Week 6 Flashcards
(17 cards)
What are the factors that have enhanced the rate of change in neuropsychological assessment?
- Functional brain imaging
- Cognitive neuroscience
- Managed health care
True or False.
In the earliest days, cerebral injuries or diseases were often inferred using behavioral tests?
TRUE
What is the importance of neuroimaging?
It has allowed us to identify changes in cerebral functioning in a variety of disorders. It has led the clinical neuropsychologist’s main role to not only play part in diagnostication but also rehabilitation.
What is the goal of neurological assessments?
- Determine a person’s general level of cerebral functioning
- identify cerebral dysfunction and localize it where possible.
- Facilitate patient care and rehabilitation.
- Identify mild disturbances if other results equivocal
- Identify unusual brain organization
- Corroborate with an abnormal EEG (For epilepsy)
- Document recovery of function after brain injury
- Promote realistic outcomes
What are some of the challenges of neuropsychological assessments?
- Cutoff scores are difficult to justify due to variations in cerebral organization and problem-solving strategies.
- Neuropsychological assessment can be time-consuming and expensive.
What is the importance of cognitive neuroscience in neuropsychology?
The emergence of cognitive neuroscience in the 1990s brought with it one of the most dramatic changes—clarifying the functions of the right frontal lobe.
How did Cognitive Neuroscience change the belief about the right frontal lobe?
Before cognitive neuroscience, the right frontal lobe was marked as unresponsive to neuropsychological assessment. The combination of neuropsychological test development and imaging techniques has led to an understanding of the role of right frontal lobe in social cognition
There are 3 types of Test Batteries with fixed criteria for organization.
Standardized Test Batteries; Straightforward administration, scoring, and interpretation. For example, the CANTAB
Individualized Test Batteries; require particular theoretical knowledge to administer and interpret. These assessments are more qualitative than quantitative
Composite Test Batteries; occupy a ground between the standardized and individualized batteries. One of the major strengths of this approach is that each battery is constantly changing in response to test revisions and developments as well as to the clinical population being evaluated.
True or False.
The Wisconsin Card Sorting Task, Stroop Test, and Chicago Word Fluency, measures activation in the frontal lobe.
TRUE
What are some of the challenges for Neuropsychologists in performing neuropsychological assessment?
Determining whether subjects are performing tests as requested, or are malingering, typically by exaggerating their cognitive deficits.
What is the more sensitive measure of neuropsychological assessment malingering?
Forced Choice Memory Test
T/F: The first neuropsychological testing was done to cerebral dysfunction due to brain pathology rather than behavior
True
What is an advantage of using standardized test batteries?
- Straightforward administration, scoring, and interpretation
T/F: Individualized test batteries are more quantitative than qualitative
False: They are more qualitative than quantitative
How are individualized test batteries administered?
They use theoretical knowledge to administer and interpret and are tailored to a person etiology
Composite battery test occupy the middle ground between individualized and standardized tests, why?
B/c each test is administered in a formalized way and may have comparison norms, but also allows for qualitative performance and pattern of results to be considered
How many tests make up the FSIQ?
10
