Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
113 Cards in this Set
- Front
- Back
|
Pretermination Counseling |
It is ethically mandated in ALMOST all cases, regardless of who initiates the termination or how long tx lasted (even if termination is not premature).
Exceptions: when it is impossible (pt refuses it coming) or third party payor (managed care) prohibits it. |
|
|
Assessing Child Abuse |
Ask about child abuse in a non-threatening way. If patient raises concern about child's welfare, it is okay to ask more direct questions. |
|
|
Telephone calls without written release |
Psychologist may hear what the caller has to say
May not share any information or acknowledge the patient is in therapy
Exception - if caller is giving credible information that indicates patient is in danger to self or others |
|
|
Board of Psychology acts in the interest of... |
the consumer (not the psychologist) |
|
|
Hospitalization due to danger to self... |
Psychologist ONLY hospitalize person who is a risk to self if the person expressed intent
(history, means and substance use increase odds but without intent, do not warrant hospitalization) |
|
|
Posttraumatic Stress Disorder |
4 symptom clusters: 1) intrusion of symptoms 2) avoidance of stimuli 3) increased arousal 4) alterations in cognition and mood |
|
|
Testing minorities, speakers of other languages, etc. |
Instruments should have been validated with that group.
If appropriate instruments are unavailable, use what's available and explain strengths and limitations |
|
|
The rights of court-ordered therapy patients... |
Patients retain full rights to confidentiality
Informed (written?) consent should be secured
If court will receive info, release needs to be signed
Court just needs to know patient's attendance |
|
|
Custody evaluation... |
The psychologist should NEVER perform a custody evaluation on a family or any of its members that he/she has/had been treating. |
|
|
Fee Splitting |
It is permissible only if based on services provided
Example: psych assistant and psychologist can split fee based on provision of supervision, rent space, etc. (?) |
|
|
Reasonable suspicion of child abuse exists when... |
it is objectively reasonable for a person, drawing on training and experience, to suspect child abuse. |
|
|
When ethics and law conflict, psychologists should: |
make known their commitment to the Ethics Code and take steps to resolve the conflict; if the conflict is not resolved, they may comply with the law. |
|
|
who is the holder of privilege after the patient's death? |
The patient's representative (typically the executor of the estate, and not necessarily the patient's next of kin). Both privilege and confidentiality survive the patient's death. |
|
|
If a therapist is convicted of sexual relations with a patient... |
his or her license will be revoked (Judge may not stay the revocation) |
|
|
When a licensee is incarcerated convicted of a felony... |
the license is automatically suspended |
|
|
When will an interim suspension order most likely be issued? |
when the licensee has violated the Business and Professions Code or convicted of a crime related to licensed activity and continuing to practice would endanger the public. |
|
|
Dependent Adults are |
persons between the ages of 18 and 64 who have physical or mental limitations that restrict the ability to carry out normal activities or protect his or her rights
(there are many adults with chronic mental illness, developmental disability and mental retardation who are not considered dependent adults) |
|
|
Holder of privilege... |
the patient holds privilege (or legal guardian). Therapist may "assert privilege" on the patient's behalf in legal proceedings. |
|
|
If a therapist believes that a patient's physical safety might be endangered by viewing his own tx. records, the therapist may: |
offer the patient a tx summary.
Patients are entitled to inspect and/or obtain copies of tx records after presenting a written request. According to HIPAA, a therapist may decline to permit inspection or to provide copies of the tx to any pt if the provider believes that access to the records is reasonably likely to endanger the life or physical safety of the individual or another person. (but must allow another qualified professional to review the records) |
|
|
APA Ethical Principles and Code of Conduct |
the ethics code does to have the full force of law; infractions of the code are not automatically considered infractions of law,
however the BOP may use APA's code to sanction a licensed psychologist, even if he is not a member of the APA or other organization |
|
|
Psych Assistant and Psychologist arrangement |
Under no circumstances may a supervisor charge a psych assist. for rent or supervision. It is acceptable to pay a psych assist. for services, whether on an hourly basis or on a procedure basis. Fee splitting is prohibited when it is base on referrals. |
|
|
Valium Dependence Treatment |
At this time there is no established differences in tx outcome base on ethnicity or gender. Different ethnic groups do not appear to have substantially different physiological reactions to the same substances. |
|
|
5150 patient's rights |
A patient placed on a 5150 does not have any right to challenge the hold. The short hold allows the evaluation and protects patient and society (parens patriae). Once a 5250 (14 day hold) is initiated, the patient can file a writ of habeas corpus. The patient must file the writ, family cannot do it. |
|
|
Emotional Abuse Reporting (elderly) |
Emotional abuse reporting is optional. Neglect, abandonment, isolation or financial abuse is mandated. |
|
|
Resolving multiple relationships |
The APA Code states that when a harmful multiple relationship is recognized to exist, a psychologist should attempt to resolve with "due regard for the best interests of the affected person and maximal compliance with the EC". Other actions MAY be appropriate such as clarification of roles, pre termination counseling and referral to another therapist but it is not necessarily the best solution. |
|
|
Primary supervisors training requirements |
The BOP requires that primary supervisors complete 6 hours of supervision training every 2 years. This coursework is not based on the licensure renewal cycle. |
|
|
Domestic Violence assessment |
It patient expresses worry about her/his safety due to domestic violence, although psychologist have no mandate to report DV, it is still vital that an assessment be made when there is concern. |
|
|
Testimonials |
THe APA EC stipulates that it is permissible to solicit and use testimonials as long as they are not solicited from current patients or those vulnerable to undue influence (e.g. a former pt with dependent personality disorder). |
|
|
Subpoena |
A subpoena is a legal document and may never simply be ignored, including when there is a malpractice lawsuit. The psychotherapist must show up at the appointed time with the required documents. Although the therapist may assert privilege, this does not mean that the subpoena is ignored. |
|
|
Professional Therapy Never Includes Sex Pamphlet |
* must be given to any patient who reveals a hx of sexual contact with a psychotherapist * supervisors must also give supervises at the beginning of the supervisory relationship * it includes a definition of therapist-patient sexual contact * descriptions of common reactions to this sexual contact * a patient's bill of rights * options for reporting sexual misconduct * a description of administrative, civil and professional association complaint procedures * a description of support services for victims
|
|
|
Borderline Personality Disorder Therapy Goals |
Due to these patients common difficulty establishing and maintaining relationships, attention to the THERAPEUTIC ALLIANCE is essential. Similarly, self-destructive behaviors such as suicidality and cutting must be targeted early. |
|
|
Legal Capacity |
Legal capacity has to do with whether an individual has the intellectual and psychological capacity to understand what is happening and to give consent on his behalf. |
|
|
Comments such as "make him pay", "she won't get away with it" need to be... |
probed more since they are vague |
|
|
Employee Assistance Program (EAP) |
* when employee is referred by a supervisor, the supervisor is entitled to know whether and when the employee has attended therapy * without pt authorization, the supervisor is never entitle to info about the content of therapy * when the employee is referred for a FITNESS for duty EVALUATION, the supervisor is entitled to info about the employee's work fitness and work accommodations (no info about diagnosis or content). |
|
|
ADHD and bipolar in children |
* have several overlaps including irritability, decreased need for sleep, temper tantrums, hyperactivity. * presence of learning disorder is more common in ADHD. |
|
|
Panic Control Treatment (PCT) - Barlow and Craske |
a) psychoeducation about panic disorder b) cognitive restructuring c) breathing retraining d) interoceptive conditioning |
|
|
a) Anaclitic/sociotropic patient interventions
b) introjective /autonomous interventions
|
a) benefit from interventions that provide opportunities for personal interactions and relatedness.
b) benefit from interventions that stress autonomy and separation |
|
|
a) highly resistant patients....
b) low in resistant patients... |
Benefit from...
a) lower level of therapist directiveness and paradoxical intervention
b) higher directiveness and explicit guidance |
|
|
a) internalizing coping style patients...
b) externalizing coping style patients... |
Benefit from....
a) interpersonal and insight oriented therapies
b) symptom focused, skills based therapies |
|
|
PTSD with "delayed expression" |
full diagnostic criteria is not met until after at least 6 months of the traumatic event |
|
|
HIV exposure |
* maintain patient's confidentiality * knowingly exposing someone is a felony |
|
|
Research data sharing with colleagues |
* must be provided to others who want to verify AFTER it has been published |
|
|
Supervision of patients |
Supervisors are prohibited to supervise anyone who is or has been a patient |
|
|
Temporal Lobe Seizures |
* sense of deja-vu * sense of jamais-vu * oral-alimentary and gestural automaticisms * changes in mood and personality * language impairment * Deficits in learning and memory |
|
|
Actuary approach vs. clinical approach |
Actuary approach involves (statistical), outcome is likely objective and specific. |
|
|
Halsted-Reitan |
* neuropsychological test * used to differentiate from non-brain damaged to brain-damaged individuals |
|
|
Increased risk of completed suicide: |
* certain professions: nurses, social workers, physicians, dentist * male gender * divorced, widowed, separated * physical illness: Huntington's, epilepsy, MS |
|
|
With Asian-American patients... (traditional) |
important to establish credibility |
|
|
section 124260, minor over 12 yo can be treated w/o parental consent if mature enough to participate intelligently and... |
person treating the minor determines, AFTER CONSULTING WITH THE MINOR, determines that parental involvement would be inappropriate |
|
|
Pain and Depression |
* studies have show that for patients with pain and depression, tx for depression does not eliminate pain. pain and depression must be treated separately. |
|
|
Tobacco withdrawal |
* irritability, anger, agitation * impaired concentration * increased appetite * restlessness * insomnia |
|
|
Tx for Panic Disorder wo hx of agoraphobia |
* 2 empirically validated tx for Panic Disorder are CBT and relaxation training. CBT can include interoceptive exposure, an adaptation of exposure with response prevention that involves applying procedures that induce panic type sensation in the patient |
|
|
California Code of Regulations (title 16, Section 1396.5) |
states that psychologists providing services in a language other than English should provide translations of required or approved notices or publications when translations are provided by the Board of Psychology in that language, discuss the context of required or approved notices that are not available in the language, and post the notice to consumers if available in the language in which services are provided. |
|
|
If a psychologist is required to register as a sex offender |
the license is immediately revoked. Applications for licensure by sex offenders are automatically denied by the BOP. |
|
|
Code Section 5328 (a) |
confidential patient information can be disclosed "between qualified professional persons in the provision of services". To share confidential information w/o consent the professionals must be employed in the same facility or be responsible for the same patient's care; thus, patient consent is not necessary in this scenario. |
|
|
According to DSM 5 a specific learning disorder may be confirmed by... |
is confirmed by individually administered standardized achievement measures and comprehensive clinical assessment. For greatest diagnostic certainty an achievement test score at least 1.5 standard dev. below the population mean for age is required. |
|
|
If patient is bartering and therapist finds out patient is giving him/her stolen goods |
* therapist may choose to terminate treatment, there is no requirement that you do so
* confidentiality is maintained in this case |
|
|
When providing testings feedback to a patient who is hospitalized secondary to moderate brain injury |
* Per APA, psychologists should generally explain assessment results to patients. In this situation: important to discuss the results in a feedback session in order to ensure that the patient understands the results and any implications of the testing. Because this patient suffered a moderate head injury, advisable to provide a summary of the testing for the patient to read later because the injury may either make it difficult for the patient to digest or remember the information given in a brief feedback session. It would be inadvisable and insufficient to simply provide the patient with the testing report |
|
|
If patient reports a family member or gang member etc, related to him/her is going to kill you
|
Psychologist is allowed to call law enforcement for his/her own protection also allowed (may) terminate therapy
|
|
|
Neurocognitive Disorder Sx observable on mental status exam
|
1. Problems with complex attention, deficits in memory, difficulty in abstract reasoning, limited insight. (correct answer)
( Clouded sensorium - associated with delirium; loosening of associations and alogia - associated with schizophrenia )
|
|
|
May dispense with informed consent in these situations: |
The APA Ethics Code states that psychologists may dispense with informed consent in any of the following situations: 1) normal educational practices; 2) anonymous questionnaires, naturalistic observations, or archival research; 3) the study of a job or organization’s effectiveness. |
|
|
If patient is referred by employer, employer is paying to evaluate patient's fitness to perform his or her job (request is in writing) |
