First Pass Miss Exam 1 Flashcards
What factors fall under social factors? (Three categories, bio-psycho-social)
- Current family relationships and interactions (not experiences, which would be psychological factors)
- Supports and stressors
- Racial, religious, socioeconomic, and cultural background -> think social determinants of health
What is affect?
The outward expression of mood -> objectively observed
What are the components of affect which are clinically useful?
- Variability - does it fluctuate through the interview? (labile affect)
- Intensity - Dysphoric vs euthymic (normal) vs euphoric
- Appropriateness to mood - is their self-reported mood in congruence with their affect?
List the 10 components of the MSE?
Appearance and behavior Psychomotor abnormalities Speech Mood Affect Thought Process Thought Content Sensorium and Intellectual Function Insight Judgment
What are the components of thought content?
Hallucinations, delusions, illusions, recurring themes, and suicidal / homicidal ideation
What is formication?
A tactile hallucination of bugs crawling under the skin, often associated with substance withdrawal
A speaker has no goal-directed associations and never gets to the desired end point when asked a question. How do you describe their speech?
Tangential
What are the types of dysphoric mood?
Flat -> most severe dysphoria
Blunted -> mood seems a little flatter than expect
Constricted -> almost normal but still clearly less intense in feeling
What are the names for normal sensory hallucinations which happen when falling asleep or waking up?
Falling asleep - Hypnagogic
Waking up - Hypnopompic (hopping out of bed)
What are two types of recurring themes? What are these in general?
- Obsessions - irresistible thought or feeling which cannot be eliminated from consciousness - luke obsessing over gary
- Negative ruminations - i’m gonna die
These are topics so important that the interview seems to keep returning to it
What are the components of sensorium and intellectual functioning?
Consciousness Orientation Attention and concentration Memory Abstraction Fund of knowledge
What are the two types of visual hallucinations and what is this common in?
- Formed images - i.e. people
- Unformed images - i.e. light flashes
Most common hallucination in psychosis due to another mental illness
(for example, Parkinson’s)
What are the four primary infant reflexes? When do they disappear?
BMR-P - 12,3,4,6
- Babinski - 12 months
- Moro - 3 months
- Rooting - 4 months
- Palmar - 6 months
Disappears like the ocular nerve numbers, 3, 4, 6 months
What is attachment and its significance of attachment to infancy? What are the possible effects if it is not there?
Emotional connection that develops between infant and primary caregiver
Effects of deprivation longterm:
- Anaclitic depression
- Social / emotional deficits - poor socialization / language / trust in others
- Physical effects - failure to thrive, even death
When does separation anxiety develop and what is it?
Occurs by 9 months, separation from primary caregiver gives normal anxiety - this is when object permanence starts and when the child can orient to name
Stranger anxiety begins at 6 months
What is the order of postural developments in infancy? From lying down to walking.
Lifts head to prone by 1 month Rolls over by 4-5 months Sits and rolls by 6 months Crawls by 8 months Stands by 10 months Walks by 12-18 months
2-4-6-8-10-12
Head->Roll->Sit->Crawl->Stand->Walk
What are the toy playing milestones in infancy?
6 months - passes toys hand to hand - once they can sit, they can do dis
10 months - Pincer grab (thumb to finger) - think of them having to grab something to stand
When does gender identity set in and when is it fixed? Is it innate?
Begins at 18 months - you feel male or female
Fixed by 24-30 months.
Yes, majority of it is innate
What are the four C’s of toddlership (Child rearing working)?
Cruises - takes first steps by 12-18 months, runs by 24 months
Climbs stairs 18 months
Cubes stacked - 3 x age in years = 6 by two years
Cutlery - feeds self with fork and spoon - 20 months
Kicks ball - not a C, but 24 months
Runs by 2 years (same as rapproachment, parallel play, kicking ball)
What are the three D’s of preschool years (Don’t forget they’re still learning)?
Drive - can ride tricycle with 3 wheels (age 3 for three wheels)
Drawings
Dexterity - Hops on one foot by age 4, Uses buttons / grooms self by age 5, can use buttons or zippers by age 5 (full dressing of self by age 5)
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What are the two L’s of preschool years (don’t forget they’re still Learning)?
Language - 3 zeros for age 3 - knows 1000 words. Can also use complete sentences by age 4.
Legends - At age 4, when can use complete sentences, can also tell complete stories.
What are Freud’s and Erikson’s third stage and their timing? What are the feature’s of Freud’s phase?
3-5 years (preschool years)
Freud - Phallic Phase
-> preoccupation with illness / injury
-> Oedipal complex -> child competes with parent to focus on parent of opposite sex
Erikson - Initiative vs Guilt
What are Freud’s and Erikson’s second stage and their timing?
Both 1-3 years (toddlerhood)
Freud - Anal phase - urges centered on controlling bowel functions / body functions (potty training)
Erikson - Autonomy vs Shame and Doubt
What is Piaget’s second stage and how long does it last? How is their thinking?
Preoperational stage 2-7 years
Child uses symbols and language
-> Thinking and reasoning are intuitive, not logical / deductive.
-> cannot understand metaphors