Deck 4

Question 1

What’s the purpose of making a therapeutic rapport

Answer 1

Patient feels accepted, less anxious.

The rapport is a building block for change.

Question 2

What are the key skills for making a therapeutic rapport

Answer 2

Empathy
Warmth
Professionalism
Respect

Question 3

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

Answer 3

person

Question 4

In addition to guiding the actual care, the treatment plan

Answer 4

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

Question 5

Come back to page 88

Answer 5

come back

Question 6

Clues that point to a medical cause

Answer 6

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

Question 7

Medical disorders that can cause psychiatric symptoms: Neurologic

Answer 7

Stroke
Tumor
MS
Dementia
Meningitits
Encephalitis 
Head injury 
Seizure disorder 
Parkinsons

Question 8

Medical disorders that can cause psychiatric symptoms: Endocrine

Answer 8

Hypo/hyperthyroid
Adrenal disorder
Liver disorder
Vitamin deficiency

Question 9

Medical disorders that can cause psychiatric symptoms: Substance

Answer 9

Corticosteroids, antidepressants, drugs of abuse

Question 10

Medical disorders that can cause psychiatric symptoms: Infectious

Answer 10

HIV, pneumonia, UTI, syphilis

Question 11

Medical disorders that can cause psychiatric symptoms: Cardiopulmonary

Answer 11

MI, hypercarbia/hypoxia

Question 12

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

Answer 12

Cooperative
Agitated
Disinhibited
Disinterested

Question 13

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

Answer 13

Speech

Question 14

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

Answer 14

Ruminative
Obsessional
Delusions

Question 15

Flight of ideas

Answer 15

Rapidly moving from one thought to another, but logically connected

Question 16

Circumstantial

Answer 16

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

Question 17

Tangential

Answer 17

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

Question 18

Loose associations

Answer 18

Difficult or impossible to see thee connections between content

Question 19

Perseveration

Answer 19

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

Question 20

Thought blocking

Answer 20

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

Question 21

Neologisms

Answer 21

new work or combination of several words

Question 22

Word salad

Answer 22

Confused language with no apparent meaning

Question 23

Perceptual disturbances include hallucinations, delusions, and

Answer 23

depersonalization and derealization

Question 24

derealization

Answer 24

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

Question 25

insight

Answer 25

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

Question 26

Judgement

Answer 26

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

Question 27

Presumed competency

Answer 27

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

Question 28

Informed consent is required for everyone unless

Answer 28

they are deemed incompetent by a judge

Question 29

Procedural protections

Answer 29

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

Question 30

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

Answer 30

provide reasonable accommodations to qualified people with disabilities

Question 31

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

Answer 31

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

Question 32

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

Answer 32

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

Question 33

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

Answer 33

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

Question 34

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

Answer 34

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

Question 35

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

Answer 35

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

Question 36

What does FMLA provide

Answer 36

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

Question 37

Which employers are required to adhere to FMLA

Answer 37

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

Question 38

What reasons can be used for unpaid leave

Answer 38

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

Question 39

FMLA in mental health

Answer 39

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