Week 5 - Bates Flashcards
(125 cards)
1
Q
When a pt exhibits physical symptoms that are not fully explained by a medical condition, the effects of substance abuse, or other mental health disorders, consider the dx of ___ disorder.
A
Somatoform
2
Q
Common ___ complaints include: pain from h/a, backache, or musc conditions; GI symptoms; sexual/reproductive symptoms; and neuro symptoms such as dizziness or loss of balance.
A
somatoform
3
Q
The prevalence of ___ ___ is high in the common functional syndromes, namely complaints of fatigue, sleep disturbance, musc pain, h/a, and GI problems
A
symptom overlap
4
Q
Unexplained cond lasting beyond ___ wks are increasingly recognized as common chronic disorders that should prompt screening for ___, ___, or both.
A
6, depression, anxiety
5
Q
PRIME-ME stands for:
A
Primary Care Eval of Mental Disorders
6
Q
Generalized anxiety disorder, social phobia, panic disorder, PTSD, and acute stress disorder are all types of ___ disorders.
A
anxiety
7
Q
Pt’s w/___ disorders have dysfunctional interpersonal coping styles that disrupt and destabilize their relationships.
A
personality
8
Q
Personality disorders co-occur at high rates w/___ and ___ use.
A
alcohol, drug
9
Q
Distrust and suspiciousness
A
Paranoid
10
Q
Detachment from social relations w/a restricted emotional rage.
A
Schizoid
11
Q
Eccentricities in behavior and cognitive distortions; acute discomfort in close relationships
A
Schizotypical
12
Q
Disregard for the law and the rights of others; a defect in the experience of compunction or remorse for harming others
A
Antisocial
13
Q
Instability in interpersonal relationships, self-image and affective regulation; impulsivity
A
Borderline
14
Q
Emotional overreactivity, theatrical behavior, and seductiveness; attention-seeking behavior
A
Histrionic
15
Q
Persisting grandiosity, need for admiration and lack of empathy for others
A
Narcissistic
16
Q
Social inhibition, feelings of inadequacy and hypersensitivity to (-) eval.
A
Avoidant
17
Q
Submissive and clinging behavior; psychological dependence on others
A
Dependent
18
Q
Rigid, detail-oriented behavior, often associated w/compulsions to perform tasks repetitively and unnecessarily and rigid conformity to rules
A
Obsessive-compulsive
19
Q
Pt’s w/___ ___ disorder are impulse and more than 50% attempt suicide and cut or injure themselves. Recurrent suicidal threats or acts strongly suggest this dx.
A
borderline personality
20
Q
Pt’s w/___ ___ disorder often report feeling depressed and empty, w/mood swings that spiral out of control l/t feelings of rage, sadness, and anxiety.
A
borderline personality
21
Q
Pt’s w/___ ___ disorder often appear demanding, disruptive, and manipulative.
A
borderline personality
22
Q
The ability to focus or concentrate over time on one task or activity - in attentive or distractible person w/impaired consciousness has difficulty giving a hx or responding to questions.
A
Attention
23
Q
The process of registering or recording info, tested by asking for immediate repetition of material, followed by storage or retention of info.
A
Memory
24
Q
___ or ___-term memory covers mins, hrs, or days
A
recent, short
25
___ or ___-term memory refers to intervals of yrs.
remote, long
26
Awareness of personal identity, place, and time; requires both memory and attn.
Orientation
27
Sensory awareness of objects in the env and their interrelationships; also refers to internal stimuli such as dreams or hallucinations.
Perceptions
28
The logic, coherence, and relevance of the pt's thought as it l/t selected goals; how ppl think.
Thought processes
29
What the pt thinks about, including level of insight and judgment.
Thought content
30
Awareness that symptoms or disturbed behaviors are normal or abnormal; for example, distinguishing btwn daydreams and hallucinations that seem real.
Insight
31
Process of comparing and eval. alternatives when deciding on a course of action; reflects values that my or may not be based on reality and social conventions or norms.
Judgment
32
An observable, usually episodic, feeling or tone expressed through voice, facial expression, and demeanor.
Affect
33
A more sustained emotion that may color a person's view of the world.
Mood
34
A complex symbolic system for expressing, receiving, and comprehending words; as w/consciousness, attn, and memory, this is essential for assessing other mental functions.
Language
35
Assessed by vocabulary, fund of info, abstract thinking, calculations, construction of objects that have 2 or 3 dimensions.
Higher cognitive functions
36
The pt's responses to illnesses and life circumstances often tell you about ___ and ___.
insight, judgment
37
Worries persisting over a ___ month period suggest a possible generalized ___ disorder.
6, anxiety
38
Major depression, dysthymic disorder and bipolar disorder are all ___ disorders.
mood
39
Low self-esteem, loss of pleasure in daily activities (anhedonia), sleep disorders, and difficulty concentrating or making decisions are all seen in ___.
depression
40
Those at highest risk for depression include:
young, female, single, divorced or separated, seriously or chronically ill, bereaved, or have other psychiatric disorders, including substance abuse.
41
Suicide is the leading cause of death among ___-___ y/o and the third leading cause of death among ___-___ y/o.
25-34, 15-24
42
Screening for ___ and ___ abuse should be part of every pt hx. These go hand-in-hand w/many mental disorders
alcohol, drug
43
What are the 5 components that make up the Mental Status Exam?
1) appearance and behavior
2) speech and language
3) mood
4) thoughts and perceptions
5) cognitive function (includes orientation, attn, memory, and higher cognitive functions such as info and vocabulary, calculations, abstract thinking, and constructional ability)
44
When assessing for appearance and behavior, assess level of ___, posture and ___ behavior, dressing, grooming, and ___ hygiene, ___ expression, manner, affect, and relationship to ___ and ___.
consciousness, motor, personal, facial, ppl, things
45
___ pts are drowsy but open their eyes and look at you, respond to questions, and then fall asleep.
Lethargic
46
___ pts open their eyes and look at you, but respond slowly and are somewhat confused.
Obtunded
47
Hopeless, slumped posture w/slowed mvmnts indicate ___.
depression
48
Agitated and expansive mvmnts indicate ___ episode.
manic
49
Grooming and personal hygiene may deteriorate in ___, ___, and ___.
depression, schizo, dementia
50
Excessive fastidiousness may be seen in ___-___ disorder.
obsessive-compulsive
51
When assessing speech and language, note ___, ___, ___, ___ of words, and ___.
quantity, rate, volume, articulation, fluency
52
Speech will be slowed in ___ and accelerated, loud and rapid in ___.
depression, mania
53
___ refers to defective articulation.
Dysarthria
54
___ refers to a disorder of language where the pt has difficulty talking or understanding others.
Aphasia
55
In ___ ___, ask the pt to follow a one-stage command, such as "point to your nose", or try a two-stage command such as "point to your mouth, then your knee."
Word comprehension
56
In ___, ask the pt to repeat a phrase of one-syllable words.
repetition
57
Ask the pt to name the parts of a watch.
Naming
58
Ask the pt to read a paragraph aloud.
Reading comprehension
59
Ask the pt to write a sentence.
Writing
60
Work comprehension, repetition, naming, reading comprehension, and writing are all ways to test for ___.
aphasia
61
A person who can write a complete sentence does ___ have aphasia.
not
62
Assess ___ by exploring the pt's perceptions of his or her mood. Reports from relatives and friends may also be of help.
mood
63
Speech characterized by indirection and delay in reaching the point because of unnecessary detail, although components of the description have a meaningful connection. Occurs in ppl w/obsessions.
Circumstantiality
64
Speech in which a person shifts from one subject to others that are unrelated or related only obliquely w/out realizing that the subjects are not meaningfully connected. Occurs in schizo, mania, and other psych disorders.
Derailment
65
An almost continuous flow of accelerated speech in which a person changes abruptly from topic to topic. Changes are usually based on understandable associations, play on words, or distracting stimuli, but the ideas do not progress to sensible conversation. Occurs in mania.
Flight of ideas
66
Invented or distorted words, or words w/new and highly idiosyncratic meanings. Occurs in schizo, psychotic disorders, and aphasia.
Neologisms
67
Speech that is largely incomprehensible b/c of illogic, lack of meaningful connections, abrupt changes in topic, or disordered grammar or word use. Shifts in meaning occur w/in clauses. Occurs in schizo.
Incoherence
68
Sudden interruption of speech in midsentence or before completion of an idea. The person attributes this to losing the thought. Occurs in schizo.
Blocking
69
Fabrication of facts or events in response to questions, to fill in the gaps in an impaired memory. Occurs in alcoholism.
Confabulation
70
Persistent repetition of words or ideas. Occurs in schizo and psychotic disorders.
Perseveration
71
Repetition of the words and phrases of others. Occurs in schizo and mania.
Echolalia
72
Speech in which a person chooses a word on the basis of sound rather than meaning, as in rhyming and punning speech. Occurs in schizo and mania.
Clanging
73
Repetitive behaviors or mental acts that a person feels driven to perform in order to produce or prevent some future state of affairs, although such expectations are unrealistic.
Compulsions
74
Recurrent, uncontrollable thoughts, images, or impulses that a person considers unacceptable and alien.
Obsessions
75
Persistent, irrational fears, accompanied by a compelling desire to avoid the stimulus.
Phobias
76
Apprehensions, fears, tensions, or uneasiness that may be focused or free-floating.
Anxieties
77
A sense that things in the env are strange, unreal, or remote.
Feelings of unreality
78
A sense that one's self is different, changes, or unreal, or has lost identity or become detached from one's mind or body
Feelings of depersonalization
79
False, fixed, personal beliefs that are not shared by other members of the person's culture.
Delusions
80
___ of ___ are when a person believes that external events, objects, or ppl have a particular and unusual personal significance
Delusions of reference
81
___ ___ are a single delusion w/many elaborations or a cluster of related delusions around a single theme, all systematized into a complex network.
Systematized delusions
82
Misinterpretations of real external stimuli
Illusions
83
Subjective sensory perceptions in the absence of relevant external stimuli. The person may or may not recognize the experiences as false. These may be auditory, visual, olfactory, gustatory, tactile, or somatic.
Hallucinations
84
You can usually assess ___ by noting the pt's responses to family situations, jobs, use of money, and interpersonal conflicts.
judgment
85
Note whether decisions and actions are based on ___ or ___.
reality, impulse
86
Determine the pt's orientation to ___, ___, and ___.
person, place, time
87
___-___ is where you recite a series of digits, starting w/two at a time and speaking each number clearly at a rate of about on per second. Ask the pt to repeat the numbers back.
Digit-span
88
___ ___ is where you instruct the pt to start from a hundred and continually subtract 7 away.
Serial 7's
89
___ ___ is where you say a 5-letter word like "WORLD" and ask the pt to spell it backwards.
Spelling backward
90
___ memory may be impaired in the late stages of dementia.
Remote
91
Digit-span, serial 7's, and spelling backwards all test ___.
attention
92
Assess recent ___ by asking about today's weather, the appt time, meds or lab tests taken during the day.
memory
93
When assessing for higher ___ functions, inquire about work, hobbies, reading, favorite television program, or current events. You can also ask about facts like the name of the president or 5 large cities in the country.
cognitive
94
Test addition and multiplication when assessing ___ ability.
calculating
95
Chronic multisystem disorder characterized by c/o pain, GI and sexual dysfunction, and pseudoneurologic symptoms.
Somatization disorder
96
Syndrome of symptoms of deficits mimicking neurologic or medical illness in which psych factors are judged to be etiologic importance.
Conversion disorder
97
Clinical syndrome characterized predominately by pain in which psych factors are judged to be of etiologic importance.
Pain disorder
98
Chronic preoccupation w/the idea of having a serious disease.
Hypochondriasis
99
Preoccupation w/an imagined or exaggerated defect in physical appearance.
