Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PAS 765 (Clinical Assessment I) > Behavior and Mental Status > Flashcards

Behavior and Mental Status Flashcards

1
Q

T/F Depression is the leading cause of disability world wide

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are five physical symptoms of depression

A
  1. Fatigue
  2. Sleep disturbances
  3. musculoskeletal pain
  4. headache
  5. GI problems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Approx what percent of unexplained symptoms are related to depression

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

T/F Sleep disturbances happen when a patient wakes up frequently in the night

A

false, it can mean getting too much sleep as well as too little

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

when should a mental health screen be performed

A

there are many possible key factors but the US preventative service task force reccommends one for all patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the five components of a mental health exam

A
  1. apperance and behavior
  2. speech and language
  3. mood
  4. thoughts and perceptions
  5. cognitive function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what four patient qualities should be examined when assessing apperance and behavior

A
  1. level of consciousness
  2. posture and motor behavior
  3. dress/grooming/hygiene
  4. manner/affect/relationships
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are five ways to describe level of consciousness

A
  1. alert
  2. lethargic
  3. obtunded
  4. stupor
  5. coma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

three indicators a person is alert

A
  1. responds to normal tone of voice
  2. good eye contact
  3. appropriate responses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

three indicators a person is lethargic

A
  1. drowsiness
  2. opens eyes only to look at you
  3. responds to questions then falls asleep
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

five indicators that a patient is obtunded

A
  1. opens eyes to look at you
  2. responds slowly
  3. somewhat confused
  4. decreased alertness
  5. might need a shake awake
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

three indicators a patient is stuporous

A
  1. arouses only with painful stimuli
  2. slow or absent verbal response
  3. minimal awareness of environment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

two indictors of a comatose patient

A
  1. unrousable with eyes closed
  2. no response to painful stimuli
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are four ways to introduce painful stimuli

A
  1. trap squeeze
  2. sternal rub
  3. pencil on nail bed
  4. pinch
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are four examples of abnormal posture and motor behavior

A
  1. pacing
  2. abnormal posture
  3. spastic movement
  4. complaining of a level of pain that doesn’t match presentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are 4 examples of variation in affect

A
  1. labile
  2. blunt
  3. exaggerated
  4. pleasant
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

labile affect

A

someone who expresses in appropriate or excessive displays of emotion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

when assessing manner/affect/relationships what are five factors to examine

A
  1. affect
  2. level of approachability
  3. appropriate reactions to others
  4. possible hallucinations
  5. euphoria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what are five ways to evaluate speech and language in a mental health exam

A
  1. quantity
  2. rate
  3. volume
  4. articulation
  5. fluency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

pressured speech

A

an abnormal speech pattern where the patient continuously talks with no breaks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are two issues that might present with pressured speech

A
  1. mania
  2. substance abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are three issues that might present with slowed speech

A
  1. depression
  2. stroke
  3. sedation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

T/F slowed speech can involve speaking slowly or the inability to get words out

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

four disorders of speech

A
  1. aphasia
  2. apraxia
  3. dysarthria
  4. dysphonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is aphasia

A

a communcation disorder caused by damage to the language centers of the brain

26
Q

what is the defining characteristic of aphasia

A

difficulties communicating (speech, writiing, reading) with no decrease intelligence

27
Q

apraxia

A

a motor disorder in which the signal conduction from the brain to the mouth is interrupted, causing the person to be unable to move their mouth properly to speak

28
Q

dysarthria

A

a motor speech disorder resulting from impaired muscles used in speech

29
Q

what determines the type and severity of dysarthria

A

the area of the nervous system that is affected

30
Q

dysphonia

A

a voice disorder caused by impairment of the mouth, tongue, throat, or vocal cords resulting in hoarseness

31
Q

what is the goal of assessing a patients thoughts and persceptions during a mental health exam

A

the assess the logic, relevance, organization, and coherence of a patients thought process

32
Q

what are 5 examples of a derranged thought process

A
  1. circumstantial
  2. tangential
  3. flight of ideas
  4. incoherent
  5. echolalia
33
Q

what are circumstantial thoughts? what disorder might they indicate

A

speech with pointless, unnecessary detail

OCD

34
Q

what are tangential thoughts? what disorder might they indicate

A

shifting between unrelated topics

psychotic

35
Q

if a patient was described as having a flight of ideas, what kind of thought process would that describe? What might be the cause

A

non-stop, pressured speech with quickly changing topics

severe schizophrenia

36
Q

what is echolalia? what might it indicate

A

repetition of words and phrases of others

mania, schizophrenia, autism

37
Q

what is a good method to encourage a patient to describe there thought content

A

follow their lead, ask open ended questions

38
Q

what are five terms to describe the content of a patients thoughts

A
  1. complusions
  2. delusions
  3. phobias
  4. anxiety
  5. obessions
39
Q

compulsion

A

a repetitive response to a stimuli

40
Q

obession

A

recurrent, persistant thoughts, feelings, or urges

41
Q

phobias

A

persistent, irrational fears

42
Q

delusions

A

false, fixed beliefs

43
Q

three types of delusion

A
  1. persecutory
  2. grandiose
  3. erotomania
44
Q

persecutory delusion

A

the feeling someone is out to get them

45
Q

grandiose delusions

A

an inflated sense of importance

46
Q

erotomania

A

the delusion that another person is in love with the patient but has not reason to be

47
Q

what are six types of hallucinations

A
  1. auditory
  2. visual
  3. olfactory
  4. gustatory
  5. tactile
  6. somatic
48
Q

what is the most common form of hallucinations

A

auditory

49
Q

how might a patient behave tactile hallucinations

A

an exaggerated reaction to a imagined stimuli (somone touched my head)

50
Q

somatic hallucinations

A

believing your body is filled with parasites

51
Q

what are five ways to examine cognitive function

A
  1. orientation
  2. attention
  3. remote memory
  4. recent memory
  5. new learning ability
52
Q

what are three ways to test attention

A
  1. digital span
  2. serial 7s
  3. spelling backwards
53
Q

how to test remote memory

A

asking to recall past events

54
Q

how to test learning ability

A

give the patient three words to remember, have them repeat the words, then ask them again in 3-5 minutes

55
Q

what are four ways to test higher cognitive function

A
  1. knowledge and vocabulary
  2. calculating ability
  3. abstract thinking
  4. constructional ability
56
Q

what is one way to test abstract cognitive ability

A

ask the patient to define a common proverb

57
Q

what is one way to assess a patients constructional ability

A

ask them to draw a shape or a clock

58
Q

what is the most widely used cognitive test for dementia in the US

A

the mini-mental state exam

59
Q

what are the six factors tested on the mini-mental state exam

A
  1. orientation
  2. recall
  3. attention
  4. calculation
  5. language
  6. constuctional praxis
60
Q

what are two weaknesses of the mini-mental health exam

A
  1. not sensitive to severe or mild dementia
  2. maybe influenced by age, education, language, etc

PAS 765 (Clinical Assessment I) (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions