Term
| What is the most important thing that separates a psych from non-psych eval? |
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Definition
| current safety- suicidality/homicidality. also, are they glad they are alive? medical lethal is different from psychiatric lethal. |
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Term
| What are 3 types of abuse hx? |
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Definition
| physical, sexual, emotional |
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Term
| When does a psychiatrist have a duty to warn? |
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Definition
| safety: when someone is in imminent harm. |
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Term
| (What must occur for dx of ptsd?) |
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Definition
| (you must be harmed or witness someone else harmed) |
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Term
| (Outside military/war exposure, what is the most common form of ptsd?) |
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Definition
| (rape sexual abuse (high risk of somatoform disorder)) |
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Term
| (How does outcome change w/resources available to pts for their care?) |
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Definition
| support is a positive prognostic sign |
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Term
| Which aspect of the mental status exam involves sustained affective state: how pt feels? |
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Definition
| mood (their subjective assessment of themselves) |
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Term
| Which aspect of the mental status examination involves close observation of the pt during the interview? What does this include? |
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Definition
| appearance- dressed, groomed, personal hygiene |
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Term
| (how could you tell alcoholism in someone w/negative urine)? |
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Definition
| ast/alt esp ratio 2:1. mcv elevated |
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Term
| Which aspect of the mental status examination involves the ability to make and sustain eye contact and being fidgeting or unusual still? |
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Definition
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Term
| Which aspect of the mental status examination involves rate, volume, speech rhythm and answer questions promptly and fully? |
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Definition
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Term
| Which aspect of the mental status exam involves safety, illusions, delusions, hallucinations? |
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Definition
|
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Term
| Which aspect of the mental status examination involves clinician's assessment of emotion? What are the 3 aspects? |
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Definition
| affect- range, lability, and appropriateness of expression |
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Term
| Which part of the mental status exam involves *sequence of thoughts*? |
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Definition
| thought process- how are thoughts linked one to the next? can the pt digres and et ack to the original pt? (circumstantial/tangential