Assessment / Diagnosis Flashcards
Who shows greater improvement on retesting of intelligence, older or younger people?
Younger people.
What is a somatoform disorder?
The presence of a physical symptom that cannot be fully explained by a medical condition. If it lasts for over 6 months, it’s Undifferentiated Somatoform Disorder; for less than 6 months, it’s somatoform disorder NOS
What are the different somatoform disorders?
Somatization disorder (involving multisystem physical symptoms)
Undifferentiated somatoform disorder (fewer symptoms than somatization disorder)
Conversion disorder (voluntary motor or sensory function symptoms)
Pain disorder (pain with strong psychological involvement)
Hypochondriasis (fear of having a life-threatening illness or condition),
Body dysmorphic disorder (preoccupation with a real or imagined physical defect)
Somatoform disorder not otherwise specified (used when criteria are not clearly met for one of the other
somatoform disorders)
What is the Rancho Los Amigos scale?
It is used in rehabilitation settings to indicate a patient’s level of response and ability to function. It uses external cues and does not need input from a patient. The levels measured are:
Level 1 - no response
Level 2 - Generalized response - limited reflexes and often the same, regardless of stimuli presented
Level 3 - Localized response: responses specific but inconsistent; are related to the type of stimulus presented; may follow simple commands in an inconsistent and delayed manner.
Level 4 - Confused-Agitated: heightened state of activity; severely confused and unaware of present events; unable to perform self-care; may sit and walk as part of an agitated state.
Level 5 - Confused - inappropriate, non-agitated: Appears alert and responds to simple commands; some agitated behavior in response to external stimuli; is highly distractible; difficulty learning new information; memory impaired; verbalization often inappropriate; self-cares with assistance
Level 6 - Confused - Appropriate: shows goal-directed behavior, relying on cueing for direction; able to relearn old skills, such as activities of daily living; new learning is limited by memory problems; has beginning awareness of self and others
Level 7: Automatic - Appropriate: goes through daily routine with robot-like but appropriate behavior and minimal confusion; superficial awareness of condition but lacks insight; requires some supervision.
Level 8: Purposeful - Appropriate: Alert and oriented; able to recall and integrate past and recent events; can learn new activities and continues in home and living skills; deficits in adaptive functioning may persist.
How does “Hallucinogen persisting perception disorder” differ from “substance-induced psychotic disorder”?
The former (HPPD) refers to flashbacks after the use of a hallucinogen.
The latter (SIPD) can be caused by intoxication or withdrawal from many substances, but the symptoms must occur within 1 month of intoxication / withdrawal and the person must not have had the insight that the hallucinations are substance induced.
In bulimia nervosa, what is “inappropriate compensatory behavior,” and how long must it have taken place?
It includes vomiting, use of diuretics, or excessive exercising for at least 3 months.
How is the Halstead-Reitan Impairment Index created?
A series of neuropsychological subtests are performed (e.g. Trails, Category test, etc.). The HII is calculated by counting the total number of tests in the impaired range, and dividing that number by the total tests administered, resulting in a decimal between zero and one (0.0–0.2: normal functioning; 0.3–0.4: mild impairment; 0.5–0.7: moderate impairment; 0.8–1.0: severe impairment).
Read more: http://www.minddisorders.com/Flu-Inv/Halstead-Reitan-Battery.html#ixzz2pC1qmCvj
How is the General Neuropsychological Deficit Scale (GNDS) calculated?
It’s from the Halstead-Reitan battery. The GNDS is calculated by assigning a value between zero and four to 42 variables contained in the tests, then summing those values (0–25: normal functioning; 26–40: mild impairment; 41–67: moderate impairment; 68+: severe impairment).
Read more: http://www.minddisorders.com/Flu-Inv/Halstead-Reitan-Battery.html#ixzz2pC2G6bMC
