Vignette and a condition of spina bifida-test analysis


Summary of Vignette: Ms. G is a 33-year-old single Caucasian female with a condition of spina bifida, which she was born with. Though she has completed two years of college education, she has never had any special education or an individualized education program. She took a leave of absence from college because she is not sure whether to continue with education, owing to the challenges she experiences. She finds it difficult to fit in with her peers and is having trouble with her academics. She also reports that she has experienced depression at least three times. She has been in and out of counseling. Currently, she is taking Zoloft and Xanax, medication for anxiety and depression. She also reports that she cannot find employment because of her condition. She has also been losing friends and does not the reason for this. She hopes that she can get help regarding her psychological status, especially in depression, anxiety, and social concerns.
Problem statement: from the information about the client, she has problems in her social environment. The fears that she has are related to her interaction with people, especially with regards to education and general life skills. Notably, this is the reason why she needs a referral. The tests used to evaluate her condition include the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV) and Millon Clinical Multiaxial Inventory – III (MCMI-III).

Test and Assessment Development Analysis: Test One

The first test for the client is the WAIS-IV. It is administered through the observation of the ability of the client to perform in several categories that are grouped as indexes. They include verbal comprehension, perceptual reasoning, working memory, and processing speed (Wechsler, 2008). The results from these tests are analyzed by professionals in psychology and the client is given a score based on the results.
The test is normed for young adults and older adolescents who portray inabilities to perform well socially. The test brings information regarding the general intellectual ability of a person, which is referred to as the Full-Scale Intelligence Quotient (FSIQ) (Canivez & Watkins, 2010). It is divided into the working memory index, which contains tests in letter-number sequencing, digit span, and arithmetic; processing speed index consisting of tests like symbol search, coding, and cancellation; verbal comprehension index consisting of tests in similarities, vocabulary, comprehension, and information; and perceptual reasoning index which has tests like block design, matrix reasoning, visual puzzles, figure weights, and picture completion.
WAIS-II is a reliable test because it is consistent. Several tests performed over a period show consistency. It shows that the test is an excellent way of measuring the general intelligence of a person. Regarding validity, the WAIS-II is valid because it correlates with other major tests including Stanford-Bennett-IV measure among others. This is also supported by the kind of elements that it evaluates to determine the intelligence of a person.

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Test Two

The second test for Ms. G is the MCMI test. It is administered through a self-report by the client. The information by the patient is converted to the base rate for purposes of comparing it to personality indices (Grove & Vrieze, 2009). The test is normed for adults who are eighteen years and above who need mental health services.
The test brings information regarding personality traits and psychopathology of a client. It identifies specific disorders that a person has. The test evaluates both personality and clinical syndromes in a patient (Davis & Hays, 1997).
The MCMI test is reliable because of its stability in producing results. This also supported by the fact that information is provided by the client. The clinical syndromes correlate with the personality scales, making the test reliable. Focusing on validity, the test provides information that is useful in diagnosing mental health conditions. Thus it is valid.

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