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Nervous System, Psych & Head & Neck > Conditions of Psychology and Lifestyle Counseling > Flashcards

Conditions of Psychology and Lifestyle Counseling Flashcards

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1
Q

Do patients have legal access to their charts?

A

Yes

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2
Q

Does a patient’s family/partner have legal access to patients charts?

A

Not without release of information, unless they are a minor

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3
Q

List the scenarios when patient confidentiality may be breached.

A

1) Child abuse or child (under 18) has been victim of crime
2) Elderly abuse
3) When client is danger to self or needs hospitalization
4) When client is danger to others
5) When malpractice is initiated against doctor
6) With patients written consent
7) When legally permitted (i.e. criminal investigation)

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4
Q

Which two common behaviors lead to boundary violations in doctor/patient relations?

A

1) Allowing relationship to slip into social context
2) Allowing physician needs to dominate patient needs

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5
Q

What should be ruled out in a psychological differential diagnosis?

A

Psychotic disorder ,personality disorder, substance abuse, medical condition

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6
Q

Which diagnosis requires two or more of the following symptoms: Delusions, hallucinations, disorganized speech, grossly disorganized behavior or catatonia, lack of affect, poverty of speech or lack of motivation?

A

Schizophrenia

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7
Q

Which diagnosis requires four or more of the following criteria? Suspects without adequate basis that she/he is being hurt or deceived by others. Consumed by unjustified doubts of loyalty/trustworthiness of associates and/or friends. Reluctance to confide in others due to an unfounded fear that this information will be used against him or her. Reads hidden meanings into harmless events or remarks. Is unforgiving of injuries or insults and persistently bears grudges. Has chronic suspicions without justification regarding faithfulness of partner or spouse

A

Paranoia

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8
Q

What condition looks essentially the same as schizophrenia, but last only one day to one month?

A

Brief Reactive Psychosi

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9
Q

What condition is associated with non-bizarre delusions lasting at least one month?

A

Delusional Disorder

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10
Q

What is the name of the disorder characterized by a combination of a mood disorder and schizophrenia?

A

Schizoaffective Disorder

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11
Q

What causes neuroleptic malignant syndrome (NMS)?

A

Anti-psychotic medication (occurs in .5-2.4% of patients treated with these antipsychotic meds

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12
Q

How should NMS be handled?

A

Rapid transport to ER

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13
Q

What is another possible side effect of antipsychotic medication characterized by painful contractures of the tongue, face, neck, or back musculature?

A

Acute Dystonia

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14
Q

How should acute dystonia be addressed?

A

Refer to prescribing physician for immediate attention

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15
Q

A period lasting a least one week with the presence of abnormally elevated, expansive or irritable mood is known as what?

A

Manic episode

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16
Q

Which tends to be more severe, a manic episode or a hypomanic episode?

A

Manic episode

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17
Q

Which of the bipolar disorders is characterized by one or more manic episodes?

A

Bipolar I Disorder

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18
Q

In which of the bipolar disorders has there never been a manic episode or mixed episode?

A

Bipolar II Disorder

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19
Q

What is the time frame for a diagnosis of dysthymic disorder/persistent depressive disorder?

A

Depressed mood most of the day more days than not, for two years or more (Irritable mood for at least one year in children/adolescents)

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20
Q

What are additional criteria for a diagnosis of dysthymic disorder/persistent depressive disorder?

A

During the 2 year period ( 1 year for children or adolescents) the individual has never been without the symptoms for more than 2 months at a time

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21
Q

What is the time frame for a major depressive episode?

A

Up to two weeks

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22
Q

What needs to be ruled out for a diagnosis of depression?

A

Not due to substance or general medical condition. Symptoms not accounted for by bereavement. Not due to another mental disorder.

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23
Q

What differentiates Cyclothymia from major depressive disorder or bipolar disorder?

A

Lower severity - while this condition will cause emotional highs and lows, the shifts are not as extreme as those in bipolar

Cyclothymia: presence of numerous periods of hypomanic and depressive symptoms (not meeting criteria for MDE) for >/= 2 years; never without symptoms for > 2 months

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24
Q

What cognitive mental disorder is characterized by disrupted consciousness and change in cognition or perceptual disturbance?

A

Delirium

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25
Q

Are hallucinations more associated with delirum or dementia?

A

Delirium

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26
Q

Which tends to have sudden onset, delirium or dementia?

A

Delirium

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27
Q

What anxiety disorder is characterized by fear or anxiety about and/or avoidance of situations where help may not be available or where it may be difficult to leave the situation in the event of developing panic-like symptoms?

A

Agoraphobia

28
Q

What disorder is characterized by excessive worry occurring most days for six months or more?

A

Generalized anxiety disorder

29
Q

What is the personality disorder characterized by persistent thoughts, impulses or images that cause severe anxiety?

A

Obsessive- compulsive disorder (OCD)

30
Q

What anxiety disorder is characterized by recurrent, unexpected panic attacks?

A

Panic Disorder

31
Q

What is the term for a discrete period of intense fear or discomfort that is accompanied by at least four somatic or cognitive symptoms such as sweating, trembling, fear of dying, chills, etc.?

