FINAL

Question 1

[T/F] In behavioral strategies, studies demonstrated that physician delivered patient education & counseling can lead to improvement in patients’ adherence to treatment regimens.

Answer 1

true

Question 2

What are the indications for psych consultations?

Answer 2

• suicidal ideation/behavior
• verbal threats or dangerous behavior
• psychosis
• need for psych med change
• psych disorder in need of tx
• psych Sx thought to be caused by med illness and/or meds
• competency eval
• noncompliance
• signif probs in dr-pt relationship
• eval of cognitive dysfx

Question 3

From a dying patient (according to …), fundamental fear usually is not death, but:

Answer 3

fear of being abandoned or deserted by others including their physicians and dying alone

Question 4

Grief or Major depression?

• Less than 1-2 months
• not usually suicidal
• transient vision/voices
• pain with normal feelings
• self blame related to deceased
• improvement over time

Answer 4

grief

Question 5

Grief or Major depression?

• longer
• possibly suicidal
• may have depressive delusions
• con’t pervasive depressed mood
• blame is focused self
• slow to respond if at all (without tx)

Answer 5

Major depression

Question 6

_____ defense mechanism that reduces anxiety and conflict by blocking conscious awareness of thoughts, feelings, or facts that an individual cannot face

Answer 6

denial

Question 7

______ is frequent behavioral response to medical illness

Answer 7

Noncompliance

Question 8

When ______ and _______ occurs, one can return to childlike patterns of behavior

Answer 8

regression and dependency

Question 9

[T/F] Depression -depressed states in the medically ill may include grief and sadness, demoralization, fatigue, exhaustion, and psychomotor slowing.

Answer 9

true

Question 10

Common psych rxns to medical illness and treatment:

Answer 10

a. regression & dependency
b. anxiety
c. depression
d. denial
e. noncompliance

Question 11

[T/F] Spouse abuse: State presses charges & Mandatory report only in medical facilities.

Answer 11

true

Question 12

The central issue in the treatment of suicidal patients is:

Answer 12

educating them about other solutions to their problems by listening to the patient and providing guidance, interpretation, and education

Question 13

A violent patient tend to become violent when they feel:

Answer 13

helpless
passive
or trapped

Question 14

[T/F] Most violence is preceded by a period of increasing restlessness & pacing.

Answer 14

true

Question 15

When a person becomes violent and verbally abusive, it is an attempt by the patient to:

Answer 15

assert autonomy and diminish feelings of helplessness

Question 16

______ is the tendency to become fixated on a particular developmental stage.

Answer 16

regression

Question 17

________ occurs when we divorce ourselves from our feelings about a situation.

Answer 17

intellectualization

Question 18

_____ _____ is when we overreact to a feeling by behaving in the complete opposite manner.

Answer 18

Reaction formation

Question 19

[T/F] Rationalization often gives alternative, often untrue or partially true, explanations for behaviors or feelings.

Answer 19

true

Question 20

________ is the attempt to turn an inappropriate urge into something more socially acceptable.

Answer 20

sublimation

Question 21

______ is the tendency to believe that someone else holds the opinion or feeling that we want to avoid.

Answer 21

projection

Question 22

_______ occurs when we attribute our feelings to an innocent target

Answer 22

displacement

Question 23

____ tries to believe a particular situation does not exist.

Answer 23

denial

Question 24

_____ is the tendency to push painful memories into the subconscious

Answer 24

repression

Question 25

______ is an intentional form of repression, in which we actively work to avoid painful memories.

Answer 25

suppression

Question 26

What is the patient centered approach to risk factor intervention? (5A)

Answer 26

1. Address the agenda 2. Assess 3. Advise 4. Assist 5. Arrange "Follow Up"

Question 27

[T/F] Goal of group therapy is to alleviate symptoms and change interpersonal relationship for group, family, and/or couples.

Answer 27

true

Question 28

In behavioral therapy, ______ is when the patient is directly exposed to the stressful stimulus until anxiety subsides.

Answer 28

flooding

Question 29

In behavior therapy, ________ is when the patient uses mental images as substitutes for the actual feared object or situation.

Answer 29

implosion

Question 30

______ therapy is based on fear of an extremely unpleasant, physiological response.

Answer 30

aversive

Question 31

_______ therapy is where symptoms of a psychological nature are learned maladaptive patterns of behavior in response to environmental or internal stimuli. (change the behavior and change symptoms)

Answer 31

Behavioral

Question 32

______ is a therapy that is directed toward identifying and altering these (neg) cognitive distortions where neg thoughts create neg feelings.

Answer 32

Cognitive psychotherapy

Question 33

[T/F] Cognitive psychotherapy is best therapy for depression.

Answer 33

true

Question 34

[T/F] The goal of Supportive psychotherapy is to maintain or reestablish best level functioning.

Answer 34

true

Question 35

Psychoanalysis focuses on:

Answer 35

recovery of childhood experiences as they are recreated in the relationship with the analysis

Question 36

______ has its difficulties that is related to unrecognized/unconscious conflicts that arise in the course of child development and continue into adult life.

