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****UNIT 7 > POM > Flashcards

POM Flashcards

1
Q

general appearance

A

dress, groom, posture, facial expression, mannerisms, pacing, posturing, psychomotor increase/decrease

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2
Q

manner

A

cooperative, polite, hostile, calm, eye contact

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3
Q

mood

A

what the patient reports

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4
Q

affect

A

what the clinician sees (dysphoria, euphoria, euthymia, range)

*range= full, contracted, blunt flat

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5
Q

perceptions

A

hallucinations (nothing is there), illusions (embellishing the truth)

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6
Q

thought process

A

organized, goal directed, circumstantial, tangential, loos associations

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7
Q

thought content

A

obsessions (recurrent thoughts), delusions (fixed false comment), suicidal/homicidal ideation

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8
Q

speech

A

rate (slowed-pressured), rhythm, prosody

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9
Q

cognitive

A

orientation, attention, concentration, short/long term memory, intelligence

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10
Q

too happy, neutral, too sad

A

too happy–> euphoric
neutral–> euthymic
too sad–> dysphoric

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11
Q

full

A

full range of emotions

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12
Q

constricted

A

will not completely reach euphoria and dysphoria

*could be due to head trauma

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13
Q

blunt

A

only can get a little happy and a little sad (some facial expression)

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14
Q

flat

A

no emotion change- completely euthymic (no facial expressions)

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15
Q

restricted

A

stuck on one side of the euthymic division (either towards dysphoric or towards euphoric)

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16
Q

linear/organized thoughts

A

directly gives answer to the question

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17
Q

circumstantial thoughts

A

will go on and on but eventually gives answer to the question

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18
Q

tangential thoughts

A

goes on and on but will not give the answer

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19
Q

loose associations

A

gives a completely different answer that does not make sense

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20
Q

psychomotor increase

A

agitation, pacing, intense, anxious (i.e. rocking in a chair)

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21
Q

psychomotor decrease

A

retardation, move slowing, think slowly, speak slowly, bradykinesia, schiezophrenia, depression

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22
Q

goal directed

A

sticking to the topic of conversation

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23
Q

ego defense mechanism

A

saying everything is okay and denying that there is an issue

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24
Q

attention vs. concentration

A

attention- short term (i.e. repeating numbers back)

concentration: more in depth and involves different part of brain(given numbers, say them backwards)

25
Q

best predictor of intelligence

A

vocabulary

26
Q

abstract vs. concrete vs. expansive

A

abstract: i.e. able to give many similarities between an orange and a basketball
concrete: i.e. only says orange and basketball are both orange and round but nothing more
expansive: very abstract

27
Q

insight

A

understanding your medical or psychiatric condition

28
Q

judgment

A

knowing what is going on and then making a decision about what will be the next step

29
Q

what aphagia, what is the first thing to go?

A

ability to say “no ifs, ands or buts”

30
Q

what is the peripheral retina sensitive to?

A

motion- so do not move fingers when testing peripheral vision

31
Q

*visual acuity vs. visual field

A

acuity: nerve; central 10 degrees of vision; sensitive and specific
field: brain

32
Q

*if moving eyes are disconjugate

A

nerves or muscles in the orbit

33
Q

where do pursuits and saccades originate from?

A

brainstem

34
Q

complete lag

A

will not move past midline

35
Q

*UMN vs. LMN

A

UMN: central, upper face is sparred

LMN: peripheral, complete half of face is affected

36
Q

tongue deviates to:

A

side of weak muscle

37
Q

pronator drift

A

very sensitive and specific and will indicate cortico-spinal dysfunction

38
Q

what does joint pain do?

A

it limits effort

39
Q

when you check reflexes, you are:

A

stretching the tendons

40
Q

Babinski sign

A

is abnormal in adults and means UMN issue

*consistent, VERY specific, less sensitive however

41
Q

motivational interviewing definition

A
  • client centered
  • directive
  • time limited form of individual psychotherapy
  • facilitating change by helping people to explore and work through ambivalence
42
Q

6 elements of success in brief interventions

A

FRAMES

  • feedback
  • responsibility
  • advice
  • menu of alternatives
  • empathy
  • self-efficacy
43
Q

*5 basic principles of MI

A

DARES

  • develop discrepancy
  • avoid argumentation
  • roll with resistance
  • support self-efficacy
  • express empathy
44
Q

MI techniques

A
  • open-ended questions
  • reflections
  • feedback
  • explore ambivalence
  • dealing with resistance
  • summarizing
  • negotiating a plan
45
Q

empathy

A

the intention to understand the client from the client’s frame of reference

46
Q

simple examples

A

it seems that everyone drinks at least as much as you do

you do not like the idea of being in treatment here

47
Q

complex examples

A

drinking has some positive aspects for you. it is hard for you to imagine not drinking after work

you are frustrated about the tension between you and your wife

48
Q

amplified examples

A

it seems impossible for you to say no to your co-workers

you believe that you do not have any problem at all, and your wife is wrong

49
Q

double-sided examples

A

you would like to drink less alcohol, but you are worried that you cannot resist when they invite you to the pub

you don’t think that you have a problem now, and at the same time you are concerned that you might lose your wife if you do not seek help

50
Q

repeat

A

you have been feeing sad lately

51
Q

rephrase

A

so your sadness is getting worse and you do not know why

52
Q

paraphrase

A

you would like to understand why your mood changes like that

53
Q

reflect feeling

A

it is scary not to be able to understand your depressed feelings

54
Q

theory of mind

A

mentalizing system: attribution of mental states (beliefs, intentions)

55
Q

mirror neuron system

A

motion/action-understanding system: internal imitation

56
Q

oxytocin

A

high levels increase altruism

57
Q

impaired empathy reasons

A

autism, schizophrenia, ADHD, SUD’s, narcissistic and antisocial PD, acute stress/fear

58
Q

two specific examples where motivational interviewing may be helpful in clinical practice

A

expressing empathy, smoking cessation

****UNIT 7 (5 decks)

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