General questions Flashcards

1
Q

What areas of the brain may contribute to violent behaviors?

A

Prefrontal cortex

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

Side effect of hypnotics(sleep medications)

A

sedation, resp suppression

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

Trazodone side effect

A

Priapism

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

Remeron/Mirtazipine side effect

A

Hunger and Wt gain

so good for elderly with no appetite

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

Sleep medications good for onset of sleep

A

Trazadone, Lunesta, Ambien

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

Sleep medications good for keeping people asleep

A

Restoril, amitriptilyne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Suicide risk factors in teens, adults, and geriatrics

A
1.poor social support
2 MDD
3. alcohol, 
4.MALE, 
5. FAMILY MBR ATTEMPT, 
6. previous attempt, 
7.caucasian male
8.geriatric males tend to complete
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

DSM5 for Sleep Disorder

A

Doesn’t have a specific # of hours, poor quality of sleep 3x’s per week for 3 months

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

DSM5 criteria for Neurocognitive Disorder

A

Delirium and Dementia

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

DSM5 criteria for Compulsive Disorder

A

Best treatment is therapy

(ex: Hoarding dis

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

Major difference between Delirium and Dementia

A

Delirium= rapid onset, poor attention span

Dementia=slow progression of memory loss and putting things in weirds spots

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

Body Dysmorphic Disorder

A

Preoccupation with flaws (#1 is facial flaws)

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

What disorder does the pt count calories?

A

Eating Disorder

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

OCD most common compulsions?

A
  1. Hand washing 2. Flipping lights on and off 3. Checking (no order)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

OCD most common compulsions?

A
  1. Hand washing 2. Flipping lights on and off 3. Checking (no order)
    Treatment- Luvinox(?), Anafronil
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Reminiscence Therapy

A

good for Dementia/Alz pts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Psychodynamic therapy (primary focus?)

A

Primary focus is to help revel unconcious content aka help people realize themselves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

CBT (focus dx tx?)

A

Everything

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Interpersonal therapy (focus dx tx?)

A

Bipolar Disorder (resolves interpersonal problems); limited to 12-16 sessions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Exposure therapy (focus dx tx?)

A

Fears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Solution-focused therapy (focus dx tx?)

A

SI

  • focus on finding solution not dwelling on the problem
  • Miracle questions (what if the problem went away?)
  • Short term therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Motivational Interviewing (focus dx tx?)

A

Substance Use Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is EMDR

treatment for?

A

Eye Movement Desensitization and Reprocessing

  • Treatment for anxiety and fear
  • uses the 3 senses (visual, auditory, and tactile)
24
Q

What is EMDR

treatment for?

A

Eye Movement Desensitization and Reprocessing

  • Treatment for anxiety and fear
  • uses the 3 senses (visual, auditory, and tactile)
  • Developed by Shaipiro
25
Suicide and BPD rates
elevated at 10%
26
Suicide lethality?
the ability to commit suicide or cause death - Do they have means? - Plan? Do they have high suicide lethality?
27
What are protective factors against suicide?
Religion, pets, **good access to mental health care** aka good alliance with therapist
28
What is NREM?
Non Rapid Eye Movements
29
What are some NREM arousal characteristics?
1. sleep walking 2.sleep terrors 3. sleep eating | - they are disoriented if you wake them up
30
What part of the brain is related to circadian rhythm?
Suprachiarsmatic nucleus in hypothalamus
31
What part of the brain is related to circadian rhythm?
Suprachiarsmatic nucleus in hypothalamus-regulates melatonin secretions
32
Medications for nightmares?
Prazosin(Minipress)
33
Cutting behaviors- why do them?
- To feel, ease their distress, feel disconnected | seen in Personality Disorder= BPD Borderline personality disorder
34
Treatment for Compulsive disorders?
SSRIs- Esitalopram, Fluoxetine, Fluvoxe
35
Treatment for Compulsive disorders?
SSRIs- Esitalopram, Fluoxetine, Fluvoxamine
36
What are Cluster A Personality Disorders?
"odd eccentric-social akwardness and withdrawal" | Paranoid, Schizotypal(magical fairy people), Schizoid (withdrawn,reclusive,hermits)
37
What are Cluster B Personality Disorders?
characterized by dramatic, overly emotional or unpredictable thinking Narcissist, Histrionic, Antisocial
38
What are Cluster B Personality Disorders?
characterized by dramatic, overly emotional or unpredictable thinking Narcissist, Histrionic, Antisocial, Borderline
39
What are Cluster C Personality Disorders?
called the anxious, fearful cluster | OCPD(Obsessive Compulsive Personality Disorder** different from OCD which is a separate dx. ), Dependent, Avoidant
40
Treatment of Personality Disorders and Compulsive Disorders?
Medications help with symptoms, but not disorder. They need therapy
41
What is the most common therapy for Personality and Compulsive Disorder
DBT (especially for BPD)
42
What is the most common Personality Disorder?
Borderline
43
What medication use for Suicidal thoughts?
Lithium(*) and Clozaril
44
What do you do with Homicidal pt? (what type questions ask during 1st interview?)
Direct questions, address beliefs (similar to suicidal questions : Thought? Plan? How? Who?) - may have to contact person depending on state (Duty to warn) - have to inform them you will be calling the person
45
Characteristics of Disorder? Schizotypal
Ideas of reference, odd
46
Characteristics of Disorder? Schizoid
Apathy, detached, cold, isolated
47
Characteristics of Disorder? Paranoid
out to get you
48
Characteristics of Disorder? Narcissistic
they are the greatest, talk to you if your cool enough, Grandiose (if challenge them.. probally wont see them back in your office)
49
Characteristics of Disorder? Borderline
Intense, Unstable, emptiness, Impulsive, suicide/self multilating , Dependent (one relationship to the other)
50
Characteristics of Disorder? Antisocial
take advantage of other people and dont feel bad about it; above the law; no remorse; violent or aggressive
51
Characteristics of Disorder? Histrionic
provacative, attention seeking, drama queens, center of attention,
52
Characteristics of Disorder? Obsessive-compulsive
anxiety, perfectionist-rules, lists, rigid details- usually do not form social relationships d/t preoccupation
53
Characteristics of Disorder? Dependent
low self esteem, clingy, submissive
54
Characteristics of Disorder? Avoidant
afraid of what people think, hypersensitive to negative eval
55
Suicide Intent
Desire to cause death
56
Suicide Ideation
thought of death, severity depend on plans and degree of intent