exam 2 c 8 Flashcards

1
Q

Defining An Assessment

A

Assessment is a multifaceted process that involves a variety of functions to determine an individual’s characteristics, aptitudes, achievements, and personal qualities.
*Assessment can be viewed as an integrative process that combines a variety of information into a meaningful pattern reflecting relevant aspects of an individual.
It never depends on a single measure, nor does it emphasize one dimension at the expense of another.
*For an assessment profile to be meaningful and useful, it must provide a means for understanding the individual from as broad and integrative a perspective as possible.

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2
Q

Listening v Assessing

A

*Familiarizing yourself with the client’s world and characteristic functioning
*Learning about past events and developmental issues that have been significant
*Studying family history, cultural background, and the current living situation
*Ruling out possible organic causes for psychological symptoms
Assessing the client’s strengths and weaknesses with regard to intellectual, academic, emotional, interpersonal, moral, spiritual, and behavioral functioning
*Checking out risk factors related to substance abuse, suicide, or harm to others
*Learning about the client’s expectations, goals, and aspirations

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3
Q

Standardize Testing

A

A test is nothing more or less mysterious than an attempt to measure a sample of behavior objectively and consistently.
*Tests are used to match the most capable and well-suited individuals with a particular program, position, or job.
They have value as predictive devices for hypothesizing about a person’s future performance or action.
*They help counselors in their overwhelming task of understanding clients—their characteristic behavior patterns; their strengths, deficiencies, values, aptitudes, and mastered skills; and, most important, their potential and capacity for growth.

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4
Q

Testing Elements

A

For a test to be useful, it must be a reliable and valid measure of behavior.
*Reliability refers to the consistency or accuracy of a test score
*Validity refers to the extent to which tests actually measure what they purport.

1)The questions and norming procedures of many standardized tests may reflect the language and customs of the white majority;
2)clients from minority groups who historically have experienced barriers to success may not be as motivated to do as well as test takers from the dominant culture;
3)test results used for employment or academic admissions reflect bias when they lead to findings that vary significantly among groups and cultures.

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5
Q

Some Concerns About Testing

A

Test construction is an imperfect science leading to results not necessarily accurate or useful.
*Despite the growing number of bilingual clients, the research is scant ohowadminister and interpret tests with non-English-speaking populations Testing is often used as an excuse to guide clients in specific directions, often limiting their future vision and potential.
*Tests often reveal hidden and disguised information (one of their functions) and therefore may be construed as an invasion of privacy. They reveal aspects of the self that a client may not wish others to know.

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6
Q

Testing Ability/Intelligence

A

Intelligence consists of several factors:
1)abstract thinking,
2)problem solving,
3)capacity to acquire knowledge,
4)adjustment to new situations
5)sustaining of abilities in order to achieve desired goals.

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7
Q

Intelligence Tests

A

Two of the most popular intelligence tests are the Stanford-Binet, probably the most well-known test, and the Wechsler scales, which are the most widely used intelligence tests (Neukrug & Fawcett, 2015).
*The Wechsler tests include specific instruments designed for adults (Wechsler Adult Intelligence Scale), children (Wechsler Intelligence Scale for Children), and preschoolers (Wechsler Preschool and Primary Scale of Intelligence).

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8
Q

Wechsler & Stanford-Binet Tests

A

Both the Wechsler scales and the Stanford-Binet are examples of individually administered intelligence tests that attempt to measure IQ (intelligence quotient), using subscales that measure various domains related to intelligence.
For example, the Stanford-Binet assesses for verbal and nonverbal problem-solving.
*The Wechsler evaluates five domains, including verbal comprehension, perceptual reasoning, working memory, and processing speed.
*Administering these tests requires special training and often a state license as a psychologist or other mental health professional.

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9
Q

examples of Tests of Aptitude

A

Scholastic Aptitude Test (SAT) or the American College Test (ACT) for admission to college
*Graduate Record Exam (GRE) for entrance to a graduate program.
*The Law School Admission Test (LSAT)

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10
Q

define Tests of Aptitude

A

*At the level of state employment agencies, aptitude tests such as the General Aptitude Test Battery (GATB) are used for job placement
* School systems rely on instruments such as the Differential Aptitude Test (DAT) for assessing academic aptitude and educational placement of children.

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11
Q

Achievement Tests

A

Often called proficiency tests, achievement tests are used to measure learning, acquired capabilities, or developed skills.
*They are widely used and can be adapted to almost any type of task from measuring course content (a typical exam) to administering the road test for a driver’s license.
*Results can be used as diagnostic tools, as demonstrators of accountability

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12
Q

Personality Tests

A

PERSONALITY INVENTORIES These tests are designed to gather information on an individual’s preferences, attitudes, personality patterns, or problems.
*Results are expressed by comparison with a specific reference group. A concern with personality inventories is the possibility of faking responses, but most instruments of this type have a “lie scale” to detect a tendency to present an overly favorable profile.

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13
Q

Projective type,

A

which does not use a pencil-and-paper format but is individually administered (usually by a psychologist).
*This type of test requires a client to respond to unstructured stimuli such as an inkblot or an incomplete sentence.

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14
Q

qualified examiner? example of test used?

A

A qualified examiner then interprets these responses as reflective of underlying personality organization and structure.
*Examples include the Rorschach and the Thematic Apperception Test (TAT).

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15
Q

House-Tree-Person drawing test,

A

Counselors who work with children sometimes use the House-Tree-Person drawing test, which may reveal how a child feels more accurately than do the child’s spoken words.

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16
Q

INTEREST INVENTORIES.

A

INTEREST INVENTORIES Interest inventories attempt to develop a profile of an individual’s career interest areas through a series of questions about preferences, jobs, hobbies, and other activities.
*The pattern of responses is then compared to the responses of persons successfully engaged in a variety of occupational areas.
Profiles are constructed by matching high and low scores in occupational clusters.
*A limitation of these inventories is that, because interest does not reflect ability, it is possible for a person to dislike a career area in which he or she has earned a high score.

17
Q

Commonly used interest inventories

A

Strong-Campbell Interest Inventory and the Kuder Preference Record.

18
Q

How Should You Select The Test?

A

Determine the goals of your client.
*Choose instruments to reach client goals..
*Access information about possible instruments.
*Examine validity, reliability, cross-cultural fairness, and practicality of the possible instruments.
*Choose an instrument wisely.

19
Q

Principles of Assessment

A

Never use an assessment device without having a specific purpose and use for the results.
*The results belong to the test taker, who has a right to have them explained in understandable terms.
*The test user is responsible for preparing clients to take the test under optimal conditions (pretest orientation).No set of numerical test results captures the essence of a human being.
a.It’s possible and desirable to describe things nonnumerically.
b.Numbers have no meaning in themselves; only people experience meaning. Thus there is no such thing as objectivity.
c.Numbers as labels imply static beings. Humans are dynamic.
Things that can be measured precisely tend to be relatively unimportant.
*Assessment must be carried out with techniques that
a.are suitable for the test taker.
b.are of high validity and reliability.
c.engage the participation of the assessed person as much as possible.
d.are supported by multiple observations.Interpretation should focus on strengths, on possibilities, and on remedies
*Healthy optimism is a key to helpful interpretation

20
Q

Know The Red Flags

A

Is there evidence of abuse (physical, emotional, or sexual when the client is a child; physical or emotional when the client is an elderly or dependent person)?
–If so, further assessment and a report to authorities will likely be necessary
Is there evidence that the client is a danger to self (suicidal) or to others (homicidal)?
–Suspicions of suicidal or homicidal tendencies are triggers for initiating specific assessment procedures
Does the client need to be examined by a physician in order to rule out the possibility that the presenting issue is caused by a medical problem?
–Depression, anxiety, indecisiveness, anger issues, and interpersonal conflicts can all be rooted in physical disease
–All too often, counselors fail to consider a physical explanation, not only wasting a client’s time, energy, and money, but possibly delaying appropriate medical careSome helpful tips:
–Almost any psychological symptom can be the side effect of a medication a client is taking
*Depression can result from hormonal disturbances, anxiety from heart malfunctions, and changes in personality from brain-related maladies
Is there an issue of diversity that the counselor needs to consider?
–Counselors must orient themselves to the values and needs of clients from marginalized populations and/or ethnic and cultural backgrounds different from that of the counselor
Is there a legal or ethical issue that needs to be considered?
–Legal and ethical issues are particularly salient when counselors work with couples and families, where issues of confidentiality are often complex and confusing

21
Q

Child Abuse

A

Basically, if you have any reasonable suspicion that a child has been (or is currently being) harmed physically, emotionally, or sexually, you must report this to authorities
–Failure to do so not only continues to put the child in harm’s way but also subjects you to possible prosecution for failing to do your duty
You are not held responsible for being absolutely correct in your assessment of the situation
–You are merely required to report whenever you have some reasonable evidence that abuse may be taking place

22
Q

emotional indicators of child abuse

A

Emotional indicators include nervousness and hyperactivity, disruptive aggressiveness, passivity and shyness, and unusual fear of other children

23
Q

Physical indicators of child abuse

A

can be unexplained injuries (e.g., bruises on the arms and legs, missing hair), difficulty going to the bathroom, emaciation, and inappropriate clothing (e.g., underdressed for winter; long-sleeved shirts in summer that can cover bruises on the arms)

24
Q

Signs of sexual abuse and behavioral indicators?

A

Signs of sexual abuse can be emotional, including depression, fear and distrust of authorities, and shame about one’s body image
*Behavioral indicators can be precocious sexual interest, pregnancy, and — never to be overlooked — the direct reports of a child

25
Q

Suicidal Ideation

A

Assessment begins with your asking, straight out and in unadorned language, “Have you had any thoughts of harming yourself?”
*When in doubt, ask
–The idea that you can plant the idea of suicide in a client’s head is a myth
–In fact, the opposite is true
*Clients are relieved you asked, even if they were not considering killing themselves
You cannot stop a client determined to take his or her own life
–Your job is to act professionally, which means conduct a suicide assessment and implement a prevention plan consistent with the standards of the counseling profession
Always get help from a supervisor or consultant
–When you are seeing clients in your graduate school practicum, or in your post-grad internship, your supervisor will want to be summoned immediately if your client reports current suicidal ideation
*May want to sit in on the session and collaborate with you and your client in further assessment and implementing a prevention plan
Always document everything you do.
*Keep in mind that most clients do not commit suicide and are looking to you to remain calm in the face of their personal crisis

26
Q

Homicidal/Assault Ideation

A

Less likely in your career, but just as important to learn, is how to assess clients’ potential threats of and inclinations toward violence
–Being able to determine if someone is likely to engage in violent behavior toward others

27
Q

ICD

A

The International Classification of Diseases (ICD), published by the World Health Organization, contains a list, with code numbers, of every medical disease and psychiatric disorder the international medical profession has identified
–When an insurance company or government health care program pays you for providing counseling services to the client (or reimburses the client), they will most likely ask you to send them paperwork with your client’s diagnostic code number

28
Q

Diagnostic and Statistical Manual of Mental Disorders (5th Ed)

A

Each disorder is given pages of material, including:
–Criteria necessary for establishing a diagnosis
–Etiology of the disorder
–“Specifiers” for clarifying the severity of the disorder
–Typical course
*How old people are when the disorder tends to develop, how elderly clients manifest the symptoms as distinct from those who are younger
–How the disorder can be differentiated from different disorders with overlapping symptoms
–How a client’s culture may play a role in the development of the disorder

29
Q

DSM

A

As a source of standardized terminology in which to communicate with other mental health specialists
2)For classifying clientele in discrete statistical categories, as is necessary for research and accountability
3)For predicting the course of a disorder and the progress of treatment based on available evidence
For constructing a treatment plan that will guide interventions
*It is the “bible” of the mental health field, and practitioners in every mental health profession study it in their training and use it in their clinical work