HBM 10a: Psych Assessment and Dying Flashcards
A psych assessment evaluates (X) factors in an individual.
X = biological, psychological, social
What are the two types of interview styles?
- Unstructured
2. Structured or semi-structured
(X) interview style has the disadvantage of being quite time-consuming.
X = structured
What are the ABCs of observation?
Antecedent
Behavior (immediate)
Consequence
List categories assessed in mental status exam.
- Presentation
- Cognition
- Emotional state
- Thought/perception
- Judgement/insight
(X) was developed by Folstein for screening for (Y).
X = mini-mental status exam Y = dementia
List two examples self report measures.
- BDI (Beck Depression Inventory)
2. PCL (PTSD checklist)
T/F: people may be more willing to endorse something in person than on paper.
False - vice versa
T/F: self report measures can sometimes be used in place of clinical interview.
False
T/F: a disadvantage of self report measures is people know how which answers to put in order to be “fake” good/bad.
True
Define reliability in an assessment.
Consistency in measurement
Define validity in an assessment.
How well the test measures what it claims to measure
Define standardization in an assessment.
Consistent use of techniques
(Intelligence/achievement) is relatively stable over time.
Intelligence
List factors that impact intelligence.
- Biological
- Environmental
- Social
SAT measures (intelligence/achievement).
Achievement
MCAT measures (intelligence/achievement) and USMLE measures (intelligence/achievement).
Achievement for both
Most widely used IQ test is (X) and is for which age range?
X = Wechsler Adult Intelligence Scale
Ages 16-75
Which index scores are included in WAIS?
- Verbal comprehension
- Working memory
- Perceptual reasoning
- Processing speed
Genuis IQ range
160+
Average IQ range
90-109
Mental deficiency IQ
Less than 70
Most commonly used objective personality test
Minnesota multiphasic personality inventory (MMPI-2)
MMIP-2 asks which type/format of questions?
T/F (500 questions)
List some benefits of MMPI-2 for (X).
X = personality
- Pencil/computer administration, so quick
- Standardized scores
- Better test-retest reliability than projective tests
List some limits of MMPI-2 test for (X).
X = personality
- People may have reason to respond in certain way
- Cultural differences in “normal” behavior
Personality tests can fall under which two categories?
Projective or objective
Projective tests ask patient to answer what types of questions?
Interpret vague stimuli or follow open-ended instructions
The Rorschach (X) test is what type of test?
X = inkblot
Projective personality test
The TAT, aka (X), is what type of test? Describe it.
X = Thematic Apperception Test
Projective personality test
Patient asked to make up story about series of vague B&W pictures
In TAT, the patient’s answers are thought to reflect:
His or her emotions
Sentence completion test is an example of (X) test. It’s used to pinpoint:
X = projective personality
Topics to explore
T/F: clinicians only rely on projective tests to gain supplementary insight.
True
T/F: projective personality tests have demonstrated good reliability, but not validity.
False - neither good reliability nor good validity
(Projective/objective) personality tests can be administered by PCP.
Objective
Ars Moriendi 1451 included:
- Reaffirming faith
- Repenting sins
- Letting go of worldly possessions
- Last words
Ars Moriendi 2016 includes:
- Heal/strengthen relationships
- Consider/plan legacy
- Accept death with grace/dignity
T/F: patient that claims he lived “full life” has probably overcome fear of dying.
False
In the 1800s, (X)% of white elderly adults lived with their children. Today, (Y)% live in multigenerational homes.
X = 80 Y = 16
(X)% of people are dying in hospital. And (Y)% specifically in ICU.
X = 50 Y = 10
(X)% of people are dying in nursing home.
X = 30
(X)% of people are dying in their own home.
X = 20
People more commonly prefer dying in (home/hospital).
Home
It is fairly (common/rare) for patients to prefer dying in nursing home.
Rare - almost never
T/F: the majority of costs over a patient’s life is spent in the last weeks.
True
T/F: some ethnic groups prefer to die in hospital.
True
(X) identified five emotional stages experienced by dying individuals. List them.
X = Elisabeth Kubler-Ross
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Erikson stage of old age:
Ego integrity v despair
T/F: most elderly Americans live independently and care for themselves.
True
T/F: nursing homes are often covered by Medicare.
False
Dementia, now referred to as (X), occurs in what percent of elderly population?
X = senility
Less than 10%
What’s pseudodementia?
Depression disguised or misdiagnosed as dementia
Longevity is associated primarily with (X) and can also be affected by:
X = family history of longevity
- Psychical/occupational activity
- Work satisfaction
- Advanced education
- Social support (marriage)
Most neurochemicals (increase/decrease) with age. Any exceptions?
Decrease;
Monoamine oxidase (breaks down NT)
