Psych Assessment Flashcards

1
Q

You are the captain of your own ship

A

Self efficacy

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2
Q

You are able to resist becoming I’ll in hard times

A

Hardiness

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3
Q

You bounce back quickly after a set back

A

Resilience

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4
Q

Including a lot of extra details that are not important when answering a question

A

Circumstantial

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5
Q

Can not comprehend they have an illness ( not the same as denial)

A

Anosognosia

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6
Q

Including a lot of extra details in answering a question - going on a tangent

A

Tangential

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7
Q

I am going to grumbulTe a conforum
Example of what altered speech pattern

A

Neologism

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8
Q

Altered perception and experience something that is not present

A

Hallucinations

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9
Q

Alexithymia

A

Difficulty expressing and identifying feelings

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10
Q

When you ask a client who has delirium a question their response will be

A

They will not understand the question

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11
Q

Asking a person with dementia a question , their response will look like

A

Answer , may sound reasonable to start but then start to wonder
- get different answer each time

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12
Q

Asking a depressed person a question their answer will look like

A

Short and may not be interested in convo

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13
Q

How is immediate / recall memory tested

A

3 objects recalled after several minutes

Red apple queen

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14
Q

How is recent memory tested?

A

Ask about memory - yesterday
Ex) how did you get to the hospital

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15
Q

How is remote/long term memory tested?

A

Ask about past memories

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16
Q

Akathisia

A

Motor restlessness

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17
Q

Isolative

A

Physically remove self from situations
- stays in bedroom

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18
Q

Withdrawn

A

Around others but does not engage
- not participating in group

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19
Q

Mood

A

Client states how they feel

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20
Q

Affect

A

How the patient appears to be feeling
- how nurse interprets

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21
Q

Labeled mood or affect

A

Swings or abrupt changes

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22
Q

Judgement

A

Can they act reasonably in urgent situations

  • someone yells fire in a movie theater, what do you do?
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23
Q

Hypnagogic hallucinations

A

Happens when you are just about to fall asleep

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24
Q

Hypnopompic hallucinations

A

Happens when waking up

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25
Q

Delusion

A

Believing something that is not real

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26
Q

Impaired insight

A

Diminished ability to understand the objective reality of a situation

  • do you think you do you think you need to be in hospital?
    I do not need to be here! I am not suicidal!
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27
Q

Impaired judgement

A

Diminished ability to understand a situation correctly and act appropriately

  • I can look after myself, I do not need money , I can live off the land ( has no home or resources)
28
Q

Immediate recall loss

A

Patient cannot remember three things they were asked to remember 10 min ago

29
Q

Suicidal ideation

A

Patient thinking about suicide most of time

30
Q

Flat affect

A

No emotional expression

31
Q

Blunted affect

A

Showing bits of emotion

32
Q

Restricted affect

A

Showing one type of emotion

33
Q

Labile affect

A

Going from one emotion expression to another, quickly and sometimes not matching the appropriateness of sitting

34
Q

Somatic signs and symptoms

A

Observing facial grimacing and lip movements

35
Q

Word salad

A

Incoherent mixture of words/ phrases

36
Q

Thought blocking

A

Client starts answer then suddenly stops talking

37
Q

Loose associations

A

Client makes a statement, expands on one word in the next while going in a different direction

38
Q

Anti cholinergic toxicity

A

Increased hr , not able to void, no paristalsis , hot/ dry

39
Q

Neuroleptic malignant syndrome (NMS)

A

Temp over 103, diaphoresis and rigid muscles

40
Q

Physiological needs

A

Breathing food , water, sex, homeostasis, excretion

41
Q

Safety needs

A

Security of body, employment, resources, family health

42
Q

Love and belonging

A

Friends, family, sexual intensity

43
Q

Self actualization needs

A

Morality, creativity, spontaneity, problem solving, lack of prejudice, acceptance of facts

44
Q

Stage 1 : infancy - trust vs mistrust

A

Others will be reliable

45
Q

Stage 2 : early childhood- autonomy vs shame and doubt

A

I can do things myself

46
Q

Stage 3: preschool- initiative vs guilt

A

I can do things and I am a good person

47
Q

Stage 4: school age - industry vs inferior

A

I am good at what I do

48
Q

Stage 5: adolescence- identify vs confusion

A

A am a unique person, I belong

49
Q

Stage six : early adult : intimacy vs isolation

A

I can be loved and love

50
Q

Stage 7: middle age - generativity vs stagnation

A

I can contribute to the well being of others/ community, I have a purpose

51
Q

Mini mental status exam (mmsu)

A

Considered psychiatric equivalent to physical exam
- count backward from 100 by 7s
Spell world backwards
Recall 3 words
Follow instructions for closing eyes / copy a drawing

52
Q

Montreal cognitive assessment (MoCA)

A

More sensitive toon to assess orientation & memory
- connect dots in sequence 1-a 2-b..
Recall 5 words
Name animals

53
Q

MSe or moca score for a Dementia patient

A

Be high - goes up with progression of illness

54
Q

MSe - appearance

A

Appreciate/ well kept vs bizarre

Self care
Clothing , last shower?
Oral hygiene

55
Q

MSE: level of consciousness

A

Alert and oriented vs not

Comatose, lethargic, delirious

56
Q

MSe: orientation & memory

A

Oriented or disoriented, memory intact vs not

Time, date, place, self, situation
Immediate recall
Recent memory
Remote/ long term memory

57
Q

MSe: perception and thought content

A

Reality based vs altered

  • delusions, hallucinations, responding t internal stimuli
58
Q

MSe: speech and thought process

A

Linear vs not liner

Organized / disorganized
Circumstantial, tangential, loose associations, flight of ideas, word salad….

59
Q

Psychosis

A

Spit from reality
- common in schizophrenia, schizoaffective disorder, bipolar 1/2 , dementia, intoxication

60
Q

Goals : day, stay, away

A

Goal for the day
Goal for hospital stay
Goal for discharge

61
Q

Risk for violence to self or others
- 5 things to look out for

A

Ideation
Behavior
Palms
Intent
Psychosis

62
Q

Strong predictors for suicide

A

Pervasive hopelessness
High intent
Recent attempts

63
Q

Strong predictors for aggressive behavior

A

Current/ past violent behavior directed to hcp
Low frustration tolerance

64
Q

Abnormal involuntary movement scale

A

Assessment tool for epse side effects of tar dive dyskinesia related to antipsychotic meds
- not reversible

65
Q

Aims test for tar dive dyskinesia

A

Ask client to concentrate on movements such as finger tapping while observing other body parts for “activated movements”

66
Q

Dto

A

Danger to others

67
Q

Dts

A

Danger to self