Chapter 7: Initial Assessment Flashcards
The intake interview process allows the counselor to do which of the following?
A. Establish expectations for counseling - CORRECT ANSWER
B. Assess the nature and severity of a client’s presenting concerns
C. Include a mental status examination in the session
D. A and B and C
Which of the following data are least likely to be collected in the intake interview process?
A. Insurance information - CORRECT ANSWER
B. Substance abuse history
C. Suicidality
D. General appearance and behavior
A student presents with depression accompanied with failing grades and
witnessing family violence, and the school counselor focuses the session on
obtaining details about how the student’s attitude influences particular symptoms
of depression. Which of the following errors of judgment is most likely happening?
A. Attribution - CORRECT ANSWER
B. Diagnostic overshadowing
C. Availability
D. Anchoring
A client reports to her college counselor that she recently drove home drunk after a fight with her partner. She continues to discuss throughout the session how she has been unable to cope with the loss of her brother, and the counselor focuses the session on minimizing risk for substance abuse. Which of the following errors of judgment is most likely happening?
A. Anchoring - CORRECT ANSWER
B. Availability
C. Diagnostic overshadowing
D. Attribution
The overall accuracy of a screening inventory is best represented as which proportion?
A. Both those who are accurately identified as having particular symptoms as well as those who are accurately identified as not having symptoms to the total possible individuals administered the tool - CORRECT ANSWER
B. None of the above
C. Those Those who are correctly identified as having particular symptoms to those who are not correctly identified as having particular symptoms who are correctly identified as having particular symptoms to those who are accurately identified as not having symptoms
D. Those who are correctly identified as having particular symptoms to those who are not correctly identified as having particular symptoms
Which of the following age groups has the highest rates of nonfatal suicidality?
A. 18–25 years old - CORRECT ANSWER
B. 66 years old and older
C. 51–65 years old
D. 26–50 years old
Individuals identifying as which of the following make up the preponderance of
successful suicide completers?
A. White adult males - CORRECT ANSWER
B. White adolescent females
C. African American elderly males
D. Native American adolescent males
Which lethal method of suicide is most commonly used by males?
A. Firearms - CORRECT ANSWER
B. Poisoning
C. Jumping from great heights
D. Hanging
Which of the following is not a suicide risk assessment aid?
A. AUDIT - CORRECT ANSWER
B. Decision-tree assessment strategy
C. SAFE-T
D. SAD PERSONS Scale
A counselor determines how severe a presenting symptom is before making a
diagnosis. Which of the following types of assessment is likely occurring?
A. Dimensional assessment - CORRECT ANSWER
B. Categorical assessment
C. Diagnostic variance assessment
D. Overall accuracy assessment
What are some key components of the intake interview?
General appearance and Behavior Problem history family history history of mental health history of physical, sexual, or emotional abuse risk factors: harm of self or others previous counseling
What is a Mental status exam?
assessing level of functioning through a series of questions and observations
Examples of Initial Assessment Assessments
Inventory of Common Problems
Symptom Check List -90
Brief Symptom Inventory
Examples of Assessments for Mental Disorders
PDSQ- Psychiatric Diagnostic Screen Questionnaire
PHQ- Patient Health Questionnaire
BPRS- Brief Psychiatric Rating Scale
What factors do you use to evaluate suicide risk?
self reported risk suicide plan suicide history psychological symptoms Environmental stress Resources
