Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Board Certification > Deck 4 > Flashcards

Deck 4 Flashcards

1
Q

What’s the purpose of making a therapeutic rapport

A

Patient feels accepted, less anxious.

The rapport is a building block for change.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the key skills for making a therapeutic rapport

A

Empathy
Warmth
Professionalism
Respect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Gathering data is to get a complete picture of the problem, and also to understand the patient as a

A

person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In addition to guiding the actual care, the treatment plan

A

instills hope
reduces anxiety
provides education such that the patient wants to follow-up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Come back to page 88

A

come back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Clues that point to a medical cause

A 
Later age of onset 
Known underlying medical condition
Atypical presentation of psychiatric condition
No personal or family history of mental illness
Poor response to usual treatment 
Substance/medication use 
Waxing and waning mental status 
Abnormal vital signs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Medical disorders that can cause psychiatric symptoms: Neurologic

A 
Stroke
Tumor
MS
Dementia
Meningitits
Encephalitis 
Head injury 
Seizure disorder 
Parkinsons
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Medical disorders that can cause psychiatric symptoms: Endocrine

A

Hypo/hyperthyroid
Adrenal disorder
Liver disorder
Vitamin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Medical disorders that can cause psychiatric symptoms: Substance

A

Corticosteroids, antidepressants, drugs of abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Medical disorders that can cause psychiatric symptoms: Infectious

A

HIV, pneumonia, UTI, syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Medical disorders that can cause psychiatric symptoms: Cardiopulmonary

A

MI, hypercarbia/hypoxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

In the mental status exam, what are some answers you’d put for “Attitude or approach to the interview”

A

Cooperative
Agitated
Disinhibited
Disinterested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In the mental status exam, thought blocking goes under which category

A

Speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In the mental status exam, for thought content you could put answers like

A

Ruminative
Obsessional
Delusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Flight of ideas

A

Rapidly moving from one thought to another, but logically connected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Circumstantial

A

includes details not directly relevant but eventually returns to address the subject or question

17
Q

Tangential

A

Begins OK but the patient never returns to the original question and thoughts are seen as irrelevant or related in only a minor way

18
Q

Loose associations

A

Difficult or impossible to see thee connections between content

19
Q

Perseveration

A

unable to move to other topics despite attempts to change the subject

20
Q

Thought blocking

A

patient appears unable to complete a thought, stops in mid-sentence

21
Q

Neologisms

A

new work or combination of several words

22
Q

Word salad

A

Confused language with no apparent meaning

23
Q

Perceptual disturbances include hallucinations, delusions, and

A

depersonalization and derealization

24
Q

derealization

A

one’s environment has changed in a strange way that is difficult to describe

25
Q

insight

A

the patient’s understanding of how they are feeling, presenting, and functioning as well as potential causes of their distress

26
Q

Judgement

A

A person’s ability to make good decisions and act on them

27
Q

Presumed competency

A

All adults are presumed to be competent and able to make decisions about their health

28
Q

Informed consent is required for everyone unless

A

they are deemed incompetent by a judge

29
Q

Procedural protections

A

Any individual facing involuntary commitment has a right to procedural protections defined by the state and typically include:

A judicial hearing with at least one mental health professional present

An independent mental health evaluation

The right to be represented by competent counsel

Right to be free from psychiatric boarding in hospital emergency rooms

30
Q

According to the Americans with disabilities act, employers must (in general)

A

provide reasonable accommodations to qualified people with disabilities

31
Q

According to the Americans with disabilities act, environmental modifications can include

A 
minimizing/removing distractions 
adding room dividers 
private work spaces 
work space away from noisy equipment 
increased lighting 
listening to headphones to block out distractions
32
Q

According to the Americans with disabilities act, equipment accommodations can include

A 
use of audio recorder
white noise machines 
electronic organizers 
computer access from remote locations 
software that minimizes distractions (pop up blockers)
33
Q

According to the Americans with disabilities act, accommodations of job duties can be

A

minimizing non-essential job duties
Division of large job assignments into smaller tasks
Additional assistance and/or time for training
Addition training and modified training materials

34
Q

According to the Americans with disabilities act, accommodation of management and supervision can include

A

Flexible and supportive supervision style; positive reinforcement and feedback
Communication tailored to employee’s preferred learning style
Regularly scheduled meetings to discuss workplace issues and productivity
Written work agreements with short and long term goals
Relevant training for all employees

35
Q

According to the Americans with disabilities act, Frequently used accommodation include

A 
Flexible work place (WFH)
Flexible scheduling 
Leave of absence 
Breaks when needed
Allowing eating at the work site
36
Q

What does FMLA provide

A

up to 12 weeks of unpaid, job-protected leave per year while maintaining group health benefits

37
Q

Which employers are required to adhere to FMLA

A

All public agencies
All public and private elementary and secondary school, and companies with at least 50 employees

Employees are eligible if they have worked for the employer for at least one year or 1250 hours of the past year

38
Q

What reasons can be used for unpaid leave

A

Birth and care of a newborn child

Placement with the employee of a child for adoption or foster care

To care for an immediate family member (spouse, child, parent) with a serious medical condition

To take medical leave when the employee is unable to work because of a serious health condition

39
Q

FMLA in mental health

A

Consider FMLA if patient can no longer perform essential job functions to normal standards but a leave can help patient get to a point where the patient can again perform those functions

If patient is permanently unable to do the job, can consider requesting a reassignment to a job that can be done, if possible, as a reasonable accommodation

Board Certification (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions