Conditions of Psychology and Lifestyle Counseling

Question 1

Do patients have legal access to their charts?

Answer 1

Yes

Question 2

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

Answer 2

Not without release of information, unless they are a minor

Question 3

List the scenarios when patient confidentiality may be breached.

Answer 3

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)

Question 4

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

Answer 4

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

Question 5

What should be ruled out in a psychological differential diagnosis?

Answer 5

Psychotic disorder ,personality disorder, substance abuse, medical condition

Question 6

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?

Answer 6

Schizophrenia

Question 7

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

Answer 7

Paranoia

Question 8

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

Answer 8

Brief Reactive Psychosi

Question 9

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

Answer 9

Delusional Disorder

Question 10

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

Answer 10

Schizoaffective Disorder

Question 11

What causes neuroleptic malignant syndrome (NMS)?

Answer 11

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

Question 12

How should NMS be handled?

Answer 12

Rapid transport to ER

Question 13

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

Answer 13

Acute Dystonia

Question 14

How should acute dystonia be addressed?

Answer 14

Refer to prescribing physician for immediate attention

Question 15

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

Answer 15

Manic episode

Question 16

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

Answer 16

Manic episode

Question 17

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

Answer 17

Bipolar I Disorder

Question 18

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

Answer 18

Bipolar II Disorder

Question 19

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

Answer 19

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)

Question 20

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

Answer 20

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

Question 21

What is the time frame for a major depressive episode?

Answer 21

Up to two weeks

Question 22

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

Answer 22

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

Question 23

What differentiates Cyclothymia from major depressive disorder or bipolar disorder?

Answer 23

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

Question 24

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

Answer 24

Delirium

Question 25

Are hallucinations more associated with delirum or dementia?

Answer 25

Delirium

Question 26

Which tends to have sudden onset, delirium or dementia?

Answer 26

Delirium

Question 27

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?

Answer 27

Agoraphobia

Question 28

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

Answer 28

Generalized anxiety disorder

Question 29

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

Answer 29

Obsessive- compulsive disorder (OCD)

Question 30

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

Answer 30

Panic Disorder

Question 31

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.?

Answer 31

Panic attak

Question 32

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

Answer 32

Eye contact

Question 33

True or false? PTSD can involve amnesia regarding the trauma

Answer 33

True

Question 34

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

Answer 34

One month or more duration of symptoms

Question 35

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

Answer 35

Adjustment Disorder (with physical complaints)

Question 36

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

Answer 36

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

Question 37

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

Answer 37

Electrolyte imbalance

Question 38

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

Answer 38

When patient is a danger to self at the present momnet

Question 39

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

Answer 39

False, it is almost always a lengthy process

Question 40

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

Answer 40

False, patients tend to fuse inappropriately with other group members

Question 41

What are the two distinct tasks in treatment of anorexia?

Answer 41

Developing proper nutrition and dealing with the underlying psychological problems

Question 42

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

Answer 42

Behavior modification and social support

Question 43

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?

Answer 43

Munchausen syndrome by proxy

Question 44

What are some of the most common somatoform disorders?

Answer 44

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

Question 45

What are the age parameters involved in pedophilia?

Answer 45

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

Question 46

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?

Answer 46

Gentio- Pelvic Pain/Penetration Disorfer previously known as vaginismus

Question 47

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

Answer 47

Voyeurism

Question 48

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

Answer 48

Historic Personality Disorder

Question 49

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

Answer 49

Narcissism

Question 50

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

Answer 50

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

Question 51

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

Answer 51

True

Question 52

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

Answer 52

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

Question 53

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

Answer 53

True

Question 54

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

Answer 54

False

Question 55

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

Answer 55

True

Question 56

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

Answer 56

Over 65

Question 57

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

Answer 57

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

Question 58

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

Answer 58

24

Question 59

Roughly what percentage of domestic violence victims are women?

Answer 59

95%

Question 60

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

Answer 60

True

Question 61

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

Answer 61

Safety

Question 62

What are the three phases in the cycle of violence?

Answer 62

Escalating Tension Breaking Point Batterer's remorse and "honeymoon"

Question 63

When should one refer a reported rape victim?

Answer 63

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

Question 64

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

Answer 64

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

Question 65

What tends to be the requirement for an involuntary commitment?

Answer 65

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

Question 66

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

Answer 66

Ideation Plan Means

Question 67

Who needs to be informed if a patient is homicidal?

Answer 67

Police and intended victims