Deck 4: Assessment, Diagnosis, and Treatment
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Deck 4: Assessment, Diagnosis, and Treatment
1
Mal de ojo is an example of ____.
A) a culturally based diagnosis
B) a cultural syndrome
C) a culturally based treatment technique
D) a cultural formulation
A) a culturally based diagnosis
B) a cultural syndrome
C) a culturally based treatment technique
D) a cultural formulation
a cultural syndrome
2
Which factor has the least bearing on a clinician's approach to assessment, diagnosis, and treatment?
A) Age
B) Gender
C) Culture
D) Popularity
A) Age
B) Gender
C) Culture
D) Popularity
Popularity
3
Which psychological condition is more common among females than males?
A) Intellectual disability
B) Autistic disorder
C) Conduct disorder
D) Adolescent depression
A) Intellectual disability
B) Autistic disorder
C) Conduct disorder
D) Adolescent depression
Adolescent depression
4
Which condition is equally common among males and females?
A) Childhood depression
B) Eating disorders
C) Enuresis
D) Attention deficit hyperactivity disorder
A) Childhood depression
B) Eating disorders
C) Enuresis
D) Attention deficit hyperactivity disorder
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5
The formal assignment of a clinical case to a DSM-5 classification category is referred to as a(n) ____.
A) empirical diagnosis
B) taxonomic diagnosis
C) proper diagnosis
D) psychological diagnosis
A) empirical diagnosis
B) taxonomic diagnosis
C) proper diagnosis
D) psychological diagnosis
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6
A child's ____ has the most implications for judgments about deviancy and for selecting appropriate assessment and treatment methods.
A) peer group
B) family history
C) age
D) academic achievement
A) peer group
B) family history
C) age
D) academic achievement
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7
When working with children and families, cultural information is most needed to ____.
A) establish a relationship with the child and family
B) keep traditional practice in place
C) report statistics for census
D) determine whether or not to use medication
A) establish a relationship with the child and family
B) keep traditional practice in place
C) report statistics for census
D) determine whether or not to use medication
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8
Research demonstrates that, with respect to aggression, girls ____.
A) tend not to engage in aggressive acts
B) are more distressed by aggressive acts
C) engage in more relational forms of aggression
D) are more aggressive than boys
A) tend not to engage in aggressive acts
B) are more distressed by aggressive acts
C) engage in more relational forms of aggression
D) are more aggressive than boys
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9
A ____ summarizes the child's unique behaviors, thoughts, and feelings that together make up the features of a given psychological disorder.
A) nomothetic description
B) symptomatic description
C) diagnostic description
D) clinical description
A) nomothetic description
B) symptomatic description
C) diagnostic description
D) clinical description
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10
The relationship between assessment and intervention is best viewed as ____.
A) separate and unrelated
B) related and ongoing
C) related but separate
D) related but time-limited
A) separate and unrelated
B) related and ongoing
C) related but separate
D) related but time-limited
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11
Which element(s) are typically included in a clinical description?
A) Taxonomic diagnosis
B) Assessment of prior history
C) Treatment and referral plan
D) Intensity, frequency, and severity of the problem
A) Taxonomic diagnosis
B) Assessment of prior history
C) Treatment and referral plan
D) Intensity, frequency, and severity of the problem
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12
Analyzing information and drawing conclusions about the nature or cause of a problem refers to ____.
A) a clinical description
B) diagnosis
C) prognosis
D) treatment planning, and evaluation
A) a clinical description
B) diagnosis
C) prognosis
D) treatment planning, and evaluation
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13
What does it mean if a test is normed on a group that is representative of the population?
A) The majority culture was taken into consideration.
B) The test is as free from cultural bias as possible.
C) Age and ethnicity were considered but not biological sex.
D) The test yields higher rates of psychopathology for minorities.
A) The majority culture was taken into consideration.
B) The test is as free from cultural bias as possible.
