Managing Psychiatric, Psychological Disability And Workers Compensation Claims
(46).webp "Managing Psychiatric, Psychological Disability And Workers Compensation Claims - Quiz")
This following course describes the nation's only accredited online training program for professionals managing claims with psychological/psychiatric Independent Medical Examinations. This program has been approved for three continuing education credits by the Commission for Case Manager Certification. This program is offered at no charge.
PsyBar LLC developed these training materials to offer disability and workers compensation insurance professionals a common core of knowledge about psychological and psychiatric Independent Medical Evaluations (IMEs). It is necessary to know the concepts described in this material in order to manage psychological/psychiatric claims effectively.
- 1.
Please read the following document and answer the 13 question quiz regarding the content. To view the document in full screen mode, click on the small box in the upper right corner of the document screen. After you complete the quiz your verification of completion certificate will be emailed to you. You may also print it directly from the quiz site. Also, take a moment and complete the survey we will email you after completion of the quiz. This will help us improve our training materials that we offer. Thank you!
- 2.
Which is the most appropriate statement for a doctor to include in a psychological/psychiatricIME report?
- A.
The claimant is not disabled
- B.
The claimant is disabled
- C.
The claimant has significant limitations in daily functioning
- D.
The claimant should not be considered disabled, because he shows no limitations in work, home, or social functioning
Correct Answer
C. The claimant has significant limitations in daily functioningExplanation
The most appropriate statement for a doctor to include in a psychological/psychiatric IME report is that the claimant has significant limitations in daily functioning. This statement acknowledges the presence of limitations in the claimant's ability to function in their daily life, indicating that they may require support or accommodations. It does not categorically state that the claimant is disabled, as disability determination involves a broader assessment and consideration of various factors.Rate this question:
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- 3.
The concepts of functionality and functional capability include:
- A.
The ability to carry out the usual tasks of one's life
- B.
Whether the employee wants job training
- C.
Whether there is a job available in a community
- D.
An employee's confidence in him/herself
- E.
None of the above
Correct Answer
A. The ability to carry out the usual tasks of one's lifeExplanation
The concepts of functionality and functional capability refer to an individual's ability to perform the regular tasks and activities in their daily life. This includes being able to carry out tasks such as personal hygiene, household chores, work responsibilities, and social interactions. It is about the overall ability to function independently and effectively in various aspects of life.Rate this question:
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- 4.
The concepts of functionality and functional capability include:
- A.
The claimant's anxiety when riding the bus
- B.
The claimant's confidence in her ability to ride a bus
- C.
The ability to ride a bus
- D.
The availability of buses in the claimant's neighborhood
- E.
A through C
Correct Answer
C. The ability to ride a busExplanation
The concepts of functionality and functional capability refer to the claimant's ability to perform a specific task or activity, in this case, riding a bus. It encompasses factors such as the claimant's anxiety and confidence in riding the bus, as well as the availability of buses in their neighborhood. Therefore, the correct answer is "The ability to ride a bus" as it encompasses all the mentioned factors.Rate this question:
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- 5.
Which of the following is true?
- A.
The Independent Examiner should be able to interpret the claimant's disability contract language
- B.
Claimants rarely have specific language in their disability contracts pertaining to psychological and psychiatric disability
- C.
The Independent Examiner should never be asked to interpret the claimant's disability contract language
- D.
None of the above
Correct Answer
C. The Independent Examiner should never be asked to interpret the claimant's disability contract languageExplanation
The correct answer is that the Independent Examiner should never be asked to interpret the claimant's disability contract language. This means that it is not within the scope of the Independent Examiner's role to interpret the specific language in the claimant's disability contract. They may have other responsibilities, but interpreting the contract language is not one of them.Rate this question:
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- 6.
Memory skills and intelligence:
- A.
Are about as strong as each other in average (non-impaired) claimants
- B.
Often are much different than each other in average (non-impaired) claimants
- C.
Often decline a lot after a mild brain injury
- D.
Are the only things that neuropsychologists consider when evaluating brain damage
Correct Answer
A. Are about as strong as each other in average (non-impaired) claimantsExplanation
Memory skills and intelligence are about as strong as each other in average (non-impaired) claimants. This means that there is generally no significant difference between memory skills and intelligence in individuals who do not have any impairments. Both abilities are considered to be relatively equal in terms of strength and capability.Rate this question:
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- 7.
After a mild brain injury it is common to see:
- A.
Intelligence decline
- B.
Memory decline
- C.
Intelligence remain at about the same
- D.
Concentration improve
- E.
B and C
Correct Answer
E. B and CExplanation
After a mild brain injury, it is common for individuals to experience memory decline. This can be attributed to the damage caused to the brain, which can affect the ability to recall and retain information. However, it is also common for intelligence to remain at about the same level after a mild brain injury. This means that while there may be some cognitive difficulties, the overall intelligence of the individual is not significantly affected. Therefore, the correct answer is B and C, as both memory decline and intelligence remaining at about the same are commonly observed after a mild brain injury.Rate this question:
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- 8.
After a moderate to severe brain injury, it is common to see:
- A.
A decline only in the ability to concentrate
- B.
A decline in memory, concentration, and many other skills
- C.
A severe decline in intelligence
- D.
