Learning Activity 1

Question 1

The AMPS screen tool has four primary clinical dimensions what are the names of them?

Answer 1

Anxiety, mood, psychosis, substance use

Question 2

What are the three sections of the psychiatric assessment?

Answer 2

Psychiatric interview, the MSE, and time saving strategies

Question 3

What does mse stand for?

Answer 3

Mental status exam

Question 4

What are the four areas that consist of social history assessment?

Answer 4

Socioeconomic status, interpersonal relationships, legal history, and developmental history

Question 5

What is tangential thinking?

Answer 5

A patient who exhibits tangential thinking will quickly change the focus of the conversation in a way that deviates from the main topic

Question 6

Whenever there is a concern for cognitive deficits, what to assessment should be performed to screen for dementia and other neurocognitive disorders?

Answer 6

The mini mental state examination or the Montreal cognitive assessment should be performed

Question 7

The collaborative care models can achieve a quadruple aim of healthcare system optimization. What are the four Aims?

Answer 7

Improve patient satisfaction, improve patient outcomes, cost effectiveness of care, and improved provider experience.

Question 8

Who is a part of the psychiatric collaborative care model? There are three roles.

Answer 8

Includes a primary care provider, a behavioral health provider or a care manager, and a psychiatric consultant.

Question 9

Who’s role is this and in the collaborative care team?

Identifies patient, introduces collaborative care, makes diagnosis, initiate treatment, prescribes medication or referral to psychotherapy.

Answer 9

Primary care provider

Question 10

Whose role is this in the psychiatric collaborative care model?

Engages patients, Tracks patients and registry, care management, brief crisis management, measurement based treatment to target, and optional evidence-based therapy

Answer 10

Behavioral health care manager

Question 11

Who’s role is this and the psychiatric collaborative care model?

Caseload consultation, reviews patient registry, supports team assessment and treatment, optional direct evaluation in person or TeleVideo, and provide education to the team.

Answer 11

Psychiatric consultant

Question 12

Who has the least direct contact with the patient and a psychiatric collaborative care model?

Answer 12

The psychiatric consultant. Their main role is to provide indirect consultation by case of reviews and weekly meetings with the behavioral health care providers/care managers without seeing the patient in person

Question 13

Behavioral health providers or care managers see a patient on regular intervals, how many weeks?

Answer 13

Usually every two weeks a person or by phone

Question 14

What are the four components of preventative care (4 interrelated clinical activities) ?

Answer 14

Immunizations, counseling on lifestyle changes to reduce and healthier high risk behaviors, screening tests to find disease early, preventative meds to prevent for the disease or complications.

Question 15

What type of prevention aims to avoid disease or injury before it occurs?

Answer 15

Primary prevention, and example would be immunizations against infectious diseases.

Question 16

What type of prevention is this: Aims to detect and help progression of disease or injury while it is still asymptomatic.

Answer 16

Secondary prevention. Colonoscopy for detecting and treating colon cancer. Lobster evaluate cholesterol levels to help calculate cardiovascular risk.

Question 17

What type of prevention is this: aims to reduce complications of the disease or injury after diagnosis and or to improve quality of life and function. Think of “chronic disease management.

Answer 17

Tertiary prevention. Think of Statin or antiplatelet therapy after a myocardial infarction or stroke

Question 18

What trans theoretical stage is this:

Not seriously considering change, may become defensive to change

Answer 18

Precontemplation. As a provider you should encourage reevaluation and self exploration. Personalize the risk for the patient

Question 19

What trans theoretical stage is this: And be valiant about change or Weighing pros and cons.

Answer 19

Contemplation. As a provider it is OK to validate that patient is not ready for change, encourage pros and cons and promote expected positive outcomes with change

Question 20

What trans theoretical stage is this:

Exploring options around change, and may start taking small steps.

Answer 20

Preparation. As a provider ensure patient has the skills/means for change. Encourage small, measurable and attainable goals

Question 21

What trans theoretical stage is this: Actively involved and change

Answer 21

Action. As a provider you should address any sense of loss and support long-term goals/benefits.

Question 22

What trans theoretical stage is this: Adhering to new change and avoiding Temptations.

Answer 22

Maintenance. As a provider reinforce external and internal supports. Discussed coping with relapse.

Question 23

What trans theoretical stage is this:

Resumption of old behaviors

Answer 23

Relapse. Identify and evaluate triggers for relapse. Reassess motivation and where patient has re-entered along the stages of change.

Question 24

What does this mean:

Collaborative, goal oriented style of communication with particular attention to the language of change.

Answer 24

Motivational interviewing.

Question 25

What are the four processes of motivational interviewing?

Answer 25

Engaging, focusing, evoking, and planning

Question 26

In motivational interviewing what is the process of engaging?

Answer 26

The process of building working relationship

Question 27

In motivational interviewing what is the process of Focusing?

Answer 27

Help set a mutual agenda

Question 28

In motivational interviewing what is the process of Evoking?

Answer 28

Evoking the patients on arguments for change can help crystallize a patient’s motivation to change

Question 29

In motivational interviewing what is the process of Planning?

Answer 29

Develop commitment and formulate a specific plan of action

Question 30

supportive psychotherapy Should be used in a population?

Answer 30

Supportive psychotherapy is useful for patients with mental illness to refuse, fail, or have contraindications to psychotropic medication.

Question 31

How does supportive psychotherapy work?

Answer 31

It helps patients increase healthy coping skills and decreased unhealthy coping skills

Question 32

What are the two most common distortions and people with problems?

Answer 32

The two most common distortions you will be working to adjust our patient believes that their problems are unique and that their problems can’t be fixed.

Question 33

What does the acronym “parents” stand for?

Answer 33

Problem focused, alley with patient, recognize emotions, enhance coping, normalize, teach, self-esteem

Question 34

Name some conditions that can be addressed with supportive therapy techniques

Answer 34

Depression, anxiety, chronic pain, problems with relationships, employment problems, housing problems, and other social stressors, grief, substance abuse, recurrent hospitalizations or noncompliance, stress related to general medical problems, and difficulties adhering to the treatment of general medical problems

Question 35

What are the four unhealthy coping skills discussed in the book?

Answer 35

Denial, projecting, rationalization, and externalization

Question 36

Name five of a healthy coping skills discussed in the book

Answer 36

Humor, emotional reflection, distraction, channeling, altruism and commitment to others