Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Disciplines Exam 1 > Psychiatric Interview > Flashcards

Psychiatric Interview Flashcards

1
Q

Sxs relating to mood:

  • Angry
  • Happy
  • Sad
A

Psychological Sxs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Somatic Sxs relating to body sensation:

  • Pain
  • Fatigue
  • Palpitations
A

Physical sxs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Do most patients present with psychological complaints, or physical complaints?

A
  • 2/3 pts w/ depression present w/ physical complaints (fatigue/back pain)
  • 1/3 pts w/ depression complain of multiple unexplained somatic sxs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  • What is the frequency of “difficult patient encounters?”
  • Explain this encounter
A
  • 15 - 20% (3 to 4 visits / day)
  • Patients w/ unexplained/somatic sxs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Unexplained sxs lasting how long should raise concern for underlying depression, anxiety, or both?

A

Over 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Little interest or pleasure in doing things

A

Anhedonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Most screening questions for depression and anxiety ask if pt have been having sxs over the past 2 weeks. Which question is asked for 4 weeks?

A

Have you had an anxiety attack (suddenly feeling fear or panic)?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the mnemonic for depression?

A

SIGECAPS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

S
I
G
E
C
A
P
S

A
  • S- sleep disturbance
  • I - interests decreased
  • G - Guilt (worthless, poor self esteem)
  • E - energy decreased
  • C - concentration decreased
  • A - appetite disturbance
  • P - psychomotor changes
  • ​S - suicidal thoughts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the anxiety mnemonic?

A

WATCHERS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

W
A
T
C
H
E
R
S

A
  • W - Worry
  • A - Anxiety
  • T - Tension in muscles
  • C - Concentration difficulty
  • H - Hyper arousal/irritability
  • E - Energy loss
  • R - Restlessness
  • S - Sleep disturbance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A patient is considered “seriously ill” if they exhibit which sxs?

A

Losing interest in sex, hobbies, reading, or TV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Substance abuse mnemonic for ETOH?

A
  • C - have you eve felt you should CUT back?
  • A - ANGRY or ANNOYED at others comments about your use?
  • G - GUILTY about your use?
  • E - EYE opener to get you going in morning?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Substance abuse mnemonic for prescription med abuse?

A
  • W - Work, school, or home role obligation failures
  • I - Interpersonal or social consequences
  • L - Legal problems
  • D - Dangerous use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the psychological equivalent of a physical exam?

A

Mental Status Exam (MSE)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • Describes mental state & behaviors
  • Incudes objective observations of clinician
  • Includes subjective descriptions given by pt
  • Utilized to establish dx, develop tx, & monitor progress
  • “snap shot in time”
A

MSE (mental status exam)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What 3 PE components should you also always include in a PE of a psychiatric interview along w/ MSE?

A
  • Cardiac
  • Pulmonary
  • Vitals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
  • Situation where feelings, desires, and expectations of one person are unconsciously redirected and applied to another.
  • Give example
A
  • Transference
  • (maternal transference)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  • Provider unconsciously projects his/her feelings towards a pt

(provider develops attachment to pt)

  • What should you avoid??
A
  • Counter-transference
  • Avoid entanglement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Many psychiatric disorders are “familial.”

What else is familial?

A

The patient’s response to tx

21
Q

What are the 6 major components of an MSE?

A
  1. Appearance/Behavior
  2. Speech/Language
  3. Mood/Affect
  4. Thoughts/Perceptions
  5. Insight/Judgement
  6. Cognition

(SAMTIC)

22
Q
  • The ability to focus/concentrate over time on particular stimulus or activity.
  • An inattentive person is easily distractible and may have difficulty giving a hx or responding to questions
  • Give an example
A
  • Attention
  • Ex: pt on cell phone
23
Q
  • The process of registering or recording info, tested by asking for immediate repetition of material, followed by storage or retention of info.
A

Memory

24
Q

Cover minutes, hours, or days

A

Recent / Short term memory

25
Q

Refers to intervals of years

A

Remote / Long term memory

26
Q
  • Awareness of personal identity, place, and time
  • Requires both memory and attention
A

Orientation

27
Q
  • Sensory awareness of objects in environment & their interrelationships (external stimuli)
  • Refers to internal stimuli such as dreams or hallucinations
A

Perceptions

28
Q
  • The logic, coherence, and relevance of the patient’s thought as it leads to selected goals
  • “How people think”
A

Thought processes

29
Q
  • What the patient thinks about (level of insight & judgement)
A

Thought content

30
Q
  • Awareness that sxs or disturbed behaviors are normal or abnormal
  • Ex: distinguishing between daydreams and hallucinations that seem real
A

Insight

31
Q
  • Process of comparing & evaluating alternatives when deciding on course of action
  • Reflects values that may/may not be based on reality & social conventions of norms
A

Judgement

32
Q
  • A fluctuating pattern of observable behaviors that express subjective feelings or emotions through tone of voice, facial expression, & demeanor
  • Give 4 examples
  • “visualized by provider”
A
  • Affect
  • Flat, blunted, labile, inappropriate
33
Q
  • A more pervasive and sustained emotion that colors the person’s perception of the world
  • May be: euthymic (normal range), elevated, dysphoric (unpleasant = sad/anxious/irritable)
  • “Patient describes this”
A

Mood

34
Q
  • A complex symbolic system for expressing, receiving, & comprehending words
  • As with consciousness, attention, and memory, what is essential for assessing other mental functions?
A

Language

35
Q
  • Assessed by vocabulary, fund of info, abstract thinking, calculations, construction of objects that have 2 or 3 dimensions
A

Higher cognitive functions (mini mental status exam)

36
Q

Level of consciousness which can be associated w/ substance abuse

A

Hyper-alert

37
Q

Opens eyes, looks at you and responds appropriately to stimuli

A

Alert

38
Q

“drowsy” - opens eyes, looks at you, responds to questions, then falls asleep

A

Lethargic

39
Q

Opens eyes, looks at you, responds slowly and somewhat confused

A

Obtunded

40
Q

Arouses w/ painful stimuli, slow or absent verbal responses, lapses into unresponsive state when stimuli cease

A

Stupor

41
Q

Unarousable w/ eyes closed

A

Coma

42
Q
  • Comprehension intact
  • Unable to speak to varying degrees
  • (Pt can point to nose when prompted to do so)
  • (Pt can write words)
A

Expressive aphasia (Broca’s)

43
Q
  • Comprehension not intact
  • Fluent, but nonsensical speech
A

Receptive aphasia (Wernicke’s)

44
Q

Combination of receptive & expressive aphasia

A

Global aphasia

45
Q

Aphasias are common with which 3 things?

A
  • Strokes (MCA - medial cerebral artery)
  • Trauma
  • Mass lesions
46
Q

Impairment of language ability

A

Aphasia

47
Q
  • Prevalent emotional states the pt communicated to you
  • Often placed in “quotes”
  • duration
  • Appropriate given the situation
A

Mood

48
Q

Themes tht occupy the patients thoughts and perceptual disturbances

A

Thought content

49
Q
A

Disciplines Exam 1 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions