Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult Behavior Health & Diagnosis Midterm > Payne Midterm > Flashcards

Payne Midterm Flashcards

1
Q

Inability to initiate and persist in activities, showing little abilities to perform daily functions (personal hygiene) , also refered to as Apathy

A

Avolition

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

Absence of speech, a person responds to questions with brief responses, little content, and appear uninterested in conversation.

A

Alogia

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

Also known as poverty of content

A

Alogia

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

Delayed comments/ slow responses to questions

A

Alogia

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

lack of pleasure experienced by some people (prevalent in mood disorders), indifference to activities that would be typically pleasurable (eating, social interactions, sexual relations)

A

Anhedonia

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

Flat affect

A

Affective Flattening

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

1/4 of people with Schizophrenia exhibit flat affect. Similar to people wearing masks because of lack of emotions

A

Affective Flattening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are examples of negative symptoms?

A
  • avolition
  • alogia
  • anhedonia
  • affective flattening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List of Disorders with disorganized speech

A
  • loose associations (derailment)
  • tangential
  • circumstantial
  • confabulations
  • word salad
  • rumination
  • thought blocking
  • clouding of consciousness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

AKA derailment

A

loose associations

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

Vague, diffuse, and unfocused thoughts that drift aimlessly

A

loose associations

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

getting off the topic of the moment toward an irrelevant/ unrelated topic

A

tangential

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

over meticulous, too many associated ideas come to consciousness, ordinary topics communicated in an absurd/bizarre degree

A

circumstantial

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

replacing memory loss by fantasy or reality that’s not true for the occasion. gaps in memory are filled in, to which client believes answers to be true

A

confabulations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Saying a mix of phrases that are meaningless to the listener, using coded language

A

word salad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

persistence of thought; preoccupation with a certain idea that can’t be gotten out of client’s head

A

rumination

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

sudden end of thought in the middle of a sentence. instead of continuing with thought, new ideas come up, in which the client and observer can’t bring to connection with the previous thought

A

thought blocking

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

drowsiness, slow to react, muddled in thinking, reduced clarity of awareness ( as in delirium)

A

clouding of consciousness

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

persons with Schizophrenia often experience numerous episodes of the disorder over time. The PRODROMAL phase of an episode refers to

A

the early signs/symptoms of an episode

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

What would be needed to assess from a culturally competent perspective?

A
  • role of the client’s religious beliefs/spirituality
  • client’s ethnicity
  • vulnerability to certain MH disorders among certain ethnic/racial groups
  • help-seeking behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Mandy is a client who has presented with HALLUCINATIONS &; DELUSIONAL thinking for at least 6 months, but she has NOT exhibited mood disorder issues. What disorder is Mandy MOST LIKELY experiencing?

A

Schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What behavior would be considered a negative symptom of schizophrenia?

A

inattentiveness

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

These medications are primarily used to treat psychotic disorders

A
  • Zyprexa
  • Risperdal
  • Geodone
  • Clozaril
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which psychotic disorder means poverty of content or absence of speech?

A

alogia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

1 - 6 Months, No Mania, 2 of 5 sx (1+)

A

Schizophreniform Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

6 months or longer, no mania, 2 out of 5 sx (1+)

A

Schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

1 month, delusions ONLY, no mania

A

Delusional Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

1 Day - 1 Month, No Mania, 1 of 4 sx

A

Brief Psychotic Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

2 weeks w/o mood sx, other weeks with mood sx, mania or major depressive episode, 2 out of 5 sx (1+)

A

SchizoAffective Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

One Major Depressive Episode, No Mania

A

Major Depressive Disorder, Single Episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

building blocks towards dx, comes out in waves

A

episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

3 major episodes

A
  • major depressive episode
  • manic
  • hypomanic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

More than 1 major depressive episode, no mania

A

Major Depressive Disorder, Recurrent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

if someone has at least 1 manic episode (doesn’t matter how many), What is the dx?

A

Bipolar 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

1 major depressive episode + at least 1 hypomanic episode =

A

Bipolar 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

2 yrs of mild depressive sx, no mania, 2 of 6 sx

A

Persistant Depressive Disorder AKA Dysthymic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

low grade depression over a long period of time

A

Dysthymic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

2 weeks, 5 out of 9, no mania

A

Major Depressive Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

2 years of Mild Depressive sx (not MDE), 2 years of Hypomanic episodes (not manic)

A

Cyclothymic Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

1 week, 3 out of 4 sx, mood disturbance is SEVERE causing impairment in functioning (unless hospitalized, less than 7 days)

A

Manic episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

4 days, no severe enough to cause impairment

A

hypomania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

2 years, mild highs/mild lows, doesn’t meet criteria for Bipolar 2

A

Cyclothymic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

A practitioner’s ability to demonstrate certain skills based on his or her knowledge and experience.

  • Being able to actually demonstrate and apply skills, not just the potential
  • Being in the middle (not much self doubt, but not overly confident)
  • Comfortability, but seeking continuous learning
A

Clinical Competence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Anything that falls under the DSM-5 PRIMARY category for diagnosis must:

A

Absolutely meet diagnosis criteria, has to be the most pressing and affecting multiple areas of life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Anything that falls under the DSM-5 SECONDARY category for diagnosis must:

A

Absolutely meet diagnosis criteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

dopamine is correlated to

A

MANIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

mania is related to which drug?

A

LITHIUM

48
Q

what is the most important for each person?

A

salience

49
Q

What can fall under the DSM-5 PRIMARY category for diagnosis?

A

Must absolutely meet diagnosis criteria, what is most pressing and affecting multiple areas of life

50
Q

What can fall under the DSM-5 SECONDARY category for diagnosis?

A

Has to absolutely meet diagnosis criteria

51
Q

Secreted in response to stress, influences affective behavior, located in limbic system, influences alertness, regulates anxiety and tension (some meds will target this, ie: anxiety meds)

A

Norepinephrine

52
Q

plays a role in pleasure center of the brain, influences emotional behavior and cognition, abnormalities are implicated in schizophrenia and Parkinson’s, helps regulate endocrine system

A

Dopamine

53
Q

Amino acid, present through CNS, certain anti-anxiety meds enhance its effectiveness, receptor A deals with anxiety, almost all cerebral functions are influenced by it

A

GABA (Gamma- aminobutyric)

54
Q

Anything that falls under the DSM-5 PROVISIONAL category for diagnosis must:

A

Be a R/O (Rule Out) and in need of more evidence/information

55
Q

Systems of knowledge, concepts, rules, and practices that are learned and transmitted across generations

A

Culture

56
Q

A culturally constructed category of identity that divides humanity into groups based upon a variety of superficial physical traits attributed to some hypothetical intrinsic biological characteristics.

  • Conceptualize, social construction, conceptualized based upon physical characteristics
A

Race

57
Q

block the reuptake of serotonin

A

SSRI’s

58
Q

treatment for Depressive Disorder

A
  • CBT
  • IPT
  • psychoeducation
  • social skills training
59
Q

treatment for Bipolar Disorder

A
  • CBT
  • IPT
  • DBT (Dialectic Behavioral Therapy)
  • Medication Management/ Case Management
60
Q

A culturally constructed group identity used to define people and communities

A

Ethnicity

61
Q

Understanding of culture and its function in human behavior and society, recognizing the strengths that exist in all cultures.

  • Obtain education to seek understanding
  • Understanding that you don’t know everything, keeping an open mind
  • Having a little information of multiple cultures
  • Culturally sensitive
A

Cultural Competence

62
Q

______ is:

  • Wanting to try and get here
  • Understanding that you don’t know everything
  • Approaching with curiosity (open mind to learn)
  • Open to learning all the time
  • Recognize and challenge power imbalances
A

Cultural Humility

63
Q

What is the difference between Cultural Competence and Cultural Humility?

A

Cultural Humility is higher than Cultural Competency.

Cultural Humility is a greater achievement than Cultural Competency.

64
Q

What is the difference between 1st gen & 2nd gen antipsychotic meds?

A

1st gen: conventional, blocks dopamine throughout the body, reduces + sx, causes extrapyramidal symptoms like tardive dyskinesia (dangerous side effects (Thorazine, Haldol, Prolixin)

2nd gen: atypical, selectively blocks dopamine, reduces + and - sx, fewer side effects but costs more (Abilify, Clozaril, Risperdal, Geodon)

65
Q

Differences in access to care or quality of care for people

A

Healthcare Disparity

66
Q

Differences in access to care or quality of care, for certain racial groups or socioeconomic groups (some less likely than others).

