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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
When does w/drawl from tobacco start after stopping?
w/in 24 hours
26
What DOs is MI used for?
SUD, any condition that needs change and ambivalence is high, confidence/desire/ importance are low
27
What are the 4 guiding principles of MI? PEAC
partnership (collaboration) evocation (MIs drawn out what is w/in self to change) acceptance (empathy) compassion (promotes in selfless manner)
28
What are the skills of MI? (OARS)
Open questions Affirmation -of strengths, efforts to give hope/confidence to change Reflections-empathy Summarizing-ensures understanding
29
MI phases? (EFEP)
Engage *foundation Focus - agree on shared purpose Evoke - gently exploring/helping build "why" w/motivations Plan - how change/commitment to change
30
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 ___________.
collaborative; communication; language; strengthen; commitment; reasons; acceptance and compassion
31
Low risk drinking for men in a day and per week?
4; 14
32
Low risk drinking for women in a day and per week?
3; 7
33
12oz of regular beer = ____ oz of malt liquor = _____ wine = ____ oz of distilled spirits
8-9; 5; 1.5
34
3 types of family therapy and founder?
Systemic (Bowen); Structural (Minuchin); Strategic (Haley)
35
Goal of Systemic Family Therapy (Bowen)?
help family members increase their self-differentiation
36
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.
organizational structure
36
Key concepts of Systemic Family Therapy (Bowen)? DTMNFE
Differentiation of self Triangles Multigenerational transmission process Nuclear family emotional system Family projection process Emotional Cutoff
37
The Structural Family Therapy approach (Minuchin) believes that symptoms and family problems are ________ in a dysfunctional family organization.
embedded
38
Structural Family Therapy's (Minuchin) key concepts? FSBEDCP
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
Goal of Structural Family Therapy (Minuchin) is to create effective __________ and ___________ subsystems with clear ____________ .
structure; functional; boundaries
40
What therapy uses enactments?
Structural Family Therapy (Minuchin)
41
What therapy uses structural mapping?
Structural Family Therapy (Minuchin)
42
An undifferentiated ego mass (Bowen) is a family system with members possessing low levels of _______________, who are ________ ___________ in symbolic relationships.
differentiation; stuck together
43
What therapy uses a genogram to assess the family?
Systemic Family Therapy (Bowen)
44
Strategic Family Therapy believes that dysfunctional family __________ of behavior are deeply ___________ in the family.
patterns; embedded
45
In Strategic Family Therapy the therapist identifies the _______ that keeps the repetitive _____________ entrenched w/in the system and uses strategic interventions to change these.
sequence; patterns
46
Key concepts of Strategic Family Therapy? CHFCFS
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
The goal of Strategic Family Therapy is to alter ___________ _______ of behavior that maintain family dysfunction by using ________ _________ .
problematic patterns; strategic directives
48
In Strategic Family Therapy the intervention stage is also known as the ______-_______ stage and is _______ .
task-setting; brief
49
In Strategic Family Therapy the therapist concludes the session by suggesting a _______ __________ ________ the family can do to break their dysfunctional cycle and overcome resistance.
directive behavioral task
50
Bulimia and binge eating has how many episodes in each per week? mild, moderate, severe, extreme
1-3 4-7 8-13 14 and over
51
Eating DOs non-pharm treatments? (3)
CBT/IPT; family therapy; dynamic psychotherapy
52
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.
1; 3
53
Severity of anorexia BMI? mild, moderate, severe, extreme
Mild above 17 Mod 16-16.99 Severe 15-15.99 Extreme below 15
54
What are 4 modifiers of anorexia? RBII
restrictive type; binge-eating/purging type; in partial remission; in full remission
55
What is partial remission in anorexia?
normal BMI but w/continued fears/disturbances self-image
56
How many settings must be dysfunctional for ADHD?
2
57
Is the Brown ADHD test for adults or children?
adults
58
What therapy is used for ADHD?
CBT; family, behavior modification, social skills training
59
How many cognitive domains must be altered in delirium?
one
60
Probable (verse possible) ALZ can be diagnosed with evidence of gene mutation OR all three of these being met: DPN
Decline memory/learning & one other cognitive domain Progressive, gradual decline in cognition w/o plateaus No evidence mixed etiology
61
Delirium is an ____ decline in BOTH the _________ and ______ w/particular impairment in __________ .
acute; consciousness; cognition; attention
62
Which has more prominent hallucinations, delirium or dementia?
delirium (rare in dementia)
63
Mild NCD presents with some _______ and _________ issues and major presents with lose of many __________ abilities and they are not able to have a ___________ .
memory and concentration; physical; conversation
64
What therapy is usual for autism?
ABA

Summer 2024 (12 decks)

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