Assessment, Diagnosis, And Planning

Question 0

Common Axis I disorders are…

Answer 0

epression, anxiety disorders, bipolar disorder, ADHD, phobias, and schizophrenia

Question 1

DSM-IV organizes each pschiatric diagnosis into five levels, called axes. what are they?

Answer 1

Axis I: Clinical disorders(Includes major mental disorders, a well as developmental and learning disorders.
Axis II: Underlying pervasive or personality conditions, as well as metal retardation.
Axis III: Acute medical conditions and physical disorders
Axis IV: Psychosocial and environmental factors contributing to the disorder.
Axis V: Global Assessment of Functioning

Question 2

Common Axis II disorders are…

Answer 2

personality disorders: paranoid personality disorder, shizoid personality disorder, schizotypal personality disorder, borderline personality disorder, antisocial personality disorder, narcissistic personality disorder, histrionic personality disorder avoidant personality disorder, dependent personality disorder, obsessive-compulsive personality disorder, and mental retardation.

Question 3

Common Axis III disorders include…

Answer 3

brain injuries, and other medical/physical disorders which may aggravate existing diseases or present symptoms similar to other disorders.

Question 4

What is the Mental Status Examination, and what does it evaluate?

Answer 4

(MSE) assesses the patients metal state by evaluating
Appearance - Hygiene, general appearance, grooming, and attire.
Behavior - abnormal movements, hyperactivity and eye contact with the interviewer.
Speech - fluency, rate, clarity, and tone, all of which may indicate the patients mental state.

Question 5

Whats Mood and Affect

Answer 5

These are outward manifestations of the patients mental state/indicators. A client can be asked How do you feel? Are you happy or sad? the clients affect or emotional state is observed and interpreted by the clinician throughout the interview, and described in standardized terms such excitable, flat, inappropriate, or labile (rapidly shifting)

Question 6

What is Thought Process and Content?

Answer 6

This indicates whether or not the interviewee is properly oriented to time and Place.

Question 7

What is cognition?

Answer 7

this refers to the patients attention, awareness, memory (long, intermediate, and short term) general knowledge, abstract thinking ability, insight, and judgement.

Question 8

What is Dementia?

Answer 8

This is an acquired loss of intellectual functioning. It occurs over a long period of time. Alzheimer’s can be a cause along with many other causes, like stroke, vitamin B12 deficiency, thyroid disease, depression, and alcohol abuse.

Question 9

what is Delirium?

Answer 9

Is often caused by a sudden change in mental functioning ad or acute confusion. SUDDEN is key. Signs of Delirium are quick onset symptoms, disorganized thinking, disorientation to time and place, reduced level of attention, drowsiness, increased or decreased psychomotor activity: either apathy which can sometimes be mistaken for depression, or increased agitation. Disturbance in sleep cycle are also a sign.Can be caused by any medical condition.

Question 10

What are some medical conditions that can cause Delirium?

Answer 10

Urinary tract infection, reaction to drugs, low blood pressure, dehydration, even sensory deprivation for hospitalized patient or with hearing or other impairments that keep them isolated, and alcohol withdrawal are just a few.

Question 11

Personality disorders,(character disorders) are grouped into 3 clusters. What are the disorders in Cluster A?

Answer 11

Cluster A - (odd or eccentric)
Paranoid personality disorder - characterized by irrational suspicions and mistrust of others.
Schizoid personality disorder - lack of interest in social relationships, seeing no point in sharing time with others.
Schizotypal personality disorder - also avoids social relationships, though out of a fear of people.

Question 12

What are the personality disorders in cluster B?

Answer 12

Cluster B (dramatic, emotional, or erratic)
Antisocial personality disorder - pervasive disregard for the law and the rights of others.
Borderline personality disorder - extreme black and white thinking, instability in relationships, self-image, identity and behavior.
Histrionic personality disorder - pervasive attention-seeking behavior including inappropriate sexual seductiveness and shallow or exaggerated emotions.
Narcissistic personality disorder - a pervasive pattern of grandiosity, need for extreme sensitivity to negative evaluation and avoidance of social interaction.

Question 13

What is Cluster C personality Disorders?

Answer 13

Cluster C (anxious or fearful disorders)
Avoidant personality disorder - social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation and avoidance of social interaction.
Dependent personality disorder - pervasive psychological dependence on other people.
Obsessive-compulsive personality disorder - (not the same as Obsessive-compulsive disorder) characterized by rigid conformity to rules, moral codes, and excessive orderliness.

Question 14

What are Psychotropic Mediations?

Answer 14

Medications or drugs prescribed to stabilize or improve mood, mental status, or behavior.

Question 15

Antidepressants does what to the client?

Answer 15

Elevates mood in people who are depressed. (Examples of antidepressants are, Prozac, Paxil, Zoloft, and Tofranil… these are the brand names, because they are capitalized)

Question 16

What does Anti-Anxiety drugs do for the client?

Answer 16

Reduce anxiety symptoms (ex of anti-anxiety drugs are Klonapin, Ativan, and Buspar)

Question 17

What does Mood stabilizers do for the client?

Answer 17

Reduce mood swings in individuals with manic-depressive illness. (ex. of Mood stabilizers are Tegretol, Lithonate, and Depakote)

Question 18

What does ntipsychotic drugs, or Neuroleptics do for the client?

Answer 18

Treat psychotic disorders such as schizophrenia. It reduces psychotic symptoms such as hallucinations. (ex. of these drugs are Haldol, Risperal, and Zyprexa)

Question 19

Stimulants treat what?

Answer 19

Attention-Hyperactivity Disorder (ex of drugs are Ritalin, Dexedrine, Cylert)

Question 20

What does Beta Blockers Treat?

Answer 20

some forms of severe aggression. (ex. of this drug is Indural)

Question 21

What does Opiate Blockers treat?

Answer 21

some forms of SIB (ex of the med is RiVea)

Question 22

To diagnose Brief Psychotic Disoder

Answer 22

Has to be less than 1 month.

Question 23

To diagnose Schizophreniform Disorder

Answer 23

Less than 6 months

Question 24

To diagnose Schizophrenia

Answer 24

Has to be over 6 months.

Question 25

To diagnose Bipolar I disorder

Answer 25

requires at least one period of mania.

Question 26

Bipolar II disorder

Answer 26

milder episodes of hypomania that alternate with depression. No manic episodes or mixed episodes.

Question 27

Cluster A disorder are what?

Answer 27

(Odd or Eccentric)
Schizoid Personality Disorder - Introvert, cold, distant, fear of closeness and intimacy with people.
Paranoid Personality Disorder - Thinking someone is out to get you, Untrusting and unforgiving, angry and aggressive outburst.
Schizotypal Personality Disorder - dress strange/odd, display signs of magical thinking, outlandish or paranoid beliefs.

Question 28

Custer B is What?

Answer 28

(Dramatic, emotional, and erratic)
Antisocial Personality Disorder - Impulsive, irresponsible, History of legal difficulties, No respect for others.
Borderline Personality Disorder - Unstable in interpersonal relationships, Mood and self image issues, self destructive actions, stormy behavior.
Narcissistic Personality Disorder - exaggerated sense of self importance, absorbed by fantasies of unlimited success, seeks constant attention. oversensitive to failure.
Histrionic Personality disorder - Over the top, Attention seeking, grandiosity

Question 29

Custer C is what?

Answer 29

(Anxious and fearful)
Avoidant personality Disorder - Unwilling to become involved with others, unless they are sure of being liked. avoids social contact.
Dependent Personality Disorder - relying on others to make decisions for them.
Obsessive-compulsive Personality Disorder - never satisfied with their achievements..strive for perfection.