Complete set

Question 1

You are doing a WISC with an 8-year old and the child gets half way through it in 90 minutes and is becoming increasingly fidgety and restless. What is the next step?
a) Stop the assessment and pro-rater the remaining results.
b) Give a 10 minute break and resume administration.
c) Abandon the assessment.
d) Stop after finishing the current sub-test and complete at another time within the week.
e) Reschedule whole assessment for another time.

Answer 1

d) Stop after finishing the current sub-test and complete at another time within the week.

Question 2

You are presenting anxiety to a community group. Group does not know anything about anxiety and are eager to learn about tmt options, what’s the most important thing to do?

a.) Present DSM 5 criteria for anxiety disorders and then talk about tmt
b.) Present up to date research on tmt of anxiety
c.) Present meta-analysis for the efficacy of interventions for anxiety
d.) lnstruct them on how to find online resources for anxiety tmt.

Answer 2

a.) Present DSM 5 criteria for anxiety disorders and then talk about tmt

They want honesty but is this the first thing they want? (This answer is being debated, and no clear answer)

Question 3

You have just finished psyc degree, and recently received rego. You are referred a client and he asks about qualifications and experience. What is the first thing you should say?
A. Please be assured that I have suffic.ient knowledge
B. I have recently graduated and got my rego
C. I am not answering
D. It seems as though my qualifications are important to you
E. Don’t answer and refer on

Answer 3

B. I have recently graduated and got my rego

They want honesty but is this the first thing they want? (This answer is being debated, and no clear answer)

Question 4

Father of client asks you what your sexual orientation is, how should you respond?
A. Please be assured that I have sufficient knowledge
B. Why is this important for you to know?
C. I am not answering
D. It seems as though my sexual orientation is important to you
E. Don’t nswer and refer on

Answer 4

D. It seems as though my sexual orientation is important to you

Question 5

A psychologist has written an assessment report for a student, who has requested extra time in exams. The student calls the psychologist angry about the findings as he thinks this will impact future employment prospects. Which measures can the psyc take to ensure feedback session is productive?
A. Anticipate questions that may be asked
B. Re-write report in more simple language
C. Offer assistance to prep for future exams
D. Refer to colleague for feedback session
E. Keep session short and simple

Answer 5

A. Anticipate questions that may be asked

Question 6

6yo attends first consult, with parents. When you great him, boy leans against father and does not make eye contact. Inside room, boy asks to be picked up by dad and mum chastises him for being a baby. What is the first step to engage the family?
A. Seek to engage child independently of parents
B. Ask the mother why she thinks he is a baby
C. Ask parents of kids strengths
D. Reassure parents the session is relaxed
E. Leave child with receptionist and engage parents

Answer 6

C. Ask parents of kids strengths

This would engage parents, and build the child’s confidence. You don’t want to parents to be negative in front of the kid, this is very destructive.

Question 7

A psyc working in a high school is referred a 13yo with decline in functioning, reduced school performance despite previously good reports. The school teach wants a report to understand how to help her. Difficulty making friends, and concerned with appearance. What is the most important thing to include in the report, to improve performance?
A. Strategies that focus on strengths and weaknesses
B. Strategies that help to improve social interactions
C. Strategies that explain why client is having difficulties
D. Strategies to improve academic performance
E. Strategies that focus on peers increasing support

Answer 7

D. Strategies to improve academic performance

Answer the referral question, the teacher wants to know how to help her improve her performance.

Question 8

A psyc in private prac is cleaning out office, she is trying to decide what records she can shred. What rule must she follow in determining what records to shred?
A. All records permanently remained as they belong to the clients
B. Keep for 10 years
C. Records of children under 18 must be kept for at least 7 years
D. Records maintained until children under 18 are 25
E. Contact clients and ask permission to destroy

Answer 8

D. Records maintained until children under 18 are 25

Question 9

A psyc is asked by a school to complete an assessment to access further external funding.
Assess and diagnoses with condition that doesn’t give funding. The principle asks psyc to reconsider in line with funding eligibility. Most appropriate response?
A. The psychologist recommends principle gets second opinion
B. Offer reassessment in 12 months
C. Explain impact of misdiagnosis
D. Amend diagnosis
E. Arrange for peer review of assessment and diagnosis

Answer 9

C. Explain impact of misdiagnosis

Question 10

A psyc is writing a report on a client they have assess over several weeks. In peer review it’s discussed how background info can be helpful. What is the most important consideration when including background information in a report?
A. Only include info the client has given permission to release
B. Detailed report of upbringing
C. Summarise the relevant and factual info about client
D. Integrate critical info throughout report
E. Only include info that is corroborated by several sources

Answer 10

C. Summarise the relevant and factual info about client

Question 11

A male psyc is asked to review a 30 yo married female client from Afghanistan for dep and marital difficulties. Good grasp of English and has completed first session without interpreter, and sets goals. Next session, husband asks to be present and wife nods in agreement. What is the first initial step?
A. Proceed with treatment session with husband and wife
B. Meet with each separately to discuss concerns
C. Decline husbands request and continue with wife
D. Discuss with wife alone what she wants
E. Reschedule when interpreter can be present

Answer 11

D. Discuss with wife alone what she wants

You don’t know what she wants you to disclose in front of her husband. You need to get verbal consent and discuss limits.

Question 12

A psychologist is seeing a 20yo male client for stress, as part of treatment the psyc suggests relaxation. The client comments that he has tried relaxation tapes, and found them to be ineffective. What would be the best response to clients comments?
A. Explore how the client used the tapes and what problems occurred
B. Emphasise the difference between tapes and relaxation training
C. Suggest the client be more open minded
D. Dismiss the use of relaxation as it has not worked
E. Suggest client get an iphone

Answer 12

A. Explore how the client used the tapes and what problems occurred

Soft landing, respond to difficulties.

Question 13

A psyc runs a social skills group therapy program. A local GP refers a lot of clients. The psyc finds a lot of these clients are suitable. What should the psychologist do?
A. Contact the GP to discuss inclusion criteria for program
B. Decline with letter to GP for each client, and also to each client
C. Refer the gps clients to another social skills program
D. Stop the current group therapy program
E. Broaden the scope of the group to accommodate referrals

Answer 13

B. Decline with letter to GP for each client, and also to each client

I think I got one of these answers wrong? The board wants B, but we would do A in practice

Question 14

A GP refers a 68 yo client to psyc for insomnia, the client reports recent history of difficulties falling asleep. Saw neurologist last week. Writes treatment plan and send to GP and neuro. Why?
A. Requirement of APS code of ethics
B. Expectation of medicare reporting
C. Best interest of client
D. To maintain relationship with referer

Answer 14

C. Best interest of client

Always choose the answer that is in line with clients best interest

Question 15

• A psyc works in large company and recently completed an evaluation of management change procedures. Submits reports with recommendations to exec team. The board asks psyc to disseminate plan to all levels of company. What is the most important thing to consider?
  A. Diff communication method
  B. Communication plan budget
  C. Communication timeline
  D. Content to be included
  E. Intended audience

Answer 15

E. Intended audience

Always consider the audience, as this tells you what to write

Question 16

A psyc has been treating a client who has been injured at work, and is now receiving payments. The work asks for a report which needs to include lots. Pain and depression. Worker shows abnormal illness behaviour. What should the psyc leave out of the report?
A. Diagnosis not relevant to injury
B. Raw scores of tests
C. Treatment plan and progress
D. Observation of abnormal behaviour
E. Clinical observation of behaviour

Answer 16

B. Raw scores of tests

Question 17

Male client is referred to female psyc for chronic pain due to work injury. Client is Arabic and wants to return to work asap. No eye contact and brief responses. Regular attendance. What is most likely explanation?
A. The client’s pain is reducing capacity to engage in therapy
B. The clients work injury has impacted comprehension
C. Motivation to change is low
D. The clients depressed mood is impairing mental state
E. The clients behaviour is influenced by culture

Answer 17

E. The clients behaviour is influenced by culture

Question 18

An 18 yo female in first year uni, referred to male for social anxiety. She is wearing a full burka and asks for mother to attend. Is this appropriate?
A. No due to privacy and confidentiality
B. Yes, as it assists with info gathering
C. Yes, since the situation requires a female psyc
D. yes , due to clients identified cultural issues
E. No is may compromise therapeutic alliance

Answer 18

D. yes , due to clients identified cultural issues

Controversial, but think like the board.

Question 19

Man, PTSD/anxiety no experience but no referral options
A psycho ed
B research on evidence based treatment and follow a treatment guide
C supervision
D be honest, get consent and then get supervision
E refer on (if not in a rural setting

Answer 19

D be honest, get consent and then get supervision

When to refer, and when not to refer? Different for rural communities

Question 20

Reporting others

Client with MDD, psychiatrist prescribes medication, and previous psyc recommended cease medication and seek alternative therapies
A research alternative medication to determine
B Discuss with GP
C discuss with Psychiatrist
D Do nothing
E Report to the board

Answer 20

E Report to the board

When determining to report consider inappropriate behaviour (sex with clients), practicing while impaired (drunk, on drugs, unwell) or when someone is practicing beyond the realm of evidence based therapies (crystals, selling things)

Question 21

Previous psych told client to stop taking naturopathic medications (salt)
A ask if medication was helpful
B tell clint to talk to previous psych
C research the evidence
D notify the board

Answer 21

D notify the board

Don’t investigate, it’s not your job
Never tell a client to stop taking medications

Question 22

New client, previous psych made sexual advances
A contact psyc
B.encourage client to report the psychologist - more powerful then second hand report
C Do nothing
D Talk to psychologist colleagues to corroborate

Answer 22

B. encourage client to report the psychologist - more powerful then second hand report

Question 23

If client doesn’t want to report
A contact psyc
B try to corroborate
C respect decision and focus on the trauma
D explain to client that you have to report - wellbeing of community trumps the wellbeing of the client

Answer 23

D explain to client that you have to report - wellbeing of community trumps the wellbeing of the client

Question 24

Peer review, colleague tells you they haven’t done their PD
A report to the board
B document in supervision record
C advise the colleague to contact board
D discuss reasons for not completing cpd
E suggest that the colleague makes up the points this year

Answer 24

C advise the colleague to contact board

Question 25

Colleague unwell in the morning, and waking in strange places. You suspect that he is abusing alcohol A Discuss with APS ethics officer B Suggest to him that he is impaired and needs a break C do nothing D make a mandatory notification

Answer 25

D make a mandatory notification

Question 26

A colleague has lost a family member in a car accident, world looks grey and cancelling clients at short notice A be mindful, advise it was not her fault of the accident B offer to provide grief counselling C refer to another psychologist that specialises in grief - only refer is someone asks to be referred D Discuss her ability to practice - protect the public E respect that she can look after herself

Answer 26

D Discuss her ability to practice - protect the public

Question 27

Colleague has brain tumour, which is affecting cognitive function and memory, and she is going to practice part time while waiting for surgery A determine whether the colleague has a professional will B contact the insurance company to determine when she has insurance C determine recovery plans D determine what support she has and needs E report to the board

Answer 27

E report to the board

Question 28

Multi disciplinary practice, and colleague spends long time in appt, then says he has begun dating this client A report B talk to a senior psychologist about concerns - good option if not as clear cut/sexual C Inform him he is being reported for misconduct

Answer 28

A report

Question 29

Colleague gets drunk and says it is the only way he can relax, no evidence that his work is impaired A report B change supervision C Self care D Discuss work and performance with him E alcohol free supervision

Answer 29

C Self care

Question 30

Multiple clients Seen an elderly man for a while for MDD, then he rings and requests assessment for his wife. What is the most appropriate cause of action? A Accept the referral, and do WMS, and proceed with treatment recommendations B Say you can't see due to conflict of interest and refer C Do a short memory screen, and then refer to a neurologist (this is the GP's job)

Answer 30

B Say you can't see due to conflict of interest and refer

Question 31

You have completed therapy, and they have improved. They are grateful. Months later, you see the client at a coffee shop, and the client invites you to sit with them for a coffee A decline and suggest follow up session B thank the but decline and wish well C accept invitation and have a quick coffee

Answer 31

B thank the client but decline and wish well

Question 32

you're in a rural area and the only psych in the area. Client comes with PTSD and you don't have experience . A psychoeducation to client B to research of ptsd C find a supervisor who knows PTSD and can guide you D tell the client that you're not experienced in this area and if the client consents then continue with supervision E refer to someone who has expertise

Answer 32

D tell the client that you're not experienced in this area and if the client consents then continue with supervision The board wants you to let the client know and get supervision (which encompasses question C). However, if they don't clarify you're in a rural area e.g. client comes with LGBT issues refer client to someone who has expertise in that area. However, if there's any risk, you do a risk assessment with the client in the first session and then refer them on to an expert psych of the area.

Question 33

ou see a client you diagnose with MDD. The client tells you that their psychiatrist prescribed them some meds. There previous psychologist recommended that she stop taking meds and try some alternative therapy. a. Research alternative therapy b. Discuss with GP c. Discuss this case with the psychiatrist d. Do nothing e. Report the previous psych to the board

Answer 33

e. Report the previous psych to the board there are three major areas that make you a mandatory reporter!!!: 1. Inappropriate behaviour with a client (e.g. sex) 2. Practicing while impaired e.g. drunk or on drugs, mentally or physically 3. When someone is practicing beyond the realm of accepted evidence based the

Question 34

You see a client for chronic pain, and the client tells you that her previous psych recommended naturopathic meds and sold her some of these meds she had in her practice. What do you do in that case? a. Ask client if meds were helpful b. Tell client to talk to previous psych c. Research the evidence of maturopathic meds d. Notify the boards of the other psyc recommendations

Answer 34

d. Notify the boards of the other psyc recommendations * Sometimes they give you the option to research or investigate this is not your job, this is the board's job to investigate. It's about protecting your little client. * Note: you cant ever tell a client to stop taking medication, ever!

Question 35

You see a client for the first time and they tell you that their previous therapist made sexual advances towards her, what's you best next stop? a. Contact the previous psych to disucss this b. Encourage the client to report c. Do nothing d. Try to talk to the psych's colleagues to try and confirm these accusations.

Answer 35

b. Encourage the client to report Help them to report to the board themselves as this will be first hand knowledge and is always better than 2nd hand knowledge. If the client is too embarrassed the best option is to: encourage the client to report to the board. Now in the example that the client doesn't want to report: then you report! i.e. explain to the client that you have to report this psychologist. Here the wellbeing of the community trumps the wellbeing/ respect of the client.

Question 36

A colleague discloses that they haven't completed their PD. What is the most approproiate response: a. Report to psych boa rd of aus b. Document the colleagues disclosure c. Advise the colleague to contact the psych board of aus d. Discuss with the colleague his reasons for not completing his CPD e. Suggest that the colleague makes up his CPD points this year.

Answer 36

c. Advise the colleague to contact the psych board of aus

Question 37

Your colleague tells you that he has been feeling unwell in the mornings and has been delaying his start time in the morning. He says he finds himself waking up in strange places. You suspect that he is abusing alcohol. What do you do? a. Discuss with APS officer b. Suggest to him that he may be impaired and should take a break c. Do nothing d. Make a mandatory report.

Answer 37

d. Make a mandatory report.

Question 38

A colleague has lost a family member in a car accident. She said everything is very grey and she is cancelling clients. a. Be mindful and remind her that the accident was not her fault b. Offer to provide grief counselling c. Refer to another psych that specialises in grief counselling d. Discuss with her, her ability to practice with a psych e. Respect that she can look after herself

Answer 38

d. Discuss with her, her ability to practice with a psych * She hasn't asked you for a referral, so you don't just refer people if they don't ask. You can't assume anything here.

Question 39

You find out that a colleague of yours has a brain tumour and it is effecting her functioning+ memory was impaired. She said that she has decided to have a part time practice while she is waiting for her surgery. What do you do? a. Determine whether she has a professional will? b. Contact the insurance company to determine if she has health insurance c. Find out what her plans are for her recovery d. Find out what supports she has and how you can support her better e. Report the practitioner to the board.

Answer 39

e. Report the practitioner to the board. * Sounds heartless, but yes It's E. if they want you to report, that will tell you enough so you know shes impaired

Question 40

In a multi-disciplinary practice a psych is talking to his client for a long time. He says he has started taking this client out. What do you do? a. Report to board b. Talk to senior psychologist about your concerns c. Inform him that you're reporting him

Answer 40

a. Report to board If they give you a scenario and you are not sure if it is a mandatory report, then go with talk to a senior psych with your concerns. that's usually a good answer to choose. But in this case A It is a mandatory report©

Question 41

A group of psychs meet at a restaurant after hours for supervision. At the meeting one colleague gets drunk and says it's the only way he can relax. What's your next step? a. Mandatory report to board b. Change supervision time to be during work hours c. Discuss self-care strategies and raise your concerns with him. d. Check in with him the next day and see if his work and performance have been affected e. Discuss alcohol free supervision.

