HBM 10a: Psych Assessment and Dying

Question 1

A psych assessment evaluates (X) factors in an individual.

Answer 1

X = biological, psychological, social

Question 2

What are the two types of interview styles?

Answer 2

1. Unstructured

2. Structured or semi-structured

Question 3

(X) interview style has the disadvantage of being quite time-consuming.

Answer 3

X = structured

Question 4

What are the ABCs of observation?

Answer 4

Antecedent
Behavior (immediate)
Consequence

Question 5

List categories assessed in mental status exam.

Answer 5

1. Presentation
2. Cognition
3. Emotional state
4. Thought/perception
5. Judgement/insight

Question 6

(X) was developed by Folstein for screening for (Y).

Answer 6

X = mini-mental status exam
Y = dementia

Question 7

List two examples self report measures.

Answer 7

1. BDI (Beck Depression Inventory)

2. PCL (PTSD checklist)

Question 8

T/F: people may be more willing to endorse something in person than on paper.

Answer 8

False - vice versa

Question 9

T/F: self report measures can sometimes be used in place of clinical interview.

Answer 9

False

Question 10

T/F: a disadvantage of self report measures is people know how which answers to put in order to be “fake” good/bad.

Answer 10

True

Question 11

Define reliability in an assessment.

Answer 11

Consistency in measurement

Question 12

Define validity in an assessment.

Answer 12

How well the test measures what it claims to measure

Question 13

Define standardization in an assessment.

Answer 13

Consistent use of techniques

Question 14

(Intelligence/achievement) is relatively stable over time.

Answer 14

Intelligence

Question 15

List factors that impact intelligence.

Answer 15

1. Biological
2. Environmental
3. Social

Question 16

SAT measures (intelligence/achievement).

Answer 16

Achievement

Question 17

MCAT measures (intelligence/achievement) and USMLE measures (intelligence/achievement).

Answer 17

Achievement for both

Question 18

Most widely used IQ test is (X) and is for which age range?

Answer 18

X = Wechsler Adult Intelligence Scale

Ages 16-75

Question 19

Which index scores are included in WAIS?

Answer 19

1. Verbal comprehension
2. Working memory
3. Perceptual reasoning
4. Processing speed

Question 20

Genuis IQ range

Answer 20

160+

Question 21

Average IQ range

Answer 21

90-109

Question 22

Mental deficiency IQ

Answer 22

Less than 70

Question 23

Most commonly used objective personality test

Answer 23

Minnesota multiphasic personality inventory (MMPI-2)

Question 24

MMIP-2 asks which type/format of questions?

Answer 24

T/F (500 questions)

Question 25

List some benefits of MMPI-2 for (X).

Answer 25

X = personality 1. Pencil/computer administration, so quick 2. Standardized scores 3. Better test-retest reliability than projective tests

Question 26

List some limits of MMPI-2 test for (X).

Answer 26

X = personality 1. People may have reason to respond in certain way 2. Cultural differences in "normal" behavior

Question 27

Personality tests can fall under which two categories?

Answer 27

Projective or objective

Question 28

Projective tests ask patient to answer what types of questions?

Answer 28

Interpret vague stimuli or follow open-ended instructions

Question 29

The Rorschach (X) test is what type of test?

Answer 29

X = inkblot Projective personality test

Question 30

The TAT, aka (X), is what type of test? Describe it.

Answer 30

X = Thematic Apperception Test Projective personality test Patient asked to make up story about series of vague B&W pictures

Question 31

In TAT, the patient's answers are thought to reflect:

Answer 31

His or her emotions

Question 32

Sentence completion test is an example of (X) test. It's used to pinpoint:

Answer 32

X = projective personality Topics to explore

Question 33

T/F: clinicians only rely on projective tests to gain supplementary insight.

Answer 33

True

Question 34

T/F: projective personality tests have demonstrated good reliability, but not validity.

Answer 34

False - neither good reliability nor good validity

Question 35

(Projective/objective) personality tests can be administered by PCP.

Answer 35

Objective

Question 36

Ars Moriendi 1451 included:

Answer 36

1. Reaffirming faith 2. Repenting sins 3. Letting go of worldly possessions 4. Last words

Question 37

Ars Moriendi 2016 includes:

Answer 37

1. Heal/strengthen relationships 2. Consider/plan legacy 3. Accept death with grace/dignity

Question 38

T/F: patient that claims he lived "full life" has probably overcome fear of dying.

Answer 38

False

Question 39

In the 1800s, (X)% of white elderly adults lived with their children. Today, (Y)% live in multigenerational homes.

Answer 39

``` X = 80 Y = 16 ```

Question 40

(X)% of people are dying in hospital. And (Y)% specifically in ICU.

Answer 40

``` X = 50 Y = 10 ```

Question 41

(X)% of people are dying in nursing home.

Answer 41

X = 30

Question 42

(X)% of people are dying in their own home.

Answer 42

X = 20

Question 43

People more commonly prefer dying in (home/hospital).

Answer 43

Home

Question 44

It is fairly (common/rare) for patients to prefer dying in nursing home.

Answer 44

Rare - almost never

Question 45

T/F: the majority of costs over a patient's life is spent in the last weeks.

Answer 45

True

Question 46

T/F: some ethnic groups prefer to die in hospital.

Answer 46

True

Question 47

(X) identified five emotional stages experienced by dying individuals. List them.

Answer 47

X = Elisabeth Kubler-Ross 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance

Question 48

Erikson stage of old age:

Answer 48

Ego integrity v despair

Question 49

T/F: most elderly Americans live independently and care for themselves.

Answer 49

True

Question 50

T/F: nursing homes are often covered by Medicare.

Answer 50

False

Question 51

Dementia, now referred to as (X), occurs in what percent of elderly population?

Answer 51

X = senility Less than 10%

Question 52

What's pseudodementia?

Answer 52

Depression disguised or misdiagnosed as dementia

Question 53

Longevity is associated primarily with (X) and can also be affected by:

Answer 53

X = family history of longevity 1. Psychical/occupational activity 2. Work satisfaction 3. Advanced education 4. Social support (marriage)

Question 54

Most neurochemicals (increase/decrease) with age. Any exceptions?

Answer 54

Decrease; Monoamine oxidase (breaks down NT)