Week 5 - Mental Health

Question 1

Important to assess ___. Are they well-dressed and groomed? Do they look older than what they actually are? What types of facial expressions do they make? Are they making eye contact with you?

Answer 1

appearance

Question 2

Be sure to maintain ___ space and sit ___ to the pt so that they have the option of either looking at you or away from you.

Answer 2

interpersonal, adjacent

Question 3

Assess their level of ___. Are they motionless and lethargic or hyper and tapping a foot?

Answer 3

activity

Question 4

Monitor for any abnormal movements, such as ___ or ___.

Answer 4

tics, tremors

Question 5

AIMS stands for ___ ___ ___ ___ and assess for ___ ___ in pt’s taking psychotropic meds.

Answer 5

abnormal involuntary mvmnt scale, tardive dyskinesia

Question 6

Repetitive clearing of the throat or eye blinking are examples of ___.

Answer 6

tics

Question 7

Assess ___ for rate, volume, quantity, and characteristics.

Answer 7

speech

Question 8

Rapid speech may indicate ___, whereas slow speech may indicate ___.

Answer 8

anxiety, depression

Question 9

Assess ___ to interviewer and whether they are ___ and open in conversation.

Answer 9

responsiveness, cooperative

Question 10

The competencies for assessing mental health pt’s include: 1) detecting ___ and nonverbal ___, characteristics, ___, ___, and ___ to interviewer that gives clues to mental state. 2) interpreting ___ and ___ across the life span. 3) assess the potential for ___ and ___ behavior. 4) detecting ___ s/s. 5) differentiate among ___ span, short/long term ___, working ___, conceptual processes and ___.

Answer 10

1) motor, behavior, appearance, speech, responsiveness
2) mood, affect
3) violent, suicidal
4) psychotic
5) attention, memory, memory, judgment

Question 11

Two questions to ask when assessing mood. Over the past 2 weeks have you felt, down, ___, or ___? Over the past 2 weeks have you felt little ___ or ___ in doing things?

Answer 11

depressed, hopeless, interest, pleasure

Question 12

If you get a “yes” answer to either of the 2 questions, ask pt about ___ and rate mood on scale of ___-___.

Answer 12

duration, 0-10

Question 13

Depression scales include: ___ depression scale, ___-___ from PrimeMD, and ___ self rating depression scale.

Answer 13

beck, PHQ-9, Zung

Question 14

Children often report ___ symptoms along w/feeling sad, such as stomach ache.

Answer 14

physical

Question 15

Mood disorders in children are often secondary to ___ dysfunction, ___ difficulty, or ___ difficulty.

Answer 15

family, academic, social

Question 16

If pt has a cognitive impairment, may not be able to assess accurately for ___. May need to rely on ___. ALWAYS check ___ and consider coexisting ___.

Answer 16

depression, caregiver, meds, morbidities

Question 17

W/dementia, there is ___ onset, lack of ___, attempt to respond to MMSE questions, will see altered ___/___ spatial ability.

Answer 17

gradual, concern, language/visual

Question 18

W/depression, there is ___ onset (wks to months), the pt states “I don’t know” to MMSE questions, voices ___, there is a ___/___ hx of depression, ___/___ is preserved.

Answer 18

fast, concern, family/personal, language/construction

Question 19

T or F: Ind w/depressive disorder are less likely to try calculations.

Answer 19

True

Question 20

T or F: Ind w/depressive disorder are more likely to report sadness.

Answer 20

True

Question 21

T or F: Ind w/depressive disorder have problems w/word usage.

Answer 21

False

Question 22

Risk of suicide ___ w/age, but also peaks during ___ as well.

Answer 22

increases, adolescence

Question 23

T or F: there is no evidence of increased suicide when it comes to occupation.

Answer 23

True

Question 24

There is a ___ rate of suicide in men.

Answer 24

higher

Question 25

Suicide is highest among what type of ethnicity?

Answer 25

caucasians

Question 26

Risk factors for suicide include: ___ attempt, ___ disorder, ___ abuse, ___ hx, hopelessness, ___/___ tendencies, and physical ___.

