Patient Assessment & Evaluation Flashcards
7 cards from real ACT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Evaluation flashcards as text
Which scenario best illustrates a client with high psychological inflexibility as identified during ACT assessment?
Answer: A client who cancels social events whenever anxiety arises to avoid discomfort
Canceling valued activities in response to anxiety is a classic behavioral marker of psychological inflexibility and experiential avoidance.
What does the ACT Advisor (Multidimensional Psychological Flexibility Inventory) measure compared to the AAQ-II?
Answer: It assesses both flexibility and inflexibility across all six ACT processes, providing a more comprehensive profile
The Multidimensional Psychological Flexibility Inventory covers all six hexaflex processes on both flexibility and inflexibility dimensions, unlike the AAQ-II's narrower focus.
During values assessment, a client says, 'I value being a good parent' but has not spent time with their children in months. How should an ACT therapist interpret this?
Answer: As a values-behavior discrepancy that is likely maintained by avoidance of difficult emotions
A stated value paired with inconsistent behavior typically signals experiential avoidance is interfering with values-consistent action.
Which assessment approach is most consistent with ACT's functional contextual philosophy?
Answer: Examining how thoughts, feelings, and behaviors function in specific contexts to maintain or reduce suffering
Functional contextualism examines behavior in context to understand its purpose, which is foundational to ACT case formulation.
A therapist evaluates 'workability' during assessment. What does this concept mean in ACT?
Answer: Whether a coping strategy actually helps the client live a valued, vital life
Workability is the ACT criterion for evaluating strategies: does it help the client move toward a rich, meaningful life?
Which client description during intake suggests intact self-as-context functioning?
Answer: 'I notice I'm having worried thoughts, but I'm more than just those thoughts.'
Observing thoughts without fusing with them as defining one's identity reflects the observer-self or self-as-context perspective.
When assessing a client's readiness for ACT, which factor is most clinically relevant beyond symptom severity?
Answer: The client's willingness to experience discomfort in service of values
ACT readiness centers on a client's willingness to contact difficult internal events rather than on symptom-level severity alone.