Clinical Assessment and Evaluation Flashcards
You administer the MMPI-2 and several other tests to a new client as part of your initial evaluation of her. she asks to see the results of the tests (including test scores) but you are concerned she will misinterpret them. You should:
- provide her with the information she has requested along with an explanation of the results in language she can understand.
- provide her with the information she has requested only if you determine that it is in her best interest to do so.
- provide her with a verbal or written summary of the results in language that she can understand.
- not provide her with the results and explain to her that it would be inappropriate to do so at this time.
- The release of test data and other information to a client is covered by the Ethics Code and HIPPA. In most cases, a psychologist should release requested information to a client. However, there are exceptions: Under HIPPA, the client has the right to PHI unless disclosure to the client “is reasonably likely to endanger the life or physical safety” of the client or other person (although, in this situation, the client has the right to have the denial reviewed.) Therefore, answer 1 is the best response. There is nothing in the question to suggest that you are concerned that showing the client her test results will pose a danger to her “life or physical safety,” so you should provide her with the information she has requested. Also, since you are concerned she may misinterpret the results, providing an explanation of the results would be a good course of action.
Which of the following is most consistent with the requirements of the Standards for Educational and Psychological Testing with regard to the translation of standardized tests from English to another language?
- Using a translated test is acceptable only when “back translation” has been used.
- Using a translated test may be acceptable if the reliability and validity of the translated version has been established.
- Using a translated test may be acceptable if the original (untranslated) version has adequate levels of reliability and validity.
- Using a translated test is acceptable as long as the limitations of the results of the translated version are described in the test report.
- Answer 2 is most consistent with standards, which states: “When a test publisher or test user translates a test from one language to another, the methods used in establishing the adequacy of the translation should be descrribed, and empirical and logical evidence should be provided for score reliability and the validity of the translated test scores.”
A client says that he thinks he’s a schizophrenic because he constantly “hears voices” telling him what he should say and do. However, the client never seems distracted by voices during a therapy sessions. This is most suggestive of which of the following?
- head trauma
- dissociation
- clinical defensiveness
- malingering
- Inconsistency is considered the hallmark of malingering, and malingering should be suspected when a patient’s symptoms are not consistent with the actual characteristics of the mental or physical condition he/she claims to have or when the patient’s self-report and actual functioning are not consistent.
In the MMSE, this is assessed by asking the person the date, season, name of the city or state, etc.
- Registration
- Orientation to time and place
- Attention and calculation
- Recall
2
On the MMSE, this is a measure of immediate verbal recall and is evaluated by determining how many trials it takes for the person to accurately repeat three words named by the examiner.
- Orientation to time and place
- Registration
- Attention and calculation
- Recall
2
On the MMSE, this is assessed by asking the person to count backwards from 100 to a specific number of digits.
- Registration.
- Attention and calculation
- Recall
- Language
2
On the MMSE, this is a measure of delayed recall and involves asking the person to recall the three words that were previously named by the examiner.
- Orientation to time and place
- Registration
- Attention and calculation
- Recall
4
On the MMSE, this is evaluated with several questions including asking the person to name familiar objects and to follow a simple three-stage command.
- Recall
- Visual construction
- Attention and calculation
- Language
4
On the MMSE, this is assessed by asking the person to copy a simple geometric figure.
- Recall
- Visual construction
- Language
- Registration
2
When administering the MMSE, you assess “registration” by asking the examinee to
- copy a geometric figure
- recall three words you have just named
- follow a simple three-part command
- count backwards by six digits
- Registration is a measure of immediate verbal recall
A functional behavioral assessment and treatment plan would be most useful for:
- an older adult with delerium
- a young woman who is experiencing a personal crisis
- an adolescent who has pervasive self-esteem problems
- a child who engages in disruptive behaviors in the classroom
4
__________ refers to the consistency, and ability of a test to provide dependable, consistent scores is affected by the degree to which scores are susceptible to measurement error.
Reliability
For most tests a reliability coefficient of ____ or higher is preferred when test results will be used to make important decisions about an examinee.
.90
A high score on the L scale of the MMPI-2 would indicate which of the following:
- Exaggeration of problems
- Absence of unusual behavior
- attempt to fake good, defensiveness, denial
- frankness, exaggeration of negative characteristics
3
A low score on the L scale of the MMPI-2 would indicate which of the following?
- attempt to fake good
- exaggeration of problems
- social conformity
- frankness, exaggeration of negative characteristics
4
