Brainscape's Knowledge GenomeTM

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


See full index

Psychosocial Care > Test 2 > Flashcards

Test 2 Flashcards

1
Q

mc mental d.o

A

anxiety

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

mc anxiety d.o

A

phobias

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

50-60% of pt’s w. anxiety also have

A

dpn

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

similarities btw anxiety and dpn (3)

A

egodystonic → defined by negative emotional experience

triggered by stress

respond to SSRIs and CBT

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

excessive anxiety and worry about a number of events or activities, occurring more days than not for at least 6 mo - that are out of proportion to the likelihood or impact of feared events

A

gad

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

diagnostic criteria for gad (5)

A

meets definition

at least 6 mo

worry is pervasive and difficult to control

at least 3 associated symptoms

anxiety, worry, or fear cause clinically significant distress or impairment in social, occupational, or other important areas of life

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

associated sx w. gad (pt must meet at least 3)

A

restlessness or feeling keyed up/on edge

easily fatigued

difficulty concentrating or mind going blank

irritability

muscle tension

sleep disturbance

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

poorer outcomes/more complicated tx in patients with gad PLUS

A

mdd

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

comorbidities make anxiety disorders

A

harder to treat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common gad comobidities (4)

A

mdd -> mc

panic d.o

specific phobia

social phobia

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

FDA approved pharm for gad

A

1st line: SSRI → Paxil

2nd line: SNRI -> Venlafaxine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

types of phobias (3)

A

agoraphobia

social phobia

specific phobia

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

mc phobia

A

specific phobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

which phobia has a focus on social performance and a situation in which a person is exposed to unfamiliar ppl or to scrutiny by others

A

social phobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

in social phobia, person fears they will act in a __

or __ way

A

humiliating

embarrassing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

social phobia is related to __ anxiety

A

performance

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

tx for performance anxiety

A

beta blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

is social phobia mc in men or women

A

men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

phobia related to persistent fear that is excessive or unreasonable, and is cued by the presence of anticipation of specific object or situation

A

specific phobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

specific phobia is associated with an __ anxiety response

and the person recognizes that the fear is __

A

immediate

excessive/unreasonable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

specific phobia is not diagnosable until it

A

interferes with a persons ADLs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

is specific phobia mc in men or women

A

women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

social phobia is mc in __

specific phobia is mc in __

A

social: men
specific: women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

1st line tx for social anxiety and social phobia

A

SSRIs → Zoloft, Paxil

also: relaxation, CBT, exercise, diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

a pt with one phobia is likely to have

A

another phobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

phobia involving fear of areas where escape isn’t possible

A

agoraphobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

agoraphobia has to include 2 or more of the following (5)

A

using public transportation

open spaces

enclosed spaces

standing in line/being in a crowd

being outside of home alone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

why do pt’s avoid certain situations in agoraphobia

A

fear that escape might be difficult or help might not be available if panic develops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

does panic d.o have to be present for agoraphobia dx

A

no!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

in desensitization/exposure behavioral therapy, we tell the pt that we can

A

unlearn a fear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

the idea behind desensitization/exposure therapy is that avoiding a fear

A

reinforces it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

putting pt in situation they fear → keep them from performing rituals/make them experience anxiety

A

response prevention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

exposure therapy PLUS __ has better results than

__ alone

A

Anafranil (antidepressant ->TCA)

Anafranil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

you can use desensitization therapy via __

or __

A

flooding

gradual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

which type of desensitization is used for phobias

A

gradual → unplug the phobia and plug in positive response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

gradual desensitization involves

A

continuous exposure, over and over

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

panic d.o reaches peak at __ min

and then starts to __

A

10 min

alleviate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

sudden onset; misinterpretations of symptoms of panic

A

panic d.o

ex out of breath from running up stairs and think you’re having a heart attack

39
Q

disorders related to OCD (6)

A

body dysmorphic

hoarding

hair-pulling → trichotillomania

excoriation → skin picking

substance/medication induced OCD

OCD dt another medical condition

40
Q

OCD definition

A

obsessions or compulsions that cause marked distress

41
Q

in OCD, obsessions or compulsions must: (3)

A

be time consuming

interfere significantly w. ADLs

create mounting tension that extends to loved ones

42
Q

OCD is underdiagnosed; one reason for this may be that

A

pt’s are secretive about symptoms

43
Q

2 mc comorbidities w. OCD

A

dpn

anxiety

also: tourettes, panic attacks

44
Q

OCD and psychosis both involve

A

violent strange thoughts

45
Q

differentiation btw OCD and psychosis

A

psychosis:

egosyntonic

no attempt to resist thoughts

thoughts are consistent w. delusions

OCD:

dystonic

resist OCD thoughts

pt is terrified of committing harm

46
Q

differentiation btw OCD and OCD Personality Disorder

A

ODC Personality Disorder is egoSYNtonic

47
Q

obsessions are __

compulsions are __

A

thoughts

actions

48
Q

describe obsessions

A

thoughts, impulses, images

intrusive, recurrent, persistent

49
Q

describe compulsions

A

actions, behaviors:

repetitive, ritualized, purposeful, intentional

50
Q

obsessions and compulsions are perceived by pt as

A

irrational

senseless

egodystonic → no pleasure derived

51
Q

what happens if a pt w. OCD resists compulsions

A

increases tension → yields to compulsion → tension relief

52
Q

mc manifestations of OCD (2)

