Ch 8-10: Building Blocks of Diagnosis Flashcards
___is a snapshot of how a person looks, feels, and behaves at the time of examination
Mental Status Exam (MSE)
6 Components of MSE
Appearance
Mood/Affect
Flow of speech
Content of though
Cognition and Intellectual Resources
Insight and Judgement
Signs of delusion or hallucination; thoughts of suicide, homicide or violence are elements of which part of the MSE?
Content of Thought
Deficient insight -denial, inability or unwillingness to recognize the presence of a mental disorder is considered is observed in which part of the MSE?
Insight and Judgement
This section of the MSE is assessed by type, lability, and appropriateness to person’s content of thought.
Mood/Affect
T/F
Verbal ticks, circumstantial speech, and highly distractable speech are traits of speech pathology.
F
___ is the mood symptom most often noted during MSE.
Depression
T/F
A mood disorder should nearly always be considered in an MSE due to their ubiquity, potential for harm, and response to treatment.
T
Loose association, derailment, or lack of coherence are potential pathologies included in which section of the MSE?
Flow of speech
Orientation, impairment of short-term memory, intellectual ability are characteristics of which section of the MSE?
Cognition and Intellectual Resources
T/F
Pertinent negatives are less important than pertinent positives.
F
General appearance, level of attention, and amount of activity are characteristics of which section of the MSE?
Appearance
T/F
The MSE is the most important/ telling building block of diagnosis.
F
The Building Blocks of Diagnosis include…
MSE
Physical Illness
Understanding the whole patient
Childhood, Adult Life and Living Situation, and Family History are elements of which Building Block of Diagnosis?
Understanding the whole patient
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.
Adult Life and Living Situation
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
current environment
T/F
Dissolution of a relationship during childhood is not that a significant factor in difficulties later in life.
F
______ is possibly the most influential external factor in the increased risk for a wide array of disorders.
abuse
T/F
Gender has important implications for diagnosis.
T
T/F
There is no correlation between physical illness and mental disorders
F
T/F
Physical illness can not produce mental disorders.
F
T/F
It is fair say that we do not have a clear explanation for the correlation between all medical illness and mental illness.
T
T/F
Medical Illness should always be considered in mental illness diagnosis.
T
T/F
Treatment for medical disorders cannot cause mental symptoms.
F
T/F
The presence of medical illness guarantees presence of mental illness.
F
T/F
Comorbidity is common amongst physical and mental illness
T
Signs, symptoms, and events are factors of a ____.
Syndrome
Common medical illness that may present as mental illness.
hypo/hyperthyroid
____is the most common physical problem likely to be reported by clients.
Sleep disturbances
Staying up all hours of the night pacing can be an early hint of what disorder.
Schizophrenia
Sleep disturbance is a criterion for ____, ____, and dysthymia.
GAD and major depression
Appetite/ weight loss or gain is a criteria for which disorders.
depression
AN
Chest pain, chills, dizziness, heart palpitations, sweating, shortness of breath are physical symptoms indicative of ____.
Panic symptoms/ panic and anxiety disorders
This disorder is characterized by real physical symptoms, not factious or malingering.
Somatization Disorder
In this disorder, symptoms are experienced out of proportion of typical reports.
Somatization Disorder
T/F
Illness anxiety disorder and somatization disorder are similar in that the symptoms are not real.
F
Disorder in which the body is trying to communicate with the client. There is a disconnect between mind and body.
Conversion Disorder
T/F
Conversion disorder occurs when there are emotional symptoms presented as physical symptoms.
T
Niles suggests considering which disorder when symptoms don’t jibe or typical treatment does not work.
somatic symptom disorder
T/F
In somatic disorders, it is common for new symptoms to appear when another is treated/ resolved until the mental issue is resolved.
T
T/F
A sign of positive correlation between substance use and mental disorders is when symptoms subside with stopping use of substance.
T
T/F
A sign of negative correlation between substance use and mental illness is that symptoms appeared before substance use.
T
T/F
It is not recommended to include medical diagnoses with initial intake.
F
T/F
It is unnecessary to request or share records with other medical/ mental health professionals of current/ past care team.
F
T/F
It is appropriate for counselors to suggest routine physical wellness checkups to clients.
T
