Np Assessment, Exam 2 Questions and Answers 100% Solved| Latest Update Graded A+
What typically follows medical/mental health history? 8. substance use
What typically follows medical/mental health history? 7. Family medical/mental health
history
What typically follows legal history? 10. neuroimaging history
what typically follows substance use? 9. legal history
What typically follows neuroimaging history? 9. legal history
What typically follows legal history? 10. Safety (ensuring no harming others/themselves, no
thoughts of suicide, or if there are endorsements, following necessary steps)
it is more rare someone is coming in crisis since it takes time to schedule this appointment, they
may not come or seek out a faster route for help
What typically follows Safety info? 11. Behavioral observations (do behaviors
What typically follows behavioral observations? 12. Tests administered
What follows list of test administered? 13. Results, by one test at a time (given percentiles,
index scores)
What follows tests administered 14. diagnosis (if there is one)
,What typically follows diagnosis? 15. (discrepancies) 16. recommendations
Typically after results a summary is given for each __________ section (ex. emotional
functioning, executive functioning, etc.)
Often times those accessing report will go straight to summary and results (do you meet
criteria for the referral question/condition, if not do you meet criteria for other conditions)
After summary and results which section follows (final section) recommendations (this is for
referral person/patient/patient's family (potentially))
At the ends of this there is typically a reason why patient would be seen again (if necessary) and
a safety section
Recommendations should be.... practical and of quality (don't include extra if not necessary)
Think can patient complete recommendations (ex. someone with dementia can not do a heavy
cognitive therapy)
Note discrepancies (what is an ex. of discrepancy throughout testing) reporting massive
cognitive decline, but this is not seen throughout testing
Analogy of a provider of assessment you are the quarterback/point guard, you are dictating
where ball goes (Deciding diagnosis, what happens from there)
Testing assumption 1 We have to believe patients are giving optimal performance and effort
(knowing that's not always the case, but primary assumption)
Testing assumption 2 Knowing that are variables that can/will interfere with testing (ex.
disability, impairment, limitation, fatigue, outside distractions, etc.)
, Testing assumption 3 Subset of patients that intentionally provide poor efforts (Ex. someone
needs a certain result in a legal situation, disability checks(wants money for something),
medications (getting a certain medication), someone wants a diagnosis that draws out
attention or explains their poor behavior), sand-bagging
Assessments given to detect sand-bagging (validity tests) (2) 1. PVTs- Performance validity
test
looks like a memory test, so easy that you can tell if someone is lying/faking results
Tonm is aced by all severe Alzheimer's disease patients/individuals w/ TBIs, etc.. so immediately
suspicious is
2. SVTs- Symptom validity test (used more commonly in psych and personality testing)
MMPI & PAI --> long questionnaires that tap into mental health, mania/depression/anxiety
scales, etc.
these tests have inconsistency measures that test to see if someone is faking results, multiple
q's test same measure to detect inconsistency.
These tests also have infrequent measures, if the individual is reporting more than any clinical
group would (really high levels of certain results)
also know PIM & NIM (positive and negative impression management)
PIM- people that answer in a way that avoid endorsing faults abt themselves, picking what they
think wants to be heard (all the good things
NIM- picking the worst thing continuously, making themselves seem the worst they can
If PIM, NIM, inconsistent and infrequent measures are observed in MMPI or PAI test results
cannot be interpreted
ideal testing experience quiet, free from distraction, well lit, free from clutter, welcoming
vibe, attempts to build report
What typically follows medical/mental health history? 8. substance use
What typically follows medical/mental health history? 7. Family medical/mental health
history
What typically follows legal history? 10. neuroimaging history
what typically follows substance use? 9. legal history
What typically follows neuroimaging history? 9. legal history
What typically follows legal history? 10. Safety (ensuring no harming others/themselves, no
thoughts of suicide, or if there are endorsements, following necessary steps)
it is more rare someone is coming in crisis since it takes time to schedule this appointment, they
may not come or seek out a faster route for help
What typically follows Safety info? 11. Behavioral observations (do behaviors
What typically follows behavioral observations? 12. Tests administered
What follows list of test administered? 13. Results, by one test at a time (given percentiles,
index scores)
What follows tests administered 14. diagnosis (if there is one)
,What typically follows diagnosis? 15. (discrepancies) 16. recommendations
Typically after results a summary is given for each __________ section (ex. emotional
functioning, executive functioning, etc.)
Often times those accessing report will go straight to summary and results (do you meet
criteria for the referral question/condition, if not do you meet criteria for other conditions)
After summary and results which section follows (final section) recommendations (this is for
referral person/patient/patient's family (potentially))
At the ends of this there is typically a reason why patient would be seen again (if necessary) and
a safety section
Recommendations should be.... practical and of quality (don't include extra if not necessary)
Think can patient complete recommendations (ex. someone with dementia can not do a heavy
cognitive therapy)
Note discrepancies (what is an ex. of discrepancy throughout testing) reporting massive
cognitive decline, but this is not seen throughout testing
Analogy of a provider of assessment you are the quarterback/point guard, you are dictating
where ball goes (Deciding diagnosis, what happens from there)
Testing assumption 1 We have to believe patients are giving optimal performance and effort
(knowing that's not always the case, but primary assumption)
Testing assumption 2 Knowing that are variables that can/will interfere with testing (ex.
disability, impairment, limitation, fatigue, outside distractions, etc.)
, Testing assumption 3 Subset of patients that intentionally provide poor efforts (Ex. someone
needs a certain result in a legal situation, disability checks(wants money for something),
medications (getting a certain medication), someone wants a diagnosis that draws out
attention or explains their poor behavior), sand-bagging
Assessments given to detect sand-bagging (validity tests) (2) 1. PVTs- Performance validity
test
looks like a memory test, so easy that you can tell if someone is lying/faking results
Tonm is aced by all severe Alzheimer's disease patients/individuals w/ TBIs, etc.. so immediately
suspicious is
2. SVTs- Symptom validity test (used more commonly in psych and personality testing)
MMPI & PAI --> long questionnaires that tap into mental health, mania/depression/anxiety
scales, etc.
these tests have inconsistency measures that test to see if someone is faking results, multiple
q's test same measure to detect inconsistency.
These tests also have infrequent measures, if the individual is reporting more than any clinical
group would (really high levels of certain results)
also know PIM & NIM (positive and negative impression management)
PIM- people that answer in a way that avoid endorsing faults abt themselves, picking what they
think wants to be heard (all the good things
NIM- picking the worst thing continuously, making themselves seem the worst they can
If PIM, NIM, inconsistent and infrequent measures are observed in MMPI or PAI test results
cannot be interpreted
ideal testing experience quiet, free from distraction, well lit, free from clutter, welcoming
vibe, attempts to build report
