Mixed Deck — All LSP Topics Flashcards

Which atypical antipsychotic is associated with the highest risk of agranulocytosis and requires enrollment in a mandatory monitoring program?

Answer: Clozapine

Clozapine carries a significant risk of agranulocytosis (a dangerous drop in white blood cells), requiring mandatory regular blood count monitoring through the FDA REMS program.

Carl Rogers' person-centered therapy emphasizes which three core therapeutic conditions?

Answer: Unconditional positive regard, empathy, and congruence

Rogers identified unconditional positive regard, accurate empathic understanding, and therapist congruence as the necessary and sufficient conditions for therapeutic change.

Attachment theory, developed by John Bowlby, proposes that infants form attachments primarily because:

Answer: An innate biological system promotes proximity to caregivers for survival

Bowlby's evolutionary-based theory holds that attachment is an innate behavioral system that promotes proximity to caregivers as a survival mechanism.

Which model describes the stages through which individuals develop a positive racial/ethnic identity, moving from unawareness to internalization?

Answer: Racial/Cultural Identity Development (R/CID) model by Sue & Sue

The R/CID model by Sue and Sue outlines stages from Conformity through Dissonance, Resistance, Introspection, to Integrative Awareness.

A psychologist practicing telehealth is contacted by a potential client residing in a state where the psychologist is not licensed. Ethically and legally, the psychologist should:

Answer: Decline services or obtain licensure in the client's state before providing treatment

Telehealth services are generally regulated by the state where the client is located; practicing without licensure in that state constitutes unlicensed practice, regardless of where the psychologist is physically located.

During a neuropsychological evaluation, the Trail Making Test Part B primarily assesses which cognitive domain?

Answer: Set-shifting and cognitive flexibility

Trail Making Test Part B requires alternating between numbers and letters, making it a sensitive measure of cognitive flexibility and executive set-shifting.

A supervisee who is a person of color reports experiencing racial microaggressions from clients. The culturally responsive supervisor should:

Answer: Validate the supervisee's experience, explore its impact on the therapeutic relationship, and collaboratively develop strategies

Culturally responsive supervision validates the supervisee's lived experience, examines the clinical impact, and collaborates on strategies that support both the supervisee and client care.

When a client on an atypical antipsychotic reports significant weight gain and elevated blood glucose, the psychologist should:

Answer: Consult with the prescribing physician about these metabolic side effects

Metabolic side effects like weight gain and hyperglycemia increase cardiovascular risk and must be communicated to the prescriber promptly to evaluate the need for medication adjustments.

What is the primary purpose of psychological research?

Answer: To systematically study behavior and mental processes.

Psychological research is a scientific endeavor aimed at understanding the complexities of human and animal behavior, thoughts, emotions, and motivations. It employs systematic methods, such as observation, experimentation, and data analysis, to develop theories, test hypotheses, and gain empirical knowledge about psychological phenomena. This systematic approach distinguishes it from casual observation or speculation.

A psychologist practicing in a rural community serves many clients who belong to the same religious community. Which ethical concern is MOST prominent?

Answer: Dual relationships and boundary management

In rural and tight-knit cultural communities, multiple relationships are almost inevitable and require proactive boundary management to protect client welfare.

The Collaborative Assessment and Management of Suicidality (CAMS) approach primarily involves:

Answer: The client and clinician co-creating a safety plan collaboratively

CAMS is a therapeutic framework in which the clinician and patient work side-by-side to assess and manage suicidal risk together.

A psychologist serving on an ethics committee receives a complaint against a close personal friend who is also a licensed psychologist. What is the most appropriate course of action?

Answer: Recuse themselves from the case due to the conflict of interest

A personal friendship with the respondent creates a conflict of interest that requires recusal to ensure fair, unbiased proceedings.

During trauma-focused therapy, a client begins to dissociate in session. The FIRST intervention priority should be:

Answer: Use grounding techniques to restore present-moment awareness

Grounding techniques restore connection to the present moment and help stabilize the client before any trauma processing can safely continue.

The concept of 'learned helplessness,' developed by Seligman, suggests that depression results from:

Answer: Repeated exposure to uncontrollable aversive events leading to passivity

Seligman found that exposure to inescapable aversive events teaches organisms that outcomes are independent of their responses, producing helplessness and depressive symptoms.

When psychologists use assessment instruments, APA standards require that they:

Answer: Select instruments based on current research support and appropriateness for the individual

Standard 9.02 requires that psychologists use assessments that have established reliability and validity for the specific populations and purposes for which they are used.

Vygotsky's zone of proximal development (ZPD) refers to:

Answer: The gap between what a child can do alone versus with guidance

The ZPD is the difference between a learner's actual developmental level and their potential level when assisted by a more capable guide.

The Tarasoff duty to protect requires a therapist to take reasonable steps to warn or protect an identifiable third party when a patient makes what kind of threat?

Answer: A credible, specific threat of serious physical harm

Tarasoff and subsequent case law require that the threat be credible and directed at an identifiable victim before the duty to protect is triggered.

A neuropsychologist uses the Rey Auditory Verbal Learning Test (RAVLT). What does a significantly lower Trial VI (delayed recall) score relative to Trial V indicate?

Answer: Accelerated forgetting over the delay interval

A steep drop from Trial V (last learning trial) to Trial VI (30-minute delay) indicates accelerated forgetting, suggesting impaired memory consolidation.

A psychologist receives a subpoena for a client's therapy records. What is the most appropriate immediate action?

Answer: Notify the client and consult with legal counsel before releasing any records

A subpoena is not a court order; psychologists should notify the client, assert privilege if applicable, and consult legal counsel before releasing protected records.

In the Strange Situation procedure, an infant who shows minimal distress upon separation and ignores the caregiver upon reunion most likely has which attachment style?

Answer: Avoidant

Avoidantly attached infants suppress attachment behaviors, showing apparent indifference to caregiver absence and return due to learned suppression of needs.