A

Panic attak

32
Q

What is one of the most effective means of making contact with person having a panic attack?

A

Eye contact

33
Q

True or false? PTSD can involve amnesia regarding the trauma

A

True

34
Q

What is the time frame required for a diagnosis of PTSD?

A

One month or more duration of symptoms

35
Q

In which disorder is there excessive distress beyond expected from exposure to a stressor within three months of the stressor?

A

Adjustment Disorder (with physical complaints)

36
Q

How can you tell if someone is suffering from a conversion disorder?

A

They are experiencing physical and sensory symptoms (paralysis, numbness, blindness, deafness or seizures) with no underlying neurologic cause r pathology

37
Q

In eating disorders, what is one of the most common physical emergencies that would call for hospital transport?

A

Electrolyte imbalance

38
Q

When would it be necessary to arrange for inpatient treatment of an eating disordering?

A

When patient is a danger to self at the present momnet

39
Q

True or false? Treatment for bulimia typically doesn’t need to be lengthy but can be achieved in a short time with behavioral management.

A

False, it is almost always a lengthy process

40
Q

True or false? Group therapy is recommended in the early stages of treatment for bulimia

A

False, patients tend to fuse inappropriately with other group members

41
Q

What are the two distinct tasks in treatment of anorexia?

A

Developing proper nutrition and dealing with the underlying psychological problems

42
Q

What are the two major components of a successful treatment in obesity and overeating?

A

Behavior modification and social support

43
Q

In which disorder is there a pattern of behavior in which a caretaker deliberately exaggerates or fabricated and/or induces physical, psychological, or psychophysical health problems in others?

A

Munchausen syndrome by proxy

44
Q

What are some of the most common somatoform disorders?

A

Clinically physical complaints to the extent that the patient seeks treatment:

Conditions that cause one to experience physical symptoms in response to psychological distress. Somatic symptom disorder, illness anxiety disorder, conversion disorder, factitious disorder and psychologic factors affecting other medical conditions

45
Q

What are the age parameters involved in pedophilia?

A

Urges for sex with children under 13 by a person at least 16 years old and at least 5 years older than the child/children involved

46
Q

What is the disorder characterized by recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina during attempted vaginal penetration, intense fear of vaginal penetration and/or actual pain during attempted vaginal penetration?

A

Gentio- Pelvic Pain/Penetration Disorfer previously known as vaginismus

47
Q

What is the name of the disorder characterized by sexual urges involving observing an unsuspecting person who is naked or having sex?

A

Voyeurism

48
Q

What is the personality disorder characterized by a pattern of excessive emotionality and attention seeking?

A

Historic Personality Disorder

49
Q

What is the name of the personality disorder characterized by grandiosity, need for admiration, and lack of empathy?

A

Narcissism

50
Q

What are the symptoms that would indicated the need to call paramedics in a situation involving substance abuse in crisis stage

A

Unconsciousness. Shallow breathing. Eyes rolled back in head. Frozen or unnatural appearance

51
Q

True or false? Drugs /alcohol increase the likelihood of a successful suicide attempt

A

True

52
Q

True or false? In substance abuse treatment, a relapse is a sign that treatment has failed

A

False, it can be a step along the way in recovery

53
Q

True or false? Many drug dependent patients can safely undergo withdrawal as outpatients

A

True

54
Q

True or false? Treatment programs are not usually necessary for rehabilitation from drug abuse

A

False

55
Q

True or false? Withdrawal from sedative drugs such as alcohol and barbiturates can be life threatening

A

True

56
Q

Hospital treatment for detoxification from drug abuse is indicated for what age group?

A

Over 65

57
Q

What does the CAGE mnemonic stand for in terms of questions to assess in alcoholism?

A

Tried to CUT down?
ANNOYED at people telling you that you a drinking problem
Guilty about how much you drink?
EVER need an EYE-OPENER

58
Q

Opioids can be detected in blood up to how many hours after the last dose?

A

24

59
Q

Roughly what percentage of domestic violence victims are women?

A

95%

60
Q

True or false? Domestic violence often begins or intensifies during pregnancy

A

True

61
Q

What is the first priority to assess for in domestic violence?

A

Safety

62
Q

What are the three phases in the cycle of violence?

A

Escalating Tension
Breaking Point
Batterer’s remorse and “honeymoon”

63
Q

When should one refer a reported rape victim?

A

If it has been less than 24 hours since the reported rape

64
Q

True or false? Women who have reported being raped should be seen by a female health worker whenever possible

A

True, and if this not possible , another women should be with her when being examined by a male health worker

65
Q

What tends to be the requirement for an involuntary commitment?

A

Patient considered danger to self or others such as suicidal ideation or homoicidal ideation

66
Q

In assessing the 3 stages of suicide risk, what are the 3 things consider?

A

Ideation
Plan
Means

67
Q

Who needs to be informed if a patient is homicidal?

A

Police and intended victims

Nervous System, Psych & Head & Neck (3 decks)

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