What's Wrong Here?
A psychologist is working at a facility doing psychological assessments. They decide to leave their job at this facility and the unfinished report cases they had because they would be at their new job by the time they would be able to finish the reports.
The psychologist has a duty to complete this assessment despite their transition to another job. If they are unable to do so, they need to arrange for continuity of care with another clinician.
Psychologists provide opinions oft he psychological characteristics of individuals only after they have conducted an examination of the individuals adequate to support their statements or conclusions.
You're doing a psychological evaluation on a child who is in equal shared custody of both parents. Both parents have agreed to the testing and have signed to receive the report. One parent tells you in private that they are requesting the report not to be given to the other parent because they believe the other parent will misuse the report.
If both parents have equal right to the report, the report is distributed unless the clinician has investigated and believes distributing to the parent will cause harm.
A psychologist provided a patient with an assessment measure that was not validated and reliable for the population of that individual. The psychologist copy and pasted the interpretation of the results into the interpretation and summary section as is.
The psychologists needs to make sure they discuss the strengths and limitations of test results based on instruments used and justify appropriate reasoning in the report.
Psychologists can refrain from releasing test data to a patient in certain circumstances.
True. To protect a patient or others from substantial harm or misuse or misinterpretation of the data of the test.
Your patient who you are supposed to provide an assessment to today comes to your office smelling like marijuana. They admit to having smoked this morning to "take the edge off" since they are nervous about the testing.
Reschedule. Make sure they come back sober.
Student A has been given an assessment assignment for a patient who's primary language is French. The client's daughter, who is fluent in English, agrees to translate for her mother during the assessment.
Host of issues here. Patients who need to have assessments administered in another language must be provided a certified interpreter or psychologist fluent in and trained to provide the assessment in that language.
Psychologists need to obtain informed consent even when testing is mandated by law or governmental regulations.
False.
A psychologist is going to administer the full WAIS to a patient who is not fluent in English and did not attend school in English.
Omit the verbal subtests (unless the referral question suggests otherwise) and score the GAI, or provide a non-verbal cognitive measure.
A psychologist has the option to administer either the WAIS III or a TONI 4 to a patient coming in with a cognitive referral question. They believe the WAIS to be a better measure, so they administer the WAIS III.
This is an outdated measure they administered when they had the option to administer a more valid and updated measure.
Feedback sessions should mostly be delivered by giving the interpretations of the measures verbatim. Psychologists should not alter the information or summarize, as not to risk changing any of the information in the report.
False.
Your adolescent patient endorses a concerning amount of suicidal ideation on the MMPI. They beg you not to include any of that in the report that will be seen by their parents and teacher, or they will kill themselves.
We still report the results and make appropriate recommendations. We talk to the adolescent about their concerns and warn the family.
*Limits of confidentiality should have been explained to the adolescents prior to testing as well*
You're conducting an eval with a patient who is coming in for a fitness for duty eval. The results are showing that this individual is showing some concerning cognitive and personality issues concluding they may not be fit. Your boss, who is a close friend of this patient, tells you to omit the aspects of the measure that reflect poorly on the them because "its always been their dream to serve". You abide for fear of losing your job.
Illegal and unethical. We are misusing data and potentially creating harm for the patient and others.
Once a patient has agreed to start an evaluation, they may not, unless in an emergency circumstance or requested by another medical professional, withdraw from the evaluation.
False. A patient has the right to withdraw from the evaluation at anytime for whatever reason.
A patient comes in for a psychological evaluation for the 3rd time in 2 months because "they don't like the results of the past two reports".
Tricky question here, and different places might have a protocol on this, but overall we typically will still evaluate them wit different measures from their previous eval, and discuss with them what are the issues they are having with the other reports.