Relias Assessment and Evaluation 3 — Questions and Answers
Question 1: A behavioral health clinician uses the PHQ-9 to screen a patient. A score of 15 indicates:
- Minimal depression
- Mild depression
- Moderate depression
- Moderately severe depression (Correct answer)
Correct answer: Moderately severe depression
On the PHQ-9, a score of 15–19 falls in the moderately severe depression range and typically warrants active treatment.
Question 2: Which type of validity evidence is gathered by comparing an assessment's results to a gold-standard measure administered at the same time?
- Content validity
- Predictive validity
- Concurrent validity (Correct answer)
- Face validity
Correct answer: Concurrent validity
Concurrent validity is established when a new measure correlates strongly with an accepted criterion measure given simultaneously.
Question 3: The AUDIT-C screening tool is used to identify:
- Opioid use disorder
- Hazardous or harmful alcohol consumption (Correct answer)
- Nicotine dependence
- Cannabis use disorder
Correct answer: Hazardous or harmful alcohol consumption
The AUDIT-C is a 3-item abbreviated version of the Alcohol Use Disorders Identification Test designed to screen for hazardous drinking.
Question 4: A clinician conducting a mental status examination asks a patient to interpret the phrase 'Don't cry over spilled milk.' This tests:
- Orientation
- Memory
- Abstract thinking (Correct answer)
- Judgment
Correct answer: Abstract thinking
Interpreting proverbs or similarities requires abstract reasoning, a key component assessed within the mental status examination.
Question 5: Which finding on an APGAR score assessment at 5 minutes is MOST concerning and requires immediate intervention?
- Score of 7
- Score of 8
- Score of 3 (Correct answer)
- Score of 10
Correct answer: Score of 3
An APGAR score of 3 or below at 5 minutes indicates severe depression requiring immediate resuscitative intervention.
Question 6: When completing a nutritional assessment, the nurse uses the Malnutrition Universal Screening Tool (MUST). Which three parameters does MUST evaluate?
- BMI, unplanned weight loss, and acute disease effect (Correct answer)
- Albumin level, BMI, and oral intake
- Skin turgor, BMI, and serum pre-albumin
- Unplanned weight loss, albumin, and appetite
Correct answer: BMI, unplanned weight loss, and acute disease effect
MUST scores BMI, percentage of unplanned weight loss, and acute disease effect to calculate overall malnutrition risk.
Question 7: An occupational therapist completes a standardized functional assessment and then re-administers the same tool three weeks later without intervention. The scores are nearly identical. This demonstrates:
- High concurrent validity
- High test-retest reliability (Correct answer)
- High content validity
- High inter-rater reliability
Correct answer: High test-retest reliability
Test-retest reliability reflects the consistency of scores over time when no real change has occurred in the measured construct.
Relias Assessment and Evaluation 3
A behavioral health clinician uses the PHQ-9 to screen a patient.
A score of 15 indicates: