Chapter 4

Which of the following is NOT suggested in the text as guidelines to be cognizant of in order to adequately interview a client?

Be confrontational if necessary regarding substance use and abuse.

Which of the following is NOT considered a part of the client's content of thought (as opposed to thought processes)?

Circumstantiality

In the diagnosis section of the assessment report, it is generally a good idea to include:

DSM mental health diagnosis. psychosocial and environmental factors (V and Z codes). ICD medical diagnosis. -all of these.

Which of the following is NOT an advantage of the structured interview?

It allows the client the freedom of response to discuss other items, if need be.

Which of the following is NOT true about the clinical interview?

It allows the clinician to examine areas of the client's life that are not critical to the overall assessment process.

Which of the following is NOT an advantage of the unstructured interview?

It assures all topics are adequately discussed.

Which of the following is NOT a disadvantage of the structured interview?

It may focus too much on one area at the exclusion of others.

Which of the following is NOT true about the summary and conclusion section of the report?

It pulls together all of the information that has been gathered. It is often the only section of the report that is read by others. It should have no new information except for inferences that are logical, sound, defendable, and based on facts that are mentioned in your report. It should be succinct and relevant. -All of these are true.

All of the following affirm clients' right to access their test data and reports EXCEPT:

Jaffee v. Redmond.

Which of the following is NOT considered a part of the client's cognitive functioning?

Obsessional thinking of client

Which of the following is generally NOT included in the demographic information section of the report?

Place of birth

Which of the following categories are NOT generally found in a report?

Significant medical/counseling history Substance use and abuse Vocational and educational history "Other" pertinent background information -All of these are often found in a report.

Which of the following is NOT considered part of the client's thought processes (as opposed to content of thought)?

Suicidal or homicidal ideation

Which of the following is suggested when writing reports?

Take a stand if you feel strongly that the information warrants it.

In assuring that the information gathering process for the report is adequate, clinicians need to take into account which of the following?

The breadth and depth of the assessment The type of interview being conducted The kinds of assessment instruments that will be used Determining if other collateral information will need to be gathered -All of these must be taken into account.

Which of the following is NOT found in a mental status report?

The client's stability at work/school/home life

When it is assessing for lethality, which of the following is NOT important to consider?

The continuum of their ideation to rehearsal Protective factors Risk factors Ability to contract for safety -None of these; they are all important.

Which of the following is NOT a way an assessment report should be used?

To protect clinicians from liability concerns by keeping a second set of reports which is hidden from clients

Which of the following is suggested when writing reports?

Use shorter rather than longer words.

Terms like constricted, full, appropriate, inappropriate, content, labile, flat, blunted, or exaggerated refer to the client's:

affect

Whether a client is oriented to time, place, and person; an assessment of the client's short- and long-term memory; an evaluation of the client's knowledge base and intellectual functioning; and a statement about the client's level of insight and ability to make judgments all refer to the client's:

cognitive functioning.

Generally, when incorporating a mental status into a report, all four areas are given their own separate paragraph.

false

Often, the recommendations section of the report will have new facts or information because something may have been missed earlier.

false

The breadth of the assessment has to do with assuring that one is using techniques that reflect the intensity of the issue(s) being examined.

false

The client's mood refers to his or her prevailing feeling state, while the client's affect refers to his or her long-term, underlying emotional well-being.

false

The depth of the assessment has to do with casting a wide enough net to assure that the examiner has done all that is necessary to adequately assess what he or she is looking for.

false

The summary and conclusion section of the report gives you the opportunity to add new information or facts that may have been excluded elsewhere.

false

Today, there are one or two established formats for writing test reports.

false

In the results section of the assessment report, one should:

offer converted or standardized test scores that the reader will understand.

Delusions, distortions of body image, hallucinations, obsessions, or suicidal or homicidal ideation all refer to the client's:

thought components.

The manner in which a client thinks reveals much about how he or she comes to understand and make meaning of the world. In the mental status exam, this refers to the client's:

thought components.

In the mental status exam, concepts such as circumstantial, flight of ideas, logical and organized, loose associations, tangential, and poverty refer to the client's:

thought processes.

An advantage of the semi-structured interview is that it draws from both the structured and unstructured interview styles, thus allowing the interviewer the freedom to flow back and forth between the two styles.

true

Due to the nature of the unstructured interview, the interviewer might miss information because he or she is "caught up" in the client's story and not following a prescribed set of questions.

true

Generally, the diagnosis section of the assessment report includes clinical diagnosis, psychosocial and environmental factors, and medical conditions.

true

Generally, the skilled examiner will write a report that is two to five pages in length, single-spaced.

true

It is good practice to assess for lethality during most psychological related assessments.

true

People will often practice or do a "dry run" before they act on killing themselves.

true

The presenting problem, or reason for referral, part of the report gives an explanation of why the client has come to seek services.

true

The recommendations section of the report should flow naturally from the rest of the report.

true