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Behavioral Medicine > Psychiatric Interviewing > Flashcards

Psychiatric Interviewing Flashcards

1
Q

_________ (Positive/Negative) symptoms have a more specific history of onset, frequency, exacerbation, and reliefs.

These are often related to new medications, life events, menstruation, etc….

A

Positive Symptoms

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2
Q

T/F: It is important to obtain a chronological history of past mental illnesses and treatment

What are examples of these?

A

True

Examples:

Substance Abuse
Hospitalizations
Suicide Attempts
Threats to self/others

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3
Q

Which of the following symptoms would least likely be associated with mental illness?

A. Crying Episodes
B. Muscle Weakness
C. Changes In Appetite
D. Changes in Sleep

A

B. Muscle weakness

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4
Q

What are the TWO biggest indicators of depression?

A

Anhedonia

Depressed/Irritable Mood

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5
Q

What does SIGECAPS stand for?

A 
S - Sleep
I - Interest
G - Guilt
E - Energy
C - Concentration
A - Appetite 
P - Psychomotor
S - Suicide
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6
Q

Distractible, Risky Behaviors, Grand Ideas, and Extremely Poor Sleep habits are all indicators of what?

The acronym “DIGFAST” is used to evaluate these types of patients. What does that stand for?

A

Mania

D - Distractible
I - Insomnia
G - Grandiosity
F - Flight of IDeas
A - Activites
S - Speech
T - Thoughtlessness
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7
Q

All of the following are consistent with what psychiatric diagnosis…..

Panic attacks
Perseverative thoughts/paranoia
Repetitive behaviors
Obsessive cleaning or orderly behaviors
Traumatic events with associated dreams/night terrors, panic
A

Anxiety

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8
Q

All of the following are consistent with what psychiatric diagnosis…..

Blunted affect
Disorganized speech
Hallucinations
Delusions

A

Psychosis

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9
Q

Asking a patient “Have you ever thought about hurting yourself or others?” would be assessing the patient for what?

A

Suicide Risk
Homicide Risk
Violence

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10
Q

What is the name of the ‘questionaire’ used to assess for alocholism?

A

CAGE

C - Have you ever felt the need to CUT down on your drinking?
A - Annoyed by criticism?
G - Guilty about your drinking?
E - Eye Openers?

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11
Q

Thought _______ (Process/Content) refers to the formation and coherence of thoughts and is inferred very much through the person’s speech and expression of ideas

A

Process

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12
Q

Thought _______ (Process/Content) refers to the themes that occupy the patient’s thoughts and perceptual disturbances

A

Content

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13
Q

T/F: The majority of DSM diagnoses require significant impairment to the patient’s ability to interact socially, either at work, at school, in their community, with love ones, etc., in order to reach criteria

A

True

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14
Q

What is the name of the complete questionnaire to screen for depression?

A

PHQ-9

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15
Q

T/F: The Standardized Mini-Mental Status Examination (SMMSE) is NOT useful in working up mental health conditions

A

False

It is

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16
Q

It is often important to rule out what when working up a patient for a mental health concern or complaint?

A

Underlying Medical Condition

17
Q

T/F: 46% of psychiatric patients had unrecognized medical illness.

A

True

18
Q

T/F: 92% of psychiatric patients had one or more previously undiagnosed physical diseases.

A

True

19
Q

Should EKGs and Radiographic studies be routinely ordered when working up a mental health complaint?

A

No, theses should be abandoned. A more clinical and focused work-up should obtained

20
Q

What are examples of predictors of violence?

A

Abusive language/profanity, loud language
Verbal threats
Wide mood swings
Psychomotor agitation, uncooperative, pacing
Expresses fear for losing control
Intoxicated with drugs or alcohol

21
Q

T/F: Seclusion is still used when treating a potentially violent of disruptive patient

A

False

It is no longer used due to poor outcomes

22
Q

If a patient is chemically restrained what needs to occur?

A

Vital Sign Monitoring

Frequent Reassessment and Documentation

Behavioral Medicine (16 decks)

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