10-23 L3 Psychiatric

Question 1

Define the term Sensorium

Answer 1

• Level of consciousness (comatose, stuprous, drowsy, alert, hyper-alert)
• Orientation to time, place, person situation

Question 2

Describe the four terms of psychomotor activity

Answer 2

• Hyperactivity: purposeful, goal-directed activity
• Agitation: purposeless activity
• Retardation: slowing down, as in depression
• Catatonia: excitement, stupor, ‘waxy flexibility’

Question 3

Mood vs Affect

Answer 3

• Mood: is sustained, pervasive subjective emotional state
• Affect: is a more momentary observable expression of emotion.

Question 4

Describe different thought processes

• flight of ideas vs paucity of thought
• circumstantial thinking
• tangential thinking
• loose associations
• word salad
• thought blocking

Answer 4

• Fight of ideas vs paucity of thought
• Circumstantial thinking: taking a long, circuitous route ot make a point
• Tangential thinking: veering off on tangents and not returning to the point
• Loose associations: ideas that do not seem to connect logically.
• Word salad: a jumble of words that don’t make sense
• Thought blocking: stopping in mid-thought or being unable to think

Question 5

Thought content

• Obsessions
• Compulsions
• Delusions
• Phobias

Answer 5

• Obsessions: preoccupations with thoughts feelings, or urges that produce anxiety
• Compulsions: activities including thoughts that get rid of obsessions
• Delusions: firmly held but false beliefs
• Phobias: objects or circumstances that induce fear

Question 6

Perception

• Illusions
• Hallucinations

Answer 6

• refers to interpretation of sensory stimuli
• Illusions
• **Hallucinations **
  
  • auditroy (command, commenting)
  • Visual, olfactory