C) Age and ethnicity were considered but not biological sex.
D) The test yields higher rates of psychopathology for minorities.
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14
Which pairing is least common to comorbid disorders?
A) Enuresis and schizophrenia
B) Conduct disorder and ADHD
C) ASD and intellectual disability
D) Depression and anxiety
A) Enuresis and schizophrenia
B) Conduct disorder and ADHD
C) ASD and intellectual disability
D) Depression and anxiety
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15
The over-representation of boys with psychological disorders likely reflects ____.
A) functional deficits in the male brain
B) media influence
C) referral biases
D) different socialization practices for males and females
A) functional deficits in the male brain
B) media influence
C) referral biases
D) different socialization practices for males and females
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16
All of these are examples of parent- and teacher-rated problems that best discriminate between referred and nonreferred children EXCEPT: .
A) unhappy, sad, or depressed
B) withdrawn
C) impulsive
D) stubborn
A) unhappy, sad, or depressed
B) withdrawn
C) impulsive
D) stubborn
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17
What variables can impact scores on measures of psychopathology?
A) SES and acculturation
B) Educational level
C) Previous attendance in therapy
D) Ability to remain focused
A) SES and acculturation
B) Educational level
C) Previous attendance in therapy
D) Ability to remain focused
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18
Generalizations regarding cultural practices frequently fail to capture ____ differences that exist within and across ethnic groups.
A) universal
B) biological
C) personality
D) SES
A) universal
B) biological
C) personality
D) SES
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19
This describes a process of gathering information that is used to understand the nature of an individual's problem, its possible causes, treatment options, and outcomes.
A) Problem-solving analysis
B) Clinical description
C) Taxonomic diagnosis
D) Prognostic diagnosis
A) Problem-solving analysis
B) Clinical description
C) Taxonomic diagnosis
D) Prognostic diagnosis
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20
Culturally competent mental health services include ____.
A) matching families with clinicians who have a master's degree
B) customizing treatment to the family's values and customs
C) relying on knowledge gained through personal experience with that particular culture
D) basing treatment on what has been reported about a particular culture
A) matching families with clinicians who have a master's degree
B) customizing treatment to the family's values and customs
C) relying on knowledge gained through personal experience with that particular culture
D) basing treatment on what has been reported about a particular culture
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21
____ means generating predictions concerning future behavior under specified conditions.
A) Assessment
B) Diagnosis
C) Outcome generation
D) Prognosis
A) Assessment
B) Diagnosis
C) Outcome generation
D) Prognosis
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22
The Wechsler Intelligence Scale for Children (WISC-IV) provides a measure of:
A) verbal comprehension and working memory.
B) personality profile.
C) psychological abnormality.
D) emotional stability.
A) verbal comprehension and working memory.
B) personality profile.
C) psychological abnormality.
D) emotional stability.
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23
A clearly defined group used to compare an individual child's test score against is called a
A) reference group.
B) comparative group.
C) standard group.
D) norm group.
A) reference group.
B) comparative group.
C) standard group.
D) norm group.
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24
A leading checklist for assessing behavioral problems in children and adolescents is the ____.
A) Wechsler Intelligence Scale for Children
B) Kaufman Assessment Battery for Children
C) Child Behavior Checklist
D) Rorschach inkblot test
A) Wechsler Intelligence Scale for Children
B) Kaufman Assessment Battery for Children
C) Child Behavior Checklist
D) Rorschach inkblot test
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25
Projective tests ____ with children.
A) should not be used
B) are one of the most commonly used assessment methods
C) are one of the least commonly used assessment methods
D) have not been designed specifically for use
A) should not be used
B) are one of the most commonly used assessment methods
C) are one of the least commonly used assessment methods
D) have not been designed specifically for use
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26
Semistructured interviews tend to be ____ than unstructured interviews.
A) less consistent
B) more spontaneous
C) less reliable
D) more consistent and less spontaneous
A) less consistent
B) more spontaneous
C) less reliable
D) more consistent and less spontaneous
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27
Which aspect would generally be assessed by behavioral assessment methods?
A) Descriptions of the problem
B) Anger in school
C) Meaning of pictures drawn by child
D) Inkblot interpretations
A) Descriptions of the problem
B) Anger in school
C) Meaning of pictures drawn by child
D) Inkblot interpretations
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28
Interview questions focused on somatic symptoms for an older child or adolescent with depression could include which of the following?
A) Do you get muscle pains and aches?
B) Do you get moody?
C) Do you have trouble concentrating in school?
D) Do you often feel tired?
A) Do you get muscle pains and aches?
B) Do you get moody?
C) Do you have trouble concentrating in school?
D) Do you often feel tired?
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29
The most commonly used intelligence scale today is the ____.
A) Stanford-Binet 5 (SB5)
B) Wechsler Intelligence Scale for Children (WISC-IV)
C) Kaufman Assessment Battery for Children (K-ABC-II)
D) Rorschach inkblot test
A) Stanford-Binet 5 (SB5)
B) Wechsler Intelligence Scale for Children (WISC-IV)
C) Kaufman Assessment Battery for Children (K-ABC-II)
D) Rorschach inkblot test
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30
Which factor would typically be addressed in the developmental/family history component of the initial interview?
A) Child's birth weight
B) Age at which the child began eating solid foods
C) Mental history of parents and siblings
D) Parent responsibilities at problem onset
A) Child's birth weight
B) Age at which the child began eating solid foods
C) Mental history of parents and siblings
D) Parent responsibilities at problem onset
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31
Unstructured interviews tend to be ____ than semistructured interviews.
A) more consistent
B) less reliable and more flexible
C) more reliable and less flexible
D) less biased
A) more consistent
B) less reliable and more flexible
C) more reliable and less flexible
D) less biased
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32
Functions assessed in neuropsychological tests are most likely to include ____.
A) social
B) perceptual
C) physical
D) personality
A) social
B) perceptual
C) physical
D) personality
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33
The "C" in the "ABCs of behavioral assessment" stands for ____.
A) consequences
B) causes
C) child
D) correction
A) consequences
B) causes
C) child
D) correction
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34
The Rorschach test is an example of a(n) ____ test.
A) intelligence
B) achievement
C) projective
D) objective
A) intelligence
B) achievement
C) projective
D) objective
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35
The most universally used assessment procedure with parents and children is ____.
A) personality testing
B) behavioral observation
C) the clinical interview
D) intelligence testing
A) personality testing
B) behavioral observation
C) the clinical interview
D) intelligence testing
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36
The primary purpose of assessment is to ____.
A) find correlating causes for the problem
B) plan and evaluate treatment
C) determine who is responsible for the problem
D) treat individual symptoms
A) find correlating causes for the problem
B) plan and evaluate treatment
C) determine who is responsible for the problem
D) treat individual symptoms
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37
An advantage of behavior checklists over interviews is that checklists allow a clinician to ____ while interviews typically do not.
A) establish rapport
B) assess mental status
C) compare results to a reference sample
D) obtain a measure of mood
A) establish rapport
B) assess mental status
C) compare results to a reference sample
D) obtain a measure of mood
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38
The assessment of childhood problems typically makes use of a(n) ____ approach.
A) multimethod
B) idiographic
C) divergent
D) single theoretical
A) multimethod
B) idiographic
C) divergent
D) single theoretical
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39
Gathering information about a child's behavior for analysis involves ____.
A) making inferences about the child's behavior
B) observing the child in real-life settings
C) assessing personality
D) having the child write a story
A) making inferences about the child's behavior
B) observing the child in real-life settings
C) assessing personality
D) having the child write a story
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40
Neuropsychological assessments are primarily used to ____.
