ABCN Evaluation Process 2

Question 1

When evaluating a patient with suspected dementia, which source of collateral history is generally considered MOST reliable?

Accepted Answer

A close family member who lives with the patient

Answer

A co-habitating family member provides the most ecologically valid and current observations of day-to-day functional changes.

Question 2

Which of the following BEST describes the purpose of a clinical interview at the start of a neuropsychological evaluation?

Accepted Answer

To establish rapport and gather relevant history to guide test selection

Answer

The clinical interview establishes rapport and collects historical, contextual, and referral information that shapes the evaluation plan.

Question 3

A 45-year-old is referred for evaluation after a mild TBI. The neuropsychologist reviews pre-injury academic records. This practice is BEST justified by:

Accepted Answer

The need to estimate premorbid intellectual functioning

Answer

Pre-injury records help estimate premorbid functioning so that post-injury deficits can be accurately identified relative to baseline.

Question 4

During a neuropsychological evaluation, which behavior during testing is MOST indicative of poor effort rather than genuine cognitive impairment?

Accepted Answer

Floor-level performance on a forced-choice recognition test

Answer

Forced-choice recognition tests are designed so that genuine impairment still yields above-chance performance; floor-level scores suggest suboptimal effort.

Question 5

Which of the following is the MOST appropriate response when a patient refuses to complete a validity measure?

Accepted Answer

Document the refusal and consider its potential impact on the interpretability of results

Answer

Refusal to complete a validity measure is itself clinically meaningful and must be documented with discussion of how it affects result interpretation.

(ABCN) American Board of Clinical Neuropsychology Practice Test

(ABCN) American Board of Clinical Neuropsychology Practice Test

ABCN Evaluation Process 2