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Psych > 02 Psychosocial Assessment > Flashcards

02 Psychosocial Assessment Flashcards

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1
Q

What’s are the purposes of a psychosocial assessment?

A
  • To engage
  • To develop a trust relationship
  • To obtain valid data and establish trust for this
  • to develop a tentative diagnosis
  • to plan a treatment
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2
Q

what are some things invovled in the violence assessment?

A
  • —Current presentation and relevant behaviors that precipitated them
  • —Prior history of violent behavior
  • —Legal history
  • —Observable behavior/verbalizations
  • —Thoughts to harm others
    —Is there a plan?
    Is there intent?
    Who is it directed at?
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3
Q

What is the Mental Status Examination (MSE) used for?

A

To evaluate the patient’s current state

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4
Q

What type of questions may be asked to test for Orientation in MSE?

A
  • Person
  • Place
  • Time
  • Situation (Why they’re here)
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5
Q

Euthymic

A

Normal

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6
Q

Euphoric

A

Elated

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7
Q

Dysphoric

A

Depressed, restless

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8
Q

Labile

A

easily changeable

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9
Q

Illusions:

A

misperceptions/misinterpretations of real external stimuli

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10
Q

Hallucinations:

A

false sensory perception not associated with real external stimuli. Hallucinations may invovle any of the 5 senses.

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11
Q

Thought broadcasting:

A

Thoughts can be heard by others

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12
Q

Thought insertion:

A

thoughts are being implanted by external forces.

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13
Q

Ideas of reference:

A

Incorrect assumptions that real events or incidents have direct reference to one’s self

i.e thinking you caused the paris attacks.

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14
Q

Magical Thinking:

A

Believes actions/words have power

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15
Q

Obsessions:

A

Persistent thought/feeling that they are unable to remove from their consciousness

i.e can’t stop thinking about drinking, washing hands, having sex, pursuing heroin.

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16
Q

Phobias:

A

Irrational fears

17
Q

Delusions:

A

Unrealistic ideas/beliefs

18
Q

Persecutory:

A

Belief that someone is out to get them in some way

19
Q

Grandiose

A

An idea that they are all powerful or of great importance

20
Q

Reference:

A

An idea that what is happening in the environment is about them

21
Q

Somatic:

A

A belief that they have a dysfunctional body part

ex bug beaneath the teeth and the teeth needs to be taken out in order for the bugs to be released.

22
Q

Nihilistic:

A

A belief that they or a part of them does not exist or has been destroyed.

23
Q

Religious:

A

Obsession with religious ideas.

24
Q

Paranoid:

A

Singled out for unfair treatment, suspicious

25
Q

Hallucations is false sensory impressions/experiences. It invovles all 5 senses.

Explain each sense.

A

Auditory: Hearing voices/other sounds.

Command vs persecutory

Visual: seeing images that do not exist, common with delirium

Tactile: Feel unrealistic sensation on the skin. i.e bugs on skins

Gustatory: false perception of an unpleasant taste

Olfactory: smell odors that do not exist

26
Q

Pt’s self expression through speech

Circumstantial:

A

Verbalization are lengthy and tedious and because of numerous details, are delayed in reaching the intended point

27
Q

Pt’s self expression through speech

Flight of ideas:

A

Verbalizations are continuous and rapid and flow from one to another

28
Q

Pt’s self expression through speech

Loose associations:

A

Verbalizations shift from one unrelated topic to another

29
Q

Pt’s self expression through speech

Neologism:

A

Making up nonsensical sounding words, which have meaning only to them

30
Q

Pt’s self expression through speech

Tangential

A

Verbalizations that are lengthy and tedious and never reach an intended point

31
Q

Pt’s self expression through speech

Thought blocking

A

speech is suddenly interrupted by silence. Once started, it’s an unrelated to the topic.

32
Q

Pt’s self expression through speech

Word Salad

A

Using a mixture of words that have no meaning together, sounds incoherent

33
Q

Pt’s self expression through speech

Perseveration

A

Persistently repeating the last word of a sentence spoken.

Seen at times with dementia

34
Q

Axis I:

A

Clinical Syndrome

Can typically be treated with pill

35
Q

Axis II

A

Personality Disorders, Pervasive Disorders, MR

Typically a core personality disorder that can’t be cured with a pill but can be helped with therapy

36
Q

Axis III

A

General Medical Diagnosis

COPD, hyperthyroidism

37
Q

Axis IV:

A

Psychosocial and Environmental Problems:

legal, financial, access to health care, occupational problems, educational problems, problems with primary support group

38
Q

Axis V

A

Gloval Assessment of Functioning (GAF),

Scale from 1~100 in the sheet she gave you

39
Q
A

Psych (6 decks)

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