Sincerity of Effort & Symptom Validity Flashcards
7 cards from real FCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Sincerity of Effort & Symptom Validity flashcards as text
In FCE practice, 'validity' of the evaluation is BEST defined as:
Answer: The degree to which the FCE accurately measures the examinee's true physical abilities
Validity in FCE refers to whether the test results accurately reflect the examinee's actual physical capacity, supported by consistent and sincere performance indicators.
Which factor can MOST legitimately cause inconsistent grip strength results without indicating submaximal effort?
Answer: Diurnal variation in grip strength due to time of day
Grip strength naturally varies with time of day (diurnal variation), fatigue, and other physiological factors, which can produce legitimate inconsistency unrelated to effort.
When an FCE evaluator observes that an examinee's walking speed observed outside the formal testing area is significantly faster than during the timed walking test, this BEST illustrates:
Answer: A behavioral inconsistency that may indicate submaximal effort during formal testing
Observed functional capability outside formal testing that exceeds in-test performance represents a behavioral inconsistency suggesting the formal test result may not reflect true maximal capacity.
The ethical obligation of an FCE evaluator when validity indicators suggest submaximal effort is to:
Answer: Document objective findings accurately and note the validity concern without concluding intent
Ethical practice requires accurate, objective documentation of validity findings without making determinations about the examinee's intent or motivation.
Which statistical measure is used to express the variability in repeated grip strength measurements as a percentage of the mean?
Answer: Coefficient of variation (CV)
The coefficient of variation (CV = SD/mean × 100) expresses variability as a percentage of the mean, making it the standard metric for assessing grip strength consistency.
Which of the following is LEAST reliable as a sole indicator of submaximal effort in FCE?
Answer: Examinee subjective report of giving full effort
Self-reported effort is subjective and cannot serve as an objective validity indicator; sincerity of effort must be assessed through objective, quantifiable performance criteria.
A referral source asks an FCE evaluator to include a definitive statement that the examinee is 'faking' in the report. The evaluator should:
Answer: Decline and explain that FCE evaluators document objective inconsistencies without determining intent
FCE evaluators are not qualified to determine intent to deceive; they must report objective validity findings and resist pressure to make conclusions beyond the scope of their role.