Answer 41

c. Discuss self-care strategies and raise your concerns with him. * Remember you're not the investigator!!!! It's not your job to check if someone's work is impaired. So you should go with discuss self care strategies with him! It's not a mandatory report yet, you don' have evidence that his report is impaired yet

Question 42

You're seeing a man for treatment of depression. You finish tmt with him and then he rings you after a few months for an assessment for his wife. He says his wife is having some memory problems. What’s the most appropriate next step? a. Accept referral and administer a WHIMS and proceed with recommendations b. Decline because the husband has been your client and refer her somewhere else c. Do a short memory screen with her and refer her to a neurologist.

Answer 42

b. Decline because the husband has been your client and refer her somewhere else *there's nothing in the code that says you cant see two members of the same family (but in reality most people don't). in this case, the board wants you to say you'll decline and refer them out. This response prevents any possible conflict of interest.

Question 43

You have completed therapy with a client, they have improved and feel grateful. Months later you bump into them at a coffee shop, your client invites you to have a quick coffee with them. a. Decline politely and say you can have a follow up session. b. Decline invitation and wish them well. c. Accept invite

Answer 43

b. Decline invitation and wish them well. * Suggesting a follow up, suggests you are trying to get money from them and you can' t assume that they need a follow up session. It doesn't mean that they need a follow up session! if you picked a, you're assuming that they need a follow up, and are suggesting that you want them to come see you and pay you. For the board that is a no, no! :P don't assume they need a follow up session!

Question 44

Your neighbours ask if you will see their son urgently. He is a young man, who has been spending more time alone in his room, and recently pushed his mum down a flight of stairs. What is the most appropriate thing to do? A. Refer to another psyc B. Police C. Ambulance D. Group parenting program E. Kick son out

Answer 44

A. Refer to another psych

Question 45

A female psychologist, is working with a women who has difficulty maintaining employment in private practice. The client is a single lesbian, and propositions the psychologist. What is the most appropriate next step? A. Acknowledge the clients behaviour and counsel her about her sexuality B. Discuss proposition and discuss social queues C. Discuss importance of strong therapeutic alliance - D. Be neutral and continue treatment - Doesn't make sense E. Thank client for compliment and clarify needs?

Answer 45

E. Thank client for compliment and clarify needs? E is the best option, but doesn't sound completely right. (What even are appropriate sexual queues?) does this address the boundary violation?

Question 46

A psychologist has treated a clint with suicidal thoughts, the client was unable to work for 12 months. The client has tested and scored within the normal range, after therapy and has returned to work. The employer contacts the psychologist, and requests information. What is the most appropriate next step? A. Call the client and inform of request from employer B. Ask employer to discuss with client C. Contact the client and discuss breach of privacy - The employer is not bound by confidentiality laws, as we are D. Send confidentiality form to the employer

Answer 46

A. Call the client and inform of request from employer

Question 47

You have been working with a client, who has suicidal thoughts and past attempts. He comes from a family where other members are suicidal. Your treatment is successful, and at the end of treatment the client scores within the normal range, and demonstrates no risk of suicide. After a few months you receive a request from an employer with consent from the client requesting a report, as the client is due for a promotion. When you write the report, are you supposed to include suicidal risk? A. Yes, as previous suicide attempts can predict future suicide attempts B. No, as the client was doing well at termination of treatment - Although this is a good reason, it is not the main reason. The fact that he was doing well at the end, does not mean that they won't return. C. No, as you need to discuss consequences of this with the client D. No, as the report is for promotion

Answer 47

C. No, as you need to discuss consequences of this with the client You need to discuss this with your client, you can still omit certain information with your clients consent.

Question 48

A female swimmer has come to see a psychologist due to depression symptoms. The client is very concerned with being associated with mental illness, and does not want anyone to know she is attending. She asks about the necessity of record keeping. What is the most appropriate thing for the psychologist to do? A. The psychologist should keep notes but de identify - This is not legal B. The psychologist should keep a diary for reporting purposes C. The psychologist should keep a full record

Answer 48

C. The psychologist should keep a full record Case notes must have name, DOB and address of the client. Clients have the right to anonymity, b t not in their records. If your notes get subpoenaed, there is no way you can provide notes if they are de identified. Your notes are legal records, and should be kept in a locked filing cabinet. How are you going to keep your community safe, if you do not know their name. You could not report, or assess risk appropriately.

Question 49

A psych begins seeing a client for supportive client, after initial assessment and information gathering the psychologist decides to begin with specific intervention strategy. Which of the following option outlines the most appropriate issue to discuss with the client, to obtain informed consent. A. The client's obligation to inform the psych about ability to attend B. Expectations about the clients behaviour and motivation to change C. The number of treatment sessions needed to be successful D. Information about success rates E. Any possible negative outcomes from the recommended treatment

Answer 49

E. Any possible negative outcomes from the recommended treatment Your client needs to be informed of negative outcomes, ie exposure or EMDR

Question 50

An adult with mild ID, is referred to a psyc. He works part time and lives with his parents. His parents are his legal guardians and he makes decisions independently. He wants privacy and his parents want detailed information about the sessions. What does the psychologist need to consider? A. The parents right to the relevant information B. The parents reasons for wanting information C. The clients right to self determination D. How much the ID impacts competency to understand information

Answer 50

C. he clients right to self determination

Question 51

A man is referred to a psych for chronic pain, resulting from a workplace injury. The man is angry with treatment and the claims manager from the company. The psych receives a call from the claims manager saying she has received a threat, and that he reportedly knows where she lives (I know where you live, and you better watch out). The claims manager does not want you to tell anyone about this threat. What is the most appropriate next course of action? A. Discuss threat with the client B. Comply with the CM request and maintain confidentiality C. Invite both parties to a joint session to discuss threat D. Advise the claims manager that this must be reported to her manager E. Provide the CM with appropriate strategies

Answer 51

D. Advise the claims manager that this must be reported to her manager This is probably enough for the company to contact the police. This client may be dangerous. Risk of harm\verrides confidentiality. Therefore, confidentiality does not matter in this case.

Question 52

A psych is asked to provide an assessment for workplace cover. The client reports anxiety, and long-term discrimination. The client is trained in the use of explosives. And is going to give back to those who have harmed him. What is the most appropriate next course of action? A. Contact the clients GP B. Contact the clients family C. Contact the clients employer D. Contact the clients local mental health team E. Contact the Police

Answer 52

E. Contact the Police

Question 53

You are seeing a male client due to aggression. He was recently discharged, due to violent behaviour towards his partner. He tells you he is angry at partner for reporting to police, and therefore, he is planning revenge. What is the most appropriate next course of action? A. Work with client on anger issues B. Tell client you need to report him to the police C. Inform partner D. Continue treatment plan as usual

Answer 53

B. Tell client you need to report him to the police

Question 54

You are seeing a client who is depressed, and he tells you he has firearms at home. What is the most appropriate next course of action? A. Report to the police that the client is depressed and has firearms B. Talk to GP C. Make an assessment of risk, and then if high report to police D. Continue treatment as usual E. Talk to his partner about risk

Answer 54

C. Make an assessment of risk, and then if high report to police

Question 55

You are supervising a provisional psychologist, he says he was invited on a date by a client who is sexually attracted to him. He also says he is sexually attracted to this client. What is the most appropriate next course of action? A. Report to board B. Discuss countertransference C. Recommend he refers on - This is the most neutral D. Tell him to write about his feelings in his session notes

Answer 55

C. Recommend he refers on - This is the most neutral You may explore countertransference, but only if you are working within psychodynamic models, and many don't do this.

Question 56

You are working as a supervisor, and walk into a room and see notes on a table from your supervisee. What is the most appropriate next course of action? A. Call a meeting B. Call the board and report C. Call your supervisee, and discuss importance of confidentiality D. Move the notes to the cabinet, and do not mention anything E. Call the university because of the prov's behaviour

Answer 56

C. Call your supervisee, and discuss importance of confidentiality If this was a repeated offence, this is potentially reportable. If they are part of a uni placement, you report to\the uni first, then the board.

Question 57

You a referred a mother with a mood disorder, and she is struggling to take care of her son. Her mother is helping with his care. What are the limits of confidentiality in this case? A. There are no limits B. Limits of confidentiality are the psychologists obligation to protect the child, which can override treatment confidentiality C. Report mother to child protection D. Limits of confidentiality are connected to clients consent

Answer 57

B. Limits of confidentiality are the psychologists obligation to protect the child, which can override treatment confidentiality You don't necessarily need to report, but you need to ensure the wellbeing of the child and this can override confidentiality.

Question 58

If a psychologist has not been practicing for 5 years and decides to come back. Who do they need to talk to? A. AHPRA - B. APS C. Psychology board to Australia

Answer 58

A. AHPRA - second choice C. Psychology board to Australia - first choice

Question 59

What do you not include in advertising?

Answer 59

A. Testimonials

Question 60

You are attending peer consultation to maintain PD. You present for 40 minutes on a case, and then there is a 20 min group discussion. How do you record this? Including peer consultation and CPD hours. A. Record 40 mins of peer consultation, and the other record 20 minutes of general CPD B. You record an hour of general of CPD, and the others an hour of peer consultation C. You all record an 40 mins of general CPD, and 20 mins of PC D. You all record an hour of PC E. You record an hour of peer consultation, and the others an hour of CPD

Answer 60

E. You record an hour of peer consultation, and the others an hour of CPD Peer consultation is when you or your peers are discussing your case. When you are discussing other people's cases, that is CPD because you are learning. However it is not peer consultation, as you are not the one consulting. Your cases = PEER, others cases = CPD

Question 61

You are doing a WISC with an 8 year old, and the child gets halfway through in 90 (You should be able to do this whole test within 90 minutes) minutes. The child is becoming more fidgety and restless. What is the most appropriate next course of action? A. Stop the assessment, and pro-rata (calculate indexes based on subtests you have done, this is possible but not as reliable) the remaining results B. Give ten minute break and resume - this only helps when the child is still alert but just needs a moment C. Abandon assessment because it is impossible D. Stop after finishing subtest, and resume within a week E. Reschedule assessment for another time

Answer 61

D. Stop after finishing subtest, and resume within a week

Question 62

Psychologist administers a WISC to 12 year old. Child has full scale of 98, index scores range from 62 in verbal comprehension to 134 for visual spatial reasoning. The psych determines that this is reliable and valid. What is the most appropriate next course of action, when interpreting performance? A. Emphasise that the full size IQ is average B. Emp asise inferior processing score C. Emphasise clients weaknesses in comprehension D. Emphasise verbal comprehension score E. Emphasise the range of scores

Answer 62

E. Emphasise the range of scores In the past, if the difference is more than 23 points, and you can not interpret FSIQ. In this case you should still report FSIQ as this is still helpful, however, with differences such as these you would not emphasise the FSIQ in the average range, you would focus on the range. GAi - generalised ability index. A cognitive index that does not include processing speed or working memory. This has never been asked about before.

Question 63

A female psychologist is referred a 90 year old man, who has been remanded in custody for assault. The court has requested an assessment for cognitive capacity. There was outside noise and he complained of being hungry. The man's scores were very low. What does the psychologist need to consider? A. If being female was appropriate B. Whether the scores will help the legal case C. If he was impacted by noise and hunger D. What additional assessment are required to help the man

Answer 63

C. If he was impacted by noise and hunger

Question 64

8 year old boy, migrated 6 years ago. Referred to psych due to poor school work. Speaks fluent english. The psych did wisc and he has FSIQ of 105, and no sig differences between scores. What would explain his school difficulties? A. English skills mask difficulties B. His past refugee status C. There is a deficiency in schools methods of assessments D. A non verbal IQ assessment is required (only required if language was not fluent or in Aus for less than 3 years) E. Difficulties are unlikely due to cognitive factors

Answer 64

E. Difficulties are unlikely due to cognitive factors Now your job is to determine why he is struggling so much if his IQ is average.

Question 65

A psych administers WAIS to 21 year old male for centrelink. The client has struggled to enter workforce, but had average performance at school and the FSIQ is 70. What is the most appropriate next course of action? A. Inform client he has borderline functioning B. Examine the scores and percentiles for each of the index scales C. Arrange to complete further testing of executive functioning D. Use another measure of IQ to test reliability

Answer 65

B. Examine the scores and percentiles for each of the index scales After you score, you need to follow a certain order for interpretation. You start with FSIQ, then you look at each index score, and then percentiles. Looking at significant scores/differences in the indexes. Then you interpret profile, focusing on strengths and weaknesses to determine appropriate conclusions and recommendations. Don't be dodgy, still look at subtests. Therefore, you can't inform the client of strengths/weaknesses without actually understanding the intricacies of the test. You need this information to determine what next tests are appropriate.\

Question 66

A client arrives by taxi to his first session, he tells the psyc that he was in a serious car accident 6 months ago, and has been unable to drive since then. Serious injuries, friend died, intrusive memories and nightmares. Diagnoses PTSD, and used trauma focused CBT. What is the most appropriate step? A. imaginal exposure B. Psychoeducation linking trauma to current problems C. Relaxation strategies D. Grief counselling for the loss of his friend E. Counsel him around his use of Taxi's

Answer 66

B. Psychoeducation linking trauma to current problems The next step, should always be a 'soft landing' or socialisation to treatment (psychoeducation). You can then move to exposure etc.

Question 67

A psych is working in a large organisation, and is asked to participate in a group exercise, selecting participants for a particular work role. The candidates have done aptitude testing, and are now doing a group exercise where they will be observed against a set of behavioural criteria. How should the psychologist should rate the candidates performance? A Observation problem solving B. Observe communication C. Observe team building skills D. Observe how they display target behaviour _ E. Observe how candidates respond to certain questions

Answer 67

D. Observe how they display target behaviour

Question 68

40 year old referred following panic attacks, the panic attacks coincided with driving with thunderstorms. Client is gradually more afraid of driving, and is now scared of going to work. Psyc starts CBT, and includes homework. When would be the best time to introduce homework? A. The need for homework is explained in second session B. The need for homework is when the client is motivated C. The need is explained when relaxation training is introduced D. The need for homework starts with treatment planning

Answer 68

D. The need for homework starts with treatment planning

Question 69

20, female, self refers, for anorexia. She reports prescriptive eating dieting, and has lost 10kg, she reports BMI is 15, and reports she is often unable to complete a full day at work. Psyc completes assessment, and then formulates plan. What is the most important treatment priority? A. Social support B. Call the client's employer to discuss reducing her hours C. Obtain consent to discuss medical review with GP D. Discuss referral to dietician to address weight loss E. Discuss with client the need to have regular meal times

Answer 69

C. Obtain consent to discuss medical review with GP BMI is 15 (very low), lost 10kg very quickly, she could have a heart attack at any moment, have a seizure, have organs shut down. She needs to be seeing her GP once a week while her BMI is so low. She may need to go to hospital. Maudsley - best results with kids up to 13. If under 18 you would do family therapy, but this also has better outcomes with younger adults.

Question 70

A psyc is treating 20 women for dep. Previously socially active and has many friends. Psyc decides on behavioural activation. What is the most important thing for the psyc to consider when making a BA plan? A. Identify an achievable schedule of activities B. Making sure that the client has a full weekly plan C. Planning explicit rewards for specific goals D. Consequence for non compliance E. Prepare client with regular relaxation

Answer 70

A. Identify an achievable schedule of activities Focus on what they used to do, it is not the time to innovate.

Question 71

A psyc is treating someone with adjustment disorder following marital separation, and commences using PMR. Which of the following option would be the most effective method to teach PMR? A. Vary the muscle groups according to the needs of the client B. Start with smaller muscles and mover to larger muscle groups C. Focus on large muscle groups for best outcomes D. Focus on small muscle groups if client experiences discomfort E. Start large and progress to small

Answer 71

B. Start with smaller muscles and mover to larger muscle groups

Question 72

You are treating a client with CBT the client has panic disorder, and reports a number of symptoms including breathlessness, dizziness, and rapid heartbeat etc. The client reports sig fear of having a stroke. The attacks occur when the client is alone. You decide to under panic symptoms reduction using a hyperventilation provocation test. What client belief is challenged by this test? A. The panic attacks are caused by negative thinking B. The panic attack symptoms are threatening C. The symptoms are caused by hyperventilation D. The panic attacks only occur when the client is alone E. The panic attacks are predictable

Answer 72

B. The panic attack symptoms are threatening Hyperventilation provocation test - you bring on the symptoms, and that they aren't dangerous. Anyone could have these symptoms, and these are similar to fear.

Question 73

A psyc contracts with a depressed client to provide time limited 12 session treatment using IPT. As this approaches, the psyc understands this will need to be extended. What is the most important consideration when extending IPT treatment? A. There is sufficient time to consider past experiences of loss B. Transference is fully dealt with within the time frame C. You do not need to extend for a second time D. That the focus remains on the current symptoms and problems E. Past experiences of loss do not overwhelm the sessions

Answer 73

D. That the focus remains on the current symptoms and problems

Question 74

15, female, and family referred for systems orientated support for eating disorder. Family described as 'overly close' by GP, with an enmeshed relationship between mother and daughter. How should the psyc address the enmeshed relationship between the mother and daughter? A. Encourage the Ado's individuation by defining boundaries B. Address family cohesion by strengthening alliances C. Address ED by focusing on psycho ed D. Develop insight into the system, by facilitating self understanding in ado E. Promote individuation by focusing on the expression of rebelliousness

Answer 74

A. Encourage the Ado's individuation by defining boundaries Remember that the answer needs to align with systems therapy. Defining boundaries, is a very systems approach. Who is the parent system, and who is the child system? It isn't B, because there already is cohesion?

Question 75

30 client self refers for assistance with smoking cessation. The client has a young child and works in a smoke free workplace. The psyc decides on Ml. What is the key aspect of Ml with this client? A. Providing advice on pro's/con's of change B. Challenging view of themselves as incapable of change C. Assisting client to act on motivation D. Providing strategies to move from pre-contemplating E. Confront disparity between motivation and action

Answer 75

C. Assisting client to act on motivation

Question 76

A psyc is seeing 20 client with social anx, as part of intervention, psyc decides that social skills training is appropriate. Which of the following options is the crucial step in effective delivery? A. Encourage client to practice skills with psych to get feedback B. Encourage practice of new skill in real life for generalisation C. Help client master complex social skills to facilitate smaller skills D. Avoidance E. Complete a role play of social skills once so that the client isn't overly distressed

Answer 76

A. Encourage client to practice skills with psych to get feedback Train, role play, feedback.

Question 77

A psych starts treatment who has previously had poor relationship with psych. The psych decides to focus on rapport. Which of the following contains the essential elements of rapport? A. The provisions if a meaningful feedback B. Provide comparative relationship for corrective emotional experience C. Fostering of mentalisation to affect life and change D. The provision of opportunities to explain repetitive relationship patterns E. Establishment of collaborative relationships facilitated by understanding

Answer 77

E. Establishment of collaborative relationships facilitated by understanding

Question 78

depressed teacher experiencing grief and depression after sudden loss of child in car accident 8 months previously. Psyc decides to use IPT, which of the following are recognised problems, targeted by IPT? A. Grief and loss, interpersonal dispute, role transitions and interpersonal sensitivity

Answer 78

A. Grief and loss, interpersonal dispute, role transitions and interpersonal sensitivity

Question 79

A psyc is seeing a clint for treatment of stress, and decides to incorporate breathing training. The clients pattern and rate of breathing, demonstrates that the client needs training in diaphragmatic breathing. A. The client should increase depth of each breath B. The client should allow the abdomen to extend which draws in air on inhalation C. The client should tighten their abdominal muscles to support inhalation D. The client should increase rate of breathing to increase oxygenation E. The client should use upper chest to support inhalation

Answer 79

B. The client should allow the abdomen to extend which draws in air on inhalation

Question 80

A psyc is seeing a women experiencing rel issues. She wants to save the marriage. Husband is abusive and violent, and this is increasing. She fears for her safety, but doesn't want to leave home in case he follows her. She doesn't want police involved. A. Joint session with husband B. Create a plan that would ensure safety of client C. Teach client safety strategy of having an emergency backpack D. Determine number of sessions needed to save marriage E. Assertiveness training to resolve difficulties

Answer 80

B. Create a plan that would ensure safety of client

Question 81

Female, with anx. Husband is abusive. Doesn't want to leave, but wants to address anxiety. A. Refer to lawyer to look at options B. Start an assessment for anxiety and treatment plan based on assessment C. Tell women that you can't treat anx until she leaves husband

Answer 81

C. Tell women that you can't treat anx until she leaves husband Respond to treatment goals, and if you feel like you can't achieve this you have to tell people.

Question 82

Psyc is working with job placement agency. 59 job seeker who has been unemployed for 5 years, after redundancy as cleaner at hospital where he was employed for 25 years. Unmotivated saying 'at my age it is unlikely I will find job'. Most important initial step? A. Assess psychological state and suicide risk B. Validate clients concerns, and explore employment prospects C. Talk to GP for medication options D. Explore strengths and weaknesses to highlight skill set E. Start voe assessment to assist with employment prospects

Answer 82

B. Validate clients concerns, and explore employment prospects

Question 83

A client is referred by GP for psychological intervention in relation to work difficulties, reports excessive cannabis use and problems in ado. Increasing dose and frequency of xanax to cope. What is most appropriate first response? A. Tell client to cease xanax B. Consent to call GP to discuss use C. Refer to specialist in benzo withdrawal

Answer 83

B. Consent to call GP to discuss use

Question 84

You are treating a client for long standing personality disorder and depression. The client is referred to psychologist with psychodynamic perspective. The client wants to understand treatment. What would explanation make ref to? A. Goal is to grad increase aversive stimuli B. Goal is to stop problematic behaviours C. The goal is to explore thoughts associated with dep D. The psychodynamic treatment is about exploring current themes and relating to past experience E. Psychodynamic is focused on questioning unpleasant event scheduling

Answer 84

D. The psychodynamic treatment is about exploring current themes and relating to past experience Read Jonathan shedler - The past lives in the present

Question 85

A psyc is concerned about 16 boy who was recently suspended after fights and rudeness to teachers. He is also risk taking. He is above average academically but has deteriorated within last months. This began after relationship break up. Older bro died from cancer less than 1 year ago. Boy is withdrawn and angry. What is most important area to assess initially A. Feelings regarding bros death B. Feelings regarding rel break up C. Suicide Ideation D. Difficulties at school

Answer 85

C. SI

Question 86

A school has engaged a psyc to assist with recent incidents of bullying. Psyc identified group of year 5 students who are main perpetrators, and school culture of survival of the fittest. Most effective way to target intervention? A. Whole school level to change culture, and individual perp level to change behaviour B. Individual perp level to change behaviour, and at parents level to take responsibility C. Parents to take responsibility, and the victim level to improve self esteem D. Whole school level to change culture, and parents levels to take responsibility E. Individual perpetrators level, and parents

Answer 86

A. Whole school level to change culture, and individual perp level to change behaviour

Question 87

13 year old gymnastic for performance anx. The client reports she has been approached by AIS to attend elite program. She reports being excited but is now making more mistakes and missing sessions. Concerned about not measuring up to expectations, and will be exposed at a fraud. Which of the following strategies is the best approach? A. Ml and goal setting B. Cognitive restructuring and imaginal exposure C. Goal setting and problem solving D. Relaxation training and skills reversal E. Supportive counselling and assertiveness training

Answer 87

B. Cognitive restructuring and imaginal exposure

Question 88

50 year old, car accident 12 months previously. Can't drive past local stops since this time. GP referred for a assessment and treatment. Exposure based therapy. What is the key component of successful exposure? A. Diminishing anxiety through distraction of fear driving cues B. Acquisition of behavioural activation by diminishing anx C. Diminishing anxiety through imaginal exposure to non driving cues D. Diminishing anxiety through imaginal exposure to fear of driving cues

Answer 88

D. Diminishing anxiety through imaginal exposure to fear of driving cues

Question 89

65 with social anxiety. The psyc is using CBT and asks the client to identify thoughts they were having last time they were in a social situation. They can't identify thoughts, their mind is blank. Which of the following is most appropriate. A. Review formulation, analysis and gather more info if required B. GPP for neuro probs C. Meditation skills to improve awareness of thoughts D. Reference event to help cue possible thoughts E. Stop doing CR, as this is unsuitable

Answer 89

D. Reference event to help cue possible thoughts

Question 90

Young women asks for help with spider phobia, she has suffered from fear of spiders since brother put spider down her dress. Won't go outside at night. Difficulties are impacting social life. Most effective exposure therapy? A. Show client pies of different types/sizes B. Hold spiders C. Educate client about different species D. Teach relaxation strategies while wearing a dress E. Exposing client to gradually more distressing events

Answer 90

E. Exposing client to gradually more distressing events

Question 91

Male referred to you for driving phobia, client tells you they were driver at fault in accident 6 months ago, and he can't sit in the driver's seat anymore. What is the most effective treatment technique for this patient to be able to drive again? A. Cognitive restructuring B. imaginal exposure C. Narrative therapy D. Ml

Answer 91

B. imaginal exposure

Question 92

Male referred to you for driving phobia, client tells you they were driver at fault in accident 6 months ago, and he can't sit in the driver's seat anymore. What is the most effective treatment technique for this patient to be able to drive again? A. Cognitive restructuring B. lmaginal exposure C. Graded exposure D. Socratic questioning E. Narrative

Answer 92

C. Graded exposure If they give you graded exposure choose that, however, if they only give you imaginal exposure choose that. For phobias, the board likes exposure but they don't always give you the option of graded.

Question 93

A psychologist is developing her learning plan for the next 12 months. She considers the workshops available, and does a lit review of different treatment outcomes. Which of the following statements, best represents the research of different interventions? A. CBT is inferior to most other forms of therapy for anx B. Psychodynamic is superior to most other forms of therapy for OCD C. Interpersonal therapy is superior to most other forms of therapy for depression D. Little evidence to support one form of therapy is superior to others E. SFT is inferior for existential issues?

Answer 93

C. Interpersonal therapy is superior to most other forms of therapy for depression D is also an option, however it does not clarify which disorder is being treated, the skill of the therapist and the preference of the client. IPT has level 1 evidence for treatment for depression, and is therefore currently considered superior. The key is the answer says 'most other forms'

Question 94

A psychologist wishes to evaluate the efficacy of a 10 week stress management program, for each individual client. The psyc has asked each client to record their weekly level of stress. Which is the most meaningful method to analyse data for each client? A. Linear regression B. Factor analysis C. Average of each score D. Frequency of each rating E. Plots of progress over time

Answer 94

E. Plots of progress over time When they include lots of difficult things, it is generally not what they want. Choose simple, they know you are never going to do a factor analysis. What are you trying to measure? When they ask stats questions, they will add a lot of rubbish. Don't choose the rubbish answers.

Question 95

A women attends her first consult with a psyc and complains that her adult daughter stole from her and husband had an affair. Referred for treatment of loss, grief and sadness. Which of the following is the most empathetic statement? A. Poor parental role modeling B. You feel betrayed by your D and husband C. You can't trust anyone these days, even family D. It's in the nature of all people to betray others E. I wonder if these feelings stem from CA

Answer 95

B. You feel betrayed by your D and husband

Question 96

A male courier driver is referred for assessment of functioning. The man reports being subject to work investigation as the GPS said that he was driving reveleaded an unscheduled spot. The male also reveals that his wife reports she is leaving the marriage when she can find housing for her and their 3 kids. How do you summarise? A. Work and home are sources of distress for you right now B. You must be starting to think that someone has it in for you C. When the going gets tough, the tough get going D. It may help to focus on what is going well for you right now E. Chin up

Answer 96

A. Work and home are sources of distress for you right now

Question 97

A family presents with 11 year old son, who is shoplifting. The son's behaviour reportedly began after the death of sister in car accident. Family looking for systems oriented psychologist. Which of the following is the primary focus? A. Parenting advice to enable the parents to set limits B. Psychoeducation re: response after loss C. The function of the shoplifting behaviour within the family D. Supporting fam to process grief and loss E. The boys thoughts and feelings following the loss of his sister

Answer 97

C. The function of the shoplifting behaviour within the family Family therapy used to focus on the function of the behaviour within the family, and the board is full of old people so they will take this old approach. This behaviour could be to distract the parents from the grief and loss, or to gain attention Discussion: Hypothesis may be what the boy was doing was a way of getting attention and he wasn't getting any attention due to loss. The boys behaviour may be away of him distracting the family form their grief and loss. Think like the board - systems oriented approach when looking at the family as a whole - so the function of the behaviour within the family system.

Question 98

A psychologist is researching what kind of therapy is most appropriate for a client with PTSD. The literature supports a range of interventions. Which intervention is NOT supported by evidence? A. Prolonged exposure therapy (This is imaginal, people telling their story with their therapist checking SUDS, until their anxiety diminishes) B. Trauma focused CBT C. Thought field therapy (tapping) D. Psychodynamic psychotherapy E. EMDR - level 1 evidence

Answer 98

C. Thought field therapy (tapping) ATM for craphra there is no evidence for TFT, despite researching beginning to come out of social work field. If TFT is formalised and combined with additional techniques it may become accepted. Discussion: Thought field therapy is tapping our body/head - no evidence (despite some interesting research which looks into this). Prolonged exposure (imaginal exposure, having to tell the story of traumatic experience, until anxiety diminishes) is main used with trauma. B is a variation on A (FT CBT) is an extension of prolonged exposure therapy. EMDR has level 1 evidence based treatments for PTSD. Any form of CBT will incorporate a component of exposure.

Question 99

A GP refers a 9 year old boy with symptoms of inattention, impulsivity. Previously prescribed psychostimulant medication for pediatrician. Parents only want meds for short term, and want a more long term options. What would be a viable treatment option? A. Relaxation training B. Cognitive restructuring C. Parent training D. Supportive counselling E. Graded exposure

Answer 99

C. Parent training There is no evidence that game playing, and turn taking that will help someone with ADHD focus in the classroom. Neurofeedback, no evidence. Helping teachers to learn skills in behaviour modification in the class room and parent education and training. Can work with kids on issues that are a consequence of their ADHD, ie social issues.

Question 100

An adult male referred for chronic pain management, by occupational physician. Client doesn't understand why he is there as he has "real pain that is not in my head". What is the most important initial step? A. Refer back to initial physician B. Behavioural analysis of pain behaviour C. Explore willingness to consider therapy D. Gather more information to understand resistance E. Evaluate the ability of the client to engage in treatment

Answer 100

D. Gather more information to understand resistance C, D and E are all things you would do, but you need to do D first Discussion: Start soft!! Cant' start straight with interventions, need time for empathy, atunement and validation. In this case they are saying 'my Dr doesn't' believe me and they think I'm crazy, that's why they have been sent to you" - they want to be understood and heard. So you can't start with a full on intervention - this will only confirm to them that you think they are crazy!!!

Question 101

18 year old student present for treatment due to problems with academic performance. Depressed and agitated mood. Considering dropping out of degree. Was taking methylphenidate (ritalin) for years and has recently stopped. What might explain why he was taking this medication? A. Hx of GAD B. Hx of ADHD C. Hx of childhood psychosis D. Hx of drug use

Answer 101

B. Hx of ADHD

Question 102

A psychologist is referred 17 year old student in final year of school. Student is stressed and having difficulty sleeping. Comes with mother who reports student didn't want to come. Refuses to make eye contact. What is the first priority? A. Administer the student a battery of clinical questionnaires B. Psychoed on sleep hygiene C. Ask student what she wants to get out of consult D. Obtain a detailed MH hx separately, from mother E. Prepare student by relaxing her using progressive muscle relaxation

Answer 102

C. Ask student what she wants to get out of consult C is the only option and you need to determine if she wants to be there, no eye contact, mother says she didn't want to come, so you really need to determine if she wants to be there and ongoing!. If kids don't want to engage, even if parents want this - you can't do it.

Question 103

You have been seeing a young women for panic disorder for a number of sessions. Referred by GP, who prescribed a clinically significant dose of benzo which she has been taking for 3 months. The client announces that she has stopped her benzo this morning. What is the best response by psyc? A. Praise the client B. Provide the client about infor for over the counter meds C. Discuss with the client treatment adherence in the management of anxiety D. Monitor coping resources with the client off benzo's E. Immediately contact the GP with the client in session to discuss medication cessation

Answer 103

E. Immediately contact the GP with the client in session to discuss medication cessation Your patient can die, contact medical support. Your client may need to be hospitalised for bezo detox. Need to look at Xanax and Valium. High doses (more than 1mg Xanax or more than 5mg of Valium per day) - even taping off doesn't work - they need to transition to other medications. It's very difficult to transition off Benzodiazepines. Most SSRl's won't kill people if they stop - but they will feel really bad, still need to taper off, under the care of GP or prescribed physician.

Question 104

An adult male is referred for anxiety management after a car accident. Client doesn't understand why he is there and feels he is coping well driving in the local area. Relies on wife for further driving. What is the most important next step? A. Explore reasons for only driving in local area B. Fear hierarchy C. Refer for driving assessment by OT D. Begin an assessment for driving difficulties within his local area E. Begin assessment for PTSD

Answer 104

A. Explore reasons for only driving in local area Discussion: soft and gentle

Question 105

A psyc is referred 30 client for anx treatment. Series of crisis at work and in personal relationships. Time limited, 1O session model psychodynamic approach. What do you need to do? A. Continue with therapy if client resists terminations to maintain rapport B. Seek supervision to discuss psychologists anxiety to discuss premature ending C. Explore clients reaction regarding end of therapy at Session 9 D. Set client expectations about length of therapy at beginning E. Continue with therapy until client feels happy

Answer 105

D. Set client expectations about length of therapy at beginning Discussion: IF they ask about time limited therapy - need to socialise people to treatment and you need to discuss how much time treatment will go on for - need to be clear. This doesn't mean you cant re negotiate further treatment

Question 106

A psychologist is treating a client for depression using IPT. In the first session, the client says they love the psychologist and "never want therapy to end". From an IPT perspective, what would be the best way to manage positive transference feelings? A. Address transference as it is considered an active target within an IPT approach B. Ignore the client's comment as IPT considers transference is not important C. Focus on interpersonal functioning which is more important than transference D. Let transference develop over time as this is a hallmark of IPT approach E. Transference should be actively address to prevent problems being repeated

Answer 106

C. Focus on interpersonal functioning which is more important than transference IPT is not psychodynamic. IPT therapies try hard to not be put in the same box as psychodynamic, because they do not focus on transference. Psychodynamic includes transference as an active target, and what this shows about someone's early relationships, and relationships with others. IPT looks at interpersonal functioning and how this relates to the person's needs within the outside world. It's not E because transference isn't a problem, it is just something that happens. From an IPT perspective you don't talk about transference, and you don't make a diagnosis based only on what someone says. You need to know the 3 stages, and that it is a very structured and time limited model which focuses on one problem that the research has identified IPT will be helpful for.

Question 107

A psychologist is completing a lit review as part of workplace evidence based practice library, she discoveries that there have been a number of meta analysis completed for a particular therapy. Which best describes the strength of the findings that are derived from meta analysis? A. They allow for the synthesising the findings of independent studies B. They are powerful studies due to the large number of participants C. They represent more valid methods than single case studies D. They allow goal attainment as treatment choice E. They provide a valid benchmark for the comparison on interventions

Answer 107

E. They provide a valid benchmark for the comparison on interventions

Question 108

You have a client with complex presentation. You try and find literature for presenting problems, and you can't find anything. You evaluation your treatment plan using single subject design. What is the most important application of a single subject design? A. Valid and reliable assessment of treatment B. It allows for evaluation of treatment without matched samples C. Similar to case study and involves same in depth analysis D. Relative to CBT E. Not as scientifically rigorous as group research methodology?

Answer 108

B. It allows for evaluation of treatment without matched samples

Question 109

A young mother of 3 kids has been referred by her GP, with a K10 of 35. Client is teary and feeling guilty that she is not being a good mother. What would be the most important initial step? A. Listen and validate B. Identify the difficulties of being a mum C. Assess capacity to care for kids D. Clarify what support the client needs E. Asses's the clients need for antidepressants

Answer 109

A. Listen and validate In a CBT model, the first step is assessment, diagnosis and formulation Socialisation to treatment - Psychoed, develop treatment goals, explain treatment, and how it will work

Question 110

Psyc, middle stage (Intervention) of IPT with 40 male. The psyc starts to focus on an interpersonal conflict with the client and his daughter. What would be the techniques used to address interpersonal conflict? A. Thought monitoring and challenging (CBT) B. Problem solving and communication analysis C. Free association and interpretation of transference (Psychodynamic) D. Pleasant event scheduling and distraction (CBT) E. Emotional regulation and distress tolerance (DBT)

Answer 110

B. Problem solving and communication analysis

Question 111

A mother takes her 16 year old daughter to a psychologist. The mother tells the psyc about decline in school performance. Daughter is avoiding social situations unless drinking, and is anxious about what others think. What is the best next step? A. Commence treatment with Mother and Daughter due to avoidance B. Alcohol harm min C. Contact the school about academic performance D. Refer daughter to AOD service E. Provide psychoeducation about the role of avoidance

Answer 111

E. Provide psychoeducation about the role of avoidance

Question 112

Psychologist is treating client for mod depression using CBT. Not progressing. Decides to use another evidence based treatment. What is most appropriate? A. Exposure B. Rogerian C. IPT D. EMDR E. Narrative

Answer 112

C. IPT The board doesn't like narrative. CBT and IPT have level 1 evidence

Question 113

An older women is referred by her GP for treatment of depression, following death of husband. Psychologist is struck by how much she resembles his own mother, and reacts emotionally. Which of the following best describes his response? A. Therapist Transference B. Therapist ambivalence C. Countertransference D. Therapist resistance E. Therapist avoidance

Answer 113

C. Countertransference Psychodynamic - transference is what happens for the client? It goes from client to therapist Countertransference - The emotional response the therapist has towards the clients that have to do with other relationships in our lives, attachments needs, experiences etc

Question 114

A young man presents with panic attacks, the client reports these started after being retrenched for his job. Can't leave home and can't drive. Psych thinks panic with agoraphobia. Which of the following is the most effective technique? A. Flooding B. Systematic desensitisation (graded exposure) C. relaxation D. Cognitive restructuring E. In vivo exposure

Answer 114

B. Systematic desensitisation (graded exposure) The board prefers desensitisation over exposure

Question 115

40 man, panic attacks in context of breakdown of abusive relationship. Psyc decides on CST, and starts by identifying triggers of panic attacks. What is the next thing the client should do to respond to stress? A. Work with client to understand why he is distressed B. Psychoeducation around anxiety C. Encourage to address fears directly D. Fear hierarchy E. Avoid discussion on triggers as it distresses him

Answer 115

A. Work with client to understand why he is distressed

Question 116

A psychologist is asked by a local credit room, to support staff who were present in an armed robbery. Individual appts for assessment, and some report PTSD symptoms. What is the best approach? A. Refer staff with PTSD symptoms to specialists B. Provide evidence based treatment to those staff C. Bring all the staff together for group delivered debriefing D. Follow all up over the next month for PTSD symptoms E. Provide prolonged exposure to staff with symptoms

Answer 116

D. Follow all up over the next month for PTSD symptoms Psych debriefing has been debunked, and this is worse than doing nothing. This can trigger long term PTSD symptoms. It can't be A, because you can't have PTSD after only 2 days.

Question 117

30 women, mother of two kids. Referred for depression. The info from assessment, suggests stress stemming from marital conflict, which is a result of different parenting styles. The client agrees with this formulation. Based on this, what is the next best step? A. Refer the couple to parenting group program B. Contact clients parent C. Psychoed re: parenting styles D. Refer for marital therapy E. Commence treatment for depression

Answer 117

C. Psychoed re: parenting styles Marital conflict 1. Money 2. Sex 3. Parentin

Question 118

Psychologist uses IPT, asks client to describe relationship conflict and interactions they have had over the past two weeks. Which of the following options, within an IPT approach that justifies these questions? A. To assess the clients individual style B. To assess cognitive schemas C. Assess attachment D. Assess cognitive distortions E. Asses· genetic reactions?

Answer 118

C. Assess attachment A isn't really IPT, B schemas aren't cognitive they are a mix of sensations, memories, thoughts, feelings etc and this isn't IPT, C

Question 119

Young man referred for assistance with jo seeking, past intermittent employment. Psychiatrist prescribed clozapine. What kind of drug is this? A. Anxiolytic (anti anxiety, benzo's) B. Antidepressant C. Antihistamine D. Antipsychotic E. Anti convulsant

Answer 119

D. Antipsychotic Olanzapine - First line treatment Clozapine - More side effects, and serious medication Seroquel/Quetiapine - Sleep in low dose and antipsychotic in higher doses.

Question 120

40 something, retrenched, anxious and uncertain about career options. Psyc thinks he has adjustment disorder and decides on problem solving approach. Which is the most consistent with a problem solving technique? A. Conduct vocational assessment B. Apply imagery to help decide future career options C. Systematically create options, and solutions, then analyse effectiveness D. Brainstorm alternate solutions to improve confidence E. Cognitive restructuring to improve motivation

Answer 120

C. Systematically create options, and solutions, then analyse effectiveness

Question 121

School psych, evaluate outcome of bullying intervention. Most appropriate? A. The change in 3 connor's score over time B. The number of incidents pre/post intervention C. Beck scores over time D. SDQ teacher scores pre/post E. CBCL youth scores pre/post intervention

Answer 121

B. The number of incidents pre/post intervention

Question 122

GP refers for treatment of depression. Cog therapy. Client interrupts treatment plan, and reports positive thinking doesn't work. What is most appropriate response? A. Probe for details on previous therapist to ascertain level of confidence B. Take into account lack of progress and change plan C. Interpret clients response as understandable resistance to change D. Clarify the distinction between positive thinking and realistic thinking

Answer 122

D. Clarify the distinction between positive thinking and realistic thinking

Question 123

First session for treatment of anorexia, has diagnosis for 10 years. Presents nervous and minimises symptoms. Worried about judgement, and reports previous bad experience. A. Paraphrasing, reflective, and empathic responding B. Asking open ended questions for more info C. Acknowledging nonverbal communication challenged D. Correcting negative self-talk by client in session E. Manage resistance through interpretation.

Answer 123

A. Paraphrasing, reflective, and empathic responding

Question 124

Psychologist starts treating young women for depression, K10 score shows moderate distress. The psychologist decides CBT, and identifies clients depressed mood and primary target behaviour. What is the best method to measure progress? A. Measurement at stochastic intervals? What even B. Measurement at frequent intervals C. Measurement by progressive indices D. Measurement at intermittent intervals E. Measurement at times of maximum compliance

Answer 124

B. Measurement at frequent intervals

Question 125

Client self referral for assistance with relationship and attending therapy at partners frequent. Scared of relationship failure, but not sure therapy is for him. What would build rapport best A. Discuss the cost of therapy and how many sessions are required B. Discuss importance of motivation C. Shared hope and focusing on clients goals D. Setting practical homework goals to monitor using achievement charts

Answer 125

C. Shared hope and focusing on clients goals

Question 126

A client has been seeing psyc for social anx, psyc setting homework tasks including dysfunctional thought diary. Client completed and psyc gave feedback. Since then, client stopped completing homework tasks. Why is the client avoiding homework? A. Negative reinforcement for failure to complete B. Transference and therefore resistance C. The client is avoiding homework tasks for fear of neg eval D. Passive aggression has been activated by psychologist E. Not suitable for cognitive therapy because of PD

Answer 126

C. The client is avoiding homework tasks for fear of neg eval

Question 127

Psychologist is completing initial assessment, who discloses sig childhood event and becomes distressed. Never told anyone and psyc focuses on rapport. How would psyc check their D understandin of disclosure? A. Suds B. Self report distress measure C. Follow up questions to prompt deep reflective D. Collateral info E. Paraphrase info succinctly

Answer 127

E. Paraphrase info succinctly

Question 128

A client with PTSD is referred to psyc, and reports significant anx and intrusive memories of sexual assault. Trauma focused CBT approach. Which of the following strategies is likely to be most effective? A. PMR and In vivo B. lmaginal exposure and cog restruct C. PMR and imaginal exposure D. PMR and cog restruct E. lmaginal exposure without cog restruct

Answer 128

B. lmaginal exposure and cog restruct You don't do PMR with someone who has traumatic memories In vivo - livexposure lmaginal - in your head

Question 129

Question: 10 yr boy referred to school psych because he's disruptive in class and socially withdrawn. What would be the most effective first assessment? A. Self report B. School observation C. Interview D. Cognitive assessment E. Teacher and parent report

Answer 129

B. School observation Discussion: Validity of assessment and first assessment is to have a school observation. Need to remember T & P have very low correlation because they usually have significant differences. They want the most informative assessment. So It's the 'most' right one to do first- think the way the board thinks - what's the next step in the assessment. As a clinician you would do self reports, interview kid, parents/teachers. So as a school psychologist kids are used to you being around, observations are easier to do as the kids don't know who you are observing, so it doesn't necessarily disrupt or change their behaviour. So you would be observing the specific/targeted/identified behaviour, frequency, intensity and duration of the behaviour.

Question 130

woman in 20's, diagnosis of bulimia. Motivated to change and unsure how things got so bad. Which is most inconsistent with this diagnosis? A. Episodes of uncontrolled eating B. Depressed mood C. Being significantly overweight D. Low self esteem E. Vomiting after meals

Answer 130

C. Being significantly overweight Discussion: Most people are not overweight with this diagnosis. With a straight diagnosis appear to have quite normal weight- unless they have a dual diagnosis and then this is more complex.

Question 131

GP refers an 8yr girl - 3wks ago fell off bike, not injured but is school refusing, hit younger boy (out of character), is sleeping/eating well (no intrusive symptoms ie nightmares, flashbacks, reliving). Which options best diagnosis to consider? A. Personality disorder B. PTSD C. ODD D. Adjustment disorder E. Conduct disorder

Answer 131

D. Adjustment disorder Discussion: Previous questions added more information and required Acute Stress Disorder (so if she had been more at risk - Acute Stress Disorder= when after an event you felt your life was in jeopardy - traumatic. Adjustment disorder= event occurs and you have a reaction beyond what you would expect for that event. Acute Stress Disorder happens in 2 days - 4wks after the event (similar to PTSD but PTSD is diagnosed after 4wks time frame from the traumatic event). And Adjustment Disorder is a disproportionate reaction to an event, but it's not life threatening and there are no intrusive thoughts, flash.

Question 132

Question: referred 6mth period of abstinence following DUI. Cravings, anxiety. Client reports regular craving for alcohol. Feelings of hopelessness, marriage ended. What is the most appropriate diagnosis? A. Panic disorder B. Marital difficulties C. Cravings D. Alcohol use disorder E. Major depressive disorder

Answer 132

Alcohol use disorder Discussion: Addictions - symptoms of substance use disorders are usually always the same ie alcohol, heroin, amphetamine would be the same number of symptoms. Look at the symptoms - intoxication, withdrawal, what the diagnosis for Alcohol disorder - and then if we know the criteria for alcohol we can use this information to determine other disorder symptoms. SEE PDF page 490- 491 to look at symptoms. Eg taking larger amounts than intended/longer period, unsuccessful attempts to cut down, cravings, recurrent alcohol use resulting in failure to fulfil obligations at school/work/home, reducing or giving up activities, using alcohol in situations that can be dangerous. Tolerance (need to increase amount to get same effect). Withdrawal symptoms.

Question 133

Question: woman in 40s referred by local hospital following a suicide attempt. Describes childhood abuse, previous overdose and hospital admissions. Relationship problems. Recent break up of marriage. Most likely provisions diagnosis? A. BPD

Answer 133

A BPD Discussion: relationship difficulties, multiple hospital admissions, traumatic childhood & abuse (not always sexual abuse, but childhood abuse).

Question 134

Question: Competed treating client for depression - BECK (BDI) pre and post. Scores decreased from moderate to minimal range. Difference is clinically sign. What is most accurate interpretation of these results? A. Clients depression will not relapse B. Responded to treatment C. Depression has improved D. Depression is unchanged E. Depression has deteriorated.

Answer 134

C. Depression has improved Discussion: Between B & C- what is the most conservative respond. Not controlling for anything else - so after lOwks what has occurred? You don't know it was the treatment, other events may have occurred (like life events/medication/other positive changes may have occurred for them) - the only thing you can really say is that his depression has improved -you hope this is from treatment BUT you can't be sure because you haven't controlled for all the other variables!!! Remember it's the safest answer!! Depression is episodic anyway, so many people have had other episodes of depression, and then they got better without treatment and then may get worse, so many factors may impact on the reduction of depression.

