Psychiatric Evaluation of Children and Adolescents Flashcards

1
Q

TRUE of FALSE
The first step in the comprehensive evaluation of a child and adolescent is to obtain a full description of the current concerns and a history of previous psychiatric and medical problems.

A

TRUE

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2
Q

True of child interview and assessment

a) It is normal for information about the child from different sources to be contradictory
b) Children less than 14 years old should not be asked about suicidal thoughts because they can get distressed since they don’t have a firm concept of the permanence of death.
c) Children are good informants about anxiety and depression
d) Parent interviews are the best way to get information about drug abuse and sexual harassment.

A

a) It is normal for information about the child from different sources to be contradictory

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3
Q

True of confidentiality of information regarding children and adolescent

a) As with adults, confidentiality is absolute and must be observed at all times
b) Extent of confidentiality in child assessment is correlated with the age
c) Preschool children are informed that if clinician thinks that they are dangerous to themselves and others, the parents will be informed
d) Adolescents may be assured that confidentiality requires that their permission be requested and that confidentiality must not be sacrificed

A

b) Extent of confidentiality in child assessment is correlated with the age

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4
Q

A child’s range of emotional expressivity and sudden labile emotional shift are indicative of a child’s

a) Thought process and content
b) Affect
c) Mood
d) Social relatedness

A

b) Affect

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5
Q

Child’s view of the problem, reactions to them, and suggested solutions give clinicians a good idea of the child’s

a) Judgment and insight
b) Cognition
c) Thinking process and content
d) Mood

A

a) Judgment and insight

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6
Q

TRUE or FALSE

The clinician should confirm that the interview was not set up as a punishment for bad behavior

A

TRUE

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7
Q

TRUE or FALSE

The clinician should clearly communicate the value of hearing the story from an adolescent’s perspective

A

TRUE

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8
Q

True of psychological tests in children and adolescents

a) Always required as part of a comprehensive evaluation of psychological symptoms
b) Should always include a biopsychosocial diagnostic formulation
c) Includes intelligence tests in children and adolescents
d) Personality tests are of primary importance in making diagnosis

A

c) Includes intelligence tests in children and adolescents

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9
Q

TRUE or FALSE
Parent interview includes:
Parents who found out that the reason for referral and the child’s difficulties impact on the child’s symptoms, on the parents and the family

A

TRUE

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10
Q

An assessment of the child’s thought process and content includes asking about aggressive thoughts and suicidal ideation

a) True
b) False

A

a) True

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11
Q

biopsychosocial diagnostic formulation is based on the fulfillment of the criteria of the DSM V

a) True
b) False

A

b) False

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12
Q

. Young children are often able to give an explicit verbal account of their experiences in social interactions so that the best approach is direct questioning to elicit their symptoms.

a) True
b) False

A

b) False

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13
Q

The physical and emotional safety of the child and adolescent is of utmost importance and is always on top of the list of recommendations.

a) True
b) False

A

a) True

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14
Q

Based on epidemiological studies worldwide, the prevalence rate of child psychiatric disorders is 1-5%.

a) True
b) False

A

b) False

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