Brainscape's Knowledge GenomeTM

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


See full index

Clin Skills > Behavioral > Flashcards

Behavioral Flashcards

1
Q

What can help recognize mental health disorders?

A

unexplained symptoms, “difficult encounters”, dual diagnosis, chronic illness

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

How are mental disorders classified?

A

psychological (mental/emotional state) or physical (relating to a body sensation, or can also be called somatic)

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

Often symptoms are described by patients in ___________ of _________ ____________

A

clusters of functional syndromes

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

What are some clusters of functional syndromes patients could presente with that could indicate a mental disorder?

A

IBS, fibromyalgia, chronic fatigue, TMJ disorder, sensitivities

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

Often there are several ______ symptoms rather than a _______ complaint

A

related, single

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

What also could indicate a medical disorder?

A

frequent flyers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What should prompt screening for depression and anxiety?

A

unexplained conditions lasting more than 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What approach is a brief screening questions w/ high sensitivity/specificity to identify those a high risk with detailed follow-up when indicated?

A

two-tier approach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What approach serves as initial screen for 5 general groups of mental disorders?

A

PRIME-MD, only 26 questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some indications for mental health screening?

A
  • unexplained physical symptoms
  • high amount of symptoms
  • high severity of presenting symptom
  • chronic pain
  • symptoms > 6 weeks
  • “difficult encounter”
  • recent stress
  • low self rating of health
  • frequent use of health care
  • substance abuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are common and concerning symptoms?

A
  • changes in attention, mood, speech, insight, orientation, memory that can demonstrate anxiety, panic, ritualistic behavior, phobias, delerium, dementia
  • try to integrate into history so it will seem less like an interrogation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How much does major depression affect the population?

A

9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are some early/high risk signs of depression?

A

low self esteem, anhedonia (loss of pleasure in daily activities), sleep disorders, difficulty concentrating and making decisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are some vulnerable patients to depression?

A

young, female, single, divorced, chronically ill, seriously ill, bereaved, other disorders, substance abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How common is serious mental illness?

A

1 in 25

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How common is mental illness?

A

1 in 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Suicide is the ___ leading cause of death in the US

A

10th

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

T/F: Suicide is the 2nd cause of death 15-24yo

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Do men have higher or lower suicide rates than women?

A

higher, but women attempt more frequently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

T/F: not every patient needs to be screened for alcohol use, substance use, and misuse of drugs

A

false. Everyone!

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

What are the 5 components you are looking at with the mental status exam?

A

1) appearance 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
22
Q

When analyzing appearance and behavior, what are you looking at?

A
  • level of consciousness
  • posture and motor behavior
  • dress, grooming, personal hygiene
  • facial expression
  • manner, affect, relationship to people and things
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are you analyzing with speech and language?

A

quality, rate, volume, articulation, fluency, terminology (any disorders?)

24
Q

How can you test for aphasia?

A

word comprehension (following commands), repetition (repeating), naming (ask to name), reading comprehension (read aloud), writing (ask to write)

25
Q

What must you ask about mood?

A

“how did you feel about that?” “how is your overall mood?”

** it is your responsibility to ask direct questions about suicidal thoughts **

26
Q

What are some ways to assess suicide risk?

A
  • how low do you feel?
  • what do you see for yourself in the future?
  • do you ever feel like life isn’t worth living? Do you ever feel that you want to be dead?
  • Have you ever thought about killing yourself? do you have a plan?
  • what do you expect to happen after you die?
27
Q

What are you analyzing with thoughts and perceptions?

A

circumstantiality, derailment,, flights of ideas, neologisms, incoherence, blocking, confabulation, perseveration, echolalia, clanging

28
Q

What is circumstantiality and what does it indicate?

A

speech w/ unnecessary detail, indirection, delay in reaching a point (obsession)

29
Q

What is derailment and what does it indicate?

A

shifting topics that are loosely connected/unrelated (schizo, mania, others)

30
Q

What is flight of ideas and what does it indicate?

A

continuous flow, accelerated speech, abrupt changes of topics (manic episodes)

31
Q

What is neologisms and what does it indicate?

A

invented or distorted words (schizo, psychotic, aphasia)

32
Q

What is incoherence and what does it indicate?

A

illogical, incomprehensible speech, lack of meaningful connections (severe psych disturbances, schizo)

33
Q

What is blocking and what does it indicate?

A

sudden interruption of speech, losing train of thoguht (schizo)

34
Q

What is confabulation and what does it indicate?

A

fabrication of facts or events, filling gap with impaired memory (Korsakoff syndrome from alcoholism)

35
Q

What is perserveration and what does it indicate?

A

persistent repitition of words and ideas (schizo and other psych disorders)

36
Q

What is echolalia and what does it indicate?

A

repititon of words and phrases of others (manic and schizo)

37
Q

What is clanging and what does it indicate?

A

chose words based on sounds/rhymes/puns rather than meaning (schizo and manic)

38
Q

What abnormalities can occur in thought content?

A

compulsions, obsessions, phobias, anxieties, feelings of unreality, depersonalization, delusions

39
Q

What are compulsions, obsessions, phobias, and anxieties often a sign of?

A

anxiety disorders

40
Q

What are delusions, feeling of unreality or depersonalization often associated with?

A

psychotic disorders, or delirium, severe mood disorders, dementia

41
Q

When may illusions occur?

A

grief reactions, delirium, acute and PTSD, schizophrenia

42
Q

When may hallucinations occur?

A

delirium, dementia, PTSD, schizo, substance use

43
Q

Who often lack insight into their illness?

A

patients w/ psychotic disorders

44
Q

What else can influence judgement?

A

anxiety, mood, delirium, dementia, psychotic states, intelligence, education, income, cultural values

45
Q

When can disorientation occur?

A

when attention is impaired like delirium

46
Q

What are tests to test attention?

A

digit span (recite series of digits and ask to repeat back – normal should be 5 forward, 4 backward, stop after second failure)
serial 7s (subtract from 100, normal can be 1.5m)
spelling backward

47
Q

What are some causes of poor performance in digit span?

A

delirium, dementia, intellectual disability, performance anxiety

48
Q

What are some causes of poor performance in serial 7s?

A

resulting from delirium, late stage of dementia, intellectual disability, anxiety, depression, education

49
Q

What should you be testing in memory?

A

remote (birthdays, SSNs, names, previous jobs) and recent memory (events of day, weather, time) - impaired in dementia, delirium, anxiety, depression, intellectual disability

50
Q

How can you test a new learning ability?

A

give patient 3-4 words, ask patient to repeat them, after 5 minutes ask patient to repeat again

51
Q

How can you test information and vocabulary?

A

ask about work, hobbies, reading, favorite TV programs, current events (helps distingush adults w/ lifelong intellectual impairment)

52
Q

How can you test calculation abilities?

A

ask patient to perform calculations — poor performance = dementia or aphasia but also can be measured against person’s knowledge and level of education

53
Q

How can you test a patient’s abstract thinking?

A

ask patient to meaning of a proverb, and with concrete responses = intellectual disability, delirium, dementia

can check similarities by asking patient to see how things are alike

54
Q

How can you test a patient’s constructional abilities?

A

ask patient to draw a clock (with intact vision and motor ability!) otherwise, poor = dementia or parietal lobe damage

55
Q

What is a special technique used by any provider to screen for cognitive dysfunction or dementia to follow over time?

A

MMSE - mini mental status exam

Clin Skills (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions