HB Exam I Flashcards
Name the Axis I disorders (from DSM-IV)
Schizophrenia, Major Depression, Bipolar Disorder
Name the Axis II disorders (from DSM-IV)
Disorders that appeared early in life and persisted
- Personality disorders
- Intellectual disabilities
Name the Axis III disorders (from DSM-IV)
General medical conditions
- diabetes
- htn
- epilepsy
Name the Axis IV disorders (from DSM-IV)
Psychosocial and environmental problems (main stressors)
-Problems w/ primary support, social environment, education, occupation, housing, economic, access to health care services, interactions w/ legal system and crime
Describe Axis V (from DSM-IV)
It includes the GAF (global assessment of functioning) scale. If the patient scores 30 points or less they should be hospitalized.
What is the WHODAS assessment tool now used in the DSM-V?
It is the World Health Organization Disability Assessment Schedule used to assess level of functioning across 6 domains over the past 30 days and is scored on a 1-5 scale (no disability to can’t perform)
How many people in the U.S. over age 18 have mental disorders?
43.8 million (18.5% of population)
In what age group are mental disorders most prevalent?
Ages 26-49
What race has the highest prevalence of mental disorders?
American Indian/Native Alaskan
Which state has the highest prevalence of mental disorders?
Utah
Name 3 interview techniques discussed in class.
- Normalization (reduces shame/stigma and feelings of judgement)
- Continuation (acknowledging the pt, engaging, nonverbal cues)
- Redirection (helps guide and focus interview)
What does MAPPSS-CEETO stand for?
Your psych ROS.
- Mood
- Anxiety (do you worry a lot)
- Psychosis (do you see things others don’t)
- Personality (patterns that cause you problems, relationships)
- Substance/Addiction (use substances, gamble)
- Somatic (do you worry about your physical health)
- Cognitive/Dissociation (do you forget things often)
- Eating/Feeding (do you worry about weight, eating habits, restrict foods)
- Elimination (do you soil clothing)
- Trauma (ever suffered traumatic event)
- Obsessions/Compulsions (unwanted urges, thoughts, repetitive acts)
Name the 4Ps in the 4P Model
- Predisposing (why me)
- Precipitating (why now)
- Perpetuating (why still)
- Protective (what strengths)
Describe the characteristics that fall under predisposing factors.
FHx, genetics, medical and psych hx, chronic stressors
Describe the characteristics of precipitating factors.
Inciting events, illness, social factors
Describe the characteristics of perpetuating factors.
Factors contributing to perpetuation include severity of illness, compliance, and ongoing problems
Describe characteristics of protective factors.
Support, previous positive outcomes, insight, employment, socioeconomics, access to care, faith, family, etc.
Name the components of the MSE (14)
- Appearance and attitude
- Motor activity/behavior
- Orientation
- Mood and affect
- Thought and speech
- Perception
- Memory
- General info
- Calculations
- Capacity to read/write
- Visuospatial ability
- Attention
- Abstraction
- Judgement and insight
What is echopraxia?
It is when the patient does what you do
What is echolalia?
It is when the patient repeats what you say
Explain the difference between mood and affect
Mood is usually reported by the patient (more subjective) and affect is what the patient conveys and you perceive (more objective)
Define derailment as a pattern of speech
Speech shifts from one topic to another that is completely disjointed and unrelated to the first topic
Define tangentiality as a pattern of speech
Patient gives partially relevant or irrelevant responses that don’t answer the question
Describe circumstantiality as a pattern of speech
Speech is delayed in reaching goal b/c of unnecessary detail though components are properly related and eventually reach the point.