questions from articles Flashcards

1
Q

Which subtests are included in the WAIS standard battery?

A

Verbal Comprehension: similarities, vocabulary, information
Perceptual Reasoning: block design, matrix reasoning, visual puzzles
Working Memory: digit span & arithmetic
Processing Speed: symbol search & coding

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2
Q

what does Verbal Comprehension subtest measure

A

similarities, vocabulary, information (verbal acquired knowledge and verbal reasoning for the individual)

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3
Q

what does perceptual reasoning measure

A

block design, matrix reasoning, visual puzzles (ability to identify relationships between non-verbal objects and tests their reasoning skills)

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4
Q

what does Working Memory

A

digit span & arithmetic (ability to keep their attention, concentrate, and show mental control)

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5
Q

what does Processing Speed measure

A

symbol search & coding (ability in processing simple or typical visual stimuli without error)

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6
Q

Similarities

A

is one subtest under the Verbal Comprehension section. This requires the individual to be presented with two words that are common objects/concepts and describe how they are similar.

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7
Q

Vocabulary

A

is another subtest under the Verbal Comprehension section. This requires the individual at first to be presented with pictures that they must name what the object is. For the verbal portion, the individual must define the words that are presented both visually and orally.

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8
Q

Information

A

is the final subtest under Verbal Comprehension. This requires the individual to answer questions that address a range of knowledgeable topics.

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9
Q

Block Design

A

is the first subtest under Perceptual Reasoning Composite. While being timed, the client views a model picture and uses the red and white blocks to recreate the picture.

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10
Q

Matrix Reasoning

A

is the next subtest under Perceptual Reasoning Composite. This requires the individual to look at an incomplete matrix and pick the option that completes the matrix.

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11
Q

Visual Puzzles

A

is the last subtest in the Perceptual Reasoning Composite. This subtest requires the individual to look at a completed puzzle and then select three responses that would reconstruct the puzzle when put together.

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12
Q

Digit Span

A

is the first subtest under the Working Memory Composite. The client is asked to recall the numbers that the examiner reads aloud to them exactly how they say, backward, and in sequential order.

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13
Q

Arithmetic

A

is the next subtest under the Working Memory Composite. The client is asked to do mathematical problems in their head while being timed on how fast they answer the questions.

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14
Q

Symbol Search

A

is the first subtest in the Processing Speed Composite. This section requires the client to search for a match in pictures and cross out the picture when they find it mixed into a group of different pictures. the client is to work as fast as they can to do as many in under 2 minutes as possible.

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15
Q

Coding

A

the next subtest in the Processing Speed Composite. This section requires the client to label each number with the symbol is corresponds with as fast as they can to get as many done in under 2 minutes.

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16
Q

For which age range is the WAIS validated?

A

16-99

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17
Q

Which subtests are timed?

A

Block Design, Visual Puzzles, Arithmetic, Symbol Search, and Coding

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18
Q

Which subtests load onto which composite scores?

A

Verbal Comprehension: similarities, vocabulary, information
Perceptual Reasoning: block design, matrix reasoning, visual puzzles
Working Memory: digit span & arithmetic
Processing Speed: symbol search & coding

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19
Q

What does each composite score measure?

A

FSIQ: representative of general intellectual functioning (g)/general intelligence
VCI: verbal concept formation, verbal reasoning, & knowledge acquired from one’s environment
PRI: perceptual and fluid reasoning, spatial processing, & visual-motor integration
WMI: working memory which involves attention, concentration, mental control & reasoning; ability to temporarily retain info in memory, perform mental operation/manipulation of it & produce a result
PSI: ability to quickly & correctly scan, sequence, or discriminate simple visual info; short-term visual memory, attention, & visual-motor coordination

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20
Q

What is the appropriate pace for administering digit span items?

A

Read at one digit per second

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21
Q

What are some strategies for maintaining rapport during a WAIS administration?

A

Your full attention; A confident, relaxed approach can elicit cooperation and ease his/her uncertainty or anxiety about the test. Begin the session by putting the examinee at ease with informal conversation about their interests/activities. Once you believe an acceptable level of rapport has been established, introduce the test as instructed.

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22
Q

How do raw scores differ from standard scores/ scaled scores?

A

Raw scores are calculated without any form of adjustment from the testing booklet. The scaled scores are adjusted from the raw scores to a standardized scale. Scaled scores allow for more accurate comparisons across all testing of the given assessment.

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23
Q

What is percentile rank?

A

Percentile Rank is the percentage of the population within your age range that you performed as well as or better than on the given assessment.
Ex. If you scored in the 98th percentile, you scored as well as or better than 98% of people who are in your age group on the assessment.

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24
Q

What is a confidence interval?

A

A confidence interval is a range of values where you can assume that an individual will likely score within the range each time they take the test.
Ex. If someone’s FSIQ composite score was an 89 on the WAIS, the 95% confidence interval is a 85-93. This means that if the examinee takes the same test again, they will likely score within the range of 85-93.

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25
Q

How does a 90% confidence interval differ from a 95% confidence interval conceptually?

A

A 95% confidence interval has a wider range of values compared to a 90% confidence interval.

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26
Q

What is the mean and SD of the WAIS?

A

Mean 100, SD 15

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27
Q

How do you respond to clients who give multiple responses?

A

You said “x” and “y”, which one did you mean?

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28
Q

How do you score queried responses?

A

First, Record exactly what they said, what point value that reponse gets, and indicate the you queried them (q).
IF you query someone after a one point response and their next response indicates that they have no idea wtf is going on the answer is considered “spoiled” and they get bumped down to a zero.
If you query someone and their second answer is valued at a higher score, they earn the higher score.

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29
Q

How do you score items that precede the basal item?

A

As long as the individual gets full points past where you would have to use the reverse
rule, you would assume they would have gotten full points and score it as such

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30
Q

What is a reversal rule?

A

Subtests with Reversal Rules in the WAIS: Block Design, Similarities, Matrix Reasoning, Vocabulary, Arithmetic, Visual Puzzles, Information
A reversal rule comes into play on certain subtests if you do not start from the beginning (some subtests have you starting at number five, for example). If the individual does not score full points on the first two questions, you have to go back in REVERSE ORDER until they get two perfect scores.

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31
Q

What are some general principles that will enhance the organization of a report?

A

Provide a comprehensive picture of the individual, not test scores. Decide on a basic format, use subheadings, move from global to specific (Grassetti calls this the funnel approach), move from standardized to informal results, use global themes to organize, use contrast to organize.

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32
Q

What is the funnel approach?

A

Generally, the funnel approach refers to the way reports should be written, start with the most global information first, followed by specific details. This may refer to the tests you administer, meaning you would first report on the most comprehensive assessment you administered (like the WAIS-IV) then report results on assessments that only measure one or two constructs. The funnel approach (I think the way Grassetti means) also refers to how you report specific results to assessments. In our case, we applied the funnel approach when reporting the results of the WAIS-IV, first report general intelligence, then move to the composite scores, then report specific subtests.

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33
Q

What is the purpose of identifying patterns and consistency?

A

The purpose of identifying themes and consistency is to support interpretive hypotheses. You will generally do this by identifying themes and patterns from test scores, behavioral observations, background information, and previous assessment data. Viewed together, these data pieces might be strong evidence to support a hypothesis. Do not use one piece of data to support a hypothesis. For example, you would not suggest poor visual motor integration from a teacher’s report about difficulty with handwriting. If there is no other evidence, then you would report that there is not enough data to support poor visual-motor integration. See figure 5.1 and table 5.1 in this reading for a nice visual example of this point.

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34
Q

How should you explain contradictions?

A

Contradictions may exist among data, between data and teacher or parent reports, between data and behavioral observations. Where to look for divergent information: behavioral observations (before, during, and after the assessment and subtests); consider the type of stimuli (verbal vs. non-verbal; complex vs. simple; timed vs. not timed…); consider the environment (school vs. testing; home vs. school); determine situational factors (anxious, tired, lack of interest…). Integrate your findings into your Test Results and Interpretation section by addressing four questions: 1. How are the findings consistent? 2. What patterns of data support common themes? 3. Which data are contradictory? 4. How can you explain the contradictions? To transition between comparable and cohesive ties, use similarly, furthermore, in addition. To transition between data that differ from main findings use phrases such as on the other hand, in comparison, in contrast, or however.

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35
Q

What are strategies you could use to report scores so that they are easy for the intended audience to understand?

A

Report scores in a way that communicates directly, without jargon, and without attempting to impress the reader with your level of sophistication. Add a few qualitative sentences to explain results, such as percentile ranks. Spell everything out, do not use acronyms. Clearly label all tables with full names.

36
Q

How do you explain percentile rank in common language?

A

John’s score was within the 50th percentile, which means he is equally as intelligent as his peers. *can frame it this way for any score in that average confidence interval range. I like to avoid average because it implies like a C and nobody likes getting C’s. The key word seems to be “peers”, as indicated from feedback I have received from Dr. Grassetti.

37
Q

processing speed recommendations

A

administer additional processing speed subtests in order to discern that it is deficits in scanning speed rather than poor attention, administer processing speed subtests that do not have a motor movement component (not coding or symbol search) in order to determine that motor functioning is confounding scanning speed, rule out vision impairments. Accommodations- place emphasis on a client’s accuracy rather than speed. (Give student adequate time to complete assignments). While providing responsive accommodations, work on improving processing speed. This involves strategies such as providing various timed activities (i.e read a list of high frequency words, or math problems as fast as they can and chart their progress). Critical for addressing reading fluency and mathematical performance.

38
Q

memory recommendations

A

recommendations for further evaluation- re-administer memory tests at different times in the day for comparison (day vs. night). The thinking behind this is that memory may not be a stable trait throughout the course of a day. Additional assessments to rule out if it is truly a memory impairment or due to poor attention.
Accommodations- Examples from reading, give a student a calculator for math problems, give the student a copy of the notes rather than making them try to listen to a lecture while taking notes (more likely to remember), audiotaping lectures. The teacher/possibly clinician has to make accommodations when giving this individual directions (i.e. visual illustrations like step-by-step instructions on whiteboard). Useful Strategies for improving memory- Utilize repetitive learning techniques and always review the previous lesson thoroughly before moving on to another topic.

39
Q

Comprehension recommendations

A

Further Evaluation- rule out a “primary oral language disorder” for contributing to poor comprehension. Assess and explore their difficulties further by having them read passages from course textbooks and recall the important takeaways. You could also strategically assess reading comprehension by presenting a short text with contradictory information to see if the student can pick this up. It does not say this in this reading, but basically administer Giemaly’s related construct measure to further evaluate comprehension. Accommodations/Recommendations- If listening and oral vocabulary are greater than reading comprehension, teach reading comprehension orally (i.e. taped books). Before the student reads a book, use highlighting or color coding strategies to outline the important meanings. Utilize discussion based learning with adequate preparation. Choose texts that promote comprehensive learning and reflect what course readings for college will look like for high school students

40
Q

vocal recommendations

A

Recommendations/Accommodations- When discussing more difficult words in the classroom, relate them to easier words to enhance vocabulary development. Select vocabulary that is relevant to classroom readings and projects (strengthen vocabulary development through associative comprehensions)-Related to this you can also have a student select vocabulary that is meaningful to their life and experiences. Simplify dictionary definitions by using short phrases or synonyms. Teach the student how to identify signal words (i.e. although, but, however, therefore, nevertheless) as well as transitional words (then, yet, meanwhile, next).

41
Q

fluid reasoning recommendations

A

Recommendations/Accommodations- Help the student select courses in high school or college that emphasize practical and experiential learning rather than a high level of abstract reasoning. Help the student develop the concept of categorization so as to increase their ability to relate objects, events, components of problems, and other concept similarities and to apprehend critical differences. Teach the student a specific strategy for Problem-Solving (i.e. defining the problem -> task analysis-> brainstorming alternative solutions-> choosing a solution). So fluid reasoning is described under both verbal comprehension and mathematical quantitative abilities in this ridiculously long reading of recommendations. What is already mentioned had to do with verbal comprehension. Quantitative Ability - .When introducing new concepts and skills, use modeling and demonstrations. Have the student watch you perform the task as you talk
yourself through it and then have her perform the task as you talk it through. Supplement the student’s basal math textbook with additional examples and practice exercises. Allow the student to move on in the text only when she has demonstrated mastery of the current skills. Have the student use computer programs that build problem-solving skills in an applied context. The student requires frequent review and reinforcement of concepts and procedures learned.
Begin each lesson with a review of the mathematical skills and concepts covered the previous
day and, additionally, provide weekly and monthly review

42
Q

Major take aways from Brue article on assessment of intellectual disability

A

Need to assess intellectual ability and adaptive ability in order to be able to diagnose an intellectual disability.
Below 70 IQ is cutoff for intellectual disability
Adaptive behavior “is the collection of conceptual, social, and practical skills that have been learned and are performed by people in their everyday lives” (AAIDD, 2010, p. 15). Students with an intellectual disability typically have significant deficits in conceptual, social, and practical skills.
Need to identify significant limitations in adaptive behavior for diagnosis.
Also look at development and school readiness and academic achievement

43
Q

take home message of Graves paper on IQ testing with minorities

A

Use response to intervention (RTI) and cognitive testing, combination, using RTI alone is insufficient because it is evidenced based teacher interventions that may not include minority children and may not be helpful for them.

44
Q

What are some reasons why over-identification of SLD is problematic?

A

Students may not be getting better services, may be stuck in more remedial classes

45
Q

What is the assessment procedure for SLD in Pennsylvania?

A

In PA can use either RTI or standard discrepancy model

46
Q

What is most preferred as a standard of diagnosing SLD?

A

Combination of RTI, achievement testing, and cognitive testing

47
Q

What is the IDEA?

A

Individuals with Disabilities Education Improvement act of 2004

48
Q

Describe the value and process of examining multiple sources of data.

A

Examining multiple sources of data gives the most comprehensive assessment available of intellectual and cognitive functioning of an individual. Some observations may only be seen in certain settings while other are generalized. This is important to note as the parent and teacher see the child most often and often their impressions are related to the presenting problem. Using multiple sources of evidence is crucial for the Patterns of strengths and weaknesses approach to SLD diagnosis.

49
Q

What are advantages and disadvantages of RTI

A

The advantages of the RTI model are that this model allows for the use of comprehensive and specialized treatment prior to a diagnosis so that other difficulties such as classroom distractions and other extraneous factors have been limited by this point. However, the disadvantage is that by the time RTI model is used and a diagnosis of SLD can be made, a lot of time and resources have already been put into treating a possible SLD. The other disadvantage of RTI is that it is an EBT and is not the most representative when treating minorities in a school setting, thereby also making it limited in effectiveness as an assessment tool for SLD as well.

50
Q

advantages and disadvantages of achievement/discrepancy model

A

The achievement/discrepancy model for dxing SLD is advantageous because it shows that compared to cognitive ability, the level of achievement is lagging behind what would be expected. Conversely, and a disadvantage, cognitive level cannot always explain achievement as someone can score higher on achievement relative to their cognitive ability due to factors like resilience and motivation in the classroom. Another disadvantage is that the discrepancy observed between an ability assessment and achievement assessment may not be explained by a SLD, it may be explained by anxiety, behavioral issues, and other things unrelated to ability or learning disability.

51
Q

What are WAIS score general guidelines for diagnosing ID and giftedness?

A

The clinical cut off score for intellectual disability for the WAIS is 70 for FSIQ. Giftedness cut off is 130. Both are 2 SDs from the average score of 100 in either direction.

52
Q

Aside from WAIS scores, what other constructs should be considered in diagnosing ID and giftedness?

A

The WAIS is not a giftedness examination, therefore giftedness cannot be decided solely based on this measure, as confidence intervals leave room for error when scoring the WAIS as well. Intellectual disability should be given with caution based on this score as well. Other domains of functioning should also be assessed, such as living and other practical skills.

53
Q

Greens memory word test measures what?

A

Measures nonverbal and verbal memory within the individual

54
Q

greens memory test what ages

A

all ages

55
Q

how does green memory word test relate to wisc/wais

A

primarily focusing on the working memory, which has its own subtest in the WISC/WAIS. This test would be beneficial to use after a client has taken the WISC/WAIS and scored low on Working Memory as a way to check their ability more thoroughly.

56
Q

clinical diagnostic questions that greens memory test can answer

A

client has a functioning nonverbal and verbal working memory
Their ability to use a computer to be tested/listen to a
therapist to test their nonverbal/verbal memory

57
Q

how is greens administered

A

computer

58
Q

WRAML measures what?

A

(both delayed and immediate recall) and learning functions; specifically, the assessment measures an individual’s ability to learn verbal and visual information

59
Q

who is WRAML test appropriate for?

A

aged 5-90

60
Q

how is Wraml related to wisc/wais

A

correlated with other measures of memory, along with assessments of general cognitive ability.

61
Q

what does wraml answer diagnostically

A

assess issues with memory, memory giftedness, issues with attention and focus, anxiety, reading disabilities, and learning differences.

62
Q

how is wraml administered

A

performance based

63
Q

what does PPVT measure?

A

test measures achievement in acquiring vocabulary and comprehension of the spoken word in English.

64
Q

who can be testd with ppt

A

ages 2 years and 6 months - 90 years or older

65
Q

clinical diagnostic questions the PPVT can answer?

A

questions concerning english language development, responses to instruction, a child’s linguistic and cognitive development, a child’s readiness for formal schooling, and language impairment.

66
Q

how is ppvt administered

A

performance based task

67
Q

RBANS construct measures what?

A
as related to neuropsychological status
 immediate memory
visuospatial/constructional ability
language
attention 
delayed memory
68
Q

who can be tested with RBANs

A

Anyone between the ages of 12-89 and for whom neuropsychological status needs to be evaluated: concussions, possible dementia, TBI, etc.

69
Q

how is RBANS related to wais/wisc

A

has similar subtests to the WAIS and the WISC like coding, picture naming (similar to vocabulary), and digit span.

70
Q

clinical diagnostic questions answered by RBANS

A

Dementia diagnosis
Improved neuropsychological and cognitive functioning after baseline or worse status depending on scores
Degenerative disease progression

71
Q

RBANS how administered

A

paper and pencil or computerized

72
Q

WIAT measures what

A

designed to
measure academic strengths and weaknesses, and can also be used to determine if an individual is
eligible for a diagnosis of a learning disability or educational services. This test measures eights
areas of achievement that have been designated by the Individuals with Disabilities Act of

73
Q

who can tested with what

A

ages 4 - 50.11

74
Q

clinical and diagnostic questions that can be answered by WIAT?

A

designed to measure academic strengths and weaknesses, and can also be used to
determine if an individual is eligible for a diagnosis of a learning disability or educational services.

75
Q

ABAS measures what?

A

adaptive skills an individual possesses that are necessary for caring for oneself, responding to others and meeting environmental demands at home, school, work or in the community.

76
Q

who can be tested by ABAS

A

ages 0-89

77
Q

what can ABAS answer diagnostically?

A

Specific areas in adaptive functioning which an individual with an intellectual or developmental disability experiences impairments.

78
Q

how is ABAS administered?

A

self/respondent report

79
Q

Connors continuous performance test measures what

A

attention related problems

80
Q

who can CPT be tested for?

A

8 and older

81
Q

how does CPT relate to wisc/wais?

A

The Connors CPT 3 may be a given in addition to a measure of intelligence, such as the WISC or WAIS. If an individual taking the Connors CPT 3 scored consistent with ADHD symptoms, they likely would have significantly lower scores on WMI and PSI compared to VCI and PRI scores. However, there is a small correlation of Conners CPT 3 scores with WISC, but they are non-significant. This suggests that the Connors CPT 3 scores do not correlate highly with intelligent scores.

82
Q

clinical diagnosis questions that CPT can answer?

A

diagnosis of ADHD

83
Q

woodcock johnson test of achievement measures what?

A

identify individual’s performance levels, determines educational progress, and identifies strengths and weaknesses. The WJ IV ACH follows the Cattell-Horn-Carroll (CHC) theory of intelligence

84
Q

who can be tested with woodcock johnson?

A

ages 2-90

85
Q

how does woodcock johnson relate to wisc/wais

A

both identify strength and weaknesses; woodcock johnson is achievement and wisc/wais is aptitude

86
Q

clinical questions woodcock johnson answer?

A

Helps assess students for learning disabilities and to help determine if they need specialized educational programs.