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
best predictor of intelligence
vocabulary
26
abstract vs. concrete vs. expansive
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
insight
understanding your medical or psychiatric condition
28
judgment
knowing what is going on and then making a decision about what will be the next step
29
what aphagia, what is the first thing to go?
ability to say "no ifs, ands or buts"
30
what is the peripheral retina sensitive to?
motion- so do not move fingers when testing peripheral vision
31
*visual acuity vs. visual field
acuity: nerve; central 10 degrees of vision; sensitive and specific field: brain
32
*if moving eyes are disconjugate
nerves or muscles in the orbit
33
where do pursuits and saccades originate from?
brainstem
34
complete lag
will not move past midline
35
*UMN vs. LMN
UMN: central, upper face is sparred LMN: peripheral, complete half of face is affected
36
tongue deviates to:
side of weak muscle
37
pronator drift
very sensitive and specific and will indicate cortico-spinal dysfunction
38
what does joint pain do?
it limits effort
39
when you check reflexes, you are:
stretching the tendons
40
Babinski sign
is abnormal in adults and means UMN issue *consistent, VERY specific, less sensitive however
41
motivational interviewing definition
- client centered - directive - time limited form of individual psychotherapy - facilitating change by helping people to explore and work through ambivalence
42
6 elements of success in brief interventions
FRAMES - feedback - responsibility - advice - menu of alternatives - empathy - self-efficacy
43
*5 basic principles of MI
DARES - develop discrepancy - avoid argumentation - roll with resistance - support self-efficacy - express empathy
44
MI techniques
- open-ended questions - reflections - feedback - explore ambivalence - dealing with resistance - summarizing - negotiating a plan
45
empathy
the intention to understand the client from the client's frame of reference
46
simple examples
it seems that everyone drinks at least as much as you do you do not like the idea of being in treatment here
47
complex examples
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
amplified examples
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
double-sided examples
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
repeat
you have been feeing sad lately
51
rephrase
so your sadness is getting worse and you do not know why
52
paraphrase
you would like to understand why your mood changes like that
53
reflect feeling
it is scary not to be able to understand your depressed feelings
54
theory of mind
mentalizing system: attribution of mental states (beliefs, intentions)
55
mirror neuron system
motion/action-understanding system: internal imitation
56
oxytocin
high levels increase altruism
57
impaired empathy reasons
autism, schizophrenia, ADHD, SUD's, narcissistic and antisocial PD, acute stress/fear
58
two specific examples where motivational interviewing may be helpful in clinical practice
expressing empathy, smoking cessation