Chap. 4 - assessment

Question 1

Epidemiology

Answer 1

The study of the distribution, incidence, prevalence, and duration of disease

Question 2

Incidence rate

Answer 2

The number of new cases occurring over a specified time

Question 3

Prevalence rate

Answer 3

The number of existing cases of a disorder at a specified time

Question 4

One in ____ adults will be dx with a psych do in their lifetime

Answer 4

Four

Question 5

About __%, or __ million, Americans 18 and older are diagnosable at any given time.

Answer 5

26%, or 58 million

Question 6

The leading cause of disability in the US is _____ _____.

Answer 6

Mental illness.

Question 7

Four of the top-ten causes of disability are psych. Name them:

Answer 7

MDD
BIP
SZO
OCD

Question 8

The primary tool in psych assessment:

Answer 8

The interview

Question 9

Four components of a psych assessment:

Answer 9

Patient history
Physical exam
MSE
Dx and lab tests/screens

Question 10

Paraphrasing

Answer 10

Repeating the client’s thoughts or feelings with similar words

Question 11

Confrontation

Answer 11

Pointing out to a client something that she is not acknowledging, is missing, or is denying

Question 12

Silence - is it a good thing?

Answer 12

It can be, yes.

Question 13

The milieu should be _____ enough to promote trust and calm yet _____ enough to allow for supplies and assistance, if necessary.

Answer 13

Quiet

Public

Question 14

Focal areas for cultural assessment (7)

Answer 14

Family roles
Family customs
Religious beliefs
Beliefs about death and dying
Dietary preferences
Meaning of nonverbal gestures
Physical space

Question 15

Culture-bound syndromes

Answer 15

Behaviors related to a person’s culture and not linked to a psychiatric disorder

Question 16

Acculturation

Answer 16

The process by which the person acquires the culture of the society the he or she inhabits

Question 17

Cultural assessment mnemonic LEARN

Answer 17

Listen with empathy
Explain your perceptions of the client’s problem
Acknowledge similarities and differences in perception between the two cultures
Recommend treatment
Negotiate treatment

Question 18

Age consideration common to children and elderly

Answer 18

Allow more time for the assessment

Question 19

Psych symptoms are usually specific or nonspecific?

Answer 19

Nonspecific

Question 20

Demographic info includes (5)

Answer 20

Age
Gender
Marital status
Race
Referral source

Question 21

Chief complaint is always recorded _____ and placed in _____ _____.

Answer 21

Verbatim

Quotation marks

Question 22

HPI mnemonic OPPQRST (think OLDCARTS)

Answer 22

Onset
Palliative (what makes it better?)
Provocative (what makes it worse?)
Quality (how does it affect quality of life?)
Radiation (does the problem extend to work, school, etc?)
Severity (scale of 1-10 how much does this affect life?)
Timing (new complaint? how long? certain times of the day?)

Question 23

Clues to problems in children (6)

Answer 23

Enuresis
Night terrors
Thumb sucking
Setting fires
Cruelty to animals
Frequent truancy

Question 24

ADLs vs IADLs

Answer 24

Activities of daily living vs Instrumental ADLs

Question 25

ADLs are…

Answer 25

Basic self-care skills (eating, bathing, dressing, toileting)

Question 26

IADLs are…

Answer 26

Activities needed for independent functioning (shopping, cooking, driving, taking meds, housekeeping)