Tests & Vocab Flashcards
The sum total of the examiner’s observations and impressions of the psychiatric patient at the time of interview. Includes:
- Appearance
- Overt Behavior (mannerisms, tics, gestures)
- Attitude
- Speech
- Mood and affect
- Thinking (form, content)
- Perceptions
- Sensorium (Alertness, Orientation, Concentration, Memory, Calculations, Fund of knowledge, Abstract reasoning)
- Insight
- Judgment
Mental Status Examination
task-based computerized assessment of attention disorders and neurological functioning
Continuous Performance Test (CPT)
inattention
omission errors
impulsivity
commission errors
(Mental age/chronological age) x 100
IQ test
Measures physical functioning in premature & full-term newborns and can be used to predict the likelihood of survival: Scale of 0-2 for 5 categories:
- Heartbeat
- Respiration
- Muscle tone
- Color of body & extremities
- Reflexes
Apgar Test
EEG waveform of deepest, non-REM sleep (stage 3/4)
lowest frequency & highest amplitude
Delta
EEG waveform of alert, active mental concentration
eyes open
highest frequency & lowest amplitude
REM sleep
Beta
EEG waveform of alert but eyes closed
Alpha
EEG waveform of light sleep (stage 1)
theta
on EEG: high-frequency spike clusters which represent periodic burst of activity: activity of thalamic and cortical neurons
sleep spindles
20-30 mg/dL slowed motor performance & decreased thinking
30-80 mg/dL increases in motor and cognition problems
80-200 mg/dL increases in coordination & judgment errors
200-300 mg/dL nystagmus, marked blurred speech, and alcoholic blackouts
> 300 mg/dL impaired vital signs & possible death
Blood alcohol levels
used to monitor the severity of anxiety or depression and scored from 0-4 with a total score >9 considered borderline pathology.
Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Rating Scale for Depression (HAM-D)
20 item report scale for self-rating for depression
normal score: 34 or less
depressed: 50 or more
Zung Scale
used to indicate overall judgment of the functioning of a family or other ongoing relationship on a hypothetical continuum of competent, optimal, disrupted and dysfunctional. Includes:
1. problem solving
2. organization
3. emotional climate
81-100 is satisfactory
61-80 somewhat unsatisfactory
41-60 dysfunction with occasional competence
21-40 seriously dysfunctional
1-20 too dysfunctional to retain continuity of contact
Global Assessment of Relational Functioning (GARF)
pervasive and sustained emotion that colors the person’s perception of the world
mood
patient’s present emotional responsiveness, inferred from patient’s facial expression, including amount and range of expressive behavior
affect
feeling of bugs crawling on or under the skin; associated with cocaine use
formication
time, place and person
impairment occurs in this order and clears in reverse order
orientation
degree of awareness and understanding about being ill
insight
most widely used intelligence test in clinical practice WAIS-III is for age 16-89 WISC-III is for age 5-15 IQ 120+ is superior IQ 90-110 is normal IQ 50-70 mild MR IQ below 20-25 is profound MR
Weschler Adult Intelligence Scale (WAIS)
assesses abstract reasoning and flexibility in problem solving by sorting cards into groups
Abnormal responses seen in damage to frontal lobes, the caudate & schizophrenia
Wisconsin Card Sorting Test (WCST)
test used to track changes in patient’s cognitive state
30 points possible
score below 25 suggests impairment
Mini-Mental Status Exam (MMSE)
test that gives the location and effects of specific brain lesions
uniform profile of scores
takes considerable time to perform
Halstead-Reitan
short scale used to measure the severity of psychiatric symptomology
most useful for patients with significant impairment
used as outcome measure for studies of schizophrenia
Brief Psychiatric Rating Scale (BPRS)
most widely used objective personality assessment instrument
self-report inventory
Minnesota Multiphasic Personality Inventory (MMPI)
defensive mechanism where facts or logical implications of external reality are refused recognition in favor of internally generated wish-fulfilling fantasies
denial
distortions of real images or sensations
illusion
not based on real images or sensations
hallucination
acute onset of fluctuating cognitive impairment and disturbance of consciousness
delirium
progressive impairment of cognitive functions occurring in clear consciousness
dementia
Presence of depressed mood that lasts most of the day and is present almost continuously (at least 2 years)
dysthymia
ingestion of nonnutritive substances such as dirt, clay, starch, sand and feces
mostly seen in young children and in pregnant African American women in rural South
pica
the physiological wear and tear on the body that results from ongoing adaptive efforts to maintain stability (homeostasis) in response to both physiological and psychological stressors
allosteric load
test which can identify dyslexia and dyscalculia, as well as hemispheric dominance
Luria-Nebraska Neuropsychological Battery
battery of tests for adults
- verbal paired associate and paragraph retention
- visual memory for designs, orientation, digit span, rote recall of the alphabet, counting backward
- yields a memory quotient, adjusted for age
Wechsler Memory Scale
test used to report a clinician’s judgment of a patient’s overall level of functioning & decide on a treatment plan
Global Assessment of Functioning Scale (GAF)
test for attentional capacity
age 8 to adult
Trail Making Test