Question 135

Question: Referred following concerns refereed by husband. Own a hotel, exposed to dirty bed linen. Worried about contracting HIV from bed linen and worried. Washes hands with bleach multiple times per day. Feels compelled to act. Most likely explanations for these symptoms. A. GAD B. Delusional disorder C. hypochondriasis D. OCD

Answer 135

D. OCD

Question 136

20 yr man, referred by GP. Reports difficulty with concentration, making decisions, decreasing appetited, weight loss of 10kg, waking early cant' get back to sleep and general fatigue. Occurring for 2mths, struggling to attend work. Does not enjoy socialising. Best diagnosis A. Major depressive disorder.

Answer 136

A. Major depressive disorder.

Question 137

40hr old man - presented with long standing stomach complaints. Says he's concerned, no medical conditions. Worried about finances, health and family. Problems controlling his worries and difficulty sleeping, waking at night A. GAD

Answer 137

A. GAD Discussion: they will try and confuse you with somatic complains and people with GAD have somatic symptoms.

Question 138

65 referred by wife, retired from law practice. 1st session with wife, he's oriented but unable to name prime minister. Wife says his memory is a problem. He says he's fine. He can't name the phone/objects and gets anxious A. Delirium B. Narcissistic personality disorder C. MOD D. ADD E. Major neuro cognitive disorder (dementia)

Question 139

Question: Parents 3yr boy, for assessment. Thought he was deaf, but hearing okay. Boy would repeat the same word over again. First 18mths milestones normal. Doesn't like loud noises and will line toys up by colour. A. ASD

Question 140

Question: teacher reports to parent. He displays disruptive behaviour; teacher says he fails to complete work and making slow academic progress. Violent to sibling, loses his belonging. Impulsive acts. A. A specific learning disorder B. CD C. ODD D. ADHD E. ASD

Answer 140

D. ADHD Discussion: tricky question - the kid might have comorbidity between ADHD and ODD. Fact that not completing work/impulsive (hitting sister without provocations), engaging in impulsive acts. They don't say he's constantly arguing with adults or people in a position of power, constantly fight against power - everything you say to them, they say no.) He's not saying I'm not going to do it, and his violent but they say impulsive, disruptive. CD is really severe childhood issue and more infrequent. Difference is ODD fight power all the time, CD want the power and abuse with power and want to have power over others (like to hurt people and animals) and are quite cold and callous and they will go on to be diagnosed with Antisocial personality disorder (and have a history of CD) - This kid is more disruptive and inattentive and impulsive.

Question 141

Question: 8yr child, client struggles with verbal expression, doesn't accept change. Struggles to engage socials. Poor social norms. Psych considers ASD. What's characteristic of a diagnosis of ASD? A. Preoccupation with order and routine B. Fear of negative evaluation by peers C. Low adaptive planning D. Repetitive behaviours interests and activates E. Behaviours of hyperactivity and impulsivity

Answer 141

D. Repetitive behaviours interests and activates Discussion: between A & D. Why go with D - includes repetitive behaviours (order and routine) and it's one of the two criteria for ASD. Criteria are difficulty in social interaction and repetitive behaviours interests and activities. A happens BUT isn't necessary criteria, so it's NOT A - and they can be same/different levels for each of the different criteria.

Question 142

Question: Client reports he's been drinking alcohol in large amounts over past 2yrs. Unable to reduce his alcohol intake. Wife is concerned about his intact. He misses deadlines at work due to being intoxicated. He noticed he needs to drink more and more and describes that he can tolerate large amounts. He has maintained work, family. How do you categorise his alcohol problems? A. Mild B. Moderate C. Severe D. No problems at all.

Answer 142

B. Moderate Discussion: You need to know the criteria in DSM - 5 for Alcohol substance use problems: * Mild - based on number of symptoms - 2 or 3 symptoms * Moderate - 4-5 symptoms * Severe is 6+ So it's moderate because 4-5 symptoms. NEED to count the criteria to determine if mild/moderate/severe.

Question 143

Question: 20yr old man, centrelink pscy does an initial assessment for disability support pension. The interviews includes a MSE. Which options defines the MSE? A. Series of questions that assists in forming a diagnosis B. Standardised psychological test C. Brief screen of client cognitive functioning D. Identifies malingering E. Systematic observation of client

Answer 143

E. Systematic observation of client Discussion: ?? it's difficult because unsure if C may be correct?? So is a behavioural observation of the client ie speech and affect of the client.

Question 144

Mini Mental State Exam - 67 woman, presents with low mood, sleep issues, social withdrawal and forgetfulness. Husband died lOmths ago. Psych does MMSE -woman scores 27 on the MMSE. What are the possible 2 issues can you consider for differential diagnosis? A. Dementia/depression B. Dementia/bereavement C. Depression/bereavement D. Dementia and GAD E. Depression and GAD

Answer 144

C. Depression/bereavement Mini MSE is completely different assessment from the MSE - the Mini MSE is a very quick cognitive assessment for dementia. So with a score of 27 (above 24) we can rule out dementia, and see signs of depression and its differentiated from bereavement. IF someone is showing forgetting things, not able to name familiar objects, weird psychotic type symptoms, seeing things (75 or 80yrs) this can be a sign of dementia. If they are sad and withdrawn then this may be more likely to be associated with depression than dementia. Mini MSE is scored: * 30-25 May be normal * 24-21 Mild * 21-10 Moderate * 9-0 Severe

Question 145

35yr female, long history of recurrent headaches. GP thinks psychogenic in origin. In childhood neglect and loss, displays dissociation during adolescent. Can't identify triggers. Most beneficial approach for client? A. An approach that will assist the client to be more interpersonally effect B. An approach that enables the client puts feelings and perceptions into words C. An approach emphasises systematic desensitisation and relaxation D. Combines psych treatment with medication E. Focuses on motivating client to change behaviour

Answer 145

B. An approach that enables the client puts feelings and perceptions into words Discussion: B & C??? But not necessarily CBT (answer c)- desensitisation to what, headaches?? How would you do this?? Used mostly for anxiety so it's not really appropriate here (can't do relaxation with a headache!!). Want to help the client with an approach that helps the client put feelings and perceptions in to words - to verbalise things instead of them manifesting in physical symptoms. Symptoms/history tells you that they are showing distress and emotions through physical symptoms/headaches - she can't talk about things ie is talking through her body.

Question 146

20 yr old for alcohol problem. Reports he believed he didn't' have a problem but after 2 sessions he has set therapeutic goals. Important next step? A. Ask client Keep a behaviour record of drinking to reduce resistance B. Report back to GP to treat health issues C. Increase self-efficacy by sequencing a plan of action with client D. Instruct client about efficacy of different treatment methods E. Teach client a number of methods to limit alcohol intake

Answer 146

C. Increase self-efficacy by sequencing a plan of action with client Discussion: He is ready to set some goals so no need to worry about resistance so NOT A. So could be C or E. IF thinking about motivational therapy framework= collaborating and increasing self­ efficacy. Help them to gain a sense of control and capacity to come up with their options and increase their sense of agency. Don't teach them different ways - not useful to teach them, client won't do it, will come up with 'but's' and 'I can't do it'.

Question 147

Question: 30yr male, referred for help with stress. Wife asked for divorce. Man stated he was surprised by wife's request, does not want a divorce. Psych decides to use solution-focused approach. Most appropriate n xt step A. Start treatment to change clients behaviour B. Provide psychoeducation C. Ask client to bring wife for couples therapy D. Discuss with client his preferred future with wife E. Discuss how motivated the client is to engage in therapy.

Answer 147

D. Discuss with client his preferred future with wife Discussion: questions will look at preferred outcome for specific issues, about future outcomes, things that have worked in the past and they think will work again in the future. Or the 'miracle question' is associated with solution focused approach (obvious questions). Miracle question, SFBT - if you went to bed tonight, and while you were sleeping a miracle happened and you didn't know because you were asleep -what is the first thing you would notice was happening. So identifying what would your partner being saying, how would you be acting, what would you be doing,

Question 148

40 man presents to a psych, recently lost job, splits up with partner, aspirations havent' been fulfilled, believed he has a lot to offer as a manger or CEO. He reports he was prescribed Lithium but doesn't understand why. What the most likely reason for this mediation being prescribed? A. Treatment of bipolar B. MOD C. Psychotic episode D. Anxiety disorde

Answer 148

A. Treatment of bipolar

Question 149

Question: 55 single father of 3, presents for assistance with parenting. Problems communicating without yelling. Psych decides to use a family systems approach and invites all to attend. What will the psych focus on in the session? A. The patterns of behaviour within the system B. Motivation of each member to improve communication C. Presence of psychopathology in each member D. Who holds the power in the family E. Who can they work with to improve relationships

Answer 149

A. The patterns of behaviour within the system Discussion: Family therapy question - it's never an individual's issue so No to motivation of any one person or psychopathology (so not B or C). BUT first thing you need to look at is the patterns of behaviour in the system, conflicts, and who triangulates with whom, networks of communications= you are looking at system of a whole and not individuals. This will show you who holds the power within the system and how this moves around. Once you see the patterns of behaviour you start to see what is causing the problems and change if not working.

Question 150

23 year old female, long hx of recurrent headaches. GP believes psychogenic in nature. Hx of early neglect and loss. Symptoms of dissociation as a child and teen. Cannot identify what triggers the headaches. What is the best approach? A. An approach that will assist to be interpersonally effective B. An approach that helps the client put feelings and perceptions into words C. An approach that focuses on systematic desensitization and relaxation D. An approach that combines psyc and meds - You are not medically trained E. An approach that focuses on motivating client to change behaviour

Answer 150

B. . An approach that helps the client put feelings and perceptions into word

Question 151

20 year old referred from GP for help with alcohol use. Originally believed he did not have a problem. After two sessions he has set goals. What is the best next step? A. Ask the client to keep behavioural record of drinking to reduce resistance B. Report back to the GP to help treat health issues C. Increase efficacy by sequencing plan with client D. Instruct client about the efficacy of different treatment methods E. Teach client strategies to limit alcohol intake

Answer 151

C. Increase efficacy by sequencing plan with client This person is ready to set goals, do you need to target resistance? He has recognised he has an issue. From an Ml perspective it is very important to help then have agency. We want to collaborate. If you just teach strategies, they will be less likely to go through with the plan. You need to increase agency, sense of power and purpose. Help them to develop their own stratgies

Question 152

30 male, help with stress. Wife has been asking him to change behaviour for years and has now asked for divorced. Surprised by request and adamant he does not want this. SFT decided upon by psyc. What is the most appropriate next step? A. Start treatment to change client behaviours B. Psychoeducation around effective marital relationships C. Couples therapy D. Discuss prefered future with client E. Determine how motivated client is

Answer 152

D. Discuss prefered future with client D is the most SFT answer, it is about determining their preference and then moving towards this

Question 153

40 man presents to a psyc with a range of concerns about his career and personal life. Lost job and split with partner. Aspirations have not been filled, but he believes he has a great deal to contribute to a company as management or CEO. As part of an assessment, he reports previously taking lithium but is unsure why, and has discontinued. Why might he have been given lithium? A. Prescribed for bipolar B. MOD C. Psychotic episode D. Anxiety

Answer 153

A. Prescribed for bipolar

Question 154

55 single father of 3, presents for assistance with parenting. 3 teen daughters and struggles to communicate without yelling, wanting to improve communication and relationship. Family systems approach and suggests he brings 3 children to next session. What will the psychologist be focusing on? A. The patterns of behaviour within the system B. The motivation of each member to improve communication C. Presence of psychopathology D. Who holds the power E. Who the psychologist can work with to improve relationships

Answer 154

A. The patterns of behaviour within the system Any answer that includes psychopathology or individual behaviour of each member is incorrect for a family systems approach. For family systems questions they like answers focusing on looking at the system as a whole, patterns networks etc

Question 155

You are contracted by a large employer to provide vocation service to a man who is on their employment list. Client completes re-assessment which includes Neo Personality Inventory (pure 5 factor personality test, 200 something questions). He says the psychologist who provided the previous tests, allowed him to complete at home (You should be with them to make sure he is completing it, and he can read etc). What is most appropriate thing to do? A. Discuss reassessment rational B. Explain each psych has individual preferences C. Complain to board - Not enough for a mandatory notification, but it is not best practice D. Contact previous psyc - What would this achieve? E. Call the employer to discuss the validity of the previous assessment

Answer 155

A. Discuss reassessment rational NEO/16pf - Personality - you can do online PAI, MMPI - Psychopathology SOS - Vocational - Online also. Efficacy debateable

Question 156

A psychologist is referred a 22 year old, during assessment the client mentions feelings hopeless, and does not feel confident he can change. Partner recently ended their relationship and she said unemployment was main factor. What is most appropriate thing to do? A. Gather collateral info to check self report B. Ensure client completes depression screener C. Determine if client has thoughts of suicide D. Instill a sense of hope in the client that the future is bright E. Offer to complete a vocation assessment

Answer 156

C. Determine if client has thoughts of suicide Male, 22, unemployed, no social support... What is the most important? You can still do a depression screener

Question 157

A 15 year old referred due to difficult and disruptive at school and home. Psych interviews parents and teachers and receives inconsistent info. The psyc decides to do behaviour observations. What is most important things to remember, when conducting behavioural observations? A. Record as many features of behaviour in multiple environments B. Ensure client is not aware his behaviour is being observed C. Record frequency, intensity, and duration for a small number of behaviours D. Compare behaviour with another kid at same time E. Organise teacher to observe

Answer 157

C. Record frequency, intensity, and duration for a small number of behaviours Basics of behavioural observations - choosing a small number of behaviours (how many times you leave your chair at school, interrupt teacher etc) and you record how often they happen, their intensity and how long they go for. Ideally, then record antecedent, behaviour and consequence.

Question 158

An 80 year old man has been diagnosed with dementia, he is referred to you due to difficulties with behaviour management. He is reportedly agitated, paranoid and angry, resulting in threats to staff. Your goal is to create a behaviour plan to assist staff. What is most appropriate thing to do? A. Contact GP to understand diagnosis B. Visit nursing home C. Personality assessment D. Behavioural analysis E. Conduct psychological assessment of man

Answer 158

D. Behavioural analysis

Question 159

A 10 year old boy is referred by primary teacher due to disruptive behaviour and social isolation. What assessment would help you understand his behaviours? A. Cognitive assessment B. Self report C. School observation D. Previous school reports E. Peer interview

Answer 159

C. school observation

Question 160

Psyc is referred 40 man, work place place rehab. Initial assessment - Struggling with depression and thinking of suicide. What is the most appropriate assessment? A. Structured assessment of suicide risk B. MSE C. Clients employee file D. Self report measure of depression E. Collateral Info

Answer 160

A. Structured assessment of suicide risk

Question 161

A 16 year old boy and parents come to appointment. Boys parents are concerned about mental state. Boy won't talk or make eye contact. He has recently been fighting with parents and withdrawn from peers. What is most appropriate assessment? A. Relationship stress B. Grief and loss C. Depression D. Suicide risk

Answer 161

D. Suicide risk

Question 162

You do an SOS with a client and the SOS results in a code of CRI (Conventional, Realistic and Investigative. SOS will give you a three letter code demonstrating personality type. It will then give you suggestions of job). What occupation will this person be interested in? A. Psychologist - Needs social B. Landscape architect - more artistic C. Musician - More artistic D. Computer programer

Answer 162

D. Computer programer Most people can be categorised predominantly as one of six personality types: Realistic (R), Investigative (I), Artistic (A), Social (S), Enterprising (E), and Conventional (C).

Question 163

You are referred a 40 women who has sleep disturbance, stress and irritability. These are interfering with work, started following incident 2 weeks ago. In new city, lost then robbed. She reports being very distressed, and continues to think of event. What would be the cluster of symptoms? A. Malingering B. Acute stress reaction C. Adjustment with dep D. General anx E. PTSD

Answer 163

B. Acute stress reaction You can't diagnose PTSD, until 4 weeks after the event. Traumatic, safety at risk, robbed, distressed, sleep disturbance, continues thinking about it. It sounds like PTSD, but the time limit tells you it's stress reaction/disorder.

