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LCSW Exam > Assessment and Intervention Planning > Flashcards

Assessment and Intervention Planning Flashcards

1
Q

case management

A

works to respond to issues of service duplication and gaps in treatment

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2
Q

case management created to

A

deinstitutionalize MH patients, help them be able to live independently, work to cover gaps in treatment/care

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3
Q

BPS Model

A

looks at full picture, holistic way of understanding clients and their issues

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4
Q

BPS model partly based on

A

social cognitive theory-need team to address all influence on functioning

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5
Q

for BPS intake

A

requires more info for assessment; looking at bio, psycho history, social back ground, barriers, etc

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6
Q

components of a sexual history

A

-age sex began
-SA history
-# partners; casual or serious
-frequency
-protection use
-type of sex
-medical/drug history
-recent history of STI’s
-pregnancy

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7
Q

components of a family history

A

-get info from parents, older relatives, family tree, medical records, medical issues

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8
Q

Mental Health Warning Signs: in adults

A

-substance use
-denying obvious probs
-excessive fear/worry/anxiety
-strong feelings of anger
-confused thinking
-dramatic changes in eating/sleeping
-worsening inability to cope with daily probs
-SI
-delusions/hallucinations
-extreme highs and lows in mood
-long lasting sadness and irritability
-unexplained physical problems
-social withdrawal

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9
Q

Mental Health Warning Signs: in older kids/preteens

A

-substance use
-excessive complaints of physical problems
-ongoing negative mood, thoughts of death
-changes in eating/sleeping habits
-frequent anger outbursts
-intense fear of weight gain
-defying authority/skipping school/theft/damaging property
-inability to cope with daily activities and problems

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10
Q

Mental Health Warning Signs: in younger kids

A

-changes in school performance; poor grades despite strong effort
-hyperactivity
-poor grades despite strong efforts
-excessive worry/anxiety
-persistent nightmares
-frequent tantrums
-persistent disobedience/aggression

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11
Q

symptoms of hypomania

A

-persistent hyperactivity
-excessive inappropriate cheerfulness, silliness, intrusive/disruptive behavior
-flight of ideas
-decreased need for sleep

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12
Q

symptoms of mania

A

-hostile thoughts
-euphoria
-denial of problems
-grandiosity

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13
Q

symptoms of depression

A

-abnormal moods, feelings, sadness, hopelessness, negativity
-self deprecation, low self esteem
-agitation, restlessness, irritable
-insomnia
-decreased school performance, socialization
-anhedonia
-somatic complaints without explanation
-change in appetite/weight

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14
Q

organic mental syndromes: depression

A

-most dementias (vascular and Huntington’s especially)
-Parkinsons
-multiple sclerosis
-cushing syndrome
-hypopituitarism
-hyperparathyroidism
-Addison’s disease
-anemia
-infections
-carcinomatosis
-porphyria
-corticosteroids
-beta-blockers
-calcium channel blockers

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15
Q

organic mental syndromes: anxiety

A

-Parkinson’s
-CVA
-brain injury
-hyperthyroidism
-hypoglycemia
-pheochromocytoma
-anemia
-SSRI antidepressants
-anticonvulsants

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16
Q

organic mental syndromes: psychosis

A

-Huntington’s
-multiple sclerosis
-space occupying lesion
-CNS infection
-cushings disease
-acute pyphyria
-corticosteroids
-beta blockers
-L dopa
-sympathomimetics

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17
Q

organic mental syndromes is a term used when

A

there’s disease of the body that presents with psychological symptoms

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18
Q

organic mental syndromes: elation/hypomania/mania

A

-multiple sclerosis
-neurosyphilis
-cushings syndrome
-carcinoma
-CNS infections
-corticosteroids
-antidepressants

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19
Q

organic mental syndromes: ICD 10 classifies theses as

A

other mental disorder due to brain damage and dysfunction and physical disease

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20
Q

organic mental syndromes: subgroups that include other than which disorders

A

-dementia, amnesia, delirium
-organic hallucinations; organic delusional disorder; organic mood disorder; organic anxiety disorder

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21
Q

for assessment, keep in mind what could be the cause of psychological symptoms

A

organic causes

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22
Q

factors that suggest organic cause of psychological symptoms

A

-failure to respond to treatment
-different to previous presentations
-abnormal physical exam
-no clear etiology
-other symptoms of organic illness
-atypical psychological presentation
-unusual presentation

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23
Q

relationship of psychiatric illness occurring as indirect result of organic illness

A

-patient at risk (past personal or family history) more likely to develop psych illness when medically ill
-psych issues can exacerbate physical illness
-use specific/standard treatment for psych disorder as long as not contraindicated with physical illness treatment

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24
Q

symptoms of neurological problems

A

-slow loss of coordination, balance
-tremors
-difficulty swallowing
-symptoms often start with mild/intermittent twitching/numbness in 1 extremity
-rigid muscles
-loss of auto movements (blinking, arm swinging, unconscious acts, eventually dementia)
-ability to speak
-slowed motion

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25
Q

physical signs of drug use

A

-appetite/weight change
-slow/staggering walk, uncoordinated
-sleep changes
-red/water eyes, pupils different sizes
-cold, sweaty palms, shaky hands
-puffy face, blushing, pale
-smells like the substance
-runny nose, hacking cough
-needle marks
-nausea, vomit, sweaty
-treamors/shaky
-irregular heart rate

26
Q

behavioral signs of drug use

A

-changes in attitude/personality
-change in friends, hobbies
-school/work performance changes
-change in habits at home
-inattention/forgetful
-lack of motivation
-oversensitive, paranoia
-moody, irritable, silly
-excessive need for privacy, secretive
-unexplained theft, need for money
-grooming habits

27
Q

alcoholism and signs of denial

A

-seemingly logical rationalizations
-projecting problems onto others
-withdrawal, escape
-only admit it when ready for help (only time something can be done)

28
Q

drug specific manifestations of physical symptoms: weed

A

glassy/red eyes, sleepy, loss of motivation

29
Q

drug specific manifestations of physical symptoms: alcohol

A

lack of coordination, slurred speech, poor judgement

30
Q

drug specific manifestations of physical symptoms: depressants

A

seem drunk, difficulty concentrating, poor judgement, contracted pupils, sleepy

31
Q

drug specific manifestations of physical symptoms: stimulants

A

hyperactive, euphoria, irritable, excessive talking followed by depression/excessive sleep, may go long time without sleeping/eating, dry mouth/nose

32
Q

drug specific manifestations of physical symptoms: inhalents

A

watery eyes/impaired vision/memory/thought, secretions/rashes around nose/mouth, headaches, nausea, seem drunk, irritable

33
Q

drug specific manifestations of physical symptoms: hallucinogens

A

dilated pupils, bizarre/irrational behavior, mood swings, confusion, paranoia, hallucinations

34
Q

drug specific manifestations of physical symptoms: heroin

A

needle marks, sleeping at odd times, twitching, dilated pupils unresponsive to light

35
Q

PTSD DSM5 definition

A

-personally experienced or witnessed an actual or threatened death, injury or damage to physical integrity
-re-experiencing the event
-avoidance of reminders of events
-hyperarousal symptoms
-negative thoughts/moods/feelings

36
Q

promising medication for PTSD nightmares

A

prazosin, primarily used for high blood pressure

37
Q

acute stress disorder

A

having some PTSD symptoms after stressful event, usually goes away after a few weeks

38
Q

psychosocial stress

A

-result of cognitive appraisal of whats at stake and what can be done about it
-when we look at perceived threat (real or imagined) and discern it may require resources that we don’t have
-threats can lead to stress response in body (cortisol-energy burst; epinephrine-adrenaline)
-prolonged exposure of stress has negative effects on body

39
Q

fight or flight response

A

increase heartrate, slow down digestion, divert blood flow to major muscle groups, change automatic nervous function to give body strength

40
Q

secondary traumatic stress

A

compassion fatigue, secondary victimization, vicarious trauma
**practice self care

41
Q

problem solving framework

A
  1. problem definition
  2. problem analysis (spend time to assess situation and what actually needs to be changed, investigate climate of current situation, look at who/what/when/where/why)
  3. generating possible solutions
  4. analyze the solutions
  5. selecting the best solutions
  6. implementing
  7. evaluating solutions
42
Q

mini-mental status exam

A

way to quantify cognitive function and screen for loss; test orientation, attention, calculation, recall, language and motor skills; score below 20 usually indicates impairment

43
Q

mini-mental status exam: orientation to time

A

todays date, month, year, day of week, season

44
Q

mini-mental status exam: orientation to place

A

whose house, what room, city, county, state

45
Q

mini-mental status exam: immediate recall

A

say 3 words, ask them to repeat: ball, flag, tree

46
Q

mini-mental status exam: attention

A

start at 100 count backward by 7 for 5 times, spell world backwards

47
Q

mini-mental status exam: delayed recall

A

repeat 3 words; ball, flag, tree

48
Q

mini-mental status exam: naming

A

show a watch and a pencil, ask what each of them are

49
Q

mini-mental status exam: repitition

A

repeat after me “no ifs, ands, or buts”

50
Q

mini-mental status exam: 3 stage command

A

give piece of paper and ask them to take it in hand, fold in half and put it on the floor; they get 1 point for taking it, 1 for folding, and 1 for putting on floor

51
Q

mini-mental status exam: reading

A

show card that says to close their eyes, ask them to do what the card says

52
Q

mini-mental status exam: writing

A

have them write a sentence

53
Q

WISC-R

A

Weschler intelligence scale for kids revised (adolescents)

54
Q

WAIS

A

Weschler adult intelligence scale (adults and adolescents)

55
Q

Stanford-Binet

A

Intelligence test for kids

56
Q

Draw a person test

A

Info about kids self image

57
Q

MMPI/MMPI2

A

Predominant personality traits

58
Q

HTP (house, tree, person)

A

Draw to get info about self image

59
Q

Rorschach test and thematic apperception test

A

Projective tests

60
Q

Beck depression inventory

A

Depression self assessment

61
Q

Strengths perspective

A

Identify and assess strengths, build on them, avoid stigmatizing language; use strengths to get through stresses

62
Q

principles of strengths perspective

A

-everyone has strengths
-things can be difficult and overwhelming but can use as source of challenge and opportunity
-assume upper limits of capacity to grow/change aren’t known yet
-collaboration best way to work with clients
-every environment has resources to use for help
-emphasis on caring/caretaking of group members

LCSW Exam (9 decks)

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