Week 5 - Mental Health Flashcards
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?
appearance
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.
interpersonal, adjacent
Assess their level of ___. Are they motionless and lethargic or hyper and tapping a foot?
activity
Monitor for any abnormal movements, such as ___ or ___.
tics, tremors
AIMS stands for ___ ___ ___ ___ and assess for ___ ___ in pt’s taking psychotropic meds.
abnormal involuntary mvmnt scale, tardive dyskinesia
Repetitive clearing of the throat or eye blinking are examples of ___.
tics
Assess ___ for rate, volume, quantity, and characteristics.
speech
Rapid speech may indicate ___, whereas slow speech may indicate ___.
anxiety, depression
Assess ___ to interviewer and whether they are ___ and open in conversation.
responsiveness, cooperative
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 ___.
1) motor, behavior, appearance, speech, responsiveness
2) mood, affect
3) violent, suicidal
4) psychotic
5) attention, memory, memory, judgment
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?
depressed, hopeless, interest, pleasure
If you get a “yes” answer to either of the 2 questions, ask pt about ___ and rate mood on scale of ___-___.
duration, 0-10
Depression scales include: ___ depression scale, ___-___ from PrimeMD, and ___ self rating depression scale.
beck, PHQ-9, Zung
Children often report ___ symptoms along w/feeling sad, such as stomach ache.
physical
Mood disorders in children are often secondary to ___ dysfunction, ___ difficulty, or ___ difficulty.
family, academic, social
If pt has a cognitive impairment, may not be able to assess accurately for ___. May need to rely on ___. ALWAYS check ___ and consider coexisting ___.
depression, caregiver, meds, morbidities
W/dementia, there is ___ onset, lack of ___, attempt to respond to MMSE questions, will see altered ___/___ spatial ability.
gradual, concern, language/visual
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.
fast, concern, family/personal, language/construction
T or F: Ind w/depressive disorder are less likely to try calculations.
True
T or F: Ind w/depressive disorder are more likely to report sadness.
True
T or F: Ind w/depressive disorder have problems w/word usage.
False
Risk of suicide ___ w/age, but also peaks during ___ as well.
increases, adolescence
T or F: there is no evidence of increased suicide when it comes to occupation.
True
There is a ___ rate of suicide in men.
higher
Suicide is highest among what type of ethnicity?
caucasians
Risk factors for suicide include: ___ attempt, ___ disorder, ___ abuse, ___ hx, hopelessness, ___/___ tendencies, and physical ___.
previous, mental, substance, family, impulsive/aggressive, illness
Further risk factors include: ___ to mental health care, ___ loss, access to ___ methods, reluctance to get ___, ___/___ beliefs, and isolation.
barriers, financial, lethal, help, cultural/religious
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?
dead, hurting, methods, ending
Children w/suicidal thoughts wish they would have never been ___. Adolescents ask directly and ask about ___ thoughts and ___ taking.
born, passive, risk
Risks for violent/homicidal behavior: ___ violence, ___ illness, ___ disorder, ___/___ of alcohol or drugs, ___ injury, past victim of ___.
past, mental, personality, abuse/intoxication, head, violence
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 ___?
others, fantasies, irritated, angry
Psychosis is ___ and ___ with or w/o insight, and may have ___ speech.
hallucinations, delusions, disorganized
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?
outside, hurt, following, spying, powers, thoughts
A pt w/psychosis rapidly shifts ___, shares excessive ___, and interrupts mid-sentence.
topics, details
A string of words not connecting to one another is ___ ___.
word salad
Detailed and lengthy discourse of topics, but ind. eventually reaches point is ___.
circumstantiality
Being unable to remember of involuntary interruption of train of thought is ___.
blocking
Changes to different topics and never gets to the point is ___.
tangentiality
Signs indicating possible perceptual disturbance include: ___ as if listening to someone, unusual ___ or reaching for something, eyes darting to upper ___ corner.
distracted, gesturing, right
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?
see, hear, asleep, wake, tricks
Formed and intermittent hallucinations suggest ___.
schizophrenia
You will constantly being testing for ___ .
concentration
Calculations, repeating series of random #, spelling words backwards, and repeating 3 objects after 5 mins are all tests of ___.
concentrations
___-term memory is the ability to recall 3 objects after 5 mins has passed.
Short
___-term memory is remembering mother’s maiden name or where you were born.
Long
___ memory is the ability to retain for processing and assesses for ___ cognitive impairment. Example would be to subtract 7 from 100 continually.
Working, mild
Ask for ___ in things, like what do an apple and pear have in common, when assessing for abstract thinking or conceptual processes.
similarities
___ is the ability to form relationships and create accurate conclusions w/data and experiences.
Judgment
___/___ can impair judgment.
Alcohol/drugs
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?
5, 4, 14, 7
CAGE stand for:
feel the need to CUT down, are ppl ANNOYED by your drinking, feeling GUILTY, needs an EYE-OPENER
