Chapter 2 Pt 2 Flashcards
what are delusions
fixed, false beliefs that are not shared by the person’s culture and cannot be changed by reasoning
classified as bizarre (impossible to be true) or nonbizarre (at least possible)
what are phobias
persistent, irrational fears
what is a delusion of grandeur
belief that one has special powers or is someone of importance
what is a paranoid delusion
belief that one is being persecuted
what is a delusion of reference
belief that some event is uniquely related to patient
IE: TV show character is sending patient messages
what is a thought broadcasting delusion
belief that one’s thoughts can be heard by others
what is a somatic delusion
false belief concerning body image (I have cancer)
what is a hallucination
sensory perception that occurs in the absence of an actual stimulus
what is an illusion
inaccurate perceptions of existing sensory stimuli
what is derealization/depersonalization
experience of feeling detached from one surroundings/mental process
hallucinations, illusion, and derealization/depersonalization are examples of what
perceptual disturbances
how are sensorium and cognition accessed
consciousness orientation calculation memory fund of knowledge attention/concentration reading/writing abstract concepts
what is tested on the mini-mental status exam (MMSE)
orientation
memory (immediate and recall)
concentration and attention (serial 7’s or spell “world” backwards)
language (naming, repetition, comprehension)
complex command (reach across midline)
visuospacial ability (copy of design)
what is the most important predictor of future violence
prior history of violence
what should a psychiatrist do when dealing with a delusional patient
simply acknowledge that he understands the patient believes the delusion is true
what is the Wechsler Adult Intelligence Scale (WAIS)
for ages 160-90
accesses overall intellectual functioning
four index scores: verbal comprehension, perceptual reasoning, working memory, processing speed
what is the most commonly used objective personality assessment test
Minnesota Multiphase Personality Inventroy (MMPI-2)
what is the Thematic Apperception Test (TAT)
test taker creates stories based on pictures of people in various situations
used to evaluation motivations behind behaviors
what is the Rorschach Test
interpretation of inkblots
used to identify thought disorders and defense mechanisms
IQ below what signifies intellectual disability
70
gustatory or olfactory hallucinations should alert the physician to a disorder of what
temporal lobe
visual hallucinations are usually caused by what
organic psychosis (toxic or drug related states)
what is formication
tactile hallucination of insects crawling over the skin
when are tactile hallucinations seen
organic states such as alcohol withdrawal or cocaine and amphetamine abuse
