Psychiatric Disorders/Tests Flashcards
Define mental health
“a state of WELL-BEING in which the individual REALIZES his or her own abilities, can COPE with the normal stresses of life, can WORK productively and fruitfully, and is able to make a CONTRIBUTION to his or her community.”
Define Mental Illness
health conditions that are characterized by ALTERATIONS in THINKING, MOOD, or BEHAVIOR (or some combination thereof) associated with DISTRESS and/or IMPAIRED FUNCTIONING.”
Identify the suspected percentage of mental illness that goes undetected by primary care providers
25-30% of patients who present to a PCP have a PSYCHOLOGICAL disorder.
Discuss the reasons why the psychological disorders are missed.
- Inadequate knowledg, compassion, and skills
- time pressure
- rationalizing emotional stress
- Inadequate reimbursement/coverage
How many axes are included in the DSM-IV?
Multi-axial system (5 axes)
What is included in Axis 1?
clinical disorders that may be the cause of clinical attention
What is included in Axis 2?
Personality disorders & mental retardation
What is included in Axis 3?
Gen. med conditions that may be related to or affect the psych conditions
What is included in Axis 4?
Psychosocial & Environmental stressors that may affect treatment & prognosis of the mental disorder
What is included in Axis 5?
Global assessment of functioning (GAF) (organized in a dimensional manner)
What does the Global Assessment of functioning indicate?
psychologically, socially, and occupationally
What are the 3 psychological assessment tests?
GAF, SOFA, and GARFS
What does the Social and Occupational Functioning Assessment Scale (SOFA) scale indicate?
Measures an individual’s level of social and occupational functioning
What does the Global Assessment of Relational Functioning Scale (GARFS) scale indicate?
Describes and quantifies the RELATIONAL context within which the patient lives and within which problems occur
Define psychosis
loss of contact with reality
Define neurosis
difficulty coping with reality
Name several disorders diagnosed in childhood
Mental retardation Learning disorders Motor skill disorders Communication disorders Pervasive development disorders Attention deficit disorders Disruptive behavior disorders Feeding/eating disorders
Define cognitive disorders
disorders that include memory, language, orientation, judgment, conduct of interpersonal relationships, performance of tasks, and problem solving
What are the 3 major cognitive disorders?
Delirium, Dementia, and Amnesia
Define delirium
short term confusion and disorientation that has a rapid onset (hours/days) and is accompanied by an altered level of consciousness
Define dementia
- impairment in memory, judgment, orientation, and/or general cognition.
- the onset is much slower (months, years), and does not have an altered level of consciousness
Define amnesia
memory impairment & forgetfulness
Describe the Bender-Gestalt psychological test
Used to detect problems in perceptual-motor coordination by asking the patient to copy simple geometric drawings
-tests visual, motor maturity
Describe the Halstead-Reitan Battery (HRB) psychological test
consists of a fixed set of eight or more tests (various batteries) used to evaluate brain & nervous system functioning in individuals aged 15+
-SENSORY, MOTOR, VERBAL AND COGNITIVE
Describe the Luria-Nebraska Neuropsychological Battery (LNNB) psychological test
A SCREENING TOOL to determine whether a significantbraininjury is present or to learn more about known brain injuries. It is also used to determine what the patient IS OR IS NOT ABLE TO DO with regard to neuropsychological functioning.
-DISTINGUISH BETWEEN BRAIN DAMAGE AND FUNCTIONAL MENTAL DISORDERS
-(SENSORY, MOTOR, VERBAL AND NONVERBAL, COGNITIVE, BOTH HEMISPHERES)
Describe the Wechsler Adult Intelligence Scale Revised (WAIS-R) psychological test
General test of intelligence that measures IQ
What is the most commonly used psychological test
Minnesota Multiphasic Personality Inventory (MMPI-2)
Describe the Minnesota Multiphasic Personality Inventory psychological test
objective “true-false” test particularly useful in detecting malingering.
-Used to evaluate the effectiveness of treatment programs
Describe the Rorschach (Inkblot) psychological test
Projective test that examines the personality characteristics and emotional functioning of their patients
-differentiates psychotic from non-psychotic thinking
Describe the sentence completion test (SCT)
Projective test that is used to identify a patient’s problems by the use of verbal associations
Describe the Thematic Apperception test (TAT)
Projective test used to evaluate conflicts and emotions outside of a patient’s awareness by asking the patient to make up stories based on drawings
