Intro To Psych Flashcards

1
Q

What is the difference between mania and hypomania?

A

Mania (BAD1) is criteria met for 7 days

Hypomania (BAD2) is criteria met for less than 7 days

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2
Q

What does SIG E CAPS stand for?

A
SI- suicidal ideation
G = Guilt
E= Change of energy
C = concentration difficulty
A = Appetite
P = psychomotor agitation or depression subjective report)
S = Sleep problems
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3
Q

When the SIG E CAPS criteria is met for 7 day or more

A

Mania (BAD1)

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4
Q

When the SIG E CAPS criteria is met for less than 7 days

A

Hypomania (BAD2)

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5
Q

Alternating episodes of minor depression

A

Cyclothymia

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6
Q

Include the patient’s psychiatric history under PMH when chief complaint is

A

Not psych related

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7
Q

If patient’s chief complaint is psych related, than we want to add a separate

A

Past psychiatric history heading

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8
Q

Functioning is a score of 1-100, often referred to as global assessment of functioning. What is

  1. ) Superior function
  2. ) Imminent danger to yourself or others
A
  1. ) 100

2. ) 1

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9
Q

What are the three P’s for evaluating the factors contributing to mental illness?

A

Predisposing, Precipitating, Perpetuating

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10
Q

What are the aspects of social functioning for your patients?

A

SHOVEL and Axes

Social support, housing, occupations, value (economic), education, legal issues, and access to healthcare

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11
Q

Has one overall goal: keep the friction/ anxiety between what you want to do and what you are allowed to do at a sub threshold level

A

The ego

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12
Q

Defined when deficits in 2 or more of cognitive, impulse control, affective, or interpersonal domains results in impairment in social, occupation, or interpersonal functioning

A

A Personality disorder

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13
Q

Is NOT a screening tool for major neurological disorder (dementia) or a serial assessment for delerium

A

Mental Status Examination

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14
Q

We only use the mini-mental state examination for

A

Dementia (Major neurocognitive disorder)

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15
Q

In psychiatry, ABC’s stand for

A

Appearance, Behavior, Cooperation

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16
Q

Marked psycho-motor (behavioral) disturbance

A

Catatonia

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17
Q

To break down psycho-motor, we would say

A

Psycho = Decreased engagement

Motor = Abnormal motor activity

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18
Q

Psychologically, with psycho motor, we want to focus on

A

Decreased engagement

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19
Q

Moderate motoric immobility

A

Catalepsy

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20
Q

Severe motoric impairment

A

Stupor

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21
Q

Tested by asking patient. Please read ad obey the following: “close your eyes”

A

Comprehension

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22
Q

When a patient veers off topic and they never get back to their point

A

Tangential

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23
Q

Derailment is a disturbance of association that contains

A

Flight of Ideas (FoI) and Looseness of Associations (LoA, aka word salad)

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24
Q

If the sentences make sense, but when the individual puts them together, the paragraph makes no sense

-Single sentence in a vacuum makes sense

A

Flight of Ideas

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25
Q

If neither the sentences or the paragraphs made from them make sense, we have a

A

Looseness of Association

26
Q

One example of the Clang association is

A

Looseness of Association (LoA)

27
Q

Themes are comprised of

A

Delusions and non-delusional thoughts

28
Q

Fixed beliefs, that have no basis in reality

A

Delusional Thoughts

29
Q

Thoughts such as obsessions and preoccupations (e.g. somatic symptom and eating disorders)

A

Non-delusions thoughts

30
Q

The difference between delusional and non-delusional is that

A

The patient knows they are not rational and does it anyway if they are non-delusional. Delusional patients believe they are rational

31
Q

Asking, “if you could describe how you feel in one word, what word would you choose?” Gives us the patient’s

A

Mood

32
Q

When you report intensity of affect to your attending, you are presenting the

A

Average intensity

33
Q

Looks at the peaks and troughs of the patients affect intensity

A

Range

34
Q

If the range of affect intensity is too broad, I.e. and expansive range, we call it

A

Mania

35
Q

If the difference between peaks and troughs of the affect intensity curve are very small, we have a

A

Constricted range

36
Q

If we want to know how quickly they change from peak to trough in intensity, we want to know the slope. What do we call it if

  1. ) Patient gets there too quickly?
  2. ) Too slowly?
A
  1. ) Over-controlled

2. ) Labile

37
Q

Relation to thought content or situation

A

Appropriateness of affect

38
Q

A clinical term for the inappropriate affect seen with conversion disorder

A

La Belle Indifferenceq

39
Q

Illusions and hallucinations are forms of

A

Perceptual disturbance

40
Q

Perceptual disturbances that are cued by an environmental stimulus

A

Illusions

41
Q

Perceptual disturbances that are NOT cued by an environmental stimulus

A

Hallucination

42
Q

A misinterpretation of a REAL environmental stimulus

A

Illusion

43
Q

The level of consciousness is measured by being

A

Awake, alert, and oriented

44
Q

When the patients alertness is preventing them from interacting with their environment despite painful stimuli

A

Comatose

45
Q

Estimate of current level of functioning as measured by the tasks required by the test

A

Intelligence quotations (IQ)

46
Q

We test immediate recall by asking the patient to

A

Name 3 things that are not visually present in the room

47
Q

Of the three objects you ask about, one of the three should be an

A

Abstract concept

48
Q

Working memory and attention is tested using the

A

Digit span test

49
Q

The digit span test tests the

A

Frontal lobe

50
Q

Observe if any deficits are not better accounted for by

A

Concentration

51
Q

A person with normal concentration should be able to do the serial 7’s test (subtract 7 over and over again from 100) and get

A

5 responses in a row correct without getting 2 in a row incorrect

52
Q

Ability to discuss emotions and see their connectivity with content of thought

A

Abstract thought

53
Q

Abstract thought is assessed formally via the

A

Similarities sub scale

54
Q

A more accurate test for abstract thought in the low educated population

A

Abstract thought

55
Q

Part of the comprehension subscale

-I.e. don’t cry over spilled milk

A

Proverbs

56
Q

Manifestations of behavior that are contrary to acceptable behaviors in the culture

A

Formal judgement

57
Q

Formal judgement is assessed via the

A

Comprehension scale

58
Q

Asking, what should a person do if he/she sees smoke or fire in a grocery store? Is testing

A

Formal Judgement

59
Q

We close our MSE by stating if the findings are

A

Reliable

60
Q

If what the patient says is NOT reliable, then we want to present that information in the

A

Introductory sentence