A

checking

cleaning

53
Q

“checking” obsession/compulsion is related to

A

harm and/or aggression → leads to checking and repeating compulsions

54
Q

“cleaning” obsession/compulsions are related to

A

contamination obsessions

55
Q

harm and/or aggression is the __

and checking things is the __

A

obsession

compulsion

56
Q

contamination is the __

and cleaning things is the __

A

obsession

compulsion

57
Q

OCD has ~50% occurrence with what condition

A

pregnancy

post partum

58
Q

screen all pt’s w. anxiety or dpn for

A

OCD

59
Q

screening q’s for OCD (4)

A

repeatedly wash hands?

repeatedly check things?

repetitive thoughts of distress?

repetitive behaviors that are difficult to control?

60
Q

OCD obsessions/compulsions are classified as __ behaviors

A

intrusive

61
Q

1st line tx for OCD

A

SSRIs → start low go slow!

62
Q

OCD pt’s may need __ doses

and __ duration of SSRI than dpn pt’s

A

higher

longer

63
Q

SSRIs often __ sx for OCD,

but do not __ them

A

reduce

elliminate

64
Q

it is rare for a pt to NOT see effect of SSRI w.in

A

8-12 weeks

65
Q

what SSRI is not approved in kids/adolscents

A

paxil

66
Q

evolutionary theories (2)

A

preparedness theory of phobias

genetic factors and anxiety d.o

67
Q

humans are biologically prepared to learn to fear objects and situations that threatened the survival of the species throughout its evolutionary hx

A

preparedness theory of phobias

68
Q

social anxiety d.o, panic d.o, and gad are all linked to specific genes

high rate of panic d.o in pt’s w. 1st degree relatives w. panic d.o

A

genetic factor and anxiety theory

69
Q

relatives of panic d.o pt’s especially at high risk for __

but NOT __

A

panic d.o

GAD

-> supports genetic theories

70
Q

relatives of GAD are at risk for __,

but NOT __

A

GAD

panic d.o

-> supports genetic theory

71
Q

relatives of pt’s w. OCD are at risk for __

but not specifically at risk for __

A

all types of anxiety d.o

OCD

-> supports genetic theories

72
Q

physical sx of panic d.o

A

sweating

palpitations

73
Q

cognitive sx of panic d.o

A

impending doom

fear of dying

74
Q

ways to increase a panic attack

A

CO2

lactate

caffeine

75
Q

some studies have shown pt’s with panic disorder to have higher serum levels of

A

lactate

-> supports evolutionary theory

76
Q

tx for panic d.o (2)

A

CBT

SSRI

77
Q

tx for biploar PLUS panic d.o

A

atypical antipsychotics

mood stabilization BEFORE antidepressants

SSRIs > tricyclics

78
Q

benzo moa

A

hyperpolarize the cell → less likely to fire

79
Q

which mood disorders might benzos be used to treat

A

anxiety

panic d.o

but not first line

80
Q

exposure to a traumatic event → numbing/avoidance of stimuli associated w. event; intrusive thoughts and re-experiencing event; hyperarousal

A

PTSD

81
Q

5th mc psychiatric illness

A

PTSD

82
Q

for dx of PTSD, sx must last at least __

A

1 month

83
Q

1st line tx for PTSD

A

antidepressants

84
Q

if symptoms of ptsd last < 1 month, the dx is

A

acute stress

85
Q

failure to respond to 2 or more antidepressants from different classes w. adequate dose, duration, and compliance

A

treatment resistant dpn

86
Q

goal of dpn tx

A

total remission

87
Q

4 factors that indicate poor remission

A

poor work productivity

impaired psycho social fxn’ing

higher level of health care use

higher risk of suicide

88
Q

causes of treatment resistant dpn

A

subtherapeutic meds

pt non adherence

intolerable adverse effects

misdiagnosed

89
Q

mc reason for treatment resistant dpn

A

pt nonadherence → 40%

90
Q

best predictor of response to ADM in STAR*D study

A

early response

91
Q

in the STAR*D study, higher remission rates seen in

A

female

caucasian

employed

higher levels of ed and income

shorter current episode

fewer concurrent d.o

92
Q

do studies show it is better to augment or switch meds w. treatment resistant dpn

A

augment

93
Q

what drug in the STAR*D study was associated w. greater reduction in number and severity of sx

A

bupropion

94
Q

in the STAR*D study, 25% of pt’s saw remission with __ alone

A

CBT

Psychosocial Care (6 decks)

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