Ch 8-10: Building Blocks of Diagnosis Flashcards

1
Q

___is a snapshot of how a person looks, feels, and behaves at the time of examination

A

Mental Status Exam (MSE)

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2
Q

6 Components of MSE

A

Appearance
Mood/Affect
Flow of speech
Content of though
Cognition and Intellectual Resources
Insight and Judgement

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3
Q

Signs of delusion or hallucination; thoughts of suicide, homicide or violence are elements of which part of the MSE?

A

Content of Thought

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4
Q

Deficient insight -denial, inability or unwillingness to recognize the presence of a mental disorder is considered is observed in which part of the MSE?

A

Insight and Judgement

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5
Q

This section of the MSE is assessed by type, lability, and appropriateness to person’s content of thought.

A

Mood/Affect

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6
Q

T/F
Verbal ticks, circumstantial speech, and highly distractable speech are traits of speech pathology.

A

F

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7
Q

___ is the mood symptom most often noted during MSE.

A

Depression

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8
Q

T/F
A mood disorder should nearly always be considered in an MSE due to their ubiquity, potential for harm, and response to treatment.

A

T

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9
Q

Loose association, derailment, or lack of coherence are potential pathologies included in which section of the MSE?

A

Flow of speech

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10
Q

Orientation, impairment of short-term memory, intellectual ability are characteristics of which section of the MSE?

A

Cognition and Intellectual Resources

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11
Q

T/F
Pertinent negatives are less important than pertinent positives.

A

F

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12
Q

General appearance, level of attention, and amount of activity are characteristics of which section of the MSE?

A

Appearance

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13
Q

T/F
The MSE is the most important/ telling building block of diagnosis.

A

F

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14
Q

The Building Blocks of Diagnosis include…

A

MSE
Physical Illness
Understanding the whole patient

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15
Q

Childhood, Adult Life and Living Situation, and Family History are elements of which Building Block of Diagnosis?

A

Understanding the whole patient

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16
Q

The following are subtopics of which key area of understanding the whole patient?
Age and gender, Legal involvement, sexual and Marital life difficulties, Current environment, and Work and financial support.

A

Adult Life and Living Situation

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17
Q

Which of the following is not a factor of Childhood data in Understanding the whole patient?
early relationships
losses
current environment
education
sexuality and abuse

A

current environment

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18
Q

T/F
Dissolution of a relationship during childhood is not that a significant factor in difficulties later in life.

A

F

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19
Q

______ is possibly the most influential external factor in the increased risk for a wide array of disorders.

A

abuse

20
Q

T/F
Gender has important implications for diagnosis.

A

T

21
Q

T/F
There is no correlation between physical illness and mental disorders

A

F

22
Q

T/F
Physical illness can not produce mental disorders.

A

F

23
Q

T/F
It is fair say that we do not have a clear explanation for the correlation between all medical illness and mental illness.

A

T

24
Q

T/F
Medical Illness should always be considered in mental illness diagnosis.

A

T

25
Q

T/F
Treatment for medical disorders cannot cause mental symptoms.

A

F

26
Q

T/F
The presence of medical illness guarantees presence of mental illness.

A

F

27
Q

T/F
Comorbidity is common amongst physical and mental illness

A

T

28
Q

Signs, symptoms, and events are factors of a ____.

A

Syndrome

29
Q

Common medical illness that may present as mental illness.

A

hypo/hyperthyroid

30
Q

____is the most common physical problem likely to be reported by clients.

A

Sleep disturbances

31
Q

Staying up all hours of the night pacing can be an early hint of what disorder.

A

Schizophrenia

32
Q

Sleep disturbance is a criterion for ____, ____, and dysthymia.

A

GAD and major depression

33
Q

Appetite/ weight loss or gain is a criteria for which disorders.

A

depression
AN

34
Q

Chest pain, chills, dizziness, heart palpitations, sweating, shortness of breath are physical symptoms indicative of ____.

A

Panic symptoms/ panic and anxiety disorders

35
Q

This disorder is characterized by real physical symptoms, not factious or malingering.

A

Somatization Disorder

36
Q

In this disorder, symptoms are experienced out of proportion of typical reports.

A

Somatization Disorder

37
Q

T/F
Illness anxiety disorder and somatization disorder are similar in that the symptoms are not real.

A

F

38
Q

Disorder in which the body is trying to communicate with the client. There is a disconnect between mind and body.

A

Conversion Disorder

39
Q

T/F
Conversion disorder occurs when there are emotional symptoms presented as physical symptoms.

A

T

40
Q

Niles suggests considering which disorder when symptoms don’t jibe or typical treatment does not work.

A

somatic symptom disorder

41
Q

T/F
In somatic disorders, it is common for new symptoms to appear when another is treated/ resolved until the mental issue is resolved.

A

T

42
Q

T/F
A sign of positive correlation between substance use and mental disorders is when symptoms subside with stopping use of substance.

A

T

43
Q

T/F
A sign of negative correlation between substance use and mental illness is that symptoms appeared before substance use.

A

T

44
Q

T/F
It is not recommended to include medical diagnoses with initial intake.

A

F

45
Q

T/F
It is unnecessary to request or share records with other medical/ mental health professionals of current/ past care team.

A

F

46
Q

T/F
It is appropriate for counselors to suggest routine physical wellness checkups to clients.

A

T

47
Q
A