In 2007 the California Civil Code (Section 56.10): Psychologists providing employment-related services to an employee at the specific prior written request and expense of the employer are allowed to disclose to the employer either information that is relevant in a lawsuit (when the patient has raised the issue of his physical or mental health), or information that describes the patient’s functional limitations. The psychologist may not disclose the basis for the patient’s limitations (e.g., the patient’s diagnosis) |
|
|
Schizoaffective Disorder differential |
* the diagnosis of schizoaffective disorder requires a) a period of illness involving a mood episode concurrent w/ sx that meet criteria A for schizophrenia and b) the presence of delusions or hallucinations for at least 2 weeks in the absence of prominent mood symptoms. |
|
|
Bipolar disorder vs. ADHD in children |
In children, ADHD and bipolar disorder share a number of symptoms including hyperactivity, distractibility, temper tantrums, irritability, and a decreased need for sleep. However, there are several important differences between the 2 disorders: the presence of a leaning disorder is more characteristic of ADHD. |
|
|
Standard 2.01 where scientific or professional knowledge in the discipline of psychology establishes that an understanding of factors associated w/ age, gender identity, race, ethnicity, culture, national origin, religion, sexual orientation, disability, language, or SES is essential for effective implementation of their services or research...
|
... psychologist have or obtain training, experience, consultation, or supervisions necessary to ensure the competence of their services, or they make appropriate referrals. |
|
|
Termination resistance |
* one option is for client begin coming to therapy less often and then WORK TOGETHER toward the goal of terminating therapy |
|
|
Anaclitic / sociotropic clients... |
* are concerned with interpersonal closeness, they benefit from interventions that provide opportunities for personal interaction and relatedness.
** client with an internalizing coping style (introverted, inhibited, self-critical) benefit most from interpersonal and insight oriented therapies. |
|
|
PTSD "with delayed expression" |
* individual's sx do meet all the diagnostic criteria until at least 6 months after his/her exposure to the traumatic event |
|
|
Spousal Abuse |
Psychologist must make a report only when the victim of the abuse is a minor or is age 65 or older. |
|
|
Temporal Lobe Seizures |
Lip smacking, chewing, and other automatisms alterations in mood and personality, hallucinations, and impaired memory. |
|
|
Clozaril |
an antipsychotic, is associated w/ adverse hematological side effects including white blood cell dyscrasia, and the manufacturers of Clozaril require weekly white blood cell counts in which certain blood constituents are abnormal or present in abnormal quantities, as occurs for example, in hemophilia and leukemia. |
|
|
Increased risk of suicide |
marital status (divorced, widowed, separated) occupations (social worker, nurse, physician and dentist) certain pain disorders (epilepsy, huntington's malignancies, and multiple sclerosis) |
|
|
For adolescents, the most common precipitant of suicide is... |
Interpersonal conflict (rejection by a gf, bf, argument with parents) |
|
|
Gonsalves refugees 4 stages: refugees pass through a series of 4 stages when they resettle in the U.S., with each stage being characterized by different treatment issues: |
The primary issues for refugees in the destabilization stage are hostility and resistance, which stem from feelings of nostalgia about their homeland, the sense that no one in the US cares about them, and/or the tendency to deny their problems. |
|
|
Initial task for a therapist when working with Asian clients (especially those who adhere to traditional values) |
* to establish credibility * this can be achieved in several ways, including displaying diplomas and certificates in the office, demonstrating familiarity w/ the client's cultural background, offering a possible explanation for the client's problem, and providing some immediate solutions to that presenting problem. |
|
|
Section 124260c requires that outpatient mental health treatment, shall include the involvement of the minor's parent or guardian, unless... |
"professional person who is treating or counseling the minor, after consulting with the minor, determines that the involvement would be inappropriate" |
|
|
Pain and Depression |
studies have found that, for patients with pain and depression, the tx of depression does not often eliminate the pain. these results have led to the conclusion that depression and pain must be treated separately. |
|
|
Tobacco Withdrawal characterized by the development of at least 4 characteristic sx within 24 hrs of abrupt cessation or reduction in the use of tobacco: |
- irritability or anger - anxiety - impaired concentration - increased appetite - restlessness - depressed mood - insomnia |
|
|
Goal of therapy for chronic pain |
help patient return to an optional level of functioning, even if he/she continues to suffer some level of pain. Interventions tend to be most effective when they are incorporated with other tx components such as physical therapy, vocational therapy and education. |
|
|
An alcohol use disorder is diagnosed in which of the following situations?
|
When 2 or more criteria are met from four groupings:
* impaired control with regard to the substance, * social impairment * risky use * pharmacological criteria |
|
|
If you are having trouble treating a patient and want to discuss the case with colleagues
|
* confidential patient information can be disclosed “between qualified professional persons in theprovision of services.”
* To share confidential information without consent the professionals must be employed in the same facility or be responsible for the same patient’s care |
|
|
A specific learning disorder is confirmed by:
|
* standardized achievement measures and comprehensive clinical assessment
|
|
|
How might major neurocognitive disorder manifest on a mental status exam?
|
Major neurocognitive disorder is diagnosed when there is a significant cognitive decline in one or more domains that include complex attention, executive functioning, learning and memory, language, perceptual-motor, or social cognition.
* might manifest on MSE with disorientation, deficits in memory, difficulty in abstract reasoning, and limited insight |
|
|
when may psychologists dispense with informed consent?
|
The APA Ethics Code states that psychologists may dispense with informed consent in any of the following situations:
1) normal educational practices; 2) anonymous questionnaires, naturalistic observations, or archival research; and 3) the study of a job or organization’s effectiveness. |
|
|
bulimia and medication
|
Selective Serotonin Reuptake Inhibitors (SSRIs) have been shown to be highly effective intreating Bulimia Nervosa, so a medication evaluation should be a first step in treating this disorder
|
|
|
diagnosis of intellectual disability
|
In addition to significantly subaverage general intellectual functioning (IQ below70), the diagnosis of mental retardation requires significant limitations inadaptive functioning (e.g., as measured on the Vineland) in at least two skill areas: communication, self-care, home living, social/interpersonal skills, use of community resources, self-direction, functional academic skills, work, leisure, health, and safety. Onset must be before age 18. There is no time minimum frame on the limitations
|
|
|
Division12 of the American Psychological Association has published a list of treatments that have been supported by empirical research. This list:
|
distinguishes between “well-established treatments” and “probably efficacious treatments.”
|
|
|
Minor and HIV testing consent
|
When a minor is under the age of 12 and a ward of the court, consent may be obtained from the court for HIV testing
|
|
|
A woman has a specific phobia of spiders. Theclinician decides to treat her primarily with the technique of systematic desensitization. This treatment:
* It is clinically sound and empirically based |
It is important to note that the question is asking if the treatment (systematicdesensitization) is effective, rather than asking which treatment is mosteffective. Both systematic desensitization and flooding (exposure with responseprevention) are empirically validated treatments for a Specific Phobia. Flooding has been shown to be slightly more successful, but systematic desensitizationis both clinically sound and empirically based.
|
|
|
Schizophreniform vs. Schizophrenia
|
The symptoms of schizophreniform disorder are identical to schizophrenia, distinguished only by duration.
The diagnosis of schizophreniform disorder ismade when the duration of the illness is at least 1 month but less than 6 months, while schizophrenia is diagnosed when the duration of the illness is 6 months or more. |
|
|
Private practice no show
|
* There is no specific CPT code for a no-show, and a psychologist cannot bill a session code if the patient is a no-show.
* The psychologist may charge the patient the full fee under the terms of the office policy, as stated at the outset of treatment. |
|
|
Which of the following would be the most appropriatelong-term goals for a person with Schizophrenia?
|
* Reducing active psychotic symptoms and enhancing psychosocial functioning. * Long-term treatment goals should focus on the two primary components of the disorder: psychotic symptoms and impaired overallfunctioning. Enhancing psychosocial functioning is a more appropriate goal than securing full-time employment. |
|
|
The holder of privilege is most often:
1. the patient. Typically, the patient holds privilege, which means that the patient decides whether or not confidential information may be revealed in a legal proceeding. |
When the patient is a minor or a dependent adult, the legal guardian is most often the holder of privilege. Although a therapist may “assert privilege” on the patient’s behalf in a legal proceeding (in otherwords, refuse to disclose confidential information because it is privileged), the therapist is not the holder of the privilege.
|
|
|
Treatment for Schizophrenia (practice test question)
|
Appropriate interventions for decreasing hospitalization might include developing coping skills, enrollment in a day treatment or club house program, medication compliance, and supportive psychotherapy. |
|
|
Tourette’s disorder (vs. motor vocal tic)
Patient has been experiencing multiple motor tics (eye blinking, shoulder shrugging) and a vocal tic (echolalia, which is repeating the last-heard word or phrase) for a year |
Persistent motor or vocal tic disorder is diagnosed when, for a year or more, single or multiple motor or vocal tics have been present, but not both.
Both - Tourette's |
|
|
A patient notes that he was once hospitalized for a major depressive episode, with mixed features. He has no other psychiatric history. Which of thefollowing diagnoses should you most strongly consider?
* Major Depressive Disorder |
According to the DSM-5, the specifier with mixed features can apply to a manic, hypomanic, or depressive episode. Depressive episodes with mixed features include at least three of the following symptoms present most days during the depressive episode: elevated or expansive mood, inflated self-esteem or grandiosity, pressured speech, flight of ideas or racing thoughts, increased energy or goal-directed activity, involvement in activities that have a high likelihood of adverse consequences, or decreased need for sleep. This patient reports only one major depressive episode, thus, his diagnosis is most likely major depressive disorder.
|
|
|
A patient is convinced that a CIA operative entered his home while he was sleeping and surgically implanted tracking equipment in his brain. The patient’s most likely diagnosis:
* delusional disorder, persecutory type |
The patient is experiencing a bizarre delusion.
* The DSM-5 allows for the diagnosis of delusional disorder even when the delusion is bizarre. In this situation the specifier with bizarre content is added. The diagnosis of schizophrenia requires at least two psychotic symptoms. |
|
|
For a 25-year-old Iraq war veteran diagnosed with Schizophrenia, which of the following would be the most appropriate outcome mea
sure?
* The patient is able to attend to activities of daily living 90% of the time. |
Because psychosocial functioning is impaired in Schizophrenia,improvements in this area would be appropriate to use as outcome measures.
“Able to attend to activities of daily living 90% of the time” is a specific and operationalized measure. |
|
|
Under what circumstances may a subpoena for treatment records be ignored?
* A subpoena may not be ignored. |
A subpoena is a legal document and may never simply be ignored, including when there is a malpractice lawsuit. The psychotherapist must show up at the appointed time with the required documents. Although the therapist may assert privilege, this does not mean that the subpoena is ignored.
|
|
|
the most significant risk factor for violence is antisocial personality disorder
|
* A person who has been diagnosed with Antisocial Personality Disorder is at very high risk of committing violence.
* While availability of weapon, poverty, and male gender all increase the risk for assault, there are many males, many poor people, and many persons who own guns who never commit an act of violence. |
|
|
According to the American Psychological Association’s Ethical Principles of Psychologists and Code of Conduct (2002), when a psychologist recognizes that a harmful multiple relationship does exist, the psychologist should:
|
*attempt to resolve the conflict with due regard for the patient, and maximal compliance with the Ethics Code
|
|
|
ADHD and co-ocurring disorders:
|
* significant proportion of children with ADHD also have Oppositional Defiant Disorder or Conduct Disorder.
* Also appears to be a higher prevalence of Mood, Anxiety and Learning Disorders. * In adolescents and adults with ADHD, there is also a higher prevalence of Substance Use Disorders. |
|
|
Tarasoff
|
According to the Tarasoff Statue (Civil Code 43.92), a Tarasoff situation exists when three conditions are met:
(a) a patient communicates a serious threat, (b) directly to the therapist, (c) against an identifiable victim. |
|
|
Psychological Debriefing (Critical Incident Debriefing)
|
Critical incident debriefing originally hailed as treatment that could prevent PTSD from developing. The underlying theory was that immediate debriefing of people who had suffered a trauma would resolve their problems w/o the development of chronic sx. Further research has shown that these treatments are not effective in preventing PTSD, and, for a subset of people, actually worsens trauma-related symptoms.
|
|
|
You administer an MMPI-2 to Arden, a 32-year-old construction worker who was recently fired from his job for scaring his co-workers. Which scales are mostlikely to be elevated if Arden’s diagnosis is Bipolar II?
ScaleF, Scale 2, Scale 9 |
* Elevation on Scale F (the Infrequency Scale) suggests pathology, as this scale taps items that are not typically endorsed in the general population.
* Scale 9, Hypomania indicates high levels of energy, poor impulse control, grandiosity, irritability, and risk-taking. * Scale 2, Depression suggests depression, dissatisfaction, and pessimism. |
|
|
Currently, the recommended course of action is for psychologists to (regarding informed consent, privacy policy, office policies):
|
* At the outset of therapy psychologists should obtain written informed consent to treatment.
* Informed consent includes information about office policies and the limits of confidentiality. * HIPAA requires that psychologists provide information about the privacy policy, but does not require written consent to the privacy policy |
|
|
You are treating a 16-year-old Will who is diagnosed with Obsessive-CompulsiveDisorder. What combination of treatment interventions is empirically supported?
|
* Medication management is an important treatment intervention for OCD.
* Exposure with response prevention and cognitive therapy are both empirically validated treatments for OCD. |
|
|
In the midst of conducting a court-ordered evaluation, the client who had previously agreed to the evaluation tells you he no longer wants to be evaluated. Your best course of action would be to:
|
* When an evaluation is court ordered, client consent is not necessary. When a client refuses to cooperate, the psychologist cannot force the client to participate in the interview or testing.
* let the client know that the psychologist will be continuing the evaluation, with a review of records, gathering collateral information (e.g., from jail/prison personnel), and behavioral observations. * Submit the evaluationto the court, noting the client’s refusal to participate, and any resulting limitations. |
|
|
You are referred a client through his company's Employee Assistance Program (EAP). During your initial assessment you determine that the client needs to be hospitalized. You should:
|
* The client has full rights to confidentiality, with the exception of the employer being entitled to know whether or not the employee attended sessions.
* Had the employee been referred specifically for a fitness evaluation, then you would notify the employer that the employee is currently not fit for duty |
|
|
Circumstantiality
|
* there is a lack of goal-directedness and incorporation of excessive detail, but the goal of the thought is eventually reached. The connection between ideas is logical and easy to follow.
|
|
|
Tangentiality
|
Tangentiality occurs when the patient’s thoughts digress to thoughts that are irrelevant, and the main point is typically not reached.
|
|
|
You receive a signed written request from a teacher for release of the completetreatment records for Billy, a seven-year-old. There are things in Billy's record that are irrelevant to his school performance and could negatively impact Billy if the treatment records were to be released to the teacher. In this situation you should:
|
* With regard to release of records for a minor, CA law allows providers to refuse to release records when there is substantial possibility of adverse or detrimental consequences to the pt.
* the psychologist could refuse to release the records. However, given that a portion of the records relevant to the patient's schooling might be helpful, it would be best to release part of the records |
|
|
A patient must be notified when a therapist is unlicensed. Which of the following best summarizes the requirements regarding this notification?
|
* California law states that prior to the rendering of services, supervisors are responsible for notifying each of the supervisee's patients that the supervisee is unlicensed.
* also notify each patient that the supervisee is functioning under the direction and supervision of the supervisor, that the supervisor shall have full access to the treatment record, and that any fees paid for the services of the supervisee must be paid directly to the primary supervisor (or employer). Notification does not need to be done in person; in practice, the primary supervisor commonly gives the supervisee a letter of notification with all therelevant information to give to the patient. |