A decline only in memory skills
Correct Answer
B. A decline in memory, concentration, and many other skillsExplanation
After a moderate to severe brain injury, it is common to see a decline in memory, concentration, and many other skills. This is because brain injuries can affect various cognitive functions and abilities. Memory and concentration are often the most commonly affected areas, but other skills such as problem-solving, decision-making, and communication may also be impacted. Therefore, it is not surprising to observe a decline in multiple skills following a brain injury.Rate this question:
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- 9.
Which of the following are false?
- A.
Objective psychological testing does not improve Independent Examiners' accuracy in evaluating claimants, if Independent Examiners rely on interview data and knowledge accumulated over many years
- B.
There is overwhelming scientific evidence that mental health professionals are able to more accurately evaluate claimants if they rely, in part, on objective test results
- C.
Doctors' subjective evaluations of the severity of mental illness are frequently incorrect
- D.
The proper use of a broad range of assessment measures can improve experts’ ability to determine functionality
Correct Answer
A. Objective psychological testing does not improve Independent Examiners' accuracy in evaluating claimants, if Independent Examiners rely on interview data and knowledge accumulated over many yearsExplanation
The correct answer is "Objective psychological testing does not improve Independent Examiners' accuracy in evaluating claimants, if Independent Examiners rely on interview data and knowledge accumulated over many years". This statement suggests that even if Independent Examiners have extensive experience and rely on interview data, objective psychological testing does not enhance their accuracy in evaluating claimants.Rate this question:
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- 10.
Which of the following is/are helpful in preparing to refer for a psychological/psychiatric IME?
- A.
Record all major consistencies and inconsistencies in all documentation and telephonic correspondence regarding the claim
- B.
Identify what prevents you from having a clear picture of the claimant’s ability to function in the work environment
- C.
If there is question about the validity of a claim conduct telephone or other interviews with the claimant, the employer, the treating provider(s), and relevant collateral contacts
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
All of the above options are helpful in preparing to refer for a psychological/psychiatric IME. Recording all major consistencies and inconsistencies in documentation and telephonic correspondence helps to gather important information about the claim. Identifying what prevents a clear picture of the claimant's ability to function in the work environment allows for a comprehensive evaluation. Conducting interviews with the claimant, employer, treating provider(s), and relevant collateral contacts is important to gather additional information and assess the validity of the claim.Rate this question:
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- 11.
IME Facilitators help by:
- A.
Preventing accusations of undue influence and conflicts of interest
- B.
Evaluating Independent Examiner’s expertise
- C.
Helping determine appropriate methods of assessment
- D.
Promoting objective psychological assessment
- E.
All of the above
Correct Answer
E. All of the aboveExplanation
The IME Facilitators play a crucial role in various aspects. They assist in preventing accusations of undue influence and conflicts of interest, ensuring a fair and unbiased assessment process. They also evaluate the expertise of Independent Examiners to ensure they are qualified and competent. Additionally, they help determine appropriate methods of assessment, ensuring that the assessment is conducted in a suitable and effective manner. Lastly, they promote objective psychological assessment, emphasizing the importance of unbiased and accurate evaluations. Therefore, the correct answer is "All of the above."Rate this question:
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- 12.
Insurance professionals usually do not request neuropsychological evaluations:
- A.
To evaluate problems such as traumatic brain injury, stroke, fibromyalgia, chronic fatigue, Lyme disease, dementia, and severe depression or anxiety
- B.
When subtle problems with brain functioning cannot be identified with brain scans, or by physical examination
- C.
When claimants do not report problems thinking
- D.
To assist getting claimants back to work
- E.
To measure improvement over time
Correct Answer
C. When claimants do not report problems thinkingExplanation
Insurance professionals usually do not request neuropsychological evaluations when claimants do not report problems thinking. This suggests that the primary reason for requesting these evaluations is to assess cognitive functioning and identify any subtle problems with brain functioning that cannot be detected through brain scans or physical examination. If claimants do not report any issues with thinking, it may indicate that there is no need for further evaluation in this area.Rate this question:
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- 13.
Psychologists and psychiatrists view claimant limitations in functioning as a result of:
- A.
Psychological problems
- B.
Social problems
- C.
Physical problems
- D.
The interaction between psychological, physical and social factors
Correct Answer
D. The interaction between psychological, pHysical and social factorsExplanation
Psychologists and psychiatrists believe that claimant limitations in functioning are not solely caused by psychological, social, or physical problems individually. Instead, they see these limitations as a result of the complex interaction between psychological, physical, and social factors. This means that all three aspects play a role in shaping an individual's functioning abilities and limitations.Rate this question:
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- 14.
Independent Examiners might determine if there are significant psychological and environmental causes for claimant limitations in functioning by:
- A.
Understanding any physical conditions
- B.
Analyzing problems with claimant ability to perform tasks over time
- C.
Identifying red flag behaviors and inconsistencies
- D.
Objectively comparing claimant’s presentation to those of others undergoing physical rehabilitation
- E.
All of the above
- F.
None of the above
Correct Answer
E. All of the aboveExplanation
The correct answer is "All of the above". Independent examiners can determine if there are significant psychological and environmental causes for claimant limitations in functioning by understanding any physical conditions, analyzing problems with claimant ability to perform tasks over time, identifying red flag behaviors and inconsistencies, and objectively comparing claimant's presentation to those of others undergoing physical rehabilitation.Rate this question:
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Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Jun 15, 2023Quiz Edited by
ProProfs Editorial Team -
Aug 11, 2011Quiz Created by
TammySchmidt
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