Quiz 4

Question 1

To be diagnosed with a manic episode as part of a Bipolar 1 Disorder how long does the increased activity/energy need to be present for?

Answer 1

At least 1 week, present most of day , nearly
every day

Question 2

How many symptoms are there to choose from to help diagnose a manic episode?

Answer 2

7

Question 3

Name 5 symptoms of a manic episode

Answer 3

a)distinct period of abnormally and persistently elevated expansive or irritable mood
and
abnormally and persistently inc goal directed activity or energy lasting at least 1 week and present most of day.

b)During period of mood disturbance and inc energy or activity, three or more of the following symptoms are present to a significant degree and represent a noticeable change from usual
behaviour:
inflated self esteem or grandiosity;
decreased need for sleep(feels rested after only 3 hours sleep);
more talkative than usual or pressure to keep talking;
flight of ideas or subjective experience that thoughts are racing;
distractibility as reported or observed; inc in goal directed activity(either socially, at work or school, or sexually)
psychomotor agitation;
excessive involvement in activities that have a high potential for painful consequences(eg engaging in unrestrained buying sprees,
sexual indiscretions, foolish business investments)

Question 4

Under Depression what are the two symptoms you must have at least one of to meet diagnosis?

Answer 4

Depressed mood or loss of interest or pleasure.

Question 5

How many criteria are there for major depression ?

Answer 5

9

Question 6

Name 5 symptoms of major depression

Answer 6

Depressed mood most of day, nearly every day as indicated by either subjective report or observation made by others;

markedly diminished interest or pleasure in all or almost all activities
most of day nearly every day;

significant weight loss or gain(in children failure to meet expected weight gain);

insomnia or hypersomnia;

psychomotor agitation or retardation;

fatigue or loss of energy;

feelings of worthlessness or excessive or inappropriate guilt

;diminished ability to think or concentrate or indecisiveness nearly every day;

recurrent thoughts of death. Recurrent suicidal ideation or suicide attempt.

Question 7

To be diagnosed with alcohol use disorder how many criteria would you need to meet for
mild
moderate
severe

Answer 7

Mild 2-3
Moderate 4-5
Severe 6

Question 8

SUD has how many criteria?
Name 6

Answer 8

11
Use more than intended and/or over a longer period of time; persistent desire or unsuccessful attempts to cut down;
use in hazardous situations;
a lot of time spent obtaining, using, recovering;
usual activities of social, recreational or occupational given up or reduced due to substance use;
Craving or strong desire to use;
recurrent substance use resulting in failure to fulfil major role
obligations;
continued use despite having persistent or recurrent social or interpersonal problems made worse by substance use;
continued substance use despite having knowledge of recurrent
physical ,psychological problems that are made worse by your consumption;
tolerance
increased amounts needed to get same effect or decreased effect from same amount;
withdrawal as shown by particular syndrome for each substance or substance taken to relieve or avoid withdrawal.

Question 9

Tolerance
what is it?
and give two examples of what it might look like in practice

Answer 9

increased
amounts needed to get same effect or decreased effect from same amount)
eg
needing to use 2 points of meth an evening instead of one
to get same level of intoxication
;using benzodiazepine prescription in 3 days instead of 6 days
as it was no longer working as well as before

Question 10

Give two examples of when withdrawal may occur?

Answer 10

when stopping substance or behaviour
or
when cut down

Question 11

Why do you always withdraw from Benzodiazepines very, very slowly?

Answer 11

seizure potential

Question 12

When you combine alcohol, opioids and benzodiazepines what do you normally die of?

Answer 12

Respiratory depression

Question 13

What are the 8 core conditions of counselling

Answer 13

Accurate Empathy
Acceptance
Kind Regard
Genuineness
Focus
Hope
Evocation
Offering information and advice

Question 14

What did Cozolino say about key things to remember when commencing counselling?

Answer 14

No matter what happens ,don’t panic

The client is more nervous than you are

If you don’t know what’s happening keep quiet until you do

The client will assume you know what you are doing

And “just make it through the hour.”!

Question 15

What is OARS?

Answer 15

OPEN ENDED QUESTIONS,AFFIRMATIONS,REFLECTIONS,SUMMARIES

Question 16

Standard drinks
for MEN

Answer 16

3,5,15

Question 17

Standard drinks
for WOMEN

Answer 17

2,4,10

Question 18

DSM5
“What does it stand for.” And what is its purpose?

Answer 18

Diagnostic and Statistical Manual of Mental Disorders,5th
Edition. So we can all use a common language eg if you say Alcohol use disorder severe and meets 6 criteria we are all talking about same thing
you can name specifics for each person.

Question 19

Powhiri Poutama
-how many stages are there altogether? 7. Name all
of them in correct order

Answer 19

Whakamoemiti;
Whakatau;
Whakapuaki;
Whakatangi;
Whakarata
;whakaora;
whakaotinga.

Question 20

What is the Whakapuaki stage about?

Answer 20

is about revealing, bringing forth the “take”

Question 21

Give 4 reasons why you believe Pacific Health statistics are so poor?

Answer 21

COLONISATION in Pasifika countries which changed the way Pasifika were able to express themselves, develop economically, introduced new foods and diseases detrimental to health;

RACISM in NZ which persisted for generations;

FEAR OF AUTHORITIES due to dawn raid era and ongoing racism as a result;

TREATMENT of Pasifika as “LOWER CLASS CITIZENS only good for physical labour” in many areas
LACK OF RECOGNITION of language, customs and ability to express these in NZ;

POOR HEALTH LITERACY and not enough work put in to have info in different languages;

huge pasifika GAPS IN ESSENTIAL WORKFORCES at all levels eg health; refusal of many non Pasifika to see imp of them increasing their cultural engagement skills

Question 22

What is your responsibility as a practitioner to work to change these?

Answer 22

Ensure you understand what the issues of equity are
and find ways of developing your practice to
address these on a personal level, make the effort to read and understand Pasifika issues past and current, attend Pasifika events to develop more knowledge and understanding so you can apply in
practice and develop pasifika connections through genuine interest
, work to advocate for Pasifika whanau in your service/agency to ensure it is Pasifika friendly.

Question 23

How might you use the Fonofale Model as an assessment tool?