Body dysmorphic disorder
100
Intentional production or feigning of physical or psych signs when external reinforcers are not clearly present.
Factitious disorder
101
Intentional production or feigning of physical or psych signs when external reinforcers are present.
Malingering
102
Disruptions of consciousness, memory, identity, or perception judged to be d/t psych factors.
Dissociative disorders
103
A ___ episode must last at least 1 wk, meets the criteria for both major and manic depressive episodes.
mixed
104
A depressed mood and symptoms for most of the day, for more days than not, over at least 2 yrs is ___ disorder.
dysthymic
105
The mood and symptoms resemble those in a manic episode but are less impairing and do not include hallucinations or delusions in a ___ episode.
Hypomanic
106
___ episode is numerous periods of hypomanic and depressive symptoms that last for at least 2 yrs.
Cyclothymic
107
A ___ disorder is recurrent, unexpected panic attacks, where pt's worry over their implications or consequences. A period of intense fear or discomfort.
panic
108
Symptoms of palpitations, sweating, trembling or shaking, SOB, sense of smothering, a feeling of choking, CP, nausea or abd distress, feeling dizzy, unsteady, lightheaded or faint, feelings of unreality or depersonalization, fear of lowing control or going crazy, fear of dying, parasthesias, and chills or hot flushes may be indicative of ___ disorder.
panic
109
___ is an anxiety about being in places or situations where escape my be difficult or embarrassing.
Agnoraphobia
110
A ___ ___ is a marker, persistent, and excessive or unreasonable fear that is cued by the presence of anticipation of a specific objection or situation, such as dogs, injections, or flying.
specific phobia
111
A ___ ___ is a persistent fear of one or more social or performance situations that involve exposure to unfamiliar ppl or to scrutiny by others. Exposure creates anxiety and possibly a panic attack.
social phobia
112
This disorder involved obsessions or compulsions that cause marked anxiety or distress and interfere w/the person's normal routine, occupational functioning, or social activities.
Obsessive-compulsive
113
The person with ___ ___ disorder responds to events w/intense fear, helplessness, or horror.
acute stress
114
___ ___ disorder is where the event, fearful response, and the persistent re-experiencing of the traumatic event resemble those in acute stress disorder. The person has increased arousal, tries to avoid stimuli r/t the trauma and has numbing of general responsiveness.
Posttraumatic stress
115
___ ___ disorder is excessive anxiety and worry, which the person finds hard to control, and are about a number of events or activities.
Generalized anxiety
116
Symptoms of restlessness, on the edge, being easily fatigues, having difficulty in concentrating or having the mind going blank, irritability, muscle tension, and difficulty in falling or staying asleep are present in ___ ___ disorder.
Generalized anxiety
117
___ impairs major functioning, as at work or school or in interpersonal relations or self-care.
Schizophrenia
118
Symptoms of ___ may include: delusions, hallucinations, disorganized speech, disorganized behavior, negative symptoms such as flat affect.
schizophrenia
119
A ___ disorder has symptoms similar to those of schizo, but they last less than ___ months and functional impairment need not be present.
schizophreniform, 6
120
A ___ disorder has features of both a major mood disturbance and schizo. The mood disturbance is present during most of the illness and must be concurrent w/symptoms of schizo.
schizoaffective
121
A ___ disorder is characterized by nonbizarre delusions that involve situations in real life, such as having a disease or being deceived by a lover. The delusion must persist for at least a month.
delusional
122
In ___ ___ disorder, at least one of the following symptoms must be present: delusions, hallucinations, disordered speech, disorganized behavior, and lasts at least ___ day but less than ___ month, and the person returns to his/her prior functional level.
brief psychotic, one, one
123
Prominent hallucinations or delusions may be experienced during a medical illness and is known as a ___ disorder d/t a general medical condition.
psychotic
124
Prominent hallucinations or delusions may be induced by intoxication or withdrawal from a substance such as alcohol, cocaine, or opioids is known as ___-___ psychotic disorder.
substance abuse
125
What are common tests for attention?
digit-span, spelling backward, and serial 7's
