Exam 1: CH 2 Flashcards
Draw the sequence of an assessment (hint: arrow).
- Gathering Data
- Testing
- Diagnosis
The end result of a series of scientific and clinical activities, examinations and data gathering through various means.
Diagnosis
Diagnosis indicates….(4)
- Is there a disorder?
- What type of disorder?
- Severity of the disorder?
- Etiology of disorder (sometimes)
Types of preassessment information (3).
- Case History Information (written)
- Reports from other agencies
- Interview
When should the completed case history be obtained?
Prior to meeting with caregiver/client.
What does a clinician read for in a case history (3)?
- Read for content
- Read for putting the pieces together
- Read with a questioning mind
In order to request a report from another agency, what must a clinician do?
Authorizations must be signed by the client or caregiver.
A direct conversation, carried out for specific purposes such as fact finding, informing, and altering attitudes and opinions.
Diagnostic interview
What should a clinician do when obtaining information in an interview?
- Set the tone
- Ask the questions
- Obtain the presenting story
How should a clinician set the tone for an assessment session (4)?
- What to say…in the beginning
- Where to have the conversation
- Showing interest and listening
- Rapport building
What should a clinician ask to a client and/or caregiver in an assessment session (4)?
- What is the respondent’s PERCEPTION of the problem?
- WHEN and under WHAT CIRCUMSTANCES did the communication disorder occur?
- In what ways has the communication disorder CHANGED since onset?
- What are the CONSEQUENCES of the problem?
What should a clinician ask a client and/or caregiver in terms of the disorder’s effect on the family and what the client hopes to gain in the therapeutic process (3)?
- How has the client and family attempted to COPE with the problem?
- What impact has the client’s communication disorder had on the REST OF THE FAMILY?
- What are the client’s EXPECTATIONS regarding the diagnostic session?
List the “approaches” to asking questions in an assessment (3).
- Funnel approach: Broad, open ended questions to more specific
- Inverted funnel approach: More specific questions to more general questions.
- Tunnel approach: All questions on the same level.
What is required of the clinician in the “why are they here” part of the interview?
- Let the client/caregiver tell you what they think
2. Watch for non-verbal responses to questions
What are some nonverbal messages that can be used in a clinical interview?
- Body language
- Facial expressions
- Congruence of body language and what the client is saying.
What are some things to avoid in a client interview (5)?
- Yes/no questions
- Phrasing questions in an accusatory way
- Talking too much
- Concentrating on physical symptoms
- Providing information too soon
In terms of clinician responses in a client interview, what are some things to avoid (6)?
- Qualifying and hemming and hawing when asking questions.
- Negativistic or moral responses
- Abrupt transitions to bring back the point
- Allowing superficial answers
- Letting the client reveal too much
- Trusting things to memory
Clients and caregivers will ask clinicians questions. What is the best way to handle these?
The clinician should make sure he knows what is really being asked.
How should a clinician help the client deal with the issues at hand?
Provide:
- Release
- Support