-Under utilization of Mental Health services in certain racial and ethnic groups

A

Mental Health Disparity

67
Q

hypothesis that states low levels of serotonin in the body causes neurotransmitters to swing, which contributes to mood irregularity, including depression

A

Permissive Hypothesis

68
Q

works better than other drugs, if one eats anything fermented (cheese, wine) they could die

A

MAO

69
Q

Increases production of transmitter (release of neurotransmitter)

A

Aganistic Agent

70
Q

mania has too much of what

A

Dopamine

71
Q

The following are all causes of _____:

  • Biological Factors: Genetic, Hereditary, Neuro, Brain Damage
  • Environmental: Trauma, Self-Neglect,
  • Chemical Imbalances: Substance Abuse/Use
A

Causes of Mental Illness

72
Q

legal concept, clinicians reliably predict client’s actions about events such as suicide (written in the progress notes)

A

forseeability

73
Q

Seeking help without saying it, punishing someone, attention. Take this seriously because they can still kill themselves. Just as fatal ( Example of bf/gf trying to kill themselves to get the attention of a person.)

A

instrumental suicide related behavior

74
Q

verbal/nonverbal act that stops short of directly doing something

A

suicide threat

75
Q

behaviors showcases which intent?

A

implicit intent

76
Q

what the client says (verbal) showcases which intent?

A

explicit intent

77
Q

Increases production of transmitter (release of neurotransmitter)

A

Aganistic Agent

78
Q

Too much dopamine leads to Parkinson’s disease, slows down production of

A

Antagonist

79
Q

If MDE (Major Depressive Episode) is still present after 2 months of loss

A

complicated bereavement

80
Q

Schizophrenia Patient Outcomes Research Team

A

PORT

81
Q
  • medication
  • family intervention
  • ACT
  • Token economy are examples of which type of treatment?
A

PORT

82
Q

Midbrain and hypothalamus areas, sensory processes, affects muscle activity and thinking, works to calm the nervous system, contributes to affective disorders

A

Serotonin

83
Q

Stimulates nerve cell activity, used in the production of GABA, major influence on cognitive functions via the cortex and hippocampus, may overstimulate many neurons (excitotoxicity) to the point of damaging or destroying them

A

Glutamate

84
Q

1st generation of antipsychotic medication

A
  • Thorazine
  • Prolixin
  • Haldol
  • Loxitane
  • Mellaril
  • Navane
85
Q

2nd generation of anitpsychotic medication

A
  • Abilify
  • Clozaril
  • Zyprexa
  • Seroquel
  • Risperdal
  • Geodon
86
Q

All neurons, muscles and heartbeat, affects arousal attention and memory, affects motivation and movement, linked to overall cognitive function (not something you see used in psychotropic meds)

A

Acetylcholine

87
Q

Selective Serotonin Reuptake Inhibitiors

A

SSRI’s

88
Q

examples of SSRI’s

A
  • Zoloft

- Prozac

89
Q

examples of tricyclic antidepressants

A
  • Adapin

- Elavil

90
Q

examples of MAO inhibitors

A
  • Marplan

- Nardil

91
Q

IPT stands for

A

Interpersonal Psychotherpay

92
Q

Similarities with CBT and IPT is

A

-time-limited therapy

93
Q

psychodynamic therapy has ___ time

A

unlimited

94
Q

Males are 4-5 times more likely to commit suicide than females

A

True

95
Q

Females are 3 times more likely to attempt

suicide than men.

A

True

96
Q

Federal Government Group Designations:

The Federal government officially designates 4 major racial or ethnic minority groups in the United States, What are they?

A
  • African American/Black
  • Asian/Pacific Islander
  • Hispanic American/ Latino, and
  • Native American/American Indian/ Alaskan Native
97
Q

medication is the first line of defense for treatment

A

true

98
Q

Helps flight or fight response, released during situations of stress or excitement, regulate attention and cognition, also known as Adrenaline

A

Epinephrine

99
Q

how a client is presenting their mood

A

affect

100
Q

what does oriented x4 mean?

A
  • time
  • place
  • person
  • self
101
Q

________ Clients are:

  • Underrepresented in mental health treatment
  • Often seek guidance from religious figures when faced with personal difficulties
  • High rates of marriage, low rates of divorce.
  • Greater tendency to live in extended family households
  • Patriarchal family structure/ machismo
  • Mistrust due to fear of deportation for some individuals, or mistrust due to experiences of imprisonment or government murder in El Salvador and Argentina, etc.
  • Lack of language proficiency at mental health centers may increase attrition rates.
  • Some studies have found that Latinos have higher rates of depression than whites and other groups.
  • Lower income immigrant Latinos have been found to be at lower risk for psychiatric disorders than those who are more acculturated
A

Latino Clients

102
Q

______ Clients are:

  • Underrepresented in mental health treatment
  • Show a tendency not to dwell on morbid or upsetting thoughts
  • Dislike behaving in a fashion to disrupt social harmony
  • Somatization (expressing mental distress in terms of physical suffering)
  • High rates of marriage, low rates of divorce.
  • Greater tendency to live in extended family households
  • Belief in honoring elders
  • “Model minority syndrome” – high rates of economic/ academic success
  • Loss of face, extreme shame in coming to mental health centers
  • Limited English proficiency among some Asian immigrants may keep them from care
  • Previous refugee experiences of groups like Vietnamese, Indochinese, and Cambodian immigrants may cause them to mistrust care
  • Slow metabolizers of several antipsychotic medications and antidepressants
A

Asian Clients

103
Q

_____ Clients are:

  • Belief in honoring elders
  • Spirituality a key part of culture
  • History of depression, PTSD, and alcoholism being significant problems
  • Suicide occurs at higher levels than other racial/ ethnic groups
  • American Indians’ past experience in this country also imparted lack of trust in government.
  • Through the IHS (Indian Health Service), there is a specialized system of care available for Native Americans that provides mental health treatment.
  • Also, governmental laws are different for Native Americans who live on tribal lands than other groups. For those individuals, the tribe government takes precedence over the American government, such that they deal with mental health, child protection, and other issues through the tribal government rather than through American mental health systems.
A

Native American Clients

104
Q

____ Clients are:

  • Often experience high levels of anti-LGBT stereotypes in their everyday lives
  • Have to deal with issues of isolation from family, lack of social support at times, and/or being disowned by family members
  • Transgender people often have to educate their own counselors
  • Often experience harassment, belittlement, and or bullying
  • Sometime experience hostility or indifference from their peers
  • May experience self-protectiveness or anxiety about encountering homophobia
  • Some behaviors, such as some gay men acting like a queen, can be pathologized as being histrionic or borderline personality disorder.
A

LGBT Clients

105
Q

false belief based on incorrect inference about external reality that is firmly held, despite obvious proof/evidence it’s not true

A

delusion

106
Q

perception-like experience with clarity and impact of true perception

A

hallucination

107
Q

Schizophrenia is costly

A

true

108
Q

This subtype applies when the central theme of the delusion is that another person is in love with the individual.

A

Delusional Disorder, Erotomanic type

109
Q

This subtype applies when the central theme of the delusion is the conviction of having some great (but unrecognized) talent or insight or having made some important discovery.

A

Delusional Disorder, Grandiose type

110
Q

This subtype applies when the central theme of the individual’s delusion is that his or her spouse or lover is unfaithful.

A

Delusional Disorder, Jealous type

111
Q

This subtype applies when the central theme of the delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals.

A

Delusional Disorder, Persecutory type

112
Q

This subtype applies when the central theme of the delusion involves bodily functions or sensations.

A

Delusional Disorder, Somatic type

113
Q

Definition = there is too much dopamine in schizophrenics

A

Dopamine Theory

114
Q

What are the main categories of the MSE (Mental Status Exam)?

A
  • General Appearance
  • Psychomotor Behavior
  • Mood and Affect
  • Speech
  • Cognition
  • Thought Patterns
  • Level of Consciousness
115
Q

Name the Criteria for Severity for current (or most recent) episode from the definition below:

Few, if any, symptoms in excess of those required to make the diagnosis and symptoms result in only minor impairment in occupational functioning or in usual social activities or relationships with others.

A

Mild

116
Q

Name the Criteria for Severity for current (or most recent) episode from the definition below:

Symptoms or functional impairment between “mild” and “severe.“

A

Moderate

117
Q

Name the Criteria for Severity for current (or most recent) episode from the definition below:

Several symptoms in excess of those required to make the diagnosis, and symptoms markedly interfere with occupational functioning or with usual social activities or relationships with others. Psychotic features may be present (Delusions or Hallucinations).

A

Severe With or Without Psychotic Features

Adult Behavior Health & Diagnosis Midterm (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions