Patient Assessment and Evaluation Flashcards
7 cards from real LPCC 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 and Evaluation flashcards as text
During a mental status examination, 'serial sevens' is a task used to assess:
Answer: Concentration and attention
Asking a client to count backward from 100 by sevens assesses concentration and sustained attention.
The Columbia Suicide Severity Rating Scale (C-SSRS) is primarily used to:
Answer: Stratify the intensity and lethality of suicidal ideation and behavior
The C-SSRS categorizes suicidal ideation and behavior along a spectrum of severity, aiding clinicians in risk stratification.
A LPCC is assessing an older adult client for cognitive impairment. Which brief screening tool is most commonly used for this purpose?
Answer: MMSE (Mini-Mental State Examination) or MoCA (Montreal Cognitive Assessment)
The MMSE and MoCA are the most widely used brief cognitive screening tools, assessing orientation, memory, language, and executive function.
Which term describes a client's ability to understand the nature of their illness and the need for treatment?
Answer: Insight
Insight in mental status examination refers to the client's awareness and understanding of their own mental illness and its implications.
A counselor uses the AUDIT (Alcohol Use Disorders Identification Test) with a new client. A score of 16 most likely indicates:
Answer: Probable alcohol dependence
AUDIT scores of 16–19 suggest harmful or high-level problem drinking, while scores ≥20 indicate probable dependence; a score of 16 falls at the boundary indicating probable dependence.
In a clinical interview, the counselor asks, 'What would you do if you found a stamped, addressed envelope on the sidewalk?' This question assesses:
Answer: Judgment and social reasoning
Hypothetical scenario questions like the envelope question are used to evaluate a client's practical judgment and social reasoning.
Which of the following is a key distinction between a DSM-5 diagnosis and a problem listed in the ICD-10 Z-codes?
Answer: DSM diagnoses describe mental disorders, while Z-codes capture psychosocial and environmental problems
Z-codes (formerly V-codes in ICD-9) document psychosocial stressors and environmental factors that influence health but are not classified as mental disorders.