Chapter 2 Pt 1 Flashcards

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1
Q

it is important to ask about OTC drug use because NSAIDs can affect lithium how?

A

decrease lithium excretion thus increasing lithium concentrations (exceptions may be aspirin and suldinac)

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2
Q

what are the important 4 Ps of a psych HPI

A

psychosocial and environmental conditions:
Predisposing to
Precipitating
Perpetuating
and Protecting against the current episode

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3
Q

what are automatisms

A

spontaneous involuntary movements that occur during an altered state of consciousness and can range from purposeful to disorganized

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4
Q

a patient laughing when told s/he has a serious illness has what kind of affect?

A

inappropriate

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5
Q

how can one roughly access a patient’s intellectual functioning

A

proverb interpretation and vocabulary strategies
proverb good for abstraction
vocabulary good for intellectually capacity

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6
Q

a patient who is laughing one second but crying the next has what kind of affect

A

liable

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7
Q

a patient who giggles while telling you that he set his house on fire and is facing criminal charges has what kind of affect

A

inappropriate

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8
Q

when noting appearance of a psych patient one should take special note of what that can help with diagnoses

A

pupil size (drug intox/withdrawal)
bruises in hidden areas (suspicion for abuse)
needle marks/tracks (drugs)
eroding of tooth enamel (eating disorders)
superficial cuts on arms (self-harm)

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9
Q

what is the difference b/w mood and affect

A

mood: the emotion that the PATIENT TELLS YOU s/he feels
affect: an ASSESMENT of how the patients MOOD APPEARS TO THE EXAMINER

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10
Q

what are the dimensions of affect

A

type of affect
quality/range
motility
appropriateness to content

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11
Q

what are the types of affect

A

euthymic
euphoric
neutral
dysphoric

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12
Q

what are the parameters for quality/range of affect

A
describes depth and range of the feelings shown
flat (none)
blunted (shallow)
contracted (limited)
full (average)
intense (more than normal)
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13
Q

what are the parameters of motility of affect

A

describes how quickly a person appears to shift emotional states
sluggish
supple
labile

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14
Q

what is a patients thought process

A

how s/he uses language and puts ideas together

describes whether patients thoughts are LOGICAL, MEANINGFUL, and GOAL DIRECTED

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15
Q

what is circumstantiality when describing thought process

A

when the point of the conversation is eventually reached but with over inclusion of trivial or irrelevant details

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16
Q

what is tangentiality when describing thought process

A

point of conversation never reached

responses usually in the ballpark

17
Q

what is loosening of association when describing thought process

A

no logical connection from one thought to another

18
Q

what is flight of ideas when describing thought process

A

thought change abruptly form one idea to another

usually accompanied by rapid/pressured speech

19
Q

what is neologism when describing thought process

A

made-up words

20
Q

what is word salad when describing thought process

A

incoherent collection of words

21
Q

what is clang associations when describing thought process

A

word connections due to phonetics rather than actual meaning

“my car is red, Ive been in bed, it hurts my head”

22
Q

what is thought blocking when describing thought process

A

abrupt cessation of communication before the idea is finished

23
Q

thought content describes what

A

the types of ideas expressed by the patient

24
Q

what are examples of thought content disorders

A
poverty of thought vs overabundance
delusions
suicidal and homicidal ideation 
phobias
obsessions
compulsions