ATCBE EXAM STUDY GUIDE
Circumstantial Thought process - Answer -organized but over inclusive
Tangential Thought process - Answer -occasional lapses in organization
Loosening associations - Answer -frequent lapses in connection between thoughts
Blocking - Answer -loses train of thought
Neologisms - Answer -Words created by the patient which have their own idiosyncratic
meanings
Flight of ideas - Answer -Flow of thought is extremely rapid but connections remain in
tact
Delusional Thought Content - Answer -a firmly held, false belief not shared by
members of the patient's culture
Overvalued idea - Answer -an idea that is intrusive and egodystonic
paranoid ideation - Answer -suspiciousness about others' motives and ideas of
reference
Phobia - Answer -a specific fear that results in avoidance of the situation or object
despite the patient's realization that the fear is irrational
describe the 10 areas of functioning evaluated in the mental status exam (MSE) -
Answer -Appearance, affect, mood, thought content, speech, thought process,
cognition, judgment, insight, movement and behavior
MSE- Appearance - Answer -Person's age, race, sex, civil status, and overall
appearance.
MSE- Movement and behavior - Answer -Person's gait, posture, coordination, eye
contact, facial expressions, and similar behaviors
Affect - Answer -outwardly observable emotional reactions
mood - Answer -underlying emotional "atmosphere" or tone of the person's answers
Speech - Answer -volume/speed of speech, length of answers, appropriateness and
clarity of the answers
,thought content - Answer -Indications of hallucinations, delusions, obsessions,
symptoms of disassociations, or thoughts of suicide via responses
thought process - Answer -irrelevant, detail, repeated words and phrases, interrupted
thinking and illogical connections between thoughts
cognition - Answer -knowing orientation with regard to time, place, and personal identity
insight - Answer -ability to recognize a problem and understand its nature and severity
Bender Visual Motor Gestalt assessment - Answer -used to evaluate "visual-motor
maturity", to screen for developmental disorders, or to assess neurological function or
brain damage. It is administered to children and adults ages three and older and may be
administered in a group setting.
Bridge Drawing Assessment - Answer -is a sequential drawing in which the client draws
a visual representation of the problem, means of solving the problems and the desired
solution
Landgarten Photo Collage Assessment - Answer -is a 4 task test adapts readily to
various ethnic backgrounds as various photo images are available that match culture. It
is easy for patients to produce, even if they are uncomfortable creating images through
drawing, painting, or sculpture.
Leverick Emotional and Cognitive Art Therapy Assessment - Answer -developed for
exceptional nonverbal children who could draw. It assesses styles of coping and
thinking, organization and use of space, and planning and sequencing.
Psychomotor agitation - Answer -noticeable and marked increase in body movements;
hand wringing, pacing
Psychomotor retardation - Answer -significant slowing of speech and body movements,
lack of usual fidgetiness
expansive mood - Answer -enthusiastic
euphoric mood - Answer -feeling great, as if one just won the lottery
blunted affect - Answer -decrease in amplitude of emotional expression
flat affect - Answer -virtually complete absence of affective expression
constricted affect - Answer -normal amplitude but restricted range
inapropriate affect - Answer -emotions expressed are not congruent with content of
patient's thoughts
,labile affect - Answer -unpredictable shifts in emotional state
basic techniques utilized in crisis intervention - Answer -assessment; determination of
the therapeutic intervention; intervention; resolution
Explain theory of object relations - Answer -Objects can be people or things, such as
transitional objects with which we form attachments. these objects and the developing
child's relationship with them are incorporated into a self, and become the building
blocks of the self system. The self-structure we internalize in early childhood functions
as a blueprint for establishing and maintaining future relationships.
Describe the normal development of speech and language - Answer -As the speech
mechanism and voice mature, an infant is able to make controlled sound. This begins in
first few months of life with "cooing." By 6 months, an infant produces repetitive
syllables. End of first year, most children can say a few simple words. By 18 months, a
child can say 8-10 words. By age 2 a child can put together crude sentences. At age 3,
4, and 5, a child's vocabulary increases rapidly.
Conscious - Answer -deals with awareness of present perceptions, feelings, thoughts,
memories, and fantasies at any particular moment. It is the part of our mental
processing that we can think and talk about rationally
Preconscious - Answer -part of our memory, which is not always part of consciousness
but can be retrieved easily at any time and brought into our awareness.
Unconscious - Answer -the reservoir of feelings, thoughts, urges, and memories that
remain outside of our conscious awareness.
Scope of practice - Answer -Range of methods and techniques used by professional;
May be legally defined
ID - Answer -instant gratification with no consideration for reality of situation. The
principle principal.
Ego - Answer -Meet needs of id with consideration of reality
Superego - Answer -moral part, dictates belief of right and wrong.
Asphasia - Answer -loss of speech and language abilities resulting from stroke or head
injury
articulation disorder - Answer -difficulties with way sounds are formed and strung
together. substitute one sound for another: Wabbit instead of Rabbit.
, Echolalia - Answer -Repetition of words or phrases, usually with little or no
comprehension
passive/receptive language - Answer -ability to comprehend information understanding
vocabulary, concepts, short-term, memory and sequencing info
example- listens or reads
HIPPA 1996 - Answer -Health Insurance Portability and Accountability Act:
Confidentiality of patients rights.
Medical Approach - Answer -Drugs to reduce symptoms from mental disorders
Therapeutic Approaches - Answer -Medical approach, Impatient approach, Educational
approach
Impatient approach - Answer -Less restorative setting, treatment addresses emergent
symptoms, stabilization of those in all levels of crisis.
Educational approach - Answer -Children/Adults- psychoanalytic and educational
insight and techniques- use of stories, drawings, educational activities, games and play
help make sense of difficulties and gain confidence necessary to become a learner
Murals - Answer -useful in groups to enhance social building, sharing, expressing
emotions, problem solving, mastery of media. Subject matter chosen by groups or
therapist. Non-verbal communication skills-breaks through barriers of distrust and
isolation. Discuss what they experienced.
Group safety setting - Answer -Therapist looks for problems and help the group to
maintain a sense of safety.
Patients who are suicidal, homicidal, psychotic in the midst of major acute crisis,
cognitively impaired patient, or with sociopathic traits are typically not referred to group
therapy until their behavior and emotional state have stabilized
scapegoat - Answer -People blame others when frustrated and need others
Victim - Answer -One who is targeted for persecution by another
Therapist as the group leader - Answer -functions as a facilitator, encourages and
controls the group interchanges
Stuttering - Answer -interruption in flow of speech such as hesitations, repetitions or
prolongations of sound, syllables, words or phrases
Circumstantial Thought process - Answer -organized but over inclusive
Tangential Thought process - Answer -occasional lapses in organization
Loosening associations - Answer -frequent lapses in connection between thoughts
Blocking - Answer -loses train of thought
Neologisms - Answer -Words created by the patient which have their own idiosyncratic
meanings
Flight of ideas - Answer -Flow of thought is extremely rapid but connections remain in
tact
Delusional Thought Content - Answer -a firmly held, false belief not shared by
members of the patient's culture
Overvalued idea - Answer -an idea that is intrusive and egodystonic
paranoid ideation - Answer -suspiciousness about others' motives and ideas of
reference
Phobia - Answer -a specific fear that results in avoidance of the situation or object
despite the patient's realization that the fear is irrational
describe the 10 areas of functioning evaluated in the mental status exam (MSE) -
Answer -Appearance, affect, mood, thought content, speech, thought process,
cognition, judgment, insight, movement and behavior
MSE- Appearance - Answer -Person's age, race, sex, civil status, and overall
appearance.
MSE- Movement and behavior - Answer -Person's gait, posture, coordination, eye
contact, facial expressions, and similar behaviors
Affect - Answer -outwardly observable emotional reactions
mood - Answer -underlying emotional "atmosphere" or tone of the person's answers
Speech - Answer -volume/speed of speech, length of answers, appropriateness and
clarity of the answers
,thought content - Answer -Indications of hallucinations, delusions, obsessions,
symptoms of disassociations, or thoughts of suicide via responses
thought process - Answer -irrelevant, detail, repeated words and phrases, interrupted
thinking and illogical connections between thoughts
cognition - Answer -knowing orientation with regard to time, place, and personal identity
insight - Answer -ability to recognize a problem and understand its nature and severity
Bender Visual Motor Gestalt assessment - Answer -used to evaluate "visual-motor
maturity", to screen for developmental disorders, or to assess neurological function or
brain damage. It is administered to children and adults ages three and older and may be
administered in a group setting.
Bridge Drawing Assessment - Answer -is a sequential drawing in which the client draws
a visual representation of the problem, means of solving the problems and the desired
solution
Landgarten Photo Collage Assessment - Answer -is a 4 task test adapts readily to
various ethnic backgrounds as various photo images are available that match culture. It
is easy for patients to produce, even if they are uncomfortable creating images through
drawing, painting, or sculpture.
Leverick Emotional and Cognitive Art Therapy Assessment - Answer -developed for
exceptional nonverbal children who could draw. It assesses styles of coping and
thinking, organization and use of space, and planning and sequencing.
Psychomotor agitation - Answer -noticeable and marked increase in body movements;
hand wringing, pacing
Psychomotor retardation - Answer -significant slowing of speech and body movements,
lack of usual fidgetiness
expansive mood - Answer -enthusiastic
euphoric mood - Answer -feeling great, as if one just won the lottery
blunted affect - Answer -decrease in amplitude of emotional expression
flat affect - Answer -virtually complete absence of affective expression
constricted affect - Answer -normal amplitude but restricted range
inapropriate affect - Answer -emotions expressed are not congruent with content of
patient's thoughts
,labile affect - Answer -unpredictable shifts in emotional state
basic techniques utilized in crisis intervention - Answer -assessment; determination of
the therapeutic intervention; intervention; resolution
Explain theory of object relations - Answer -Objects can be people or things, such as
transitional objects with which we form attachments. these objects and the developing
child's relationship with them are incorporated into a self, and become the building
blocks of the self system. The self-structure we internalize in early childhood functions
as a blueprint for establishing and maintaining future relationships.
Describe the normal development of speech and language - Answer -As the speech
mechanism and voice mature, an infant is able to make controlled sound. This begins in
first few months of life with "cooing." By 6 months, an infant produces repetitive
syllables. End of first year, most children can say a few simple words. By 18 months, a
child can say 8-10 words. By age 2 a child can put together crude sentences. At age 3,
4, and 5, a child's vocabulary increases rapidly.
Conscious - Answer -deals with awareness of present perceptions, feelings, thoughts,
memories, and fantasies at any particular moment. It is the part of our mental
processing that we can think and talk about rationally
Preconscious - Answer -part of our memory, which is not always part of consciousness
but can be retrieved easily at any time and brought into our awareness.
Unconscious - Answer -the reservoir of feelings, thoughts, urges, and memories that
remain outside of our conscious awareness.
Scope of practice - Answer -Range of methods and techniques used by professional;
May be legally defined
ID - Answer -instant gratification with no consideration for reality of situation. The
principle principal.
Ego - Answer -Meet needs of id with consideration of reality
Superego - Answer -moral part, dictates belief of right and wrong.
Asphasia - Answer -loss of speech and language abilities resulting from stroke or head
injury
articulation disorder - Answer -difficulties with way sounds are formed and strung
together. substitute one sound for another: Wabbit instead of Rabbit.
, Echolalia - Answer -Repetition of words or phrases, usually with little or no
comprehension
passive/receptive language - Answer -ability to comprehend information understanding
vocabulary, concepts, short-term, memory and sequencing info
example- listens or reads
HIPPA 1996 - Answer -Health Insurance Portability and Accountability Act:
Confidentiality of patients rights.
Medical Approach - Answer -Drugs to reduce symptoms from mental disorders
Therapeutic Approaches - Answer -Medical approach, Impatient approach, Educational
approach
Impatient approach - Answer -Less restorative setting, treatment addresses emergent
symptoms, stabilization of those in all levels of crisis.
Educational approach - Answer -Children/Adults- psychoanalytic and educational
insight and techniques- use of stories, drawings, educational activities, games and play
help make sense of difficulties and gain confidence necessary to become a learner
Murals - Answer -useful in groups to enhance social building, sharing, expressing
emotions, problem solving, mastery of media. Subject matter chosen by groups or
therapist. Non-verbal communication skills-breaks through barriers of distrust and
isolation. Discuss what they experienced.
Group safety setting - Answer -Therapist looks for problems and help the group to
maintain a sense of safety.
Patients who are suicidal, homicidal, psychotic in the midst of major acute crisis,
cognitively impaired patient, or with sociopathic traits are typically not referred to group
therapy until their behavior and emotional state have stabilized
scapegoat - Answer -People blame others when frustrated and need others
Victim - Answer -One who is targeted for persecution by another
Therapist as the group leader - Answer -functions as a facilitator, encourages and
controls the group interchanges
Stuttering - Answer -interruption in flow of speech such as hesitations, repetitions or
prolongations of sound, syllables, words or phrases
