Example Questions Flashcards
Who is your first obligation to when it comes to risk - yourself, the client or the community?
FIRST obligation as a psych if anyone at risk in community - COMMUNITY is first obligation
If there is no community member involved who is your first obligation to in a situation of risk? Yourself or the client?
The client
When answering questions what is the best type of answer to choose?
When answering questions for the board in all areas - think about what is the most conservative and complete answer eg fax and call, email and call or always document information.
In multiple-choice questions what are the likely option and which ones would you not choose?
Minus one Plus one = 0 principle (2 equally wrong or right questions)
None is likely to be the right answer - 2 answers worded similarly
5 options - 2 answers that are equal they seem the same - are NOT the answer
Q;If you are rural and no-one there you may be able to see this client….in which conditions;
Would you a) get extra education b) see them and read everything and supervision c) will you tell them you don’t have experience but if they give consent seek SV and do training in area d) send back to GP and say we cant see them, tell them closest person is 300 km’s away
C)Consent to understand limitations - doing the best for client
In terms of competence why do we do CPD (continuous professional development) - a) it’s a requirement of the board b) it’s a requirement of Medicare c) we need to demonstrate we are scientist practitioners d) we need to maintain provision and quality of improvement of psychologist services e) or psych practice is continually peer reviewed?
Hints and clues - everything we do is based on the ethical code - why would you do it anyway - to deliver the best services to clients -
d) BEST answer is the “because it’s in the best interest of the client”
THAT”S why we do it +1 - 1 AHPRA and Medicare
Q. 17yr old at school disclosed they will bash someone who is part of a different ethnic background - he hasn’t participated
Keep conf and work with him b) do anger mgt c) talk to principal or d) police e) ring the parents
c) AT SCHOOLS INVOLVE THE PRINCIPAL - they are the boss at school
Do you advise the client? - no not if there is a risk to you or a safety risk to you
If exam asks what to do as a school psych; inform the principal
E.g. Nazi example of graffiti and singing - CALL PRINCIPAL - principal will call police and they will decide how to deal with it
Before involving child protection - involve the principal
E.g. drugs at school - need to inform the principal
Previous exam: if a case is discussed in peer supervision and client is de-identified do you still need to mention to the client
Do the most conservative
Document everything and be the most protective -ANSWER; yes- tell client and document in file
Don’t mention it at all
Include in consent form - if I consider it helpful your de-identified may be discussed in supervision
IN PRIVATE practice you don’t need to tell anyone - except for risk of harm
From exam
Q Husband of client calls and threatens to harm client - ringing and threatening, a) call police immediately b) calm client down and advise your client c) don’t worry about it d) politely as the client to call back later
FIRST THING INFORM THE POLICE TO PROTECT FROM THE THREAT
Police will talk to your client - all based on Tarrasof Case Uni of California was - no laws in Australia with the same issue - if someone threatens - ethical maintain confidentiality - legally let someone know POLICE in this case legal issue trump ethical
If violent or threatening people
What should you do if you come across an ethical dilemma and you don’t know what to do?
Always choose to talk to a supervisor to discuss options - use ethical decision-making model
From exam Q: There was a question where psych is in session with a client when clients husband comes in to the practice demanding to speak to see his wife (history of aggression towards wife). what do you do? do you ask him to wait; do you call the police; do you continue session with client?
If an AVO call Police - I can’t say yes or no - leave the practice - otherwise, I will have to call the Police because you are trespassing
RULE OF THUMB - Risk, threat AVO breaching AVO - call the Police (most protection for 1- client 2- yourself)
Q: You are seeing a person for a work cover issue - and relationship issues come up can you help them with their relationship as well?
YOU CAN NOT HELP THEM WITH THESE ISSUE WITH WORK COVER - once you finish you can help them (you can only do the work injury so far) come back and I could see you under Medicare or private health insure
A client has asked for a copy of his file. While I am happy to talk to him about my documentation, I do not want to give him a copy. Must I comply?
As a general rule, under legislation such as the Privacy Act’s Australian Privacy Principles (APPs), Freedom of Information (government sector) and Health Records Acts, clients have a right to access their personal information. The recent amendments to the APPs have also made it clearer that clients have a right to a copy of that information “in the manner requested by the individual, if it is reasonable and practicable to do so”. It is important, therefore, to always write your notes as if the client will have access to them.
There are some exceptions to providing access to client notes, which are associated with issues of risk, the impact on another person’s privacy, and legal matters. In addition, psychologists should not provide access to protected psychological test material or information that has been provided by a party other than the client (e.g., a family member who has provided additional information to the psychologist) unless this is under a legal request such as a warrant or subpoena.
I have conducted an assessment of a client and prepared a report that was commissioned and paid for by an accident compensation provider. The client has asked for a copy of her file. Does she have a right to have a copy?
As indicated in response to the above question, generally legislation supports clients’ right to access their personal information. In this case you should also check your contractual arrangement with the accident compensation provider. This may, for example, specify that you inform them of any requests for access. In most cases, even though the report was commissioned and paid for by a third party, the client’s right to access endures (with the normal exceptions).
I am working with a 10-year-old child with anxiety and her parents have challenged me about her rate of improvement, particularly now that her Medicare-funded sessions have been used up and their GP indicated that 10 sessions would suffice. How should I respond?
According to the APS Code of Ethics and Charter for clients of APS psychologists, psychologists are required to inform clients about the services they will receive, including an estimate of the number of sessions that might be required to meet their goals. In providing this information it is important to use language that does not provide a guaranteed outcome, although you might talk about a period of time in which improvement would be expected. In addition, clients should be informed that goals and treatment are reviewed regularly, which is an opportunity to provide additional information about progress.
If you have followed such a process when informing your client’s parents, then remind the parents of the information that you provided to them, identify progress that has occurred and discuss any recommendations you have for moving forward. Separate to discussions with the parents, it may be useful to have a tactful discussion with the referring GP about not pre-empting the outcomes of treatment.
QUESTION: E.g. a woman remembers being abused as a 3 year old what is the main thing to do
- Get consent to work with memory maybe EMDR
- Discuss with client properties of previously unreported memories
- Explore the meaning of the memory instead of the details
- She needs to find a way to prove the accuracy of this memory
- Talk to her about what will happen with this memory and what your role is there
You need to understand about memory and how it is fallible and there is no way to prove whether it happened or didn’t - you can not know with certainty what happened in the past
Find an answer where MEMORY IS FALLIBLE - you can not know with certainty
Q; What is one of the most important things to discuss with client’s Eg PTSD client - you decide to do EMDR with the client
A)Client obligations at least ten sessions and book ahead
B)Client making a commitment to change
C)How successful the treatment is in the community and how much success in the past
D)Any extra charges
E) Any negative outcomes which can be gained from EMDR
E) Any negative outcomes which can be gained from EMDR
Any time you go from initial assessment to targeted intervention - you need to talk about adverse effects - or discuss verbally and document
Similar to medical procedures
Think about this in more specific terms - the same for EMDR CBT, Exposure e.g. might increase anxiety for a while , NEED TO WARN THE CLIENT OF ADVERSE OUTCOMES
Q: What happens when you need to make complex decisions?
2 types of questions in the exam
1. Where you know the situation is pretty clear 13 year old abused by 25 year old - need to report; Ethics guideline says you can’t have sex with clients - is a definite no - need to report
- Maybe with peers ethical grey area; someone talking about seeing adolescent client and the Mum wants you to see another one of her children? What should you say? Are there any guidelines or laws that make it illegal to see two people from the same family - no legal rules there I NEED TO USE AN ETHICAL DECISION-MAKING MODEL
E.g. Organisation psychology with coco cola - sent to do something
The company charges $800 per hour for you
You realise there are needs in the company - that goes against the company you are working for
This company doesn’t need to see you 5 hours a day every day - or you are not appropriate
What do you do in this case?
A) Do you go with the needs of your organisation. Is. A plus one - minus one answer
B) Go with needs of coca-cola
C)Talk to senior colleagues about making an ethical decision
Choose an answer where you are going to use a decision assistance model
Peer supervision
Q: Once EAP finished they kept seeing the EAP client and they kept seeing you for other issues - the client is now paying for the sessions
What do you discuss??
A)Why is the client dependent?
B)Why are they having therapy?
C)Discuss having Medicare with this client?
D)Discuss ethical considerations of taking them on privately?
D)Discuss ethical considerations of taking them on privately?
EAP is not forever - is it ok if I continue seeing them, do I need to continue treatment- is this overservicing the client - does this client really need my support
Q. E.g. you get referred a client and then as you are talking to them they tell you he is a builder and her was getting free sessions from your colleague because she didn’t need any more renovations - he was hoping for free sessions for a renovation that you needed
What is the first thing you would do?
- Tell the client you can’t take him on you don’t need reno’s
- You would tell the client that you can not accept that arrangement and fee is $280 per session- if you get a MHCP you can get a rebate
- You tell the client you are concerned about this other psych exploiting him
- Not say anything and go ahead because you need renovations
- Discuss with colleague concerns about the builder and their ethical issues related to their arrangements / service delivery (risk of exploitation here)
- Discuss with colleague concerns about the builder and their ethical issues related to their arrangements / service delivery (risk of exploitation here)
Some answers will be report straight away
Q;What is a client you are seeing for a while and she invites you to her graduation - she says you have helped her and she really wants to invite you
A)Politely decline and explain why - you’d want to see pics or diploma’s
What if you see someone at a coffee shop and he invites you for a coffee to thank you - and you stay and he makes a business proposition
ALL NO NO NO NO - no coffee, no mental health appointment
E.g. 13 1/2 yr old bullied online, feel hopeless and some one they know is harming themselves and please don’t tell parents and they are worried they would make things worse -
What do you do?
A)Tell child you have to parents and explain
B)Encourage child to talk to school counsellor
C)Teach client strategies to deal with bullying
D)Talk to the school and report what’s happening
A)Tell child you have to parents and explain
Exam; If you had a client that you had been seeing under EAP for 12mths and the employer called and wants information
a) would you inform the client of request
b) not discuss with the employer directly
c) Talk to the client first ie company knows; work cover knows; insurance knows; GP knows -
c ) ANSWER is they should talk directly to the client
Note - usually with work cover the company/ins knows/ IF employer calls to ask how they would going you would always seek consent from the client first to talk with them
Q: If you are seeing a uni-student who tells you they are feeling down and their girlfriend just left them and there’s no point living;
Do an assessment and you realise that the risk is high for the client
What do you do in this case; you need to go to the hospital, shall I call and ambulance now - no I’m going to be ok Ill see you at some point - he wants to leave
a) Do nothing a and call in a couple of days
b) Tell him your going to take him to hospital and you tell him that you have your car there and you can take him now
c) Call the parents and let them know of the plan and the risk
d) Talk to a senior psych or management and discuss risk and plan
e) You tell him that he has to stay there and wait until the police and the ambulance come?
In this case because of so many variable neither of them is great - don’t take them to hospital no insurance - can you call parents? NO
Let manager know YES Talk to SENIOR PSYCHOLOGIST
If he leaves and you have concerns you would send a fax and call the mental health area
Acutely suicidal - try to keep them there - but you can’t force someone to stay there
If acute call 000
ALWAYS DO A RISK ASSESSMENT IF SOMEONE DISCLOSES SUICIDAL IDEATION
Q; If they have weapons at home what do you need to do?- he is very depressed
Do a safety plan and report to police
Do a risk assessment - if there is a risk of harm to themselves or others
If risk is moderate to high you would have to report them
THE BOARD IS MORE INTERESTED IN RISK ASSESSMENT - and if risk is severe report them
Based on that you then make a decision
ALWAYS DO A RISK ASSESSMENT FIRST
Q. Someone telling you are angry and they know about explosives and they are going to get revenge;
What do you do?
You need to report them and you have enough information and planning to hurt someone
You don’t need to tell the client you are reporting
THIS WAS IN THE LAST EXAM
Q; Nursing home - saying he doesn’t need to go and the older guy doesn’t have cognitive impairment -
a) Tell them he has no cog impairment and it’s not necessary
b) Report for Elder abuse
c) Another battery of tests to make sure
d) You ask them to come to therapy father and son - do r/ship counselling
e) Move to the Bahamas
a) Tell them he has no cog impairment and it’s not necessary
Remember you are not CSI - you don’t investigate these things, stay with the facts - don’t imagine, interpret or assume things -
Just sending him to nursing home is NOT evidence of elder abuse
Q: If a client wants to access their records what do you do?
a) Offer to give them a summary
b) Read records in office
c) Offer more treatment to figure out what’s going on now?
You don’t charge for their right to read their records
ANS: Invite to come in but they don’t have to come in to read their records
You don’t need to give them a copy - if its government you need to give them a copy
THIS SHOULD BE IN THE CONSENT FORM TO - how you give access to records
APS and AHPRA - should at least give a chance to come in and discuss their notes
If you said they have a right to a copy
You don’t give a copy without discussing it first
GIVE COPY only after discussing with client
Q: If you move to a practice - what do you do with your case notes?
What if you are told not to take the files with you due to restriction of trade?
What is the most important factor to consider in this case?
a) Policy and restriction of trade
b) Reputation of current practice
c) The clients right to files
d) Safety of client finishing early
e) The client best interests
e) The client’s best interests
NOT THE Principal consultants greed you can’t keep clients
Contracts saying you need to relinquish clients - you can’t do that - like a GP you can’t tell anyone where to go for services - they have a right to continue service
Contracts like that do not stand a chance in court
How long do client records needs to kept for adults
Minumum of 7 years since last client contact
How long do child records need to be kept
In the case of records collected while the client was less than 18 years old, psychologists retain the records at least until the client attains the age of 25 years (7 years after they turn 18)
Q: What happens when a client can not pay? You are half way through therapy treating client for mod-severe depression and they ring you and say they can’t continue as husband lost their job - what do you do in that case? They have see you for 5 sessions out of 10
a. You negotiate to continue at reduce cost b. Refer for a bulk bill psychologist c. You barter or something like that d. Make a contract and accept delayed payment e. You finish treatment and refer back to GP for referral for lower fees
WHAT IS THE BEST INTERST OF THE CLIENT? -
WHY CAN’T WE CHARGE LESS?
The gap is close to $100 - you get $150 - $160 per hour
YOUR OBLIGATION IS TO FINISH THIS TREATMENT - ITS WHAT AHPRA WANTS
Q; What if in supervision someone says they haven’t done PD
a) Tell them to make up the hours b) Call and tell psych board c) Tell them to forget it and no one will audit
Call and tell psych board
What can’t you do in advertising your psychology business
- be false, misleading or deceptive, or likely to be misleading or deceptive
- offer a gift, discount or other inducement, use testimonials or purported testimonials about the service or business
- create an unreasonable expectation of beneficial treatment
- directly or indirectly encourage the indiscriminate or unnecessary use of regulated health services.
You can not call yourself anything if you are not endorsed or registered in Australia
Q; you present a case at supervision with 3 other psychologists and you present a complex case for 30 mins and then the rest of the group discuss it for 30 mins - how do you count that?
a) Each member counts 30 mins peer supervision and 30 PD
b) Each member counts 1 hour peer supervision
c) Each member counts an hour of prof dev
d) You count an hour peer supervision and the other count 30 mins peer supervision
e) You count an hour peer supervsion and others 1hr PD
You count an hour peer supervsion and others 1hr PD
Peer supervision is counted on your own clients - other clients is not peer supervision
You need 1 hour per month focused on your work
The next hour of listening to your colleagues would be PD for you and peer supervision for you
How many hours of Professional Development are required per year?