Answer 36

psychoanalysis

Question 37

In psychoanalysis, _______ ______ is the transference rxns occur throughout life in all areas and are a frequent accompaniment of the dr-pt relationship in the medical setting.

Answer 37

transference neurosis

Question 38

_______ is a transient global disorder of attention, with clouding of consciousness, usually a result of systemic probs; Onset is rapid; (acute state of confusion).

Answer 38

Delirium

Question 39

______ is characterized by chronicity and deterioration of selective mental functions. Onset is insidious.

Answer 39

dementia

Question 40

____ ____ disorder are aggressive outbursts are impulsive and/or anger based in nature, and must cause marked distress, cause impairment in occupational or interpersonal fxing, or be associated with neg financial or legal consequences.

Answer 40

Intermittent explosive

Question 41

_______ disorder is paraphilia currently causing distress or impairment to the individual or a paraphilia whose satisfaction has entailed personal harm, to others.

Answer 41

paraphilic

Question 42

Gender dysphoria is:

Answer 42

gender incongruence rather than cross-gender identification

Question 43

Psychological Tx for pain:

Answer 43

a. psychoeducation b. hypnosis c. behavioral Tx (relaxation training, biofeedback, CBT) d. multidisciplinary pain rehab

Question 44

Pain is linked with _____ and ______.

Answer 44

depression and anxiety

Question 45

[T/F] Treat the physical basis for the pain as aggressively as possible and simultaneously address the anxiety/depression.

Answer 45

true

Question 46

Diagnostic criteria for _______ ______ disorder: a. pain in 1 or more anatomical sites is the predom focus of the clinical presentation b. pain causes clinical signif distress or impairment in social, occupational, or other important areas of fxing

Answer 46

chronic pain

Question 47

[T/F] Schizophrenic disorders are a group of syndromes manifested by massive disruption of thinking, mood, and overall behavior as well as poor filtering of stimuli.

Answer 47

true

Question 48

[T/F] Schizophreniform is same as schizophrenic with less Sx less than 6 months.

Answer 48

true

Question 49

[T/F] Operant conditioning emphasizes the recognition of acceptable behavior and its reinforcement with praise or other tangible rewards.

Answer 49

true

Question 50

Aversive conditioning utilizes:

Answer 50

punishment and negative reinforcement of behavior

Question 51

_______ ______ : excessively preoccupied with details and orderliness; perfectionistic... 'Help me right now in just the way I want or I'll feel like I've lost control'

Answer 51

obsessive-compulsive

Question 52

______ ______: negativistic and passively resistant to authority. 'Given to procrastination and 'forgetting' so as to avoid responsibility.'

Answer 52

Passive-aggressive

Question 53

_________: -fears criticism, embarrassment, shame, or rejection 'Help me but I feel like an idiot because things can't really get that bad, I'm so ashamed'

Answer 53

Avoidant

Question 54

________ : difficulty making everyday decisions, needing others to assume responsibility; nonassertive due to fear of disapproval 'Help me, don't leave me, I'll do whatever you say, take care of me'

Answer 54

dependent

Question 55

________: demanding of attention, inappropriately seductive or provocative; shallow but labile and dramatic 'Help me because I can't cope and don't reject me or I'll fall apart'

Answer 55

histrionic

Question 56

_________: grandiosity and a sense of social 'specialness'... excessive entitlement and need for admiration, tendency to exploit others, lack of empathy, arrogance 'Help me and do precisely what I demand. Never forget that I don't really need you and that I expect obedience at all times.

Answer 56

narcissistic

Question 57

________: unlawful behavior, lying or conning, impulsivity, lack of remorse 'Help me bc I'm so charming and I hurt so much, but you'd better do it the way I want and let me take advantage or you...or watch out'

Answer 57

antisocial

Question 58

________ : unstable and intense relationships, frantic efforts not to be abandoned, identity disturbance, harmful impulsivity 'Help me, take care of me, don't ever leave me or I'll freak out'

Answer 58

borderline

Question 59

_______: pervasive distrust and suspiciousness | 'I need your help, but I cannot trust that you are really trying to help me'

Answer 59

paranoid

Question 60

_______: detachment from and lack of enjoyment in social relationships 'Help me but don't intrude too much; I want to believe that I am ok and don't need anyone'

Answer 60

schizoid

Question 61

________: paranoid, with ideas and reference, odd beliefs and thought patterns 'Help me but I don't really need any help bc nothing is really the matter'

Answer 61

schizotypal

Question 62

[T/F] Although, by definition, personality disorder begins in the teens or early twenties, it is also generally assumed that the course extends across the life span.

Answer 62

true

Question 63

[T/F] The central treatment principle in personality disorder is to try in whatever ways are most effective to facilitate the patient's highest level and most flexible degree of adaptive interpersonal.

Answer 63

true

Question 64

[T/F] Personality or personality 'style' consists of enduring, habitual patterns of thinking, feeling, behaving, and relating that determine a person's adaptation and rxn to the 2 worlds he/she inhabits---that is both inner psych world and the outer environment ...'personality traits'

Answer 64

true

Question 65

[T/F] One of the classic hallmarks of personality disorder is, in fact, a marked tendency to blame others for one's impersonal difficulties and therefore to expect others to change.

Answer 65

true