NP: Chapter 2 Assessment

Question 1

diagnostic cycle 4 stages

Answer 1

1.complaint analysis
2. problem analysis
3. diagnosis
4. indication for treatment

at each stage, a hypothesis is formulated which is tested!!!
the entire diagnostic cycle is not always completed (bv bij ryan: geen treatment)

Question 2

referral question and definition of the problem

Answer 2

a neuropsychological assessment always starts with a well-defined referral question

eg. are the cognitive disorders in line with korsakoff syndrome

Question 3

wat krijg je door interview met patient

Answer 3

info about current complaints and symptoms and their progression.
both standard questions and spontaneous follow-up questions. also building a relationship with the patient!

Question 4

interview with informant

Answer 4

when patients cannot provide enough info. however, this does not give subjective information -> therefore may not be representable

Question 5

fixed test battery

Answer 5

predetermined set of tests that is the same for every patient, regardless of their complaint or the reason for their referral

Question 6

interpretation =

Answer 6

combination of all the info attained during the steps above (interview, tests, observation, referral question etc)

Question 7

dus de stappen

Answer 7

referral question and definition of problem
interview (patient or informant)
observation
tests and questionnaires
interpretation
reporting

Question 8

reliability

Answer 8

the accuracy of an instrument, are the test results the same if different people or at different times?

Question 9

degree of correspondance between results of different researchers =

Answer 9

interrater reliability

Question 10

validity =

Answer 10

applicability of a test, does it measure what it is supposed to measure?

Question 11

ecological validity

Answer 11

how accurately a test predicts daily functioning in their own environment

Question 12

face validity

Answer 12

does the test measure what it is supposed to measure?

Question 13

content validity

Answer 13

is the test representative of the domain of interest

Question 14

construct validity

Answer 14

does the test include all aspects of the domain of interest?
is the test representative of the theory it is based on?

for concepts that are not directly measurable!

Question 15

criterion validity

Answer 15

can the test predict the performance of a patient with regard to an actual criterion?

• predictive validity -> predict another score
• concurrent validity -> correspondence with another tool that aims to measure the same criterion

Question 16

underperformance

Answer 16

performance is impaired compared with wat they would be able to achieve if they would make a normal effort.

hard to tell: people can underperform due to pain or nervousness, or exaggerating to gain something.

when the results are not an accurate reflection of his or her actual level of cognitive abilities!

Question 17

hospital function np

Answer 17

• neuropsychological diagnosis
• treatment: short term and complaint oriented (vaak psychoeducation!)
• collaboration between specialties: neuro, rehabilitation, neurosurgery, internal medicine., complaints

emphasis: diagnosis

Question 18

rehabilitation centres

Answer 18

emphasis: treatment. neurological assessment is an essential part tho!
focus not only on cognitive disorders, also coping issues and anxiety/depression after injury

Question 19

metnal health care

Answer 19

work closely with team of specialists in different fields.
neuropsychologist: handig want kijkt naar behaviour via neuropsychiatric (biological) perspective

Question 20

residential/nursing/support homes

Answer 20

focus on assessment and support

Question 21

forensic institutions

Answer 21

field that has expanded, due to scientific evidence for a neurobiological basis for criminal behaviour