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HBM > HBM 10a: Psych Assessment and Dying > Flashcards

HBM 10a: Psych Assessment and Dying Flashcards

1
Q

A psych assessment evaluates (X) factors in an individual.

A

X = biological, psychological, social

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2
Q

What are the two types of interview styles?

A
  1. Unstructured

2. Structured or semi-structured

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3
Q

(X) interview style has the disadvantage of being quite time-consuming.

A

X = structured

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4
Q

What are the ABCs of observation?

A

Antecedent
Behavior (immediate)
Consequence

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5
Q

List categories assessed in mental status exam.

A
  1. Presentation
  2. Cognition
  3. Emotional state
  4. Thought/perception
  5. Judgement/insight
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6
Q

(X) was developed by Folstein for screening for (Y).

A 
X = mini-mental status exam
Y = dementia
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7
Q

List two examples self report measures.

A
  1. BDI (Beck Depression Inventory)

2. PCL (PTSD checklist)

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8
Q

T/F: people may be more willing to endorse something in person than on paper.

A

False - vice versa

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9
Q

T/F: self report measures can sometimes be used in place of clinical interview.

A

False

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10
Q

T/F: a disadvantage of self report measures is people know how which answers to put in order to be “fake” good/bad.

A

True

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11
Q

Define reliability in an assessment.

A

Consistency in measurement

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12
Q

Define validity in an assessment.

A

How well the test measures what it claims to measure

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13
Q

Define standardization in an assessment.

A

Consistent use of techniques

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14
Q

(Intelligence/achievement) is relatively stable over time.

A

Intelligence

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15
Q

List factors that impact intelligence.

A
  1. Biological
  2. Environmental
  3. Social
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16
Q

SAT measures (intelligence/achievement).

A

Achievement

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17
Q

MCAT measures (intelligence/achievement) and USMLE measures (intelligence/achievement).

A

Achievement for both

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18
Q

Most widely used IQ test is (X) and is for which age range?

A

X = Wechsler Adult Intelligence Scale

Ages 16-75

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19
Q

Which index scores are included in WAIS?

A
  1. Verbal comprehension
  2. Working memory
  3. Perceptual reasoning
  4. Processing speed
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20
Q

Genuis IQ range

A

160+

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21
Q

Average IQ range

A

90-109

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22
Q

Mental deficiency IQ

A

Less than 70

23
Q

Most commonly used objective personality test

A

Minnesota multiphasic personality inventory (MMPI-2)

24
Q

MMIP-2 asks which type/format of questions?

A

T/F (500 questions)

25
Q

List some benefits of MMPI-2 for (X).

A

X = personality

  1. Pencil/computer administration, so quick
  2. Standardized scores
  3. Better test-retest reliability than projective tests
26
Q

List some limits of MMPI-2 test for (X).

A

X = personality

  1. People may have reason to respond in certain way
  2. Cultural differences in “normal” behavior
27
Q

Personality tests can fall under which two categories?

A

Projective or objective

28
Q

Projective tests ask patient to answer what types of questions?

A

Interpret vague stimuli or follow open-ended instructions

29
Q

The Rorschach (X) test is what type of test?

A

X = inkblot

Projective personality test

30
Q

The TAT, aka (X), is what type of test? Describe it.

A

X = Thematic Apperception Test

Projective personality test

Patient asked to make up story about series of vague B&W pictures

31
Q

In TAT, the patient’s answers are thought to reflect:

A

His or her emotions

32
Q

Sentence completion test is an example of (X) test. It’s used to pinpoint:

A

X = projective personality

Topics to explore

33
Q

T/F: clinicians only rely on projective tests to gain supplementary insight.

A

True

34
Q

T/F: projective personality tests have demonstrated good reliability, but not validity.

A

False - neither good reliability nor good validity

35
Q

(Projective/objective) personality tests can be administered by PCP.

A

Objective

36
Q

Ars Moriendi 1451 included:

A
  1. Reaffirming faith
  2. Repenting sins
  3. Letting go of worldly possessions
  4. Last words
37
Q

Ars Moriendi 2016 includes:

A
  1. Heal/strengthen relationships
  2. Consider/plan legacy
  3. Accept death with grace/dignity
38
Q

T/F: patient that claims he lived “full life” has probably overcome fear of dying.

A

False

39
Q

In the 1800s, (X)% of white elderly adults lived with their children. Today, (Y)% live in multigenerational homes.

A 
X = 80
Y = 16
40
Q

(X)% of people are dying in hospital. And (Y)% specifically in ICU.

A 
X = 50
Y = 10
41
Q

(X)% of people are dying in nursing home.

A

X = 30

42
Q

(X)% of people are dying in their own home.

A

X = 20

43
Q

People more commonly prefer dying in (home/hospital).

A

Home

44
Q

It is fairly (common/rare) for patients to prefer dying in nursing home.

A

Rare - almost never

45
Q

T/F: the majority of costs over a patient’s life is spent in the last weeks.

A

True

46
Q

T/F: some ethnic groups prefer to die in hospital.

A

True

47
Q

(X) identified five emotional stages experienced by dying individuals. List them.

A

X = Elisabeth Kubler-Ross

  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
48
Q

Erikson stage of old age:

A

Ego integrity v despair

49
Q

T/F: most elderly Americans live independently and care for themselves.

A

True

50
Q

T/F: nursing homes are often covered by Medicare.

A

False

51
Q

Dementia, now referred to as (X), occurs in what percent of elderly population?

A

X = senility

Less than 10%

52
Q

What’s pseudodementia?

A

Depression disguised or misdiagnosed as dementia

53
Q

Longevity is associated primarily with (X) and can also be affected by:

A

X = family history of longevity

  1. Psychical/occupational activity
  2. Work satisfaction
  3. Advanced education
  4. Social support (marriage)
54
Q

Most neurochemicals (increase/decrease) with age. Any exceptions?

A

Decrease;

Monoamine oxidase (breaks down NT)

HBM (15 decks)

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