30 hours total = 10 peer supervision and 20 other PD
How many hours of peer supervision per year is required?
10 (as a part of the 30 hours required)
What does CPD stand for?
Continuing Professional Development
Why do CDP?
THE MAIN REASON IS TO MAINTAIN THE HIGHEST LEVEL OF SERVICE TO DO THE BEST JOB FOR YOUR CLIENT
HOW MUCH CDP YOU NEED TO DO?
DO A PLAN
DECIDE HOW TO MEET THOSE GOALS
WRITE A REFLECTIVE JOURNAL ABOUT WHAT YOU HAVE DONE
END OF YEAR WRITE HOW THE CPD YOU’VE DONE HOW IT HAS INCREASED YOUR KNOWLEDGE AND ENHANCED YOUR PRACTICE
YOU NEED 30 HOURS OF CPD - doesn’t matter if you are part time
10 HOURS NEED TO BE PEER SUPERVISION
Q; What if client says they felt uncomfortable with another therpist - sexual dreams I was included; they invited me out - they say they are worried about - they want you to report?
What do you do?
a) Nothing you respect their privacy
b) You put investigator hat on
c) You report to AHPRA
d) You process the trauma with the client
e) Tell the client to report to the police
c)You report to AHPRA
Q What if peer supervision - they tell you they drink a lot to relax
a) Offer them a session to treat them
b) Make a notification
c) Suggest changing supervision to business hours
d) You contact the psy board the next day
e) You discuss strategies including see a professional
e) You discuss strategies including see a professional
Is it your job to investigate whether they are affected in the practice ? NO
EXAM
A NURSE who was not at work at the time - was brought into an Emergency Department in an ambulance as she had been in an accident and turns out she was driving under the influence. You are the assessing psychologist and the client (nurse) doesn’t believe that she has a drinking problem. what do you do? options were something like -
a) report to her employer
b) report to AHPRA
c) Recommend to see GP to further look into if there’s a drinking problem
d) cant remember the other 2 options as I ruled them out right away.
c) Recommend to see GP to further look into if there’s a drinking problem
If you don’t believe it is affecting their work - you don’t have to report it
If you have enough reason to see that work is influenced and then report
Q: One colleague has a brain tumor and in the meantime they are practicing and you are worried about their cognitive function
a) Discuss with colleague contingency plan
b) Talk to the insurance company about concerns
c) Discuss the plans that they have
d) Discuss the supports the psych needs to see their client
e) Notify to the PSYCH board
You need to notify if you have concerns about their cognitive abilities
She reported someone was using shamanic practices - if they are doing something really out there and they are causing issues for clients - or long therapy with little outcomes
Q: What about if you are seeing someone who tells you that they have chronic pain and the psych from before told them that they had to stop taking medication and they sold them some homeopathic medication?
What do you do?
Report to AHPRA
What if they recommended it but didn’t sell it - still report - it is not in your area of expertise? NO NO NO
Report to AHPRA
YOU MUST USE APPROVED TREATMENTS
Can people have case notes anonymous - YOU SAY NO - you need all of their details
IF YOU HAVE ENOUGH INFORMATION - REPORT
QUESTION: E.g. a woman remembers being abused as a 3 year old what is the main thing to do
- Get consent to work with memory maybe EMDR
- Discuss with client properties of previously unreported memories
- Explore the meaning of the memory instead of the details
- She needs to find a way to prove the accuracy of this memory
- Talk to her about what will happen with this memory and what your role is there
- Discuss with client properties of previously unreported memories
You need to understand about memory and how it is fallible and there is no way to prove whether it happened or didn’t - you can not know with certainty what happened in the past
Find an answer where MEMORY IS FALLIBLE - you can not know with certainty
Q:What if a child is tired halfway through a WISC and you can see they are tired and not focused?
1. Use what you have to make a score 2. Get the kids to have a break 3. Finish the subtest you are going 4. Cancel the whole thing 5. Do the whole thing starting again when the child is focused 6. Abandon the WISC and do another test because it is to long for the child ?
- Do the whole thing starting again when the child is focused (within the week)
You are asked to test a young man who is having difficulties learning at school and teachers are concerned about his progress - he is 16 and 11 months - which test would you choose to do with him
1. WISC because no OZ norm 2. WISC because the ceiling is lower 3. WISC because a person could have low intellectual functioning 4. WAIS because you have that available Here you are more concerned about the floor ….not the ceiling
- YOU WOULD CHOOSE THE WISC as CHILD IS SUSPECTED LOW FUNCTIONING
You would choose WAIS if high functioning 16yr old
What happens if you see a young man who is suspected of low intellectual functioning, struggling at school just turned 17 and you decide to administer the WISC- what is the explanations
1. You don't know anything about testing 2. You can use 16:11mths because it s close 3. WISC is easier and more suitable to ID 4. WISC because that’s the test you have
- If you don’t have norms for that age ….don’t use the test . - no one cares
The only time you can have an overlap. WISC 16:11 mths WAIS 16
Kids 17 and over always use the WAIS
(you can not use a WISC with a 17yr old) there are no norms …
Q you do a WISC with a 13yrs old and she gets FSIQ of 95 and she has scores from 65 in VCI and 123 in VSI - with all scores in between - scores are valid and reliable. - what is the most important first step when determining
a. Focus on FQIS being avg range b. Talk about clients weaknesses in processing speed c. Focus on the variability and range of index d. 4 Focus on superior comprehension Focus on the GAI -
a) focus on the FSIQ being average??? check
general index ability Useful ONLY WHEN VCI 65 -VSI 123 and Fluid reasoning 95 (is that representative of Cog abilities ) only useful when those scores are fairly similar and different to processing and verbal memory
9yo refugee family came to Australia 6 yrs ago - speaks English fluently and school is concerned about performance and they think he will have ID - you do they WISC and see that he scores avg in FSIQ and
What can you conclude about
a. Trauma has affected his performance
b. He needs a non verbal test
c. His difficulties are unlikely to be due to cog factors
d. You need to do a Stanford Binet
e. The school is assessing him in the wrong way
c. His difficulties are unlikely to be due to cog factors
WISC assesses cognitive factors
He may have difficulties with - maths or reading
He learned to speak english age of 2
We can’t say they are not teaching him write
Lets say the child 12 y/o gets a score of 110 in VSI and 78 in the Verbal Comprehension index - what would you say this result
a. That their fluid intelligence is superior than crystalised intelligence
b. That you can not compare the two scores sig difference
c. That their crystalised intelligence is superior to fluid intelligence
d. Assess with a different test
e. That fluid intelligence and crystalised intelligence are very similar
a. That their fluid intelligence is superior than their crystalised intelligence
You can still compare them - one is much higher and - you couldn’t get the AVERAGE - BUT YOU CAN COMPARE THE SCORES - we constantly compare score
QUESTION: You are testing a kid and you are doing block design and he does the correct design but he is 1.5 second late after the time has ended
a. Make a note and score as incorrect b. Tell him to hurry next time c. Make a note and d. Make note he was slow and make a note and add to next few items e. Check timing device - score as correct because it was withing the error range for your timer
a. Make a note and score as incorrect
What happens if a child rotates a the visual blocks at 30”
a. you correct it and move it to be straight and mark as correct
b. Tell him to make as straight and incorrect (only remind the first time)
c. Do nothing and mark as incorrect
d. Continue correcting design as many times as he does it - but only score as incorrect from the second time he rotates
b. Tell him to make as straight and mark incorrect (only remind the first time)
Seeing 9yr old, start with item 3 and they get it right in trial 2 of of item 3
Wrong in trial 1 and right in trial 2
What do you have to do in that case?
a. Do you continue with item 4 and 5 - b. Do you reverse to item 2 c. Do you administer trial 3 d. Do you stop the test because he cant do block design
REVERSE RULE FOR THE WISC
IF NOT A PERFECT SCORE ON THE FIRST 2 ITEMS YOU reverse score
check this answer
QUESTION You are assessing 12 yr old FSIQ of 75 and they have a VCI of 98 a VSI of 89 and FRI of 93 and a processing speed index of 58 and a working memory index of 62
Which is the best way to int
Use GAI and CPI Use FSIQ Say that child has mild ID Say that child prob has ADHD due to scores He needs to work in Bahamas
Use GAI and CPI
A child comes to you and they say the school says they have behavioral difficulties and they and FSQI is 138 and no sig differences
What would you say (hypothesis)- he is gifted and maybe bored
ODD
ADHD
Child needs a learning plan
What would you say (hypothesis)- he is gifted and maybe bored
Both WAIS-IV and WISC-5 are reported in standard scores
o MEAN 100
o SD 15
People who score 2 SD below mean = ID (<70)
People who score 2 SD above mean = Gifted (>129)
What happens if they are trying to match the sides and not the top?
Tell them to focus on the top????
Need answer (ask Jo)
How long should it take to do a WISC?
Higher functioning 1.5
( due to intelligence less skipped questions)
Lower functioning 1 (due to many skipped questions)
If you have gone way over the time
She normally gives a break after the first 5 subtests
Stop finish the subtest - and then re-schedule for another time - make apt to finish assessments best decision is to let him go and come back - remember the right answer should have a lot of detail - try to do within the same week - RIGHT ANSWER IS GRAMMATICALLY CORRECT
Finish subtest- come back within a week
QUESTION: You do a WAIS with a person who is applying for disability pension and they score 81 as a FSIQ and their Preasoning is 85 and their VC is 80 and PS is 60 Wmenm is 71
- He can apply for disability pension based on processing sppe
- He does not meet 2 sd below mean so can not apply
- A score of 81 is 2SD below mean so he can apply
- You need to do a non verbal test to see whether he can apply for DP
- You offer job in Bahamas café
He doesn’t meet criteria of 70 or below
Q: You do a WAIS and he gets FSIQ of 70 ? But he did ok at school - so you need to investigate further
What would you do ?
LOOK AT THE INDEX SCORES
FSQI then index scores look at the order of interpretation otherwise you don’t know what to test for further
You can’t make further explorations from there
If PR is high and something else is low you go from there
Find out more history
Someone is struggling as difficulties with daily activities and borderline IQ - which test would you use?
1. SDQ 2. PAI 3. ABAS 4. WAIS 5. WISC
- ABAS
Doing an assessment with 48yr old so you do all the 15 subtests - what is the main reason to use extra subtests?
a. Inc validity b. To increase Reliability c. To not have to do any other tests d. Generate different hypothesis e. To do comprehensive assessment of cog functioning (WAIS is already comprehensive with the ten)
d. to generate different hypothesis
Q; You have been referred someone for a psych assessment because they are being treated for an accident and they have a minor injury and the client is saying they have pain and can’t work - why would you be doing a PAI?
They board likes to trick you - into seeing a client who is referred by a Dr who had an accident and their rehab Dr is wondering about their psychological state and why are you doing the PAI
- to see whether the person is malingering;
- to make a comprehensive assessment of clients personality (it’s really psychopathological and personality) -
- to see whether the disability os valid;
- to give an objective assessment for the dr; or to
- formulate accurately the clients problems?
You can’t formulate the client’s problems from this scale? - You are not an investigator - no one has told you about malingering
They have been referred for a psych assessment - have you been asked to give an opinion of the neck injury??? NOOOOO stay with the question - you are doing it
TO ENSURE A COMPREHENSIVE ASSESSMENT OF THE CLIENT
DON’T ASSUME ITS FOR INSURANCE ….IF THEY DON”T SAY IT - maybe they are depressed or they have somatic symptoms that have a psychological impact
