P ?
- Orientation and insight
- Motor function
- Motor tasks for executive function
- Sensory functions
- Visual-spatial functions
- Language
- Attention, working memory
- Memory
- General intelligence
- Conclusions
What is a standardized test battery ?
Include a fixed criteria for atypical behavior
- assumes this behavior has a biological basis
- straightforward administration, scoring and interpretaiton
What is one example of a standardized test battery ?
Halstead-Reitan battery
What is an individualized test battery ?
- require theoretical knowledge to administer and interpret the test
- more qualitative than quantitative
- tailored to the individual
What is an example of a individualized test battery ?
Luria’s neurological approach
What are composite test batteries ?
- administers formally, may use comparison norms
- considers a mix of quantitative and qualitative performance
What is an example of a individualized test battery ?
The Boston Process Approach
What factors affect test selection ?
- area of the brain most likely to be damaged
- Test sensitivity
- Characteristics of the individual (age, sex, culture, IQ)
What are 5 goals of assessment ?
- determining level of cerebral function/isolate cerebral dysfunction
- Facilitate care and rehab
- Identify disturbances, or abnormalities
- Identify cause of disorders
- Provide education and knowledge
What test is most commonly used to measure intelligence ?
WAIS-R
How does the Weschler scale demonstrate left vs right hemispheres ?
- left hemisphere lesions produce low verbal IQ
- right hemisphere lesions produce low performance score
How would a person with Alzheimers perform on (1) clock drawing task, (2) figure copying task, (3) Boston naming test
- begin to show disorganization with minute vs hour hand, being to neglect numbers on the clock
- Lines progressively get messier, shape is largely inaccurate when copied
- Will focus on one detail and use it to incorrectly identify the whole object
What are the 3 levels of impact for impairments (bottom-up) ?
- Impairment= level of the organism
- Abilities= level of their behaviors
- Participation= level of the society/ environment
Describe the integrative approach to assessment
- Develop an alliance with the patient
- Educate client about their clinical problem
- Re-conceptualize problem in a ‘positive’ manner
- Develop coping skills
- Encourage ‘personal experiments’ in the clients daily life
- Ensure client accountability for their own progress
- Prevent relapse
What are some evidence-based behavioral interventions ?
- CBT
- Goal-setting
- Motivational Interviewing
- Problem-solving
- ABC analysis
- Relaxation training
- Stimulus control
