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Summer 2024 > 723 Exam 2 from Lectures > Flashcards

723 Exam 2 from Lectures Flashcards

1
Q

Benzo w/drawl can cause?

A

Psychosis

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2
Q

The inability to initiate or engage in goal-directed behavior?

A

avolition

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3
Q

Is catatonia a positive or negative symptom?

A

positive

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4
Q

Which personality DO does not want relationships?

A

schizoid

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5
Q

Best therapy for BPD?

A

DBT

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6
Q

Founder of DBT?

A

Marsha Linehan

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7
Q

Schizophrenics do or do not return to their baseline, even with treatment?

A

do not

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8
Q

What is an indicator of the prodrome phase of schizophrenia?

A

functioning declines

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9
Q

Cluster A personality DOs best therapy option?

A

group (individual first to prepare)

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10
Q

To be dx’d with a personality DO, the traits must effect 4 areas, what are these? TEIR

A

thinking, expression, impulsivity, relating to others

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11
Q

How many drinks in 2 hours for men and women that defines binge drinking?

A

5/6

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12
Q

Intoxication of what: slurred speech, incoordination, unsteady gait, nystagmus, impairment in attention or memory, stupor or coma?

A

ETOH

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13
Q

Withdrawl from what: autonomic hyperactivity, hand tremor, insomnia, n/v, transient visual/tactile/ or auditory hallucinations or illusions, psychomotor agitation, anxiety, generalized tonic-clonic seizures

A

ETOH

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14
Q

Time period 2 or more s/s must be present for ETOH Use, Opioid DO, cannabis use DO, tobacco use DO ?

A

12 months

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15
Q

Early remission of Use DO months? Sustained?

A

2-12 months; after 12 months

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16
Q

Use DOs- how many symptoms in mild, mod, and severe?

A

2-3, 4-5, 6 or more

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17
Q

Intoxicated from what: miosis (dilation if anoxic), drowsiness/coma, slurred speech, impaired memory/attention … behavior changes initial euphoria then apathy, dysphoria, psychomotor agitation or retardation, impaired judgement

A

opioid

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18
Q

Withdrawl from what? dysphoria, n//v, muscle aches, lacrimation/rhinorrhea, pupillary dilation (mydriasis), diaphoresis, diarrhea, yawning, fever, insomnia

A

opioid

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19
Q

Intoxication from what: impaired coordination, euphoria, anxiety, sensation of slowed time, impaired judgement, social w/drawl, conjunctival injection, increased appetite, xerostomia, tachycardia.. sometimes hallucinations

A

Cannabis

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20
Q

Withdrawl from what: irritability/anger/aggression, nervousness/anxiety, sleep difficulty/disturbed dreams, decreased appetite/weight loss, restlessness, depressed and one physical symptom: abd pain, tremors, diaphoresis, fever, chills, HA

A

Cannabis

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21
Q

When does w/drawl start after stopping cannabis?

A

w/in a week

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22
Q

When does w/drawl start after stopping opioids?

A

minutes to several days

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23
Q

When does w/drawl start after stopping ETOH?

A

several hours to a few days

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24
Q

Withdrawl from what: irritability/frustration/anger, anxiety, difficulty concentrating, increased appetite, restlessness, depressed, insomnia

A

tobacco

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25
Q

When does w/drawl from tobacco start after stopping?

A

w/in 24 hours

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26
Q

What DOs is MI used for?

A

SUD, any condition that needs change and ambivalence is high, confidence/desire/ importance are low

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27
Q

What are the 4 guiding principles of MI? PEAC

A

partnership (collaboration)
evocation (MIs drawn out what is w/in self to change)
acceptance (empathy)
compassion (promotes in selfless manner)

28
Q

What are the skills of MI? (OARS)

A

Open questions
Affirmation -of strengths, efforts to give hope/confidence to change
Reflections-empathy
Summarizing-ensures understanding

29
Q

MI phases? (EFEP)

A

Engage *foundation
Focus - agree on shared purpose
Evoke - gently exploring/helping build “why” w/motivations
Plan - how change/commitment to change

30
Q

MI is a __________, goal-orientated style of ___________ w/particular attention to the ___________ of change. It is designed to _________ personal motivation for ______________ to a specific goal by eliciting and exploring the person’s own ___________ for change w/in an atmosphere of __________ and ___________.

A

collaborative; communication; language; strengthen; commitment; reasons; acceptance and compassion

31
Q

Low risk drinking for men in a day and per week?

A

4; 14

32
Q

Low risk drinking for women in a day and per week?

A

3; 7

33
Q

12oz of regular beer = ____ oz of malt liquor = _____ wine = ____ oz of distilled spirits

A

8-9; 5; 1.5

34
Q

3 types of family therapy and founder?

A

Systemic (Bowen); Structural (Minuchin); Strategic (Haley)

35
Q

Goal of Systemic Family Therapy (Bowen)?

A

help family members increase their self-differentiation

36
Q

Minuchin who developed Structural Family Therapy believes that a functional families don’t lack problems they only have an effective __________ _____________ to handle problems as they arise.

A

organizational structure

36
Q

Key concepts of Systemic Family Therapy (Bowen)? DTMNFE

A

Differentiation of self
Triangles
Multigenerational transmission process
Nuclear family emotional system
Family projection process
Emotional Cutoff

37
Q

The Structural Family Therapy approach (Minuchin) believes that symptoms and family problems are ________ in a dysfunctional family organization.

A

embedded

38
Q

Structural Family Therapy’s (Minuchin) key concepts? FSBEDCP

A

Family structure -patterns how relate, roles etc
Subsystems - smaller units that carry out functions
Boundaries - protect integrity
Enmeshed family - boundaries enmeshed, loss of personal identity
Disengaged family - boundaries rigid, increased autonomy/dissconnected
Coalition - dysfunctional alliance of 2 against a 3rd (cross-generational, schism, skewed)
Parentification - role reversal w/child having power

39
Q

Goal of Structural Family Therapy (Minuchin) is to create effective __________ and ___________ subsystems with clear ____________ .

A

structure; functional; boundaries

40
Q

What therapy uses enactments?

A

Structural Family Therapy (Minuchin)

41
Q

What therapy uses structural mapping?

A

Structural Family Therapy (Minuchin)

42
Q

An undifferentiated ego mass (Bowen) is a family system with members possessing low levels of _______________, who are ________ ___________ in symbolic relationships.

A

differentiation; stuck together

43
Q

What therapy uses a genogram to assess the family?

A

Systemic Family Therapy (Bowen)

44
Q

Strategic Family Therapy believes that dysfunctional family __________ of behavior are deeply ___________ in the family.

A

patterns; embedded

45
Q

In Strategic Family Therapy the therapist identifies the _______ that keeps the repetitive _____________ entrenched w/in the system and uses strategic interventions to change these.

A

sequence; patterns

46
Q

Key concepts of Strategic Family Therapy? CHFCFS

A

Cybernetics; theoretical study of control processes
Homeostasis
Feedback loops: output continuously reintroduced initiating a chain of subsequent events
Circular causality - w/in a relationship w/network interacting loops
First-order changes - superficial behavior changes that do not change structure
Second-order changes - in-depth behavior changes that require fundamental revision of structure and function

47
Q

The goal of Strategic Family Therapy is to alter ___________ _______ of behavior that maintain family dysfunction by using ________ _________ .

A

problematic patterns; strategic directives

48
Q

In Strategic Family Therapy the intervention stage is also known as the ______-_______ stage and is _______ .

A

task-setting; brief

49
Q

In Strategic Family Therapy the therapist concludes the session by suggesting a _______ __________ ________ the family can do to break their dysfunctional cycle and overcome resistance.

A

directive behavioral task

50
Q

Bulimia and binge eating has how many episodes in each per week?
mild, moderate, severe, extreme

A

1-3
4-7
8-13
14 and over

51
Q

Eating DOs non-pharm treatments? (3)

A

CBT/IPT; family therapy; dynamic psychotherapy

52
Q

For bulimia and binge eating to be dx’d it must occur with 3 or more s/s and on average at least _____ a week for ____ months.

A

1; 3

53
Q

Severity of anorexia BMI? mild, moderate, severe, extreme

A

Mild above 17
Mod 16-16.99
Severe 15-15.99
Extreme below 15

54
Q

What are 4 modifiers of anorexia? RBII

A

restrictive type; binge-eating/purging type; in partial remission; in full remission

55
Q

What is partial remission in anorexia?

A

normal BMI but w/continued fears/disturbances self-image

56
Q

How many settings must be dysfunctional for ADHD?

A

2

57
Q

Is the Brown ADHD test for adults or children?

A

adults

58
Q

What therapy is used for ADHD?

A

CBT; family, behavior modification, social skills training

59
Q

How many cognitive domains must be altered in delirium?

A

one

60
Q

Probable (verse possible) ALZ can be diagnosed with evidence of gene mutation OR all three of these being met: DPN

A

Decline memory/learning & one other cognitive domain
Progressive, gradual decline in cognition w/o plateaus
No evidence mixed etiology

61
Q

Delirium is an ____ decline in BOTH the _________ and ______ w/particular impairment in __________ .

A

acute; consciousness; cognition; attention

62
Q

Which has more prominent hallucinations, delirium or dementia?

A

delirium (rare in dementia)

63
Q

Mild NCD presents with some _______ and _________ issues and major presents with lose of many __________ abilities and they are not able to have a ___________ .

A

memory and concentration; physical; conversation

64
Q

What therapy is usual for autism?

A

ABA

Summer 2024 (12 decks)

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