Psychiatric Disorders

Question 1

In generalized anxiety disorder, what factors in the DSM can not be contributing to the anxiety for a diagnosis?

Answer 1

substance use, developmental disorders, medical conditions

Question 2

symptoms of GAD

Answer 2

	feeling restless/keyed up/on edge
	easily fatigued 
	difficulty concentrating/mind blanking 
	irritability 
	sleep disturbances 
ALL FOR OVER 6 MONTHS

Question 3

2 key elements of OC anxiety disorder

Answer 3

Obsessions & compulsions

Question 4

What is an obsession?

Answer 4

Intrusive and persistent thoughts (idea)

Question 5

What is a compulsion?

Answer 5

Behaviours performed repeatedly (antidote)

Question 6

Treatment for OC anxiety disorder?

Answer 6

CBT, ERT, medication

Question 7

What is social phobia/social anxiety disorder?

Answer 7

fear of social/performance situations, exposure to this = anxiety

Question 8

What is panic disorder?

Answer 8

Fear of/presence of recurrent and unexpected panic attacks

Question 9

Tx of choice for specific phobias?

Answer 9

ERT

Question 10

What is agoraphobia?

Answer 10

Fear of leaving house, crowds

Question 11

3 facets of PTSD

Answer 11

hyper arousal, re-experiencing trauma, numbing with substances

Question 12

What is the priority for caring for those with PTSD?

Answer 12

SAFETY RISK ASSESSMENT (suicide, impulsivity)

Question 13

What is the most common mental health problem and its rate?

Answer 13

Anxiety disorders (2.6-6.5 %)

Question 14

First line of pharmacologic therapy for anxiety disorders? What anxiety disorder would we not use these for?

Answer 14

SSRIs and NSSRIs

Specific phobias

Question 15

What is the LAST RESORT therapy for anxiety disorders? Why?

Answer 15

Benzos

short acting, not treating underlying S problem, habit forming, addictive

Question 16

Nursing intervention during panic?

Answer 16

Clear sentences to pt
Get breathing under control
Get pt to seated position
Reassure pt they are safe and in a temporary state

Question 17

Which group of psychiatric disorders have insight? Which do not?

Answer 17

Anxiety disorders

Personality Disorders

Question 18

Main etiologic factor for personality disorders?

Answer 18

Trauma/abuse in childhood

Question 19

What are some main defining factors in Cluster A PDs?

Answer 19

odd, eccentric, distorted thinking

Question 20

3 Cluster A PDs

Answer 20

Schizotypal
Paranoid
Schizoid

Question 21

Defining factors of Cluster B PDs

Answer 21

dramatic, erratic, abusive behaviours, black & white thinking

Question 22

4 Cluster B PDs

Answer 22

Histrionic
Narcissistic
Antisocial
Borderline Personality

Question 23

Cluster C defining factors

Answer 23

anxious/fearful, passive-aggressive

Question 24

3 Cluster C PDs

Answer 24

Obsessive Compulsive
Dependent
Avoidant

Question 25

6 Defining factors of BPD

Answer 25

``` Affective Instability Identity disturbances Unstable IP relationships Cognitive Dysfunctions Impulsivity Parasuicide ```

Question 26

What is the main fear those with BPD have?

Answer 26

Rejection and abandonment

Question 27

What is main treatment for BPD?

Answer 27

DBT (mindfulness), low dose atypical antipsychotics

Question 28

Main characteristics of ASD (antisocial personality disorder)

Answer 28

Interpersonally irresponsible (blame you for way they act) Lack empathy Aggressive Manipulative, charming

Question 29

What disorder is related to history of conduct disorders (before 15 y.o.)?

Answer 29

ASD

Question 30

Characteristic of HPD (histrionic)

Answer 30

attention seeking Need approval Inappropriate/sexually provocative

Question 31

3 characteristics of NPA (narcissistic)

Answer 31

entitled grandiose abusers

Question 32

4 characteristics of AVPD (avoidant)

Answer 32

fear of social rejection shy lonely low self esteem

Question 33

Which PD is characterized by difficulty making decisions without reassurance and submissiveness?

Answer 33

Dependent Personality Disorder

Question 34

What is the difference between OCPD and OC anxiety disorder?

Answer 34

``` OCAD = obsessions/compulsions underlying anxiety OCPD = perfectionism, need for control ```

Question 35

5 Characteristics of OCPD

Answer 35

``` Perfectionism High structure Productivity Difficulty Discarding worthless objects Inflexibility ```

Question 36

3 characteristics paranoid PD

Answer 36

mistrust in others suspicious pathological jealousy

Question 37

Describe characteristics of schizoid PD

Answer 37

reclusive, aloof, hermit no desire/capability for relationships indifferent to criticism/praise restricted emotional range

Question 38

Describe characteristics of schizotypal PD

Answer 38

``` do not form friendships moos = restricted/inappropriate eccentric ideas of reference magical thinking ```

Question 39

What are ideas of reference?

Answer 39

thinking that benign ideas/concepts are speaking directly to them