General assessment Flashcards

Question

What is thought acceleration?

Answer 1

Flight of ideas with logical connection between each sequential idea

Answer 2

Inability to answer a question without giving excessive, unnecessary detail

Answer 3

Loss of logical connections between sequential ideas

Answer 4

Sudden stop in thought flow as though removed

Answer 5

Obsessions Overvalued ideas Delusions

Answer 6

Recurrent intrusive, usually unpleasant thoughts that the person recognises as their own and tries to resist

Answer 7

Acceptable comprehensible idea pursued by the person beyond the bounds of reason and causes distress or disturbed functioning

Answer 8

Train of thought wanders, showing no clear focus and does not return to the original point

Answer 9

False unshakeable idea/belief which is out of keeping with the patient's educational, cultural and social background, held with extraordinary conviction and subjective certainty

Answer 10

Delusion not occurring in response to another psychopathology

Answer 11

Delusion is understandable in the present circumstances eg. severely depressed mood

Answer 12

Paranoid Grandiose Nihilistic

Answer 13

Orientation to time, place and person | Often not formally assessed but can use MMSE

Answer 14

Assessment of patient's perception of their illness and the likelihood they will engage in treatment

Answer 15

How do you explain your experiences? Some people who are ill have similar experiences to you, could that mean that you are ill too? Do you think you need treatment?

Answer 16

Yes - all patients Assess nutritional state Secondary illnesses due to their mental illness or due to medication

Answer 17

Past and present risks Risks to self - suicide, self-harm, neglect Risks from others - harm, abuse, exploitation Risks to others - harm to adults or children Protective factors

Answer 18

Likelihood of an event happening with potentially harmful or beneficial outcomes for self or others

Answer 19

Anticipate and avoid adverse outcomes Protect patients, others and ourselves Optimise and guide management

Answer 20

``` Risk to self Risk to others Risk from others Risk of absconding Risk of non-compliance ```

Answer 21

Act of killing oneself deliberately initiated and performed by the person concerned in the full knowledge or expectation of its fatal outcome

Answer 22

1. Deceased had intention to kill self | 2. Death was self-inflicted

Answer 23

In the UK men are 3x more likely to take their own lives

Answer 24

Men 45-49yrs

Answer 25

``` Previous attempts or deliberate self-harm Past psychiatric history Current mental state: - Hopelessness - Persistently depressed mood - Psychosis - persecutory delusions, command hallucinations, schizophrenia - Mania and disinhibition Past medical history (chronic or debilitating illness) Substance misuse Financial difficulties Immigration Relationship problems Bereavement Family history Specific occupations ```

Answer 26

``` Sex (male) Age (<20 or >40) Depression Previous suicide attempt Ethanol abuse Rational thinking loss (psychosis) Social support lacking Organised suicide plan No spouse Sickness ``` Each risk factor is given a score of 1 point 3-4 -> close monitoring 5-6 -> consider hospitalisation 7-10 -> hospitalisation for further assessment

Answer 27

The patient's intent Seriousness and perceived seriousness of their attempt - triggers, method, final acts, discovery Assess how they feel about the attempt - guilt, regret, no remorse

Answer 28

Psychosocial assessment Diagnose mental illness and treat effectively Address psychosocial and physical health issues Increase support Enhance coping skills

Answer 29

History of violence Poor social network, recent major life events, unstable housing, unemployment Substance misuse Personality Childhood trauma Past psychiatric history with poor engagement and compliance Current mental state: - Fear, anger, humiliation, jealousy - Command hallucinations - Persecutory delusions, passivity phenomena - Intoxication, confusion

Answer 30

Keep them safe Use safe restraint Least restriction approach Diagnose mental illness and treat effectively

Answer 31

Sit close to door. Go in pairs. Let people know where you are. Report any concerns. Personal attack alarm. Clear exits. Observation panels in doors. No potential weapons. Read available information on patient's risk. Speak to nursing staff and medical team.

Answer 32

``` Physical abuse Domestic violence Sexual abuse Psychological/emotional abuse Financial abuse Modern slavery Discriminatory abuse Organisational abuse Neglect ```

Answer 33

Yes, mentally ill people are 4x more likely to be victims of violence

Answer 34

Loosening of logical associations between sequential ideas

Answer 35

Speech is motivated by sound and words are chosen based upon their sounds rather than their meaning

Answer 36

Individual believing that irrelevant, unrelated or innocuous things in the world are referring to them directly or have special personal significance

Answer 37

Umbrella term for a number of conditions including Capgras and Fregoli syndrome, seen in dementias and psychosis

Answer 38

Belief that parts of the body do not exist or are dead, organs are malfunctioning or rotting, the patient is dead and there is no future for them