Chapter 3 - Clinical Assessment And Diagnosis Flashcards

1
Q

what is a clinical assessment

A

systematic evaluation and measurement of biopsychosocial factorsG

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2
Q

Goals of clinical assessment

A

understand individual
predict behaviour
plan treatment
evaluate outcome

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3
Q

What is reliability

A

degree to which measurement is consistent

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4
Q

What is validity

A

does it measure what its supposed to

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5
Q

What does a clinical interview gather information on

A

current/past behaviours
attitudes and emotions
history of patient
presenting problem

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6
Q

What are the 5 categories of a mental status exam

A

Appearance and behaviour
thought process
mood and affect
intellectual functioning
sensorium

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7
Q

What are the ABCs

A

Antecedent
Behaviour
Consequence

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8
Q

What are projective tests

A

test where person responds to ambigious stimuli and project their personality and thoughts

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9
Q

What is the Thematic Apperception Test

A

Tell dramatic story about pictures presented

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10
Q

What is the most widely used personality inventory

A

Minnesota Multiphasic Personality Inventory

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11
Q

What are the 4 scales used to determine validity on MMPI

A

Lie Scale - falsify to look good
Infrequency Scale - false + random
Defensiveness - unrealistic positive view
Cannot Say - unanswered

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12
Q

What are the 4 distinct intellectual abilities found on Weschler tests

A

verbal comprehension
perceptual organization
processing speed
working memory

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13
Q

How are biological aspects assessed

A

neuropsychological testing

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14
Q

Types of Neuroimaging

A

CAT Scan
MRI
PET scan
fMRI
Single Photon emmisson computed tomography

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15
Q

What does neuropsychological testing measure

A

different abilities/tasks to make guess on performance and potential brain damage

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16
Q

What do psychophysiological assessments measure

A

changes in nervous system

17
Q

What is classification

A

attempt to create categories and assign things to them

18
Q

Issues with classification

A

controversial - proper/ethical
what is typical/atypical
only fit one category

19
Q

What is classical categorical

A

every diagnosis has underlying pathophysiological cause and each is unique

20
Q

What is dimensional classification

A

quantify variety of cognitions, moods and behaviours on a scale

21
Q

What is prototypical classification

A

identifies certain essential characteristics but allows for non-essential variation

22
Q

DSM-5-TR criticisms

A

too many diagnoses
pathologizes normal behaviour
overlap
high comorbidity