Answer 26

previous, mental, substance, family, impulsive/aggressive, illness

Question 27

Further risk factors include: ___ to mental health care, ___ loss, access to ___ methods, reluctance to get ___, ___/___ beliefs, and isolation.

Answer 27

barriers, financial, lethal, help, cultural/religious

Question 28

Suicidal inquiry questions include: Have you thought you would be better off ___? Have you thought about ___ yourself? What ___ have you thought about using? What is their access to means? What has kept you from ___ your life?

Answer 28

dead, hurting, methods, ending

Question 29

Children w/suicidal thoughts wish they would have never been ___. Adolescents ask directly and ask about ___ thoughts and ___ taking.

Answer 29

born, passive, risk

Question 30

Risks for violent/homicidal behavior: ___ violence, ___ illness, ___ disorder, ___/___ of alcohol or drugs, ___ injury, past victim of ___.

Answer 30

past, mental, personality, abuse/intoxication, head, violence

Question 31

Questions to assess violent/homicidal behavior: Do you have thoughts of harming ___? Do you have violent ___? Is anyone afraid of you? What do you do when you are ___ or ___?

Answer 31

others, fantasies, irritated, angry

Question 32

Psychosis is ___ and ___ with or w/o insight, and may have ___ speech.

Answer 32

hallucinations, delusions, disorganized

Question 33

Questions to ask when assessing psychosis: Are your thoughts controlled from ___? Is anyone trying to ___ you, ___ you, or ___ on you? Do you have any special ___? Is anyone putting ___ in your mind?

Answer 33

outside, hurt, following, spying, powers, thoughts

Question 34

A pt w/psychosis rapidly shifts ___, shares excessive ___, and interrupts mid-sentence.

Answer 34

topics, details

Question 35

A string of words not connecting to one another is ___ ___.

Answer 35

word salad

Question 36

Detailed and lengthy discourse of topics, but ind. eventually reaches point is ___.

Answer 36

circumstantiality

Question 37

Being unable to remember of involuntary interruption of train of thought is ___.

Answer 37

blocking

Question 38

Changes to different topics and never gets to the point is ___.

Answer 38

tangentiality

Question 39

Signs indicating possible perceptual disturbance include: ___ as if listening to someone, unusual ___ or reaching for something, eyes darting to upper ___ corner.

Answer 39

distracted, gesturing, right

Question 40

Questions to ask when assessing for schizophrenia: Do you ever ___ or ___ things that ppl around you don’t seem to see or hear? Do you have strange experiences as you fall ___ or when you ___ up? Does your mind play ___ on you?

Answer 40

see, hear, asleep, wake, tricks

Question 41

Formed and intermittent hallucinations suggest ___.

Answer 41

schizophrenia

Question 42

You will constantly being testing for ___ .

Answer 42

concentration

Question 43

Calculations, repeating series of random #, spelling words backwards, and repeating 3 objects after 5 mins are all tests of ___.

Answer 43

concentrations

Question 44

___-term memory is the ability to recall 3 objects after 5 mins has passed.

Answer 44

Short

Question 45

___-term memory is remembering mother’s maiden name or where you were born.

Answer 45

Long

Question 46

___ memory is the ability to retain for processing and assesses for ___ cognitive impairment. Example would be to subtract 7 from 100 continually.

Answer 46

Working, mild

Question 47

Ask for ___ in things, like what do an apple and pear have in common, when assessing for abstract thinking or conceptual processes.

Answer 47

similarities

Question 48

___ is the ability to form relationships and create accurate conclusions w/data and experiences.

Answer 48

Judgment

Question 49

___/___ can impair judgment.

Answer 49

Alcohol/drugs

Question 50

Questions to assess for judgment and substance use: When was the last time you had more than ___ drinks for men or ___ drinks for women in one day? When was the last time you had more than ___ drinks for men and ___ drinks for women in one week?

Answer 50

5, 4, 14, 7

Question 51

CAGE stand for:

Answer 51

feel the need to CUT down, are ppl ANNOYED by your drinking, feeling GUILTY, needs an EYE-OPENER