Chapter 2 Pt 2

Question 1

what are delusions

Answer 1

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)

Question 2

what are phobias

Answer 2

persistent, irrational fears

Question 3

what is a delusion of grandeur

Answer 3

belief that one has special powers or is someone of importance

Question 4

what is a paranoid delusion

Answer 4

belief that one is being persecuted

Question 5

what is a delusion of reference

Answer 5

belief that some event is uniquely related to patient

IE: TV show character is sending patient messages

Question 6

what is a thought broadcasting delusion

Answer 6

belief that one’s thoughts can be heard by others

Question 7

what is a somatic delusion

Answer 7

false belief concerning body image (I have cancer)

Question 8

what is a hallucination

Answer 8

sensory perception that occurs in the absence of an actual stimulus

Question 9

what is an illusion

Answer 9

inaccurate perceptions of existing sensory stimuli

Question 10

what is derealization/depersonalization

Answer 10

experience of feeling detached from one surroundings/mental process

Question 11

hallucinations, illusion, and derealization/depersonalization are examples of what

Answer 11

perceptual disturbances

Question 12

how are sensorium and cognition accessed

Answer 12

consciousness
orientation
calculation
memory
fund of knowledge
attention/concentration
reading/writing
abstract concepts

Question 13

what is tested on the mini-mental status exam (MMSE)

Answer 13

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)

Question 14

what is the most important predictor of future violence

Answer 14

prior history of violence

Question 15

what should a psychiatrist do when dealing with a delusional patient

Answer 15

simply acknowledge that he understands the patient believes the delusion is true

Question 16

what is the Wechsler Adult Intelligence Scale (WAIS)

Answer 16

for ages 160-90
accesses overall intellectual functioning
four index scores: verbal comprehension, perceptual reasoning, working memory, processing speed

Question 17

what is the most commonly used objective personality assessment test

Answer 17

Minnesota Multiphase Personality Inventroy (MMPI-2)

Question 18

what is the Thematic Apperception Test (TAT)

Answer 18

test taker creates stories based on pictures of people in various situations

used to evaluation motivations behind behaviors

Question 19

what is the Rorschach Test

Answer 19

interpretation of inkblots

used to identify thought disorders and defense mechanisms

Question 20

IQ below what signifies intellectual disability

Answer 20

70

Question 21

gustatory or olfactory hallucinations should alert the physician to a disorder of what

Answer 21

temporal lobe

Question 22

visual hallucinations are usually caused by what

Answer 22

organic psychosis (toxic or drug related states)

Question 23

what is formication

Answer 23

tactile hallucination of insects crawling over the skin

Question 24

when are tactile hallucinations seen

Answer 24

organic states such as alcohol withdrawal or cocaine and amphetamine abuse