A) identify underlying brain lesions
B) identify genetic abnormalities
C) make inferences about central nervous system dysfunction
D) diagnose mental deficits
A) identify underlying brain lesions
B) identify genetic abnormalities
C) make inferences about central nervous system dysfunction
D) diagnose mental deficits
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41
What is a common goal of treatment?
A) Improved outcomes in intelligence
B) Measurable outcomes in family functioning
C) Reduced impact of prior undesirable outcomes
D) Increased adherence to treatment over time
A) Improved outcomes in intelligence
B) Measurable outcomes in family functioning
C) Reduced impact of prior undesirable outcomes
D) Increased adherence to treatment over time
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42
____ approaches to treatment view child psychopathology as the result of faulty thought patterns and faulty learning and environmental experiences.
A) Behavioral
B) Cognitive
C) Cognitive-behavioral
D) Client-centered
A) Behavioral
B) Cognitive
C) Cognitive-behavioral
D) Client-centered
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43
Categorical classification systems are based primarily on ____.
A) underlying etiologic bases of the disorders classified
B) normative data
C) informed clinical consensus
D) multivariate statistical methods
A) underlying etiologic bases of the disorders classified
B) normative data
C) informed clinical consensus
D) multivariate statistical methods
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44
____ refers to efforts to increase adherence with treatment over time to prevent reoccurrence.
A) Maintenance
B) Prevention
C) Treatment
D) Intervention
A) Maintenance
B) Prevention
C) Treatment
D) Intervention
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45
The hypothesis behind ________________ is that the child will reveal unconscious fears, needs, and inner conflicts onto ambiguous stimuli of other people and things.
A) behavioral observation and recording
B) developmental testing
C) personality testing
D) projective testing
A) behavioral observation and recording
B) developmental testing
C) personality testing
D) projective testing
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46
More than 70% of practicing clinicians identify their therapeutic approach as ____.
A) behavioral
B) cognitive
C) humanistic
D) eclectic
A) behavioral
B) cognitive
C) humanistic
D) eclectic
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47
Which of the following is a criticism of the DSM-5?
A) It fails to capture the simplicity of influences on child psychopathology.
B) It gives relatively less attention to disorders of infancy and childhood than to those of adulthood.
C) It lacks sufficient emphasis on situational and contextual factors.
D) It emphasizes underlying causes rather than symptoms.
A) It fails to capture the simplicity of influences on child psychopathology.
B) It gives relatively less attention to disorders of infancy and childhood than to those of adulthood.
C) It lacks sufficient emphasis on situational and contextual factors.
D) It emphasizes underlying causes rather than symptoms.
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48
Which of the following is NOT one of the core principles of therapeutic change identified by Weisz, Bearman et al. 2017)?
A) Increasing motivation
B) Repairing thoughts
C) Solving problems
D) Restoring feelings
A) Increasing motivation
B) Repairing thoughts
C) Solving problems
D) Restoring feelings
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49
Which medication would best be used for a child suffering from ADHD?
A) Concerta
B) Elavil
C) Xanax
D) Zyprexa
A) Concerta
B) Elavil
C) Xanax
D) Zyprexa
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50
Minimum ethical standards for practice include:
A) selecting procedures that are in the best interest of the parent.
B) making sure involuntary client participation occurs.
C) protecting the confidentiality of the therapeutic relationship.
D) ensuring parent participation.
A) selecting procedures that are in the best interest of the parent.
B) making sure involuntary client participation occurs.
C) protecting the confidentiality of the therapeutic relationship.
D) ensuring parent participation.
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51
The ____ classification approach assumes that all children possess the same traits to varying degrees.
A) trait
B) categorical
C) feature
D) dimensional
A) trait
B) categorical
C) feature
D) dimensional
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52
Which medication would best be used for a child diagnosed with bipolar disorder?
A) Depakote
B) Elavil
C) Ritalin
D) Zyprexa
A) Depakote
B) Elavil
C) Ritalin
D) Zyprexa
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53
Which medication would best be used for a child suffering from a severe anxiety disorder?
