Psych into material

Question 1

Mental disorder definition

Answer 1

clinically significant disturbance in cognition, emotional regulation, or behaviors representing a dysfunction in psychological, biological, or developmental processes; associated with distress and disability

Question 2

Advantages of using the DSM5

Answer 2

1. Provides a common language with which all health professionals can communicate
2. Provides a convenient format for organizing and communicating clinical information, and for describing the heterogeneity of individuals presenting with the same diagnosis
3. Promotes application of biopsychosocial model in clinical, educational, and research settings

Question 3

6 components of psychiatric history

Answer 3

chief complaint
present illness
premorbid adjustment
past history of medical illnesses
family history of psychiatric and medical illnesses
developmental history of the patient

Question 4

Common features of psychiatric and medical interviews

Answer 4

identifying data regarding the patient
chief complaint
history of present illness
significant past history 
social history 
family medical history

Question 5

Distinctive features of psychiatric interview

Answer 5

examining feelings about significant life events
identifying significant people and relationships
identify and trace the major influences on biological, social, and psychological development of the individual

Question 6

mental status exam areas (10 areas)

Answer 6

general description
emotions
perception distortions
thought process
orientation
memory 
impulse control
judgment
insight
reliability

Question 7

4 subcategories of general description

Answer 7

overall appearance
motor behavior
speech
attitude

Question 8

3 subcategories of emotions

Answer 8

mood
affect
appropriateness

Question 9

define mood

Answer 9

sustained feeling tone that prevails over time for a patient

Question 10

define affect

Answer 10

range of expression of the predominant feeling tone

Question 11

4 subcategories of perception distortions

Answer 11

hallucination
illusion
depersonalization
de-realization

Question 12

define hallucination

Answer 12

perceptual disturbance in which a patient experiences with no external stimulus

Question 13

define illusion

Answer 13

false impressions that result from a real stimulus

Question 14

define depersonalization

Answer 14

patient is somehow not himself, estranged or detached from himself

Question 15

define de-realization

Answer 15

patient feels the environment has changed but cannot account for changes

Question 16

2 main subcategories of thought process

Answer 16

stream of thought

thought content

Question 17

6 areas of stream of thought

Answer 17

flight of ideas
looseness of associations
circumstantiality 
tangentiality 
thought blocking
perseveration

Question 18

define flight of ideas

Answer 18

thoughts sped up to where clinician has difficulty keeping up. jumping quickly from one topic to another. still logical just too fast

Question 19

looseness of associations

Answer 19

patient jumps from one unrelated topic to another with no connection and is unaware of disconnect

Question 20

circumstantiality

Answer 20

lack of goal directedness, incorporates tedious and unnecessary details into conversation and has difficulty arriving at an end point

Question 21

tangentiality

Answer 21

disorganized speech where answers are remotely or completely unrelated to questions

Question 22

thought blocking

Answer 22

sudden cessation of speaking in the middle of a sentence and cannot recover what was said or complete thoughts

Question 23

perseveration

Answer 23

repeating the same response to a variety of questions, inability to change a response or topic

Question 24

5 items included under thought content

Answer 24

delusion
ideas of reference
abstract thinking
education and intelligence
concentration

Question 25

define delusion

Answer 25

false fixed belief that has no raitonal basis in reality

Question 26

define ideas of reference

Answer 26

incorrect interpretation of a casual incident or external event as having direct reference to oneself

Question 27

deficits in orientation often indicate what

Answer 27

dementia or psychosis

Question 28

3 components of memory

Answer 28

remote past
recent past
recent memory

Question 29

define impulse control

Answer 29

ability to control expression of aggressive, hostile, fearful, guilty, affectionate, or sexual impulses in situations where their expression would be maladaptive

Question 30

define judgement

Answer 30

ability to make appropriate decisions and act on them in social situations

Question 31

define insight

Answer 31

patient awareness of problem or illness, ability to review causes, and arrive at a solution

Question 32

4 things to consider with psych material/questions

Answer 32

major problem/diagnosis
childhood problems
medical conditions
psychosocial stressors