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HA Exam 2 - Wk 5 > Week 5 - Bates > Flashcards

Week 5 - Bates Flashcards

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

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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

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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

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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

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5
Q

PRIME-ME stands for:

A

Primary Care Eval of Mental Disorders

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6
Q

Generalized anxiety disorder, social phobia, panic disorder, PTSD, and acute stress disorder are all types of ___ disorders.

A

anxiety

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7
Q

Pt’s w/___ disorders have dysfunctional interpersonal coping styles that disrupt and destabilize their relationships.

A

personality

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8
Q

Personality disorders co-occur at high rates w/___ and ___ use.

A

alcohol, drug

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9
Q

Distrust and suspiciousness

A

Paranoid

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10
Q

Detachment from social relations w/a restricted emotional rage.

A

Schizoid

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11
Q

Eccentricities in behavior and cognitive distortions; acute discomfort in close relationships

A

Schizotypical

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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

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13
Q

Instability in interpersonal relationships, self-image and affective regulation; impulsivity

A

Borderline

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14
Q

Emotional overreactivity, theatrical behavior, and seductiveness; attention-seeking behavior

A

Histrionic

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15
Q

Persisting grandiosity, need for admiration and lack of empathy for others

A

Narcissistic

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16
Q

Social inhibition, feelings of inadequacy and hypersensitivity to (-) eval.

A

Avoidant

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17
Q

Submissive and clinging behavior; psychological dependence on others

A

Dependent

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18
Q

Rigid, detail-oriented behavior, often associated w/compulsions to perform tasks repetitively and unnecessarily and rigid conformity to rules

A

Obsessive-compulsive

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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

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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

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21
Q

Pt’s w/___ ___ disorder often appear demanding, disruptive, and manipulative.

A

borderline personality

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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

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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

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24
Q

___ or ___-term memory covers mins, hrs, or days

A

recent, short

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25
Q

___ or ___-term memory refers to intervals of yrs.

A

remote, long

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26
Q

Awareness of personal identity, place, and time; requires both memory and attn.

A

Orientation

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27
Q

Sensory awareness of objects in the env and their interrelationships; also refers to internal stimuli such as dreams or hallucinations.

A

Perceptions

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28
Q

The logic, coherence, and relevance of the pt’s thought as it l/t selected goals; how ppl think.

A

Thought processes

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29
Q

What the pt thinks about, including level of insight and judgment.

A

Thought content

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30
Q

Awareness that symptoms or disturbed behaviors are normal or abnormal; for example, distinguishing btwn daydreams and hallucinations that seem real.

A

Insight

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31
Q

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.

A

Judgment

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32
Q

An observable, usually episodic, feeling or tone expressed through voice, facial expression, and demeanor.

A

Affect

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33
Q

A more sustained emotion that may color a person’s view of the world.

A

Mood

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34
Q

A complex symbolic system for expressing, receiving, and comprehending words; as w/consciousness, attn, and memory, this is essential for assessing other mental functions.

A

Language

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35
Q

Assessed by vocabulary, fund of info, abstract thinking, calculations, construction of objects that have 2 or 3 dimensions.

A

Higher cognitive functions

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36
Q

The pt’s responses to illnesses and life circumstances often tell you about ___ and ___.

A

insight, judgment

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37
Q

Worries persisting over a ___ month period suggest a possible generalized ___ disorder.

A

6, anxiety

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38
Q

Major depression, dysthymic disorder and bipolar disorder are all ___ disorders.

A

mood

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39
Q

Low self-esteem, loss of pleasure in daily activities (anhedonia), sleep disorders, and difficulty concentrating or making decisions are all seen in ___.

A

depression

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40
Q

Those at highest risk for depression include:

A

young, female, single, divorced or separated, seriously or chronically ill, bereaved, or have other psychiatric disorders, including substance abuse.

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41
Q

Suicide is the leading cause of death among ___-___ y/o and the third leading cause of death among ___-___ y/o.

A

25-34, 15-24

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42
Q

Screening for ___ and ___ abuse should be part of every pt hx. These go hand-in-hand w/many mental disorders

A

alcohol, drug

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43
Q

What are the 5 components that make up the Mental Status Exam?

A

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)

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44
Q

When assessing for appearance and behavior, assess level of ___, posture and ___ behavior, dressing, grooming, and ___ hygiene, ___ expression, manner, affect, and relationship to ___ and ___.

A

consciousness, motor, personal, facial, ppl, things

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45
Q

___ pts are drowsy but open their eyes and look at you, respond to questions, and then fall asleep.

A

Lethargic

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46
Q

___ pts open their eyes and look at you, but respond slowly and are somewhat confused.

A

Obtunded

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47
Q

Hopeless, slumped posture w/slowed mvmnts indicate ___.

A

depression

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48
Q

Agitated and expansive mvmnts indicate ___ episode.

A

manic

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49
Q

Grooming and personal hygiene may deteriorate in ___, ___, and ___.

A

depression, schizo, dementia

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50
Q

Excessive fastidiousness may be seen in ___-___ disorder.

A

obsessive-compulsive

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51
Q

When assessing speech and language, note ___, ___, ___, ___ of words, and ___.

A

quantity, rate, volume, articulation, fluency

52
Q

Speech will be slowed in ___ and accelerated, loud and rapid in ___.

A

depression, mania

53
Q

___ refers to defective articulation.

A

Dysarthria

54
Q

___ refers to a disorder of language where the pt has difficulty talking or understanding others.

A

Aphasia

55
Q

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.”

A

Word comprehension

56
Q

In ___, ask the pt to repeat a phrase of one-syllable words.

A

repetition

57
Q

Ask the pt to name the parts of a watch.

A

Naming

58
Q

Ask the pt to read a paragraph aloud.

A

Reading comprehension

59
Q

Ask the pt to write a sentence.

A

Writing

60
Q

Work comprehension, repetition, naming, reading comprehension, and writing are all ways to test for ___.

A

aphasia

61
Q

A person who can write a complete sentence does ___ have aphasia.

A

not

62
Q

Assess ___ by exploring the pt’s perceptions of his or her mood. Reports from relatives and friends may also be of help.

A

mood

63
Q

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.

A

Circumstantiality

64
Q

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.

A

Derailment

65
Q

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.

A

Flight of ideas

66
Q

Invented or distorted words, or words w/new and highly idiosyncratic meanings. Occurs in schizo, psychotic disorders, and aphasia.

A

Neologisms

67
Q

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.

A

Incoherence

68
Q

Sudden interruption of speech in midsentence or before completion of an idea. The person attributes this to losing the thought. Occurs in schizo.

A

Blocking

69
Q

Fabrication of facts or events in response to questions, to fill in the gaps in an impaired memory. Occurs in alcoholism.

A

Confabulation

70
Q

Persistent repetition of words or ideas. Occurs in schizo and psychotic disorders.

A

Perseveration

71
Q

Repetition of the words and phrases of others. Occurs in schizo and mania.

A

Echolalia

72
Q

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.

A

Clanging

73
Q

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.

A

Compulsions

74
Q

Recurrent, uncontrollable thoughts, images, or impulses that a person considers unacceptable and alien.

A

Obsessions

75
Q

Persistent, irrational fears, accompanied by a compelling desire to avoid the stimulus.

A

Phobias

76
Q

Apprehensions, fears, tensions, or uneasiness that may be focused or free-floating.

A

Anxieties

77
Q

A sense that things in the env are strange, unreal, or remote.

A

Feelings of unreality

78
Q

A sense that one’s self is different, changes, or unreal, or has lost identity or become detached from one’s mind or body

A

Feelings of depersonalization

79
Q

False, fixed, personal beliefs that are not shared by other members of the person’s culture.

A

Delusions

80
Q

___ of ___ are when a person believes that external events, objects, or ppl have a particular and unusual personal significance

A

Delusions of reference

81
Q

___ ___ are a single delusion w/many elaborations or a cluster of related delusions around a single theme, all systematized into a complex network.

A

Systematized delusions

82
Q

Misinterpretations of real external stimuli

A

Illusions

83
Q

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.

A

Hallucinations

84
Q

You can usually assess ___ by noting the pt’s responses to family situations, jobs, use of money, and interpersonal conflicts.

A

judgment

85
Q

Note whether decisions and actions are based on ___ or ___.

A

reality, impulse

86
Q

Determine the pt’s orientation to ___, ___, and ___.

A

person, place, time

87
Q

___-___ 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.

A

Digit-span

88
Q

___ ___ is where you instruct the pt to start from a hundred and continually subtract 7 away.

A

Serial 7’s

89
Q

___ ___ is where you say a 5-letter word like “WORLD” and ask the pt to spell it backwards.

A

Spelling backward

90
Q

___ memory may be impaired in the late stages of dementia.

A

Remote

91
Q

Digit-span, serial 7’s, and spelling backwards all test ___.

A

attention

92
Q

Assess recent ___ by asking about today’s weather, the appt time, meds or lab tests taken during the day.

A

memory

93
Q

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.

A

cognitive

94
Q

Test addition and multiplication when assessing ___ ability.

A

calculating

95
Q

Chronic multisystem disorder characterized by c/o pain, GI and sexual dysfunction, and pseudoneurologic symptoms.

A

Somatization disorder

96
Q

Syndrome of symptoms of deficits mimicking neurologic or medical illness in which psych factors are judged to be etiologic importance.

A

Conversion disorder

97
Q

Clinical syndrome characterized predominately by pain in which psych factors are judged to be of etiologic importance.

A

Pain disorder

98
Q

Chronic preoccupation w/the idea of having a serious disease.

A

Hypochondriasis

99
Q

Preoccupation w/an imagined or exaggerated defect in physical appearance.

A

Body dysmorphic disorder

100
Q

Intentional production or feigning of physical or psych signs when external reinforcers are not clearly present.

A

Factitious disorder

101
Q

Intentional production or feigning of physical or psych signs when external reinforcers are present.

A

Malingering

102
Q

Disruptions of consciousness, memory, identity, or perception judged to be d/t psych factors.

A

Dissociative disorders

103
Q

A ___ episode must last at least 1 wk, meets the criteria for both major and manic depressive episodes.

A

mixed

104
Q

A depressed mood and symptoms for most of the day, for more days than not, over at least 2 yrs is ___ disorder.

A

dysthymic

105
Q

The mood and symptoms resemble those in a manic episode but are less impairing and do not include hallucinations or delusions in a ___ episode.

A

Hypomanic

106
Q

___ episode is numerous periods of hypomanic and depressive symptoms that last for at least 2 yrs.

A

Cyclothymic

107
Q

A ___ disorder is recurrent, unexpected panic attacks, where pt’s worry over their implications or consequences. A period of intense fear or discomfort.

A

panic

108
Q

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.

A

panic

109
Q

___ is an anxiety about being in places or situations where escape my be difficult or embarrassing.

A

Agnoraphobia

110
Q

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.

A

specific phobia

111
Q

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.

A

social phobia

112
Q

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.

A

Obsessive-compulsive

113
Q

The person with ___ ___ disorder responds to events w/intense fear, helplessness, or horror.

A

acute stress

114
Q

___ ___ 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.

A

Posttraumatic stress

115
Q

___ ___ disorder is excessive anxiety and worry, which the person finds hard to control, and are about a number of events or activities.

A

Generalized anxiety

116
Q

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.

A

Generalized anxiety

117
Q

___ impairs major functioning, as at work or school or in interpersonal relations or self-care.

A

Schizophrenia

118
Q

Symptoms of ___ may include: delusions, hallucinations, disorganized speech, disorganized behavior, negative symptoms such as flat affect.

A

schizophrenia

119
Q

A ___ disorder has symptoms similar to those of schizo, but they last less than ___ months and functional impairment need not be present.

A

schizophreniform, 6

120
Q

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.

A

schizoaffective

121
Q

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.

A

delusional

122
Q

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.

A

brief psychotic, one, one

123
Q

Prominent hallucinations or delusions may be experienced during a medical illness and is known as a ___ disorder d/t a general medical condition.

A

psychotic

124
Q

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.

A

substance abuse

125
Q

What are common tests for attention?

A

digit-span, spelling backward, and serial 7’s

HA Exam 2 - Wk 5 (3 decks)

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