Question 164

You are asked to see a man 20, rapid speech, pacing room, on top of world, tells you plan to become millionaire by 30 via smartphone app. Which two diagnoses do you consider? A. Alcohol intoxication and amphetamine B. Unipolar depression and schizophrenia C. Bipolar and alcohol intoxication D. Amphetamine and schizophrenia E. Amphetamine intoxication and manic episode

Answer 164

E. Amphetamine intoxication and manic episode Bipolar - To diagnose bipolar 1 you don't need history just manic episode, to diagnose bipolar you need an episode of depression and hypomania

Question 165

Psychologist received referral for 76 women, husband died 2 years ago, increasingly withdrawn. Daughter reports increased forgetfulness, got lost in local and known supermarket. What is most likely diagnosis? A. Dementia - Major neurocognitive disorder B. MDD C. Insomnia D. Adjustment disorder E. Bereavement

Answer 165

A. Dementia - Major neurocognitive disorder Older people, poor memory, dementia/depression? Dep can impact memory, but this woman is past that due to getting lost in a place that she is familiar with.

Question 166

Lady referred by GP with GAD, which of the following statements is not consistent? A. The client engages in rituals B. Long standing fatigue C. Client see's content as reasonable D. Client reports concerns that something bad will happen E. Insomnia

Answer 166

A. he client engages in rituals People with GAD find it hard to fall asleep, people with depression have early morning waking

Question 167

Client discharged after OD, in context of severe MD. Psyc follows up 3 days after and without prompting client denies current thoughts. What is the most important thing for the psych to do? A. Continue treatment for Depression B. Increase frequency of session C. Social support D. Regular suicide risk screening E. Monitor psychopharmacotherapy response

Answer 167

D. Regular suicide risk screening

Question 168

A psychologist works in a uni. Male student with suicidal ideation after a break up. You do a risk assessment, which shows a high result. Pysc wants urgent review by local hospital. Client refuses saying he will be fine. What is the most important next step? A. Escort client to hospital and wait for assessment B. Respect wishes and follow up the next day C. Phone the clients parents and involve in plan - You need consent, this assumes parents are NOK D. Inform senior staff member E. Notify clients GP of suicide risk

Answer 168

D. Inform senior staff member Unless you have insurance and cover, never take someone to hospital. Never use personal car to take suicidal client to hospital. Call an ambulance or MHL. If you can't decide, always choose to consult a senior psyc.

Question 169

A psyc is referred a 3 year old, of recurrent daily tantrums at home only. Comes with mother, who also see's psyc for dep. Child attends childcare 3 days a week. Which methodology is most appropriate? A. Interview with childcare staff B. Observation at home C. Observation of child in childcare D. Convo with Mother's psyc E. Personality assessment

Answer 169

B. Observation at home

Question 170

A psychologist is referred a 50 something year old women, with pain disability due to back injury at work. Client unable to return to work due to pain and worries about re-injury. Considering conservative review? Most appropriate DSM? A. BOD B. GAD C. Conversion disorder D. MOD E. Somatic symptom disorder

Answer 170

E. Somatic symptom disorder

Question 171

In first session, client shuffles in, teary and apathetic, no eye contact. Hypothesis? Depression. Cognitive restructuring and behavioural activation. After 4 session, client reports he is feeling better. Business scheme to pay debts, increased energy, less than 3 hours of sleep, and speaking faster. What could explain this? A. Psych functioning has changed B. Behavioral activation explains improvements C. Cognitive restructuring has improved outlook D. Overall intervention has improved psychological functioning

Answer 171

A. Psych functioning has changed - he sounds hypomanic, but we don't know level of functioning Degree and severity is key. If symptoms cause big reduction in functioning (can't work, study, psychosis etc) that is considered a manic episode. Hypomania is someone who is high, grandiose plans, etc. Psychosis means mania, not hypomania. Depression and Hypomania symptoms that is BP2. To diagnose BP2 you need dep and hypomania, BP1 is one episode of mania (The depression will come, their first episode may be mania not depression). BP2 often turns into BP1

Question 172

A 20 women referred to psyc after multiple hospital presentations with chest pains. Clients feels that she is having a heart attack, but this is not shown in tests. Client feels concerns not taken seriously. Heart palpitations, increased breathing, feeling like she is dying. Increased relining on partner. Best Diagnosis? A. Panic Disorder

Answer 172

A panic disorder

Question 173

An ado is referred for school refusal occurring over last 6 months. 12 month history of increasing social anxiety symptoms. Anxiety triggered by embarrassment at school during incident. Girl reports upset stomach, heart palpitations etc. What is the most appropriate diagnosis? A. Adjustment D B. Selective mutism C. MOD D. Panic disorder E. Social Anxiety disorder

Answer 173

E. Social Anxiety disorder

Question 174

You are seeing a man who was promoted to high position. He has to give a presentation, and just thinking about this given him a panic attack. Sweaty hands, increased heart rate, claustrophobia and cannot escape. This happens every time he thinks about the presentation. What is the best diagnosis? A. Adjustment disorder B. Panic disorder C. Panic with agoraphobia D. Social anxiety disorder E. MOD

Answer 174

D. Social anxiety disorder Defining symptom for panic disorder? Fear of panic attack and not being able to escape, ask for help or that you will die/be unwell? His main fear is being judged, and show symptoms of anxiety. Therefore it is social.

Question 175

A psyc is completing MSE on young female. Client expressed rapidly changing unrealistic ideas, and easily loses her train of thought. What is the likely explanation? A. Delusional disorder B. SAD C. Dep with psychotic features D. Substance intoxication E. Hypomania

Answer 175

E. Hypomania

Question 176

40 year old client presents with relationship problems. Acknowledges aggression, financial stress, and difficulty getting out of bed. Is taking lithium as prescribed. What is likely diagnosis? A. Bipolar B. MOD C. ADHD D. Schizophrenia E. Adjustment

Answer 176

A. Bipolar

Question 177

30 year old women, referred to psyc by employment agency. Hasn't worked for 3 years. Frequent thoughts of behaviouring in sexually inappropriate ways. Distressed and avoiding life due to this. If she has to go out she recites bible verses when in public to counteract thoughts. Which of the following explains her attempts to manage sexual thoughts? A. Worries B. B. Compulsions C. Obsessions D. Ruminations E. Delusions

Answer 177

B. B. Compulsions

Question 178

19 year old clients sits in waiting room talking to self, pacing, glancing around room, uses bathroom multiple times, speech in unintelligible, his affect flat, and difficult to follow train of thoughts. Plays games in bedroom all day. What explains his behaviours? A. ASD B. APO C. Social anxiety disorder D. Schizophrenia E. Substance use

Answer 178

D. Schizophrenia

Question 179

You get a referral from a rehab Dr, for a 50+ client for psyc assessment and treatment. The client was involved in a minor accident, and she had a neck injury, which has stopped her working since then. As part of the clinical evaluation, you do a PAI. What would be the main reason to do a PAI? A. To ensure a comprehensive assessment of personality B. To determine the validity of disability - You are not a forensic psyc C. To provide an objective assessment to the referring Dr D. To assess her exaggeration of symptoms via negative impression scale - Red herring - not what the question asked. E. To accurately formulate the client's presenting problem - Does the PAI help you formulate? Maybe get closer to a diagnosis, anxiety etc, but it does not get you the P's needed for a good formulation

Answer 179

A. To ensure a comprehensive assessment of personality Tl TB - What has the client been referred for? Psychological assessment and treatment. Are you a forensic psyc? Trying to determine validity of symptoms? No. You are a psyc and you have been asked to assess and treat, not do an assessment of malingering or determine whether she is lying When the board talks about formulation, they are referring to a CBT formulation, the 4 P's If you get a referral like this, do not comment on whether the client is exaggerating or lying. You can only do an assessment of personality

Question 180

Psychologist is asked to screen a group of researchers that have applied to work for Australian Antarctic research center. The aim is to identify who might not be able to cope with the diff psyc conditions that follow postings in that region. The PAI is chosen. Which norms for the PAI should be used? A. 2 point code scale scores B. Clinical scales only C. Clinical population D. Multidimensional function of combined scales score E. Gen pop

Answer 180

E. Gen pop When you find yourself with options that are ridiculously complex for no reason, these are probably just made. The board is trying to trick you

Question 181

An Aus born client has taken 15 minutes to complete the first two questions of the PAI, repeatedly asking the psychologist the meaning of the questions. What is the most appropriate way to respond? A. Read the first 2 questions to assist with comprehension B. Discontinue as it would take too long C. Ask the client to read aloud to check reading ability D. Explain the meaning of the questions to facilitate comprehension

Answer 181

C. Ask the client to read aloud to check reading ability PAI requires grade 4 reading level or above. If you haven't assessed reading ability prior, and they are struggling you have to assume reading difficulties, and check skill level. If they can't read, you can still administer, however it changes validity due to impression management. Therefore, make a note that you have read the questions aloud.

Question 182

A psyc scores a PAI recently completed by a male. The profile is valid and scores between 60-70 on anxiety scale. What is best interpretation? A. The client is as distressed and worried as the average human B. The client is less distressed and worried than the average human C. The client is exaggerating D. Mildly more than average E. The PAI score is at the extreme range

Answer 182

D. Mildly more than average

Question 183

You do a PAI with a client who has been referred due to being violent towards his spouse. The result score on agg score is very high. What is your main concern? A. That the client might show aggression towards you B. That the client might be hiding his aggression C. That his aggression might be a sign of depression D. That the client could be aggressive towards his spouse, and the safety of the general community

Answer 183

D. That the client could be aggressive towards his spouse, and the safety of the general community You cannot diagnose or arrive at final conclusions based on PAI, or on any singular test.

Question 184

A psyc is contracted to conduct pre employment assessment for correctional applications. Each applicant completes a PAI. What is the first step in interpretation? A. Inspect the clinical scales B. Inspect the validity scales - C. Inspect the 2 point code profile - There are some 2 point profiles that are significant, ie if someone scores high on suicide and BPD etc that can be interpreted in specific ways. The board does not seem to want you to know this for the exam D. Inspect suicidal ideation scale E. Inspect critical item scale

Answer 184

B. Inspect the validity scales - if it is not valid, how can you consider anything else? Resistance to treatment - Interesting scale. Lower means for the clin pop than the gen pop, because the clin pop is more open to treatment than those who feel there is nothing wrong with them.

Question 185

K10, DASS and SDQ are freely available online, and regularly used. Main thing to remember, the board will consider these as general screening measures. They are not diagnostic, or specific to the DSM5. Your client has a K10 score of 27. What does this mean? A. No psyc distress B. Significant distress C. High levels of depression D. High levels of anxiety E. High levels of stress

Answer 185

B. Significant distress The Kessler 10 (K10) measures a young person's level of psychological distress. It is self-reported at key intervals throughout a young person's episode of care and assesses how they have been feeling over the previous 4 weeks against 10 key items. Item Response score scale: 10 = None of the time 50 = All of the time Combined (Total) Response score scale for young people: * 10-15 = low distress; * 16-21 = Moderate distress; * 22-29 = High distress; and * 30-50 = Very high distress

Question 186

A GP refers someone to you, with a high score on the K10 (45). The psyc is asked to provide recommendations based off K10 score. What is the best course of action? A. Immediately begin evidence based treatment for MDD B. Refer back for psyc meds C. Conduct further assessment for depression or anxiety D. Ensure scores are recent E. Reassess to confirm results

Answer 186

C. Conduct further assessment for depression or anxiety

Question 187

Psyc receives a referral for chronic pain and depression. The client has tried multiple psycs before without success and is skeptical about treatment working. The psyc wants to measures perception of progress. What is the most appropriate measure? A. DASS B. Beck depression Inventory C. The Patient Health Questionnaire 9 (depression and physical health, this is a section of the PHQ that screens for depression, the PHQ itself is long and covers physical health as well as depression) D. ORS E. K10

Answer 187

D. ORS

Question 188

You are referred someone from a GP. The client reports being unhappy in work and family life. They score 45 on the K10. What is the best interpretation? A. The client is likely to have an adjustment disorder B. Inflated scores C. Personality disorder D. Severe mental health disorder The client is likely to have a mod mental health disorder

Answer 188

D. Severe mental health disorder

Question 189

DASS A 50+ man has been receiving treatment for depression under the MHCP, after initial assessment the man has mod scores on all domains. He reports feeling better after 6 sessions, and asks whether to terminate. What is the best approach? A. Recommend to the man that he returns to referer for review of F B. Readminister DASS C. Check with client whether there are other reasons he wants to terminate D. Advise client he has 4 sessions left E. Administer a TAS to determine whether there has been an alliance breach

Answer 189

B. Readminister DASS

Question 190

A psyc is referred a women in her 20s who had just ended a long term relationship. The psyc administers the DASS, and based on responses the psych considers investigating a GAD. What is the basis for this? A. Elevated S scores B. Elevated A scores C. Elevated total composite scores D. Elevated scores on all subscales E. Elevated D scores

Answer 190

A. Elevated S scores Trick question, psycs often think the S scale measures external stress. Stress is highly correlated with GAD, so if someone scores high on stress, that does not mean they are under a a lot of situational stress, it means their answers may indicate a GAD. Anxiety scale is more correlated to panic disorder, phobias, social anxiety etc DASS - screening tests, may indicate mental health issues, but does not give diagnoses.

Question 191

Psychologist is asked to see women recovering from serious illness, to assess return to work options. You administer and score DASS, and you discover the women has a severe depression score. What is the most appropriate next step? A. Suspend the interview process, and discuss dep score B. Suspend interview and communicate with GP about treatment options C. Explore the significance of depression score D. Continue with the interview and discuss options for the treatment of depression All

Answer 191

C. Explore the significance of depression score All other answers imply diagnoses. Scoring is different for 21 and 42, so it is unlikely they will give you specific scores.

Question 192

You get a referral for a 9 year old boy for behavioural assessment. You use the extended SDQ, when planning treatment you are also considering the impact of social functioning. What info is available from the extended SDQ on the impact of social functioning? A. Info from the impact supplement B. Peer relationship scale C. Info from neg emotion scale D. Info from the extended SDQ scores E. Info from prosocial scale

Answer 192

A. Info from the impact supplement

Question 193

You get referred a 9 year old for behavioural difficulties. You ask teacher and parent to complete SDQ, and they are very different. Teacher indicates severe, parents indicate non sig. What could explain the discrepancies? A. The child deliberately misbehaviours B. Behaviour varies according to context C. Parents are minimising D. The teacher is exaggerating E. The child has a learning difficulty

Answer 193

B. Behaviour varies according to context

Question 194

You a referred a client for treatment of social anxiety, you decide to use the ORS. What is the most significant benefit of using the ORS? A. Improving interpretation of distress B. Improved accountability C. Improved clinical outcomes D. Improved ability to identify risk factors E. Improved compliance by psychologists

Answer 194

C. Improved clinical outcomes You want to be guided by outcomes and feedback week by week, so you can modify treatment for how things are going. Most clients leave after the 2nd or 3rd session, so doing this later on in treatment will not be helpful. The period where you have the most chance to change is in the first few appointments.

Question 195

What is one of the limitations of the ORS?· A. Lacks clinical cutoffs B. Long to administer C. You need a ruler The ORS does have clinical cutoffs

Answer 195

C. You need a ruler The ORS does have clinical cutoffs

Question 196

A client is referred due to memory difficulties following a car accident. The psyc administers a WMS, and the scores are low on symbol span, and average on all the others. How should the psyc interpret? A. The client may have impairment in visual working memory B. Poor eyesight C. The client memory is in normal memory D. Memory impaired E. The client may have attention

Answer 196

A. The client may have impairment in visual working memory Dharshi's Notes Symbol span is about visual memory!

Question 197

A psych has been referred a disabled athlete. The psych is asked to assess his depression. The athlete has only partial sight and will struggle to complete a long assessment. What would be appropriate? A. PHQ-9 B. WAIS C. MMPI D. STAI E. PAI

Answer 197

A. PHQ-9 PHQ9 is a very quick screen of depression it's also used a lot in hospital environments - as a screener for depression.

Question 198

A psych is reviewing notes of a client referred from diabetes services. He was administered the B01. What should be considered when interpreting? A. Clients motivation to complete test B. presence of physical symptoms C. who administered the B01 D. The age and gender of the client E. the level of consciousness of the client If you are doing a B01 on someone with a chronic illness, you need to look at their physical symptoms and the physical symptoms of depression is often asked in the B01 - so we need to consider how their illness will impact this. BDI asks a lot about physical symptoms. And the client's BDI scores may be high due to his diabetes symptoms. You need to be careful when doing screeners on people that may have other physical/medical causes that would influence their scores.

Answer 198

B. presence of physical symptoms If you are doing a B01 on someone with a chronic illness, you need to look at their physical symptoms and the physical symptoms of depression is often asked in the B01 - so we need to consider how their illness will impact this. BDI asks a lot about physical symptoms. And the client's BDI scores may be high due to his diabetes symptoms. You need to be careful when doing screeners on people that may have other physical/medical causes that would influence their scores.

Question 199

A 22-year-old is referred to you for possible SLD, to determine eligibility to a specialised TAFE program. The client struggles to remember info especially when presented visually. Which of the following assists in understanding the clients learning difficulties? A. PS index in WAIS B. WMS C. WIAT D. WM index of the WAIS E. ABAS

Answer 199

B. WMS Whenever you are asked about visual memory: they want you to choose the WMS. The WAIS does not really measure visual WM, it does verbal but not visual. The WISC 5 now has a visual memory subtest. If they had said his concern was with reading or math you would've done a WIAT. You need to look at what the presenting concerns are.

Question 200

A psych working for a large org is asked to assess the suitability of different applicants. The psych wants to see if the applicants real interests match those within the job. Most suitable for this purpose? A. MMPI B. CPI C. Self-directed search D. PAI E. WAIS

Answer 200

C. Self-directed search There are two tests of vocational interest: the Strong interests inventory and the self-directed search but yep, so in this case it is clear you need a vocational test and the only option they've given you is c!

Question 201

A 50 year old client is referred from a GP for assessment of psych functioning. Client reported 12 month history of stomach complaints. No medical causes identified. Client has never been gaily employed and has minimal social contacts. What would you use as part of this assessment? A. STAI B. BDI C. Self directed search D. ORS E. ABAS

Answer 201

A. STAI Its not e.) this would not be the first thing you do based on this presentation; ABAS suggests there is some intellectual delay. STAI is probs the best to differentiate between anxiety and depression. Is it situational or innate/an actual trait. STAI is good for when people present with somatic symptoms with no other explanation

Question 202

A psychologist has been referred a 22 year old women, who has a driving phobia. GP has requested she be treated by hypnosis. She has private health insurance which will cover this. What is the most appropriate next step? A. Assess whether hypnosis is appropriate B. To discuss efficacy of hypnosis as a treatment C. To gain consent for treatment D. To do an assessment of the severity of driving phobia E. Test the women's hypnotizable

Answer 202

A. Assess whether hypnosis is appropriate Just because the OP requests hypnosis, doesn't mean that you don't do your own assessment.

Question 203

A 4 year old child has frequent tantrums, which is causing his family distress. A psych has tried a number of strategies that have not been successful. The psychologist knows an experienced hypnotherapist. Is hypnosis a viable treatment option? Is the board asking about consent here? A. It is a viable option, because the psych has tried everything else B. It is viable, as long as the parents agree (the parents need to understand the risks etc) C. It is not a viable option, because of age and maturity - This assumes that you know hypnosis as an intervention, the research around this D. It is a viable option if the child's intelligence is above average E. Not viable because the child cannot provide informed consent - The parents are the client here, so the parents need to understand the risks and provide consent not the child

Answer 203

B. It is viable, as long as the parents agree (the parents need to understand the risks etc) Paediatricians, dentists etc can be trained in hypnosis for things such as chronic pain, or needle phobias. So this is viable, in a sense. There is a large conference, and trainings which focus on this.

Question 204

You are referred a client who has previously been treated by hypnosis for depression successfully. She is now referred for anxiety, and is requesting hypnosis. You are trained in hypnosis, and decided to use it again. What is the most important thing to consider? A. Clients perception on the effectiveness of hypnosis B. Clients level of hypnotizability C. Age and gender D. Vulnerability of clients when under hypnosis as their consciousness is changed

Answer 204

D. Vulnerability of clients when under hypnosis as their consciousness is changed

Question 205

You have been invited to present at a conference for local business leaders. The organiser finds out you are trained in hypnosis, and asks you to plan a speech and demonstration of hypnosis on stage with an audience member. What is the most appropriate way to respond? A. Ensure demonstration is professional, without any entertainment involved? B. Inform the audience of risks before requesting a volunteer C. Select an audience member before hand to ensure informed consent D. Refuse, because this would be unethical and unprofessional

Answer 205

D. Refuse, because this would be unethical and unprofessional Doing demo's of psyc work with an audience member will always be unethical Children are often more susceptible to hypnosis due to their age, maturity etc

Question 206

You are referred a women who is in her 50s and says that after watching a TV show, she now believes she was sexually abused by her older brother. The client says she has always felt uncomfortable with that brother, and doesn't like being alone with him. This is not the case for her other brother. What is the most appropriate thing for you to do? A. Obtain informed consent in relation to therapeutic process of recovered memories B. Discuss properties with recovered memories and associated problems C. Explore meaning rather than content D. Discuss importance of being able to corroborate the accuracy of memory E. Explore whether the client plans to sue as a result of the memory

Answer 206

B. Discuss properties with recovered memories and associated problems Always discuss with clients how memories are fallible, there are problems with childhood recovered memories and it is very difficult to determine whether this is true or false. The ethical guidelines focus on this, due to concerns in the 1980's with court cases that used hypnosis to 'retrieve' memories. Information gained under hypnosis is not admissible in court.

Question 207

A women consults you because she has suddenly had a new memory of a traumatic incident in her childhood. This came back to her when recently visiting her childhood home. Which of the following option best explains the recovered memory? A. Temporary amnesia occurs when the memory was created, but the home was the trigger B. Traumatic events are erased from memory so the memory is likely to be false C. Memory is fallible, so it is hard to know whether the memory is true or false D. It is most likely that therapy suggested the memory

Answer 207

C. Memory is fallible, so it is hard to know whether the memory is true or false The board will want you to be very careful when determining whether a memory is true or false, because it is impossible to determine accuracy

Question 208

Family consults you regarding 16 yr old with body image issues. You have a number of sessions with the adolescent, and some skype sessions with parents. Parents request appointment for younger sibling with depression. What would be the immediate ethical considerations? A. The potential benefits of treating two kids in the same family B. The relevance of family therapy considering 2 kids are form the same family C. The potential conflicts of interest in treating two kids of the same family D. The ethics of change from one child to family therapy E. The mental state of the parent given two kids are unwell.

Answer 208

C. The potential conflicts of interest in treating two kids of the same family It's not unethical, but ethics need to be considered as it is tricky. It would not be appropriate to see 2 adolescents, or 1 child and one adolescent, because adolescents tend to consider therapy as their own safe place. They are the client and this may be upsetting/harmful for the adolescent.

Question 209

A psychologist leaves one private practice, to work for another private practice nearby. The psychologist has several child and adolescent clients that have experienced grief and loss. The current private practice, doesn't want the psychologist to transfer client to the new private practice due to commercial interests. What does the psychologist need to consider? A. The current practice policy on restriction on trade B. The best interest of each client C. The clients right to choose their therapist (is this included in the best interest of the client?) D. The reputation of the current private practice E. The safety of clients in finishing therapy early (would they be finishing, or going to another psychologist within the same practice?)

Answer 209

B. The best interest of each client You can't stop someone from working, and contracts which say you can't work within 15km (or similiar) of your current workplace when you leave aren't admissible in court.

Question 210

A psych is employed by a private practice, and is contracted to work for a large organisation. A situation occurs where the psychologist feels her sense of obligation to the employer is in conflict with that of the organisation. Which is the most important factor to consider before deciding on an appropriate action? A. The employment contract with the organisation B. The psychologists obligation to the organisation C. The psychologists obligation to the employer D. The needs of the employer and the organisation E. The ethical issues raised in the current organisation

Answer 210

D. The needs of the employer and the organisation Go with the broad option because this is a shit question. Is this a trick? We think we need to choose the 'ethical' answer, but the questions didn't say anything about ethics.

Question 211

Lawyer refers a young man for treatment of depression. The man has been charged with the murder of a young girl during a hit and run. During an assessment, the psych learns that the girl is the daughter of a close friend. What is the most appropriate thing to do? A. Assess whether the client is remorseful B. Discuss conflict of interest and refer on C. Proceed as planned with assessment and treatment D. Contact close friend to ask permission E. Contact lawyer to discuss Employee assistance programs

Answer 211

B. Discuss conflict of interest and refer on

Question 212

During a peer consult, a psyc discuss that they have continued to see someone under EAP after several months, following successful completion of the intervention. The client asked to continue weekly treatment at their own expense, and past treatment goals as they felt they needed more support. What are the important issues to consider? A. Whether the client's presentation requires a MHCP B. The range of strategies for successful treatment termination C. If the client can seek reimbursement for an EAP provider D. The ethical issues following appropriate treatment provision E. The client's transference and countertransference issues. Don't assume that the client

Answer 212

D. The ethical issues following appropriate treatment provision Don't assume that the client is dependent, or has transference issues. They may genuinely need support, and we don't know this is problematic

Question 213

A psychologist has been referred a 14 year old with anxiety, through a MHCP. At the first session the mum requests treatment for her 11 year old sister who has been hearing voices. The mum reports that the child's father mum had schizophrenia and suicided when the father was an adolescent. Who is the primary client? a. 14 year old b. The mother c. The 11 year old d. The 14 year old and 11 year old e. The family

Answer 213

a. 14 year old

Question 214

A psychologist shares his office with a gp. One of the GP's asks for a psychometric assessment for her child, so her child can enter a gifted program. How should the psychologist proceed? A. Refuse the request and explain the misuse of psychological test B. Conduct the assessment C. Refuse the request, and refer on to appropriate clinician D. Conduct the assessment, and provide GP with test scores E. Refuse request, and refer to child's school. Why would you refer to the school?

Answer 214

C. Refuse the request, and refer on to appropriate clinician This is a conflict of interest because you work in the same practice. Would would happen if the results were not those desired?

Question 215

A private practice psychologist has changed to a new office in the city. They advertise for a receptionist and the best candidate is a woman who was briefly treated in the previous year. What would be the best way for the psych to manage this? A. Exclude the women from consideration and call her to explain B. Hire the women considering the length of time from treatment C. Hire the women considering how brief treatment was D. Discuss with the women the importance of professional boundaries

Answer 215

A. Exclude the women from consideration and call her to explain

Question 216

You are assessing a young man with the WAIS, and he receives a score of 88 in perceptual reasoning (fluid reasoning), and 105 in verbal reasoning (crystallised intelligence). What can you deduce from these scores? A. Fluid intelligence is superior B. That you can't compare his fluid reasoning and crystallised IQ C. Crystalised IQ is superior to fluid intelligence D. That you need to reassess E. You need to do an assessment of executive functioning

Answer 216

C. Crystalised IQ is superior to fluid intelligence Consider, verbal reasoning index is considered a very good measure of crystallised intelligence (intelligence that it more dependent on words and learning, info that you use to make concrete in your head. How you crystalise info into personalise intelligence, based on learning and memory). Perceptual reasoning, or fluid reasoning, this is less dependent on learning, but our problem solving abilities based on reasoning, and independent on learning. In WISC 5 they have separated fluid and perceptual reasoning. Previously visuospatial and perceptual were together.

Question 217

A new client is referred to you because they have issues coping in daily life, and it is been identified as\having low IQ. What assessment would you perform on them? A. PAI B. SDQ C. WAIS D. WIAT E. ABAS - Adaptive behaviour assessment scale

Answer 217

E. ABAS - Adaptive behaviour assessment scale

Question 218

A psyc is asked to complete an IQ assessment on a 21 year man who is applying for DSP, and he obtains a FSIQ of 81, VCI 86, PSI 74, WMI 79, and PRI 76. The disability service eligibility criteria is for FSIQ to be 2 or more SD below the mean. What is the best interpretation of the clients profile of scores? A. PSI is the best indicator of cognitive functioning B. The GAi needs to be calculated before interpreting score C. Some areas of cognitive functioning are impaired D. The clients scores are too variable to draw a conclusion E. The scores do not support a conclusion of impaired functioning

Answer 218

E. The scores do not support a conclusion of impaired functioning Impairment is scores below 70, standard deviation is 15 and mean is 100. Any scale thkt has a mean of 100, has a standard deviation of 15. Subtest - study block design as questions have been asked about this. For example, what happens when a child makes a rotation

Question 219

You administer a WISC, and during BO and the child produces the correct design, but they rotate the construction more than 30 degrees. How do you score this item? A. You don't say anything and score as correct B. You correct the child and demonstrate correct rotation, scoring as incorrect C. You make a note that they have rotated and score correct D. You make a note and score it incorrect the next time they rotate

Answer 219

B. You correct the child and demonstrate correct rotation, scoring as incorrect When a child makes a rotation for the first time, that is a rotation error. What happens with a rotation error? You advise the first time and score as incorrect. Any rotation errors are marked incorrect. A rotation error is only 30 degrees or more.

Question 220

You are testing an 8 year old using the WISC. They get the second trial on item two on block design wrong. What do you do? A. Do you score as O and continue? B. Score as O and discontinue C. Score as O and reverse until start criteria is met D. Score as 1 point and discontinue

Answer 220

C. Score as O and reverse until start criteria is met If a child gets the first two items wrong, you need to reverse. This happens for most subtests. You can only reverse for an 8-16 year old, and there is no where to reverse for someone younger.

Question 221

A psyc is administering BD to a 12 year old, the child produced the correct design 2 seconds after the time limit. How should the psyc score? A. Make a note that the construction was correct, and score as correct B. Make a note that the construction was correct and score as incorrect C. Make a note that time was exceeded but score as correct It is important to know if they are correct, but over the time limit. This tells you the child is capable, but needs further time.

Answer 221

B. Make a note that the construction was correct and score as incorrect It is important to know if they are correct, but over the time limit. This tells you the child is capable, but needs further time.

Question 222

A psyc is referred a 50 year old client for a cognitive assessment. The psyc decided to administer core and supplemental tests. Which of the following options is the most appropriate reason for administering core and supp tests? A. To ensure the validity of the assessment B. To comprehensive assess cognitive functioning C. To generate multiple hypothesis D. To prevent the need for further assessment E. To improve reliability of the assessment

Answer 222

C. To generate multiple hypothesis

Question 223

For the WISC 5, you need to know: A. 7 subtests make up the full scale IQ, but 10 subtests to get all the primary scores. B. You need to do all of the subtests for the ancillary index scales C. Things have changed from the WISC/WAIS 4, you had to do all ten to get FSIQ? D. You need to know FS, and primary index scales - These are similar to the 4 except spatial and reasoning into 2 components, and visual memory has been added. E. You only need to add the 7 subtests for FSIQ (previously ten)

Answer 223

A. 7 subtests make up the full scale IQ, but 10 subtests to get all the primary scores.

Question 224

A 9 year old completes the WISC, FSIQ 75, VCI 98, VSI 70, fluid reasoning 72, processing speed 60, and working memory of 105. Which of the following options is the most appropriate interpretation ? A. The variability suggest ADHD B. The variability suggests the difference is between indexes need to be taken into account C. The variability suggests a mild ID D. The variability suggest might not have been motivated E. The variability suggest that the child got distracted

Answer 224

Incorrect A. The variability suggest ADHD - be careful of making conclusions based on WISC for ADHD. You need a lot more information. Working memory and processing speed should be lower if this was the case Correct B. The variability suggests the difference is between indexes need to be taken into account The board wants to make sure you aren't over interpreting. Only interpret what you can see. If the board is stupid enough to say the FSIQ is not interpretable, this is an option. This has been debunked by research, but AHPRA have been slow to update. This is a profile that you need to consider ancillary indexes to get further information.

Question 225

An 11 year old referred for cognitive assessment from teacher due to poor engagement and disruptive behaviour. You complete the WISC and FSIQ is 2 SD above average. What is a potential interpretation of these results? A. The child has ADHD and requires a behaviour modification program B. The child is misbehaving C. The child is bright and not sophisticatedly challenged D. The child is average IQ and needs behaviour support E. The child has a learning disability and requires a modified program

Answer 225

C. The child is bright and not sophisticatedly challenged

Question 226

A psyc completes IQ test for boy struggling academically. 16 years and 11 months, the psyc uses WISC instead of the WAIS. Which would explain this decision? A. The likelihood of ceiling effect is higher for WAIS B. Current school grades expect below age ability C. The WAIS is for 17+ D. The exact DOB falls outside of the age range for the WAIS E. The WISC has current australian norms for this age group

Answer 226

B. Current school grades expect below age ability When would you do a WISC instead of a WAIS, or WIPSI instead of a WAIS? Intellectual disability?

Question 227

Psychologist asked to complete IQ assess on 17 year old boy struggling academically. The psyc uses the WISC instead of the WAIS. Is this the correct decision? A. Yes, because the school grades because school grades B. No, not normed for ages 17+ C. Yes, because the likelihood of a ceiling effect occurring is higher D. Yes, because the likelihood of a flooring effect is higher for a WISC

Answer 227

B. No, not normed for ages 17+ C. Yes, because the likelihood of a ceiling effect occurring is higher D. Yes, because the likelihood of a flooring effect is higher for a WISC Whether you think someone has a ID or not should not determine whether you do a WISC/WAIS because you can not interpret if there are no norms. There needs to be norms, you can't compare their scores. The WISC i) normed until 16 and 11 months, and the WAIS begins norming at 16. There is an overlap of 11 months, and you can choose.

Question 228

You administer block design, and the client attempts to match the side/size? of the blocks with those of the examiners. How should you best respond? A. Present the sample items without comment and ask to try again B. Explain to the client that only the tops of the blocks need to match C. Score the clients performance as an error due to rotation D. Wait until the time runs out, and if he didn't get the tops matching score as 0

Answer 228

B. Explain to the client that only the tops of the blocks need to match You need to correct this on the spot, otherwise they will not be able to finish.

Question 229

A psyc completes a WAIS for 17 year old to determine eligibility for DSP. FSIQ of 68, VCI 81, PR 60. Which of the following is the best conclusion? A. FSIQ does not support of impaired functioning B. VCI i the best indicator of level of functioning C. The results are too variable to draw conclusion D. The results are reflective of diverse abilities E. The PRI is the best determiner of cognitive functioning

Answer 229

D. The results are reflective of diverse abilities

Question 230

7 year old from liberia to determine cognitive ability. Teacher expresses concern with language. Child and family have been in aus for less than 1 year. What is app? A. Test of general cognitive functioning B. Verbal fluency C. Non verbal reasoning - Raven's progressive matrices? D. Literacy and numeracy skills E. Adaptive functioning - this would only be for suspected ID

Answer 230

C. Non verbal reasoning - Raven's progressive matrices? Weschler Non verbal - Still administered verbally, and includes cultural bias.

Question 231

Seeing a 50 year old women, referred by GP, to treat for depression, and stress. Half way through MHCP treatment, she lets you know that she will have to stop because her husband lost his job, and she can no longer afford to see a psychologist. Consider whether the questions says what is the most appropriate, or first thing to do. A. Refer to bulk billing psyc B. Negotiate to continue treatment at a reduced cost C. Discuss alternative financial arrangements, eg barter D. Contract and accept late payment E. Cease treatment and refer back to GP for other options

Answer 231

B. Negotiate to continue treatment at a reduced cost Consider the wellbeing of the client first, she is halfway through her medicare sessions

Question 232

In peer supervision someone wants to sell self management apps within a business model. Clients will download app and then pay a fee. What ethical issues do you need to consider? A. Is there informed consent? B. Is there chance for financial exploitation? C. H

Answer 232

B. Is there chance for financial exploitation?

Question 233

You a treating a painter, and he has used his MHCP. He offers painting services in turn for further treatment. What is the most appropriate considerations? A. Financial exploitation B. How to arrange a fair and appropriate barter agreement C. How to assess whether the client would benefit for further treatment D. Whether the client would agree to a long term financial plan

Answer 233

A. Financial exploitation

Question 234

Women referred under MHCP for someone not coping with the suicide of her daughter. You book a number of sessions, and women cancels all appointments prior to the second appointment as she cannot afford sessions. What is most appropriate thing to do? A. Phone referring GP to determine whether there is any financial assistance available B. Phone the women to discuss reduced fee, if she still wished to engage C. Write a letter to the GP saying the women failed to engage D. Write a letter to the women to see if she still wishes to engage E. Phone the GP and women to discuss the importance of psychological support (this sounds condescending)

Answer 234

B. Phone the women to discuss reduced fee, if she still wished to engage You can't be more interested in your income, than the wellbeing of the community or client Potential client books appt for an assessment, the company he works for are in financial difficulties and company has organised for employees to see psychs for career options, and future work directions. What is it appropriate to do first for the psychologist? Think linearly

Question 235

Potential client books appt for an assessment, the company he works for are in financial difficulties and company has organised for employees to see psychs for career options, and future work directions. What is it appropriate to do first for the psychologist? Think linearly A. Contact the organisation to determine who is responsible for payment (You don't have any consent singed just yet, and haven't met the client) B. Discuss recent job and history of employment with the client C. Clarify who is entitled to a copy of the report D. Select an appropriate battery of vocational tests and abilities E. Seek advice from the person of who should get a copy of the report

Answer 235

D. Select an appropriate battery of vocational tests and abilities Our priority is providing a competent service to the client, and we don't know who the referrer is. You can't call anyone without consent, and you need to determine what to do when the client comes in. Always have an objective of the session prior to the client coming in

Question 236

During a conversation with a psychologist friend, they recommend the name of a builder to you. She says that they have used this service for minor renovations, and was very happy with the work. You contact the builder and he says the work was for free in return for psychological services. What is the best way to proceed with this information? A. Check that the cost of renovations is comparable to therapy B. Use the contractor as his work is recommended C. Contact your colleague and discuss ethical dilemma D. Inform the contractor of ethical issues and check for exploitation

Answer 236

C. Contact your colleague and discuss ethical dilemma Always go to the professional first. This is not a mandatory notification.

Question 237

You see a couple for couples therapy. After separation you continue to see the women. The divorce lawyer asks for a report to determine residency for the children. Who pays for the report? A. Family court B. Wife C. Couple D. Lawyer - representative of the client E. Husband

Answer 237

B. Wife

Question 238

You have seen a client for several sessions. The intervention has gone really well, and is responding to treatment. At the end of a session, the client raises a business proposition, which would require the psychologist to contribute financially. What is the most appropriate response? A. Wait until completion of treatment to discuss business proposition B. Politely decline and wish the client well

Answer 238

B. Politely decline and wish the client well Always say no to what a client offers you. There is a two year limit for an external relationships, and you still need to discuss with a senior psychologist, and the board will still not look at you favourably. Don't ever get involved with a client, there are many options and it will always be too complicated with a client

Question 239

You are doing a risk assessment, the client is in Australia as a temporary visitor and his friends are very concerned about his mental state. During the appointment, you find the client has no income and will not be able to pay for the session. What is the most appropriate thing to do? A. Cease session B. Contact friend and ask if they can pay for ongoing therapy C. Complete suicide assessment and determine appropriate safety plan D. Contact community welfare office to determine payment plan

Answer 239

C. Complete suicide assessment and determine appropriate safety plan

Question 240

You are a school psychologist seeing a 15 year old boy for anger management, he tells you he is part of a gang that beats up children of parents from a religious minority. These are outside of school hours and he hasn't actually hurt anyone himself. What is the most important next step? A. Discuss his motivation to become a gang member B. Report the gang and their attacks to the local police C. Explore whether the client is at risk of becoming involved in violence D. Discuss reporting requirements, and tell him you need to report to the principal

Answer 240

D. Discuss reporting requirements, and tell him you need to report to the principal In this case, the principle will probably report to the police, as they are ultimately responsibiliy for community wellbeing.

Question 241

13 year old girl refers herself due to bullying, and feels pressure from peers to have sex with her 14years old boyfriend. She feels stuck and alone and does not know how to make things better. She also tells you one of her friends is self harming. What is the most appropriate next step? A. Complete a risk assessment, and refer to kids helpline B. Complete risk assessment and report boyfriend to the authorities C. Complete a risk assessment and obtain girls consent to contact school for further information D. Complete a risk assessment and contact the girls parents to advise of situation

Answer 241

D. Complete a risk assessment and contact the girls parents to advise of situation What would happen if she doesn't want you to speak to her parents? Explain duty of care and report anyway. If she is at risk, and not protected by parents, you need to report to FACS.

Question 242

Bright 13 year old girl referred by parents due to spending more time alone in room, showing symptoms of depression, when she was previously outgoing, and her parents are concerned. At the initial appointment, girl reports she is being bullied online and at school. Girl asks not to tell parents incase they make things worse. What do you do? A. Don't tell parents, tell school so they can act B. Encourage girl to report to principal C. Teach coping strategies to help with bullying D. Maintain confidentiality and don't report E. Tell girl that her parents must be informed of bullying

Answer 242

E. Tell girl that her parents must be informed of bullying

Question 243

16 year old adolescent referred from pediatrician for intellectual and memory assessment due to school difficulties. Psychologist completes report. Who should receive feedback? A. pediatrician B. Adolescent C. Adolescent and pediatrician - Parents aren't involved in question so don't assume consent D. Parents, pediatrician and adolescent

Answer 243

C. Adolescent and pediatrician - Parents aren't involved in question so don't assume consent If client does not give consent to speak to paediatrician, you need to send a letter back saying that the client has not given consent. The child might be gifted, don't assume there is cognitive impairment

Question 244

You are a school psych seeing a 15 year old girl for depression. She reports she has been sexually abused by her step brother, and does not want her parents to be informed. What is the psychologists first course of action? A. Discuss limits and inform parents B. Discuss limits and inform FACS C. Discuss limits and inform school D. Discuss limits and ask to see her step brother E. Respect confidentiality and continue treatment

Answer 244

B. Discuss limits and inform FACS Or principal, if it becomes an option.

Question 245

School psyc has been seeing a 16 year old for 7 sessions, when she gets a phone call from parent saying they were not aware and sessions must cease. The student comes to the next session as normal. What is the next appropriate steps? A. Continue to see the student as he is the client (probably, but could also be D) B. Seek advice from supervisor re issues of consent C. Explain the legal guardians rights to the young person D. Discuss the concerns with the school principal

Answer 245

D. Discuss the concerns with the school principal People can self refer, but it is still an issue if parents don't agree. All schools can have different rules, and some require parents consent up until the age of 18.

Question 246

13 year old referred for academic difficulties, you do an assessment and the boy states he doesn't want mother present when you give the results. What is the appropriate next step? A. Present results to boy and mother together due to age B. Give results to another psychologist so they can give feedback to mother, and you can do son C. Organise separate sessions for boy and mother

Answer 246

C. Organise separate sessions for boy and mother

Question 247

You are seeing a 50 year old women, referred by GP to treat depressed mood+ stress due to work environment. She has a mental health care plan. Half-way through tmt she lets you know she will have to stop tmt with you as her husband lost his job and she cant afford to see a psych. What's the most appropriate thing for you to do? a.) Refer to a psych that only charges medicare rate b.) Negotiate to continue tmt with client at reduced cost c.) Discuss an alternative financial arrangement such as barter d.) To contract an accepted delayed payment for psych sessions. e.) cease tmt and stop and send her back to the GP for other options.

Answer 247

b.) Negotiate to continue tmt with client at reduced cost We need to consider the wellbeing of the client ...here we are telling you that she is half-way through - you get 10 Medicare sessions a year. If you're treating someone and they're half­ way through. In terms of ethical standard, most appropriate is B. Cause you wanna continue with her. In some cases barter could be accepted - but APRAH is against it (the board will pretty much never accept a case with barter) risk of exploiting client. You must consider that you are dealing with people's health here. None of these are super unethical, but there is a best option here, which is B © Dis a possibility but for the board it is black or white it is what is the most appropriate thing! it get's messy when people have to owe you money. The board wan'ts what is less money and the board wants to protect the client.

Question 248

Psychologist tells you they have developed this app with someone, in his business model he says he is going to provide clients with a link to a mobile app and they will pay a fee for access. The psych will then receive part of that fee for developing that app. What do you need to consider ethically? a.) Whether there was informed consent b.) Whether there is risk of financial exploitation c.) Whether the app will really be useful for the client

Answer 248

b.) Whether there is risk of financial exploitation

Question 249

You are treating a painter and he gets the max number of medicare sessions and he says that he can't self fund further sessions, but instead offers painting service to you in return for further psych tmt. Which is the most important consideration: a.) The risk of the client being exploited in this arrangement b.) How to arrange a fair bartering agreement c.) Whether the client would actually benefit from continued tmt d.) Whether the client would agree to a long-term payment plan.

Answer 249

a.) The risk of the client being exploited in this arrangement * Remember the board usually considers financial exploitation first. C isn't really the right one cause nothing in the blurb suggests that that is gonna be an issue the main issue here is barter. And the main issues with bartering is= financial exploitation!**

Question 250

A woman is referred under a MHCP (mental health care plan) as she is not coping following the suicide of her daughter. You book a number of sessions in advance. Prior to her second apt the women calls you and cancels all following sessions saying she can't afford them. What do you need to do next? a.) phone her referring GP to find out if there is any financial assistance available b.) phone the woman offering reduced fee for service if she still wished to attend c.) write letter back to GP saying the woman failed to engage d.) write letter to woman to see if she still wished to attend e.) phone the woman and GP and discuss the importance of psych support.

Answer 250

b.) phone the woman offering reduced fee for service if she still wished to attend

Question 251

A female psychologist is referred a 90 year old man, who has been remanded in custody for assault. The court has requested an assessment for cognitive capacity. There was outside noise and he complained of being hungry. What do you need to consider as the psychologist? a. If the psychologist being female was appropriate b. Whether the man's score will help his legal case c. If the noise and hunger will effect his performance d. What additional assessments will be required to help the man. Yep this is a pretty obvious one.

Answer 251

c. If the noise and hunger will effect his performance

Question 252

8 year old boy, migrated 6 years ago. Referred to psyc due to poor academic school-work. Speaks fluent English. The psyc did wise and he has FSIQ of 105, and no sig differences between scores. What would explain? a. His English language skills mask his areas of difficulty b. His past refuge status effects his academic performance c. There is a deficiency in schools methods of assessments d. A non-verbal intellectual assessment is required e. His difficulties are unlikely to be due to cognitive factors. Not A: difficulties in English are viewed if you've been here 3 years or less. There's no reason to a do a non-verbal scale for him. His difficulties at school are not due to cognitive factors this is what you can conclude.

Answer 252

e. His difficulties are unlikely to be due to cognitive factors.

Question 253

A psychologist administers the WAIS to 21 year old male as per the request of centrelink. The client has struggled to enter the workforce, but had average performance at school and gained a FSIQ of 70. What is the most appropriate next course of action? a. Provide feedback to client and inform him that he has borderline functioning b. Examine scores and percentiles for each of the index scales c. Arrange to complete further testing of the clients executive functioning d. Use another measures of intelligence to check the reliability of these scores.

Answer 253

b. Examine scores and percentiles for each of the index scales Interpreting the WISC or WAIS: Look at FSIQ and note what it is Then look at each index scores, the scores and percentiles for each index scale. Look at significant differences for the differing indexes Focus then on strengths and weaknesses You would only do a WMS if you saw that his working memory was really low.

Question 254

A new client is referred to you because they have issues coping in daily life, and low IQ. What assessment would you perform on them? a) PAI b) SDQ c) WAIS d) WIAT e) ABAS

Answer 254

e) ABAS Yep, so it's the ABAS- cause it's the assessment of adaptive behaviour for possible ID. And if they are saying they have low IQ - then they must have already done an intelligent scale.

Question 255

An 11 year old referred for cognitive assessment from teacher due to poor engagement and disruptive behaviour. WISC and FSIQ is 2 SD above av. A. The child has ADHD and requires a behaviour modification program B. The child is misbehaving and school curriculum is too challenging C. The child is bright and not sophisticatedly challenged D. The child is average IQ and needs behaviour support E. The child has a learning disability and requires a modified program We cant say he has ADHD just based on his FSIQ.

Answer 255

C. The child is bright and not sophisticatedly challenged We cant say he has ADHD just based on his FSIQ.

Question 256

A psych is asked to complete an intellectual assessment on a boy struggling academically. The boy is 16 years and 11 months old. The psych decides to administer the WISC over the WAIS. Which of the following options would best explain this decision? a. The likelihood of the ceiling effect is higher for the WAIS b. Current school reports suggest below average ability c. The WAIS is for 17 years and above d. The exact bday of the boy fall out of the WAIS age range e. There are current Australian norms for this age group.

Answer 256

b. Current school reports suggest below average ability

Question 257

You see a client you diagnose with MDD. The client tells you that their psychiatrist prescribed them some meds. There previous psychologist recommended that she stop taking meds and try some alternative therapy. a. Research alternative therapy b. Discuss with GP c. Discuss this case with the psychiatrist d. Do nothing e. Report the previous psych to the board

Answer 257

e. Report the previous psych to the board TLTB: there are three major areas that make you a mandatory reporter!!!: 1. Inappropriate behaviour with a client (e.g. sex) 2. Practicing while impaired e.g. drunk or on drugs, mentally or physically 3. When someone is practicing beyond the realm of accepted evidence based therapy.

Question 259

1

Answer 259

1