A) Concerta
B) Elavil
C) Xanax
D) Zyprexa
A) Concerta
B) Elavil
C) Xanax
D) Zyprexa
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54
Which activity is particularly compatible with the dimensional approach?
A) Communicating with other clinicians
B) Researching the degree of association between two variables
C) Creating a treatment plan based on all of the child behaviors
D) Taking the entire package of child behaviors into account when diagnosing
A) Communicating with other clinicians
B) Researching the degree of association between two variables
C) Creating a treatment plan based on all of the child behaviors
D) Taking the entire package of child behaviors into account when diagnosing
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55
Interventions are ____.
A) unique to the field of psychology
B) designed to maintain the status quo
C) problem-solving strategies
D) typically rejected by children and families
A) unique to the field of psychology
B) designed to maintain the status quo
C) problem-solving strategies
D) typically rejected by children and families
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56
____ approaches to treatment view child psychopathology as the result of social or environmental circumstances that are imposed on the child and interfere with his or her capacity for personal growth and adaptive functioning.
A) Psychodynamic
B) Client-centered
C) Cognitive-behavioral
D) Family
A) Psychodynamic
B) Client-centered
C) Cognitive-behavioral
D) Family
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57
Which behavior would be characteristic of someone with issues on the internalizing behavior dimension?
A) Hitting another child in anger
B) Refusing to sit in a seat at school
C) Feeling sad all of the time
D) Intentionally hurting another child's feelings
A) Hitting another child in anger
B) Refusing to sit in a seat at school
C) Feeling sad all of the time
D) Intentionally hurting another child's feelings
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58
Intervention focuses on ____.
A) noncompliance
B) assimilation
C) motivation
D) treatment
A) noncompliance
B) assimilation
C) motivation
D) treatment
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59
An example of a neurodevelopmental disorder would be ____.
A) Oppositional Defiant Disorder
B) ADHD
C) Anxiety Disorders such as Separation Anxiety Disorder
D) Feeding and Eating Disorders such as Pica
A) Oppositional Defiant Disorder
B) ADHD
C) Anxiety Disorders such as Separation Anxiety Disorder
D) Feeding and Eating Disorders such as Pica
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60
Which symptom would be characteristic of the anxious/depressed dimension of child psychopathology?
A) Feels worthless
B) Refuses to talk
C) Gets teased
D) Strange ideas
A) Feels worthless
B) Refuses to talk
C) Gets teased
D) Strange ideas
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61
Name and describe four psychological tests commonly used when assessing children.
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62
Describe three ways that a therapist can strive to provide culturally competent mental health services.
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63
What is relational aggression? Are males or females more likely to exhibit this behavior? Provide two examples of relational aggression.
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64
Distinguish between idiographic and nomothetic case formulations, and indicate when each of these formulations is useful.
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65
What are cultural syndromes? Why are they important for clinicians to be aware of in relation to understanding symptoms in children? Provide one example of a cultural syndrome and the symptoms that the clinician may see exhibited by the child.
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66
Identify and provide examples of neurodevelopmental disorders.
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67
What are some criticisms of the DSM-5?
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68
Explain the "ABCs of assessment" and give examples of each.
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69
What considerations must be taken into account when making judgments about abnormality?
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70
What conclusions have been made regarding the effectiveness of treatments with children?
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71
What are some of the areas that are typically covered by developmental and family history questionnaire/interview?
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72
Compare and contrast the cultural values, parenting practices, and beliefs among African Americans, Latino Americans, Asian Americans, Native Americans, and European Americans.
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73
Under what circumstances would a clinician choose to administer a semistructured versus an unstructured interview? What are the benefits and/or drawbacks of each?
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74
Distinguish between categorical and dimensional classification approaches.
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75
What steps have researchers taken to ensure that psychological tests are free from bias?
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