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Clinical Skills: Unit 4 > Behavioral and Mental Status > Flashcards

Behavioral and Mental Status Flashcards

1
Q

What percentage of patients with one mental disorder meet the criteria for additional disorders?

A

50%

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2
Q

Symptom that reflects a mental or emotional state.

A

Psychological

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3
Q

Symptom relating to the bodily sensation such as pain, fatigue, or palpitation.

A

Physical (Somatic)

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4
Q

How are symptoms of mental disorders often described by patients?

A

Clusters of Functional Syndromes

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5
Q

What percentage of patients with depression report a physical complaint?

A

66%

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6
Q

Patients with unexplained and somatic symptoms are often also labeled as “frequent flyers” Many of these patients are said to be what?

A

Difficult Encounters

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7
Q

Unexplained conditions lasting more than 6 weeks should prompt screening for what two mental health conditions?

A

Anxiety
Depression

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8
Q

Brief screening questions with high sensitivity and specificity to identify those at high risk of a mental health issue. Provides a follow-up detailed investigation when indicated.

A

Two-Tier Approach

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9
Q

Mental health screen that serves as an initial screen for 5 general groups of mental disorders.
26 Questions and takes 10 minutes.

A

PRIME-MD
(Primary Care Evaluation of Mental Disorders)

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10
Q

What is an effective way of taking a health history without it seeming like an interrogation?

A

Integrate your evaluation of mental status into the history

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11
Q

Major depression affects what percent of the population?

A

9%

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12
Q

What fraction of adults in the United States experience a mental illness in a given year?

A

1 in 5

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13
Q

What fractions of adults in the United States experience a serious mental illness in a given year?

A

1 in 25

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14
Q

Term used to describe loss of pleasure in daily activities?

A

Anhedonia

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15
Q

What is the 10th leading cause of death in the United States?

A

Suicide

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16
Q

What is the 2nd leading cause of death among individuals between the ages of 15 - 24 years old?

A

Suicide

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17
Q

Do men or women attempt suicide more frequently?

A

Women

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18
Q

While women are more likely to attempt suicide, how much more likely are men to commit suicide?

A

4x more likely

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19
Q

How many people have a substance abuse disorder in the United States?

A

22 million

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20
Q

What percentage of the population 12+ year old report binge drinking?

A

23%

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21
Q

What are the 5 components of a Mental Status Exam?

A

Appearance and Behavior
Speech and Language
Mood
Thoughts and Perceptions
Cognitive Function

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22
Q

The use of many words when fewer words could be used.

A

Circumlocutions

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23
Q

When words are malformed or misused.

A

Paraphrasias

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24
Q

Speech disorder that makes it difficult to speak clearly due to issues with the muscles, nerves, or brain that control speech

A

Dysarthria

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25
Q

Loss of ability to understand or express language.

A

Aphasia

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26
Q

Having an abnormal voice such as impaired volume, quality, or pitch.

A

Dysphonia

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27
Q

If you suspect depression or a possible risk of suicide, what is your responsibility as a provider.

A

Ask direct questions about suicidal thoughts

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28
Q

Speech with unnecessary detail, indirection, or delay in reaching a point.

A

Circumstantiality

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29
Q

Circumstantiality is seen in individuals with what mental health condition?

A

Obsession

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30
Q

Shifting topics that are loosely connected or unrelated.

A

Derailment

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31
Q

Derailment is seen in patients with mental health condition?

A

Schizophrenia
Mania

32
Q

Continuous flow of speech, or accelerated speech with abrupt changes of topic.

A

Flight of Ideas

33
Q

Flight of Ideas are seen in individuals with what mental health condition?

A

Manic Episodes

34
Q

Invented or distorted words.

A

Neologisms

35
Q

Neologisms are seen in individuals with what mental health condition?

A

Schizophrenia
Psychotic Disorders
Aphasia

36
Q

Illogical or incomprehensible speech with the lack of meaningful connections

A

Incoherence

37
Q

Incoherence is seen in individuals with what mental health condition?

A

Schizophrenia

38
Q

Sudden interruption of speech in the middle of a sentence. “Losing the thought”

39
Q

Blocking is seen in individuals with what mental health condition?

A

Schizophrenia

40
Q

Fabrication of facts or events that fill the gap with impaired memory.

A

Confabulation

41
Q

Confabulation is seen in individuals with what mental health condition?

A

Korsakoff Syndrome
(due to Alcoholism)

42
Q

Persistent repetition of words or ideas.

A

Perseveration

43
Q

Perseveration is seen in individuals with what mental health condition?

A

Schizophrenia
Psychotic Disorders

44
Q

Repetition of the words or phrases of others.

45
Q

Echolalia is seen in individuals with what mental health condition?

A

Manic Episodes
Schizophrenia

46
Q

Choosing words based on sounds, rhymes, and puns, rather than meaning. “Two eyes, one nose, the nose knows”

47
Q

Clanging is seen in individuals with what mental health condition?

A

Schizophrenia
Manic Episodes

48
Q

Repetitive behaviors that the person feels driven to perform in response to an obsession in order to reduce anxiety.

A

Compulsions

49
Q

Recurrent thought, images, or urges experienced as intrusive or unwanted, with attempts to suppress.

A

Obsessions

50
Q

Persistent irrational fears or compelling desires to avoid the stimulus.

51
Q

Apprehensive anticipating of future danger.

52
Q

A sense that the environment is strange, unreal, or remote.

A

Feelings of Unreality

53
Q

A sense that one’s identity is different, changed, unreal, or lost.

A

Feelings of Depersonalization

54
Q

False and fixed personal beliefs that are not amenable to change in the light of conflicting evidence.

55
Q

Misinterpretations of real external stimuli, such as mistaking rustling leaves for the sound of voices.

56
Q

Perception-like experience that seem real but lack actual external stimuli.

A

Hallucinations

57
Q

A patient’s awareness of their symptoms, mood, thoughts, and perceptions.

58
Q

Patients with what mental disorder often lack insight?

A

Psychotic Disorders

59
Q

Anxiety, mood disorders, delirium, psychotic states, intelligence, education, income, and cultural values can all influence what?

60
Q

Disorientation is common when attention is impaired. What is an example of a condition that would cause disorientation.

61
Q

Recite a series of digits, starting with two at a time and speaking each number clearly at a rate of about one per second.

A

Digit Span

62
Q

During a Digit Span exam, how many digits should they be able to recite forward and backwards?

A

5 Forward
4 Backward

63
Q

What may cause a patient to have poor performance on the Digit Span exam?

A

Delirium
Dementia
Intellectual Disability
Performance Anxiety

64
Q

Instruct patient to count backwards from 100 and subtract 7 each time.

65
Q

Poor performance of the Serial 7s may be due to what conditions?

A

Delirium
Dementia
Intellectual Disability
Anxiety
Depression

66
Q

Remote memory is also known as?

A

Long-Term Memory

67
Q

What stage of Dementia patients usually have their Remote Memory still intact?

A

Early Stage Dementia

68
Q

Recent memory is also known as?

A

Short-Term Memory

69
Q

Give the patient 3 - 4 words and ask the patient to repeat them. After 5 minutes, ask the patient to repeat them again.

A

New Learning Ability
(Cognitive Function Test)

70
Q

Inability to copy figures of increasing complexity onto a piece of blank paper would suggest what?

A

Dementia
Parietal Lobe Damage

71
Q

A special technique used by any provider to screen for Cognitive dysfunction or dementia and allows the ability to follow their course over time.

A

Mini-Mental Status Exam (MMSE)

72
Q

A score of 0 - 9 on the MMSE would indicate what disease?

A

Late-Stage or Severe Alzheimers

73
Q

A score of 10 - 19 on the MMSE would indicate what disease?

A

Middle Stage or Moderate Alzheimers

74
Q

A score of 20 - 23 on the MMSE would indicate what disease?

A

Mild Cognitive Impairment or Early Stage Alzheimers

75
Q

A score of 24 - 30 on the MMSE would indicate what?

A

“Normal” Range

Clinical Skills: Unit 4 (5 decks)

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