Patient Assessment & Clinical Evaluation Flashcards
7 cards from real HSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
A psychologist is evaluating a patient with suspected feigned cognitive impairment following a legal injury claim. Which test is specifically designed to detect noncredible neurocognitive performance?
Answer: Test of Memory Malingering (TOMM)
The TOMM is a well-validated symptom validity test using a forced-choice recognition paradigm to detect noncredible memory performance.
When interpreting psychological test scores, a psychologist must consider the concept of regression to the mean. This concept is most clinically relevant when:
Answer: Re-evaluating a patient after initial extreme test scores to determine true change
Extreme scores on initial testing tend to move toward the population mean on retesting regardless of intervention, which must be distinguished from genuine improvement.
A clinician is assessing quality of life in a patient with chronic kidney disease. Which domain is typically NOT included in standard health-related quality of life (HRQoL) instruments?
Answer: Genetic predisposition to disease
HRQoL instruments assess functional and subjective well-being domains; genetic information is not a component of quality of life measurement.
A psychologist reviews previous assessment records before conducting a new evaluation. Which ethical concern should guide how much weight is placed on prior test results?
Answer: Old scores may not reflect current functioning due to practice effects, illness progression, or intervening events
Clinical conditions, practice effects, and life changes all mean prior test scores may not accurately represent a patient's current status.
Which assessment approach best captures the interplay between biological, psychological, and social factors contributing to a patient's presenting problem in health psychology?
Answer: Biopsychosocial formulation integrating medical history, psychological testing, and social context
The biopsychosocial model requires integrating data from multiple domains to understand how biological vulnerability, psychological factors, and social determinants interact.
A psychologist is assessing an adult patient for autism spectrum disorder (ASD). Which instrument is considered the gold standard for ASD diagnostic evaluation in adults?
Answer: Autism Diagnostic Observation Schedule, 2nd Edition (ADOS-2)
The ADOS-2 is the gold standard semi-structured observational assessment for ASD across the lifespan, including adult modules.
A patient with type 2 diabetes shows inconsistent blood glucose logs but good HbA1c values. How should the health psychologist interpret this discrepancy in the context of assessment?
Answer: Use the HbA1c as a more objective biological marker and explore reasons for log inconsistency
HbA1c reflects average glucose over 3 months and is a more objective index than self-monitored logs, which may reflect selective recording or avoidance.