Psychiatric disorders and physical health

Question 1

What is emotional liability?

Answer 1

inability to control emotions due to right hemisphere brain damage

Question 2

Emotional liability is a common complication of what illness?

Answer 2

stroke

Question 3

What is the montreal cognitive assessment?

Answer 3

30 point assessment that assesses: visuospatial executive, naming, memory, attention, language, abstraction, orientation

Question 4

what is an adjustment reaction?

Answer 4

states of subjective distress and emotional disturbance arising in the period of adaptation to a significant life change or stressful life event

Question 5

How do adjustment reactions manifest?

Answer 5

depressed mood, anxiety, feeling of inability to cope, plan ahead or continue in the present situation, some degree of disability in performance of daily routine

Question 6

What is organic delusional disorder?

Answer 6

disorder in which persistent or recurrent delusions dominate the clinical picture. is organic as it is the result of another physical issue

Question 7

what often accompanies the delusions seen in organic delusional disorder?

Answer 7

Hallucinations, some features suggestive of schizophrenia

Question 8

What is the prevalence of delusions in patients post-stroke?

Answer 8

4.67%

Question 9

what is the prevelence of hallucinations in patients post-stroke?

Answer 9

5.05%

Question 10

what are the common delusional themes seen in patients with post-stroke psychosis?

Answer 10

persecutory, jealousy, environment

Question 11

In the UK, what percentage of people with a long term health condition also have a mental health problem?

Answer 11

30%

Question 12

What four factors contribute to the timely diagnosis of physical disorders in people with mental illness?

Answer 12

illness behaviour, diagnostic overshadowing, stigma and lack of resources

Question 13

How does illness behaviour cause increase in time for diagnosis of physical health issues in people with mental illness?

Answer 13

tend not to self monitor, tend to be more tolerant of symptoms, less likely to seek help

Question 14

What is meant by diagnostic overshadowing?

Answer 14

physical symptoms are signed off as part of the mental illness

Question 15

What is delirium?

Answer 15

acute confusional disease, is a physical illlness with psychiatric manifestations

Question 16

What are the psychiatric manifestations associated with delirium?

Answer 16

disturbed consciousness and attention, perception, thinking, memory, psychomotor behaviour, emotion, and the sleep-wake schedule

Question 17

What are the causes of delirium?

Answer 17

infection, change in environment, medication, alcohol withdrawal, surgery, constipation, urine retention, dehydration

Question 18

what are the predisposing factors of delirium?

Answer 18

advanced age, dementia, immobility, sensory impairment, malnutrition, alcohol, depression,

Question 19

How is delirium managed?

Answer 19

modify risk factors, good nursing, treatment of the causes. wait.

Question 20

What is stigma?

Answer 20

challenges faced by people with mental illness, related to knowledge, attitudes, and behaviour of people they meet

Question 21

what are the three types of stigma?

Answer 21

intrapersonal stigma, interpersonal stigma, structural stigma

Question 22

What is intrapersonal stigma?

Answer 22

direct effect on individual, internalised discrimination, compounded by direct effects of illness

Question 23

What is interpersonal stigma?

Answer 23

from family, friends and collegues

Question 24

what is structural stigma?

Answer 24

poor resources and funding, research imbalance, access to physical healthcare