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Behavioral Health II > Boulger- Behavioral Assessment > Flashcards

Boulger- Behavioral Assessment Flashcards

1
Q

What percentage of psyh diagnosis occur in primary care doctors offices?

A

80%

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2
Q

What is the major problem with the DSM IV Classification system?

A

The system assumed that each disorder is separate from every other disorder. In reality we frequently see comorbidities.

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3
Q

What is a co-morbidity?

A

When two or more disorders occur in an individual at the SAME time.

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4
Q

How do you classify an individual with Intellecutal Developmental Disorder (Intellectual disability)?

A
  1. An IQ below 70 (2 SDs)
  2. Deficits in : mental abilities, adaptive functioning
  3. Onset during the developmental period

IDD’s can be Mild, Moderate, Severe, or Profound

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5
Q

What are paraphilias?

A

A group of psychosexual disorders characterized by sexual fantasies or feelings for a nonhuman object or non-consenting partner.

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6
Q

What is the source of most psychiatric diagnoses?

A

Clinical Examination–the pt’s history and observations during the interview

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7
Q

What are the components of the Mental Status Exam (MSE)?

A
  1. Presesntation- LOC, appeareance, attitude, eye contact
  2. Motor Behavior and Affect- akinesia, affect, gestures, speech characteristics
  3. Cognitive Status- attention span/alertness, Oriention PPP, Fluench/Comp
  4. Thought- Process, content, insight
  5. Mood- congruency w/ affect, variability, hopelessness, anger, gaurdedness
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8
Q

What is the purpose of the Mini-Mental Status Exam (MMSE)?

A

Also known as the Folstein.

Most common cognitive screening test.

  1. Orientation to time/place
  2. Registration and recall (repeat words after me)
  3. Attention and Calculation- serial 7s
  4. Language- naming, repetition of sentence, comprehension, reading, writing, drawing
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9
Q

How do you interpret the MMSE Score?

A

Out of 30 pts the cut off is 23 pts

27-30: normal

21-26: mild cognitive impairment

11-20: mod cog impairment

0-10: severe

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10
Q

What screening tests can be used for depression?

A

Hamilton rating scale for depression

Patient health questionare

Geriatric Depression Scale

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11
Q

What screening tests can be used for anxiety?

A
  1. Ham-A: Hamilton Rating Scale for Anxiety
  2. GAD-7: Patient health questionaire
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12
Q

Screening test for alcohol use?

A

AUDIT

Alcohol use disorders identificaiton tests

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13
Q

Screening for ADHD and child behavior problems?

A

Snap IV Rating Scale

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14
Q

What is a nominal measurement?

A

Numbers or labels to identify categories or individuals

(numbers on football jersies, diabetic/non-diabetic)

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15
Q

What is an ordinal measurement?

A

Sort individuals in series from highest to lowest according to observed characteristic

ranking a class exam on performance–top two scores may be 1 or 2 points apart

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16
Q

What is an interval measurement?

A

Orders and differences between numbers are meaningful

Class exams are interval type

17
Q

What are ratio scales?

A

Height, weight volume

18
Q

What does reliability of measures refer to?

A

The CONSISTENCY of predictave statements over time

19
Q

What does validity of measures refer to?

A

Similar to “truthfulness”

Reflects the degree of accuracy of predictive statements

20
Q
A
21
Q

Diagnostic labels are examples of what type of measurement?

A

Nominal measurement

Group diagnostic labels are NEVER wholly valid because behaviors attributed to a group of persons never fit any individual within that group exactly

22
Q

What is wrong with Stern’s IQ formula?

A

IT HAS NOT BEEN USED FOR MORE THAN 40 YEARS.

It doesn’t work because hte chronological age keeps increasing even if hte measured mental age stays the same.

23
Q

What are the most common intelligence tests for adults and children?

A

Wechsler Adult Intelligence Scale

Wechsler Intelligence Scale for Children

*Help w/ diagnoses and general intellectual problems

24
Q

What are the most common IQ tests for pre-school children?

A

McCarthy Scales (2-8 years)

Wechsler Preschool and Primary Scale of Intelligence (4-6 years)

25
Q

What is the most common infant development scale?

A

Bayley scales of infant development (2 mos- 2 1/2 years)

DEnver Development Screening Test (birth–age 6)

26
Q

What is the percentage of the population w/ an IQ score between 70 and 130?

A

about 95%

27
Q

What are the most common memory screening tests?

A

Rey-Osterreich Figure

Rey Auditory-Verbal Learning Test

California Verbal learning test

28
Q

What is the most common memory test?

A

Wechler Memory Scale (WMS IV)

29
Q

What is the most common neuropsychological test?

A

Halstead Reitan Neuropsychological Test

Brain funtioning, alertness, concentrated attention, incidental memory, verbal abilityies, sensory funcitons, motor functions, abstraction and concept formation

30
Q

What is used for an aphasia screening test?

A

A simple card forcing people to say number and read number

Aphasia

mild- individual can converse but has trouble finding right word

severe- individual says little, can’t participate in conversation

31
Q

How is a Rey Complex figure used?

A

Used to assess the individual’s ability to recall complex info presented visually

32
Q

What is the RAVLT (Rey Auditory Verbal Learning Test)?

A

Tests memory and recall

33
Q

What is the best-known and most widely used objective personality test?

Is it an objective or projective test?

A

Minnesota multiphasic personality inventory (MMPI)

It is an OBJECTIVE test

576 T/F questions takes 2 ho urs to complete

34
Q

What is an example of a projective test used for personality assessment?

A

Rorschach Inkblots

Supposed to reveal hidden emotions and internal confilcts via subjects responses to ambiguous stimuli

35
Q

What are other projective tests used for personality assessment?

A

Thematic apperception test (Murray)- interpret image

Incomplete Sentences

Szondi Test- pick out plate that looks like you

Behavioral Health II (20 decks)

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