Assessment and Intervention Planning

Question 1

Clozaril

Answer 1

most powerful drug for schizophrenia

most toxic - needs blood tests to monitor (mandated by law in many states)

Question 2

anxiety best treated with which class of drug?

Answer 2

SSRIs

• Prozac (Fluoxetene)
• Zoloft (Sertraline)
• Paxil (Paroxetene)
• Lexapro (Escitalopram)
• Celexa (Citalopram)

Newer anti-depressants

• Cymbalta (Duloxetene)
• Effexor (Venlofaxine)

NOT BENZOS (valium, klonopin, ativan, xanax)

Question 3

agitation/activation with anti-depressant

Answer 3

means person may have bipolar disorder

should be treated with Lamictal or Lithium

Question 4

tardive dyskenisia

Answer 4

abnormal movements that come months or years (or sometimes in weeks) of being on anti-psychotics

Question 5

common antipsychotics

Answer 5

Haldol
Abilify
Zyprexa
Seroquel
Risperadol
Geodon
Stelazine
Thorazine

Question 6

schizoid personality disorder

Answer 6

introverted, withdrawn, solitary, emotionally cold, distant

absorbed with own thoughts and feelings

fearful of closeness and intimacy with others

Question 7

paranoid personality disorder

Answer 7

interpreting actions of others as deliberately threatening or demeaning

untrusting, unforgiving, prone to angry or aggressive outbursts

Question 8

schizotypal personality disorder

Answer 8

peculiarities: odd, eccentric manners of speaking or dressing

strange, outlandish, or paranoid beliefs

display signs of “magical thinking”

Question 9

antisocial personality disorder

Answer 9

impulsive, irresponsible, callous

history of legal difficulties

belligerent and irresponsible bx

aggressive and even violent relationships

no respect for others

Question 10

borderline personality disorder

Answer 10

unstable interpersonal relationships, bx, mood, self-image

abrupt, extreme mood changes

stormy interpersonal relationships

fluctuating self-image

self-destructive actions

Question 11

narcissistic personality disorder

Answer 11

exaggerated sense of self-importance

absorbed by fantasies of unlimited success

seek constant attention

oversensitive to failure

Question 12

histrionic personality disorder

Answer 12

behave melodramatically, over the top, constant display of excessive emotionality

attention seeking

Question 13

avoidant personality disorder

Answer 13

hypersensitive to rejection, needs to be sure of being liked before getting involved with others

avoidance of social events, work that involves interpersonal contact

Question 14

dependent personality disorder

Answer 14

pattern of dependent, submissive bx

relying on others to make personal decisions

require excessive reassurance and advice

Question 15

obsessive-compulsive personality disorder

Answer 15

conscientious, high levels of aspiration

strive for perfection

never satisfied with achievements

Question 16

other personality d/o

Answer 16

personality change due to another medical condition

other specified personality disorder

unspecified personality disorder

Question 17

ataxia

Answer 17

lack of muscle control during voluntary movements (picking objects up, walking)

Question 18

agnosia

Answer 18

inability to recognize familiar objects

Question 19

prosopagnosia

Answer 19

inability to recognize familiar faces

Question 20

acalculia

Answer 20

inability to do basic arithmetic

Question 21

paraphilic d/os

Answer 21

cts with atypical sexual interests that…

• they feel personal distress about their interests (not just distress from society’s disapproval)
• their sexual desire involves another person’s psychological distress, injury, or death
• their sexual bx involves unwilling persons, or persons unable to give legal consent

desires/behaviors don’t need to have resulted in legal involvement

Question 22

Mental Status Examination

Answer 22

appearance

orientation

speech/pattern

affect/mood

impulsiveness/potential for harm

judgment/insight

thought process/reality testing

intellectual functioning/memory

Question 23

comorbid

Answer 23

existing with or at the same time

2 different illnesses at one time

Question 24

contraindicated

Answer 24

not recommended or safe to use

i.e. not prescribing medication because it could have serious consequences

Question 25

folie a deux

Answer 25

shared delusion

Question 26

endogenous versus exogenous depression

Answer 26

caused by biochemical imbalance

caused by external events or psychosocial stressors

Question 27

postmorbid

Answer 27

after onset of illness

Question 28

premorbid

Answer 28

prior to onset of illness

Question 29

engagement

Answer 29

actively involved with client re:

why tx sought

what precipitated desire for change

parameters of helping relationship (roles)

expectations for tx

Question 30

assessment

Answer 30

ct is source of providing essential information to define problems, solutions; also collateral contact

Question 31

planning

Answer 31

develop common understanding of ct’s preferred lifestyle

goals

specific action plans developed, agreed upon (roles, resources, timelines)

Question 32

intervention

Answer 32

mobilizing support network to make continued progress & sustainable change

bring issues threatening goal attainment to social workers attention

progress tracked, timeline adjusted accordingly

Question 33

evaluation

Answer 33

subjective reports of client & objective indicators of progress

have goals been met? do new goals need to be set?

client self-monitoring helpful!

Question 34

termination

Answer 34

reflect on achievement

anticipate supports in place if problems arise again

Question 35

phases of treatment

Answer 35

engagement

assessment

planning

intervention

evaluation

termination

Question 36

SMART (research/goal acronym)

Answer 36

specific, measurable, attainable, realistic, timely