Assessment

Question 1

What does the biopsychosocial database consist of x5

Answer 1

Establishing a diagnoses
Understanding the etiology
Assessing the functional impairment
Determine the risks
Develop patient centered treatment

Question 2

How to ensure safety during assessment x4

Answer 2

Always ensure you are close to the door
Stop interview with agitated or threatening patients
Deescalate situation with oral sedatives
Avoid interviews in isolated areas

Question 3

5 properties of tranquilizers

Answer 3

Antianxiety
Sedative
Antiagitation
Anticonvulsant
Muscle relaxant

Question 4

Define hallucinations

Answer 4

False perceptions that occur in the absence of external stimulus but appear real to the patient

Question 5

What conditions are visual hallucinations associated with

Answer 5

Organic conditions

Question 6

Which hallucinations are the hallmark of psychosis

Answer 6

Auditory hallucinations

Question 7

Examples of elementary x2 and complex x1 auditory hallucinations

Answer 7

E- whistling, birds
C- human voices

Question 8

State 2 other false perceptions x2

Answer 8

Pseudo hallucinations
Illusions- misconception of perception

Question 9

Describe abnormalities in progression of thought ie flow x4

Answer 9

Thought block- no thought
Circumstantiality- round in circles
Derailment - completely abnormal
Tangentiality- complete off track

Question 10

Describe changes in the associations of thoughts x2

Answer 10

Increased - pressure of thought
Decreased - poverty of thought

Question 11

Describe the abnormalities in the rate of the thought process x2

Answer 11

Increased- flight of ideas
Decreased- psychomotor retardation

Question 12

Define delusional intuitions

Answer 12

Sudden or strong belief that arises without any logic or evidence

Question 13

Define delusions

Answer 13

Fixed false beliefs that are held with great conviction and aren’t in keeping with the patients social or cultural background

Question 14

Define delusional memories

Answer 14

Formation of fake memories or belief in events that never happened

Question 15

Define delusional moods

Answer 15

When someone believes that their emotional state is influenced or controlled by external forces

Question 16

Define delusional perception

Answer 16

When someone misinterprets sensory information ie neutral or irrelevant stimuli

Question 17

Define over valued ideas

Answer 17

Culturally accepted or understandable ideas that preoccupy a individual and lead to distress and functional impairment

Question 17

3 types of abnormalities of thought content

Answer 17

Delusions
Obsessions
Over valued ideas

Question 17

Define obsessions

Answer 17

Recurrent intrusive thoughts or imagery that is usually distressful

Question 18

5 types of abnormal behaviors

Answer 18

Compulsions
Catatonia
Negative symptoms
Disorganized behavior
Psychomotor agitation and retardation

Question 19

4 types of negative behavior

Answer 19

Alogia
Avolition
Anhedonia
Asociality

Question 20

Describe 3 abnormalities in mood

Answer 20

Depression- persistently low
Hypomanic/manic- persistently high
Anxious

Question 21

Define affect

Answer 21

Outward or observable expression of emotion and feelings ie how a person responds to environment

Question 22

Describe mood vs emotions

Answer 22

Emotions - internal feelings of sudden onset and short lived
Mood- prevailing emotional state

Question 23

What is reviewed in psychiatric symptomatology x7

Answer 23

Psychotic symptoms
Depressive symptoms
Manic symptoms
Anxiety symptoms
Cognitive symptoms
Suicidal ideation
Violence