Wechsler Test Adult Intelligence Scale (WAIS-IV) Clinical Applications 4

Question 1

Which WAIS-IV subtest was newly introduced (not in WAIS-III) to strengthen the Perceptual Reasoning domain?

Accepted Answer

Visual Puzzles

Answer

Picture Arrangement

Answer

Object Assembly

Answer

Digit Symbol

Question 2

A patient earns average scaled scores on all subtests except a very low Symbol Search and Coding. This isolated pattern most directly lowers which index?

Accepted Answer

Processing Speed Index

Answer

Verbal Comprehension Index

Answer

Working Memory Index

Answer

Perceptual Reasoning Index

Question 3

When reporting WAIS-IV results to a referring physician, the clinician should prioritize:

Accepted Answer

Interpretation linked to the referral question and functional implications

Answer

Raw scores only

Answer

A list of every item missed

Answer

Only the Full Scale IQ number

Question 4

Digit Span in WAIS-IV includes forward, backward, and sequencing conditions. The sequencing condition primarily adds a demand on:

Accepted Answer

Mental manipulation and reordering of information

Answer

Simple rote repetition

Answer

Visual scanning speed

Answer

Vocabulary knowledge

Question 5

A flat profile of uniformly low scores across all indexes, with good effort and no sensory impairment, is most consistent with:

Accepted Answer

Globally reduced intellectual functioning

Answer

A specific processing speed deficit

Answer

Selective language impairment

Answer

A single-subtest artifact

Question 6

The clinical value of examining intra-subtest scatter (e.g., passing hard items but failing easy ones) is that it may indicate:

Accepted Answer

Attentional lapses, inconsistent effort, or unusual response patterns

Answer

Perfectly consistent responding

Answer

A higher true IQ automatically

Answer

That timing was miscalculated

Question 7

For a patient with significant hearing impairment, the clinician should be most cautious interpreting:

Accepted Answer

Digit Span and other auditory-verbal subtests

Answer

Block Design

Answer

Matrix Reasoning

Answer

Visual Puzzles