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Med Screening > Screening for Mental Health > Flashcards

Screening for Mental Health Flashcards

1
Q

what is an anxiety disorder d/t a medical condition

A

sx of intense anxiety or panic that are directly caused by a physical health problem

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2
Q

what is a panic attack

A

sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause

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3
Q

what are 3 general types of anxiety disorders

A

phobias
substance induced
separation anxiety

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4
Q

what are 8 risk factors for anxiety panic disorders

A
  1. late teens - early adulthood, women > men
  2. fam hx of anxiety disorders
  3. major life stressor (death or serious illness, work, finances)
  4. traumatic event (sexual assault)
  5. major life change (divorce, baby)
  6. smoking or excessive caffeine intake
  7. drugs or alcohol
  8. hx of childhood abuse
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5
Q

since anxiety/panic attacks can present similar to cardiac issues, how should sx of either be treated

A

considered a heart attack until r/o
- then can treat as anxiety disorder

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6
Q

what is the significance of anxiety and panic attacks having so many physical sx

A

these sx can resemble sx of other serious health problems (ie heart attack)

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7
Q

what are 7 main s/sx of anxiety/panic attacks

A
  1. rapid, pounding HR
  2. sweating
  3. trembling/shaking
  4. SOB, tight throat
  5. nausea
  6. abdominal cramping
  7. chest pain
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8
Q

what flag: worrying too much and it’s interfering w work, relationships, or other parts of life

A

yellow

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9
Q

what flag: fear, worry, or anxiety is difficult to control

A

yellow

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10
Q

what flag: depressed, excessive alcohol or drug use, or have other mental health concerns

A

yellow

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11
Q

what flag: concerned anxiety could be linked to physical health problem

A

yellow

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12
Q

what is a general indicator of when you should refer people off

A

when interfering and limiting their activity/daily function

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13
Q

what flag: suicidal thoughts or behaviors

A

red
- ED immediately

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14
Q

what flag: panic attack SOB, chest pain, or a rapid, fluttering or pounding heart (heart palpitations)

A

red

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15
Q

what are medical problems that can be linked to anxiety (7)

A

heart dz
diabetes
thyroid
respiratory disorders
withdrawal
chronic pain or IBS
rare tumor - fight/flight hormones

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16
Q

what is depression

A

mood disorder that causes persistent feeling of sadness and loss of interest

17
Q

7 s/sx of depression

A
  1. sleep disturbances
  2. tiredness, lack of energy
  3. altered appetite, wt loss/gain
  4. anxiety, agitation
  5. feelings of worthlessness, guilt, self-blame, fixating on past failures
  6. trouble concentrating, impaired memory/cognition
  7. frequent/recurrent thoughts of suicide
18
Q

what flag: pt responds yes to 2 of 3 depression screening questions

A

yellow

19
Q

what flag: s/sx not explained by bereavement or physiologic effects of known substance and sx are causing significant impairment in social, occupational, or other areas of function

A

yellow

20
Q

what flag: scoring above 5 on geriatric depression scale

A

yellow

21
Q

what flag: suicidal

A

red

22
Q

what are 8 suicide risk factors

A
  1. living alone
  2. hx of psychiatric illness
  3. previous suicide attempt
  4. hx of chronic progressive illness
  5. recent significant loss
  6. unemployed
  7. sense of hopelessness
  8. fam hx of suicide
23
Q

what are 5 clinical manifestations of suicidal behavior

A
  1. “I don’t know how much longer I can take this”
  2. stop therapy w potential for progress
  3. stop other treatments
  4. pts express thoughts of death
  5. wishing they were dead
24
Q

what is the management required of suicidal patients

A

ask if the pt has a plan in place and the means
- understand if there was contemplation

emergent referral is required

25
Q

scores for geriatric depression scale that are normal, suggest, and indicate depression? when do you refer?

A

0-5 = normal
>5 = suggests
>10 = indicates

refer off to primary care if >5

26
Q

how many questions does pt have to respond yes to on depression screening Qs to require a referral

A

2-3

Med Screening (17 decks)

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