ABCN Evaluation Process 2

Question 1

When evaluating a patient with suspected dementia, which source of collateral history is generally considered MOST reliable?

Accepted Answer

A close family member who lives with the patient

Answer

The patient's self-report

Answer

Medical records from 10 years prior

Answer

Employer performance reviews

Question 2

Which of the following BEST describes the purpose of a clinical interview at the start of a neuropsychological evaluation?

Accepted Answer

To establish rapport and gather relevant history to guide test selection

Answer

To administer standardized cognitive measures

Answer

To provide psychoeducation about the patient's diagnosis

Answer

To review imaging findings with the patient

Question 3

A 45-year-old is referred for evaluation after a mild TBI. The neuropsychologist reviews pre-injury academic records. This practice is BEST justified by:

Accepted Answer

The need to estimate premorbid intellectual functioning

Answer

Legal requirements for all TBI cases

Answer

Insurance reimbursement criteria

Answer

The requirement to compare against pediatric norms

Question 4

During a neuropsychological evaluation, which behavior during testing is MOST indicative of poor effort rather than genuine cognitive impairment?

Accepted Answer

Floor-level performance on a forced-choice recognition test

Answer

Slow processing speed on timed tasks

Answer

Impaired verbal fluency

Answer

Reduced immediate recall on a word list

Question 5

Which of the following is the MOST appropriate response when a patient refuses to complete a validity measure?

Accepted Answer

Document the refusal and consider its potential impact on the interpretability of results

Answer

Remove all validity data from the report and proceed as if effort was adequate

Answer

Terminate the evaluation immediately

Answer

Replace the validity measure with an additional cognitive test

Question 6

A neuropsychologist evaluating an elderly patient notices significant hearing loss. The MOST appropriate accommodation is:

Accepted Answer

Ensuring optimal amplification and repeating instructions as permitted by standardized administration

Answer

Administering all subtests using written-only instructions

Answer

Excluding all auditory-dependent measures and not noting this in the report

Answer

Referring the patient to audiology before any neuropsychological testing occurs

Question 7

Which of the following BEST characterizes the 'process approach' in neuropsychological assessment?

Accepted Answer

Attending to how a patient solves problems, not just whether they succeed

Answer

Relying solely on total scores to classify impairment

Answer

Using only process-score norms for interpretation

Answer

Administering the longest possible battery to capture all error types