Evaluation, Assessment, & Interpretation
When meeting with a client for the first time, the counselor conducts a clinical assessment to determine the presence of any mental disorders.
What is E.5.a. Proper Diagnosis?
You're working in a college accessibility office. You realize that you've sent a student's assessment data to the student's teacher, not the psychologist as initially intended.
What is E.4. Release of Data to Qualified Personnel?
Your supervisor asks you to administer a inkblot test to a client who does not speak English. You've administered this test before, nor were you trained to. Additionally, you only speak English.
What is E.2.a. Limits of Competence?
During a session, a client enters the room in tears. They saw the psychiatrist you referred them to, and the psychiatrist diagnosed them with Bipolar I, which may impact their current military status.
What is E.5.d. Refraining From Diagnosis?
You work with a client who frequently reports struggling to make ends meet. This financial stress causes them not to sleep, which then impacts their moods. However, the client meets the diagnostic criteria for Major Depressive Disorder.
What is E.8. Multicultural Issues/Diversity in Assessment?
Your client enters a college counseling center. Once checked-in, the desk worker hands them the SCL-90R and instructs them to take the assessment. Meanwhile, down the hall, a class is playing a loud game (say personal trivia baseball). The game is so loud, the client can't focus. You decide to have the client take the remainder of the assessment in your office.
What is E.7.b. Provision of Favorable Conditions?
One week, you assign a client to take the an online assessment. In session, the client reports that the questions on the assessment were "glitchy" and displayed "weirdly". However, you are able to access complete results for the client.
What is E.7.c. Technological Administration?
A counselor conducts an intelligence test with a client from a Latina background. The counselor realizes that the test may not accurately reflect the client's abilities due to cultural biases.
What is E.5.b. Cultural Sensitivity, E.5.c. Historical and Social Prejudices in the Diagnosis of Pathology, or E.8. Multicultural Issues/Diversity in Assessment?
You begin to use the MMSE on the client. The client indicates that English is not their native language.
What is E.8. Multicultural Issues/Diversity in Assessment?
Your client is in a bitter custody battle after their divorce. One day the client asks: "I've told you how they [their ex-partner] act and what they say, isn't that enough for you to assess their behavior. Can't you say that they are unfit as a parent?" *Note your client does NOT indicate the presence of any abusive behaviors
What is E.13.c. Client Evaluation Prohibited?
After a long day of clients, you score client results on the SCL-90R. The next day, you're discussing results with a client and realize you made a scoring mistake.
What is E.2.b. Appropriate Use?
Your colleague texts you late at night and asks if they can obtain a copy of a copyrighted assessment that your site has. Your site has a yearly budget allotment to purchase licenses for this assessment. You agree to send them the first few pages of the assessment, but they'll have to pay to see the rest.
What is E.10. Assessment Security?
A counselor administers a trauma assessment to a client and discovers past experiences of abuse. The client requests that the counselor not document the findings in their file due to concerns about confidentiality.
What is E.9.a., Reporting? Any others?
A counselor is pressured by a client's parent to administer an ADHD assessment to their child, despite the child's reluctance.
What is E.1.a. Assessment, E.1.b. Client Welfare, or
E.3.b. Recipients of Results?
To fully understand a client's career values and interests, you administer a value card sort and a Strong Interest Inventory.
What is E.6.a. Appropriateness of Instruments?