Emma’sPsychological Assessment Questions
Emma’s Psychological Assessment Questions
Apsychological assessment paper establishes a number of solutions tothe uncertainties of a specific psychological problem, and this case,of a 78-year-old, Emma Kinch. For a successful report, it isimportant for clinicians to be in a better position to evaluate thevalidity of patient`s information by familiarizing with psychometricproperties of the patient (Emma Kinch), which according to Carpenito(2009), represent the validity and reliability of the method used.The paper, therefore, will carry out a review of the Virtual Client,Emma Kinch, her presenting problems and assessment questionspreviously developed, while considering any other additionalquestions. Additionally, the paper will select two psychologicaltests that, as the psychologist, would recommend for Emma Kinch toassess her psychological needs.
Before reviewing the assessment questions from Week 1 assignment andother additional questions, it is important to understand better theVirtual Client under study. Being a 78-year-old woman, Emma Kinch,struggles with cataracts, a condition she developed when she was 6oyears of age. Her blindness ensured that she figure out a way toconnect with the world around her. For instance, the only way she wasable to do it was when her husband was still around. Some of theproblems she encounters at her advanced age include irritability,signs of sadness, and depression. Emma Kinch is also withdrawn,experience difficulty in remembering and memory loss, aggressiveoutbursts, moodiness, and mental confusion.
Based on the above presenting problems, there are a number ofquestions, which arise from Emma Kinch`s case. For example, what isthe connection between severe cataracts/blindness and behavioralwithdrawal? Again, would the kind of treatment for hypothyroidismelevates the patient`s level of concentration, reduces the number ofaggressive outbursts, and improves social engagement? Otheradditional questions arising as a result of the above presentingproblems include: Would the patient`s personality and gendercontribute to the problems she is experiencing? How has herinvolvement with the environment around her contributed to herbehavioral changes?
Selected tests from the Mental Measurements Yearbook databaseinclude Beck Depression Inventory (BDI) test and MinnesotaPersonality Inventory (MPI). Both tests are designed for use onindividuals between the ages of 13 and 80 years, which in this case,is suited for Emma Kinch`s situation. Beck Depression inventory(BDI), for instance, is a self-report inventory 21-questionmulti-choice psychometric test, which is used to measure a person`sdepression levels. The test`s development is based on the mentalhealth psychologists who view depression and other related problemsfrom a perspective of psychodynamics, instead of only focusing on thepatients` thoughts (Lee, 2004). The items making up the test relatesto analyzing depression symptoms such as irritability, hopelessnessbecause of age and sickness, and cognitions, for example, fatigue,physical fickleness due to age, and loss of memory.
Onthe other hand, the Multiphasic Personality Inventory (MPI)encompasses the patient`s personality shortcomings, which also actsas widely used psychometric tests meant for adult psychopathology andpersonality (Carpenito, 2009). During patient treatment involvingMPI, four domains are involved, which include: Extraversion,Agreeableness, Openness to Experience, and Conscientiousness. Thesefour domains are applied by the psychologists to establish apreferable treatment plan, help with differential diagnosis, and areused in therapeutic assessment procedure (Lee, 2004). Additionally,the four domains stated above provides further insight on the MPI useon the patient`s personality, whereby every domain provides adetailed analysis based on six personal styles, which include:interactions, interests, attitudes, activity, learning, andcharacter.
Strengths: Beck Depression Inventory, for instance, boasts ofestablishing a shift in the health care view of depression byprofessionals from a psychodynamic perspective towards thepatient(s`) (Emma Kinch) cognitions and thoughts (Rogers &Pilgrim, 2010). Again, it also establishes a strong quantitativeassessment of depression intensity and techniques, for example,factor analysis. It also monitors changes over a period of time usedfor making a judgment on the effectiveness and improvement oftreatment methods (Lee, 2004). On the other hand, MultiphasicPersonality Inventory not only carries out diagnosis on the patienton clinical scales, but also is able to extensively detectinvalidities sources, for example, the inability to see, and thelevel of personality discrepancies involved.
Weaknesses: BDI suffers from exaggerating or minimizingscores by patients completing them since they fail to have the finalscore on the patients` test. The patient answers elicit differentresponses depending on the clinical environment the patient is incompared to the postal survey. Reliance of the test`s physicalsymptoms interferes and inflates with the actual scores of thepatient`s illnesses (Lee, 2004). On the other hand, the MultiphasicPersonality Inventory is criticized due to the difference in racedisparity since the non-whites appears to score higher. The tests arealso not a reflection of the patient`s score but are based onsocioeconomic differences among racial groups.
The most effective test in answering the assessment questions aboveregarding Emma Kinch is the Minnesota Multiphasic PersonalityInventory. This is because unlike many standardized tests, the scoresfrom the test do not represent how well or poor the patient hasperformed on the tests (Carpenito, 2009). Rather, the choice of thistest is that focuses on the relative elevation of different factorscompared to a number of studied norm groups. The test will alsoanalyze the patient`s (Emma Kinch) personality withdrawals, levels ofconcentration, and behavioral aggression and outbursts through makingthe interpretations to the psychologists easier. Additionally, thechoice of this test is in its ability to encompass all the fourpersonality domains stated above.
Inconclusion, the comparison regarding the two tests analyzed above wasbased on the big five personality traits of the patient. The abovetraits are used by the psychologist, and in this case, in handlingEmma Kinch`s personality and psyche, more in her advanced stage of 78years. The model, based on the comparison of the two tests, examinesthe relationships of each of the diagnostic categories. For EmmaKinch, the model examines the relationship between her mentalillness, cataracts, memory loss, personality aggression, outbursts,moodiness, and hypothyroidism. These insights are drawn from bothtest divides.
Carpenito, L. J. (2009). Nursing care plans & documentation:Nursing diagnoses and collaborative problems. Philadelphia:Wolters Kluwer Health/Lippincott Williams & Wilkins.
Lee, F. K. (2004). Conscientiousness, neuroticism, andself-management strategies: A process model of personality andachievement outcomes.
Rogers, A., & Pilgrim, D. (2010). A Sociology Of Mental HealthAnd Illness. Maidenhead: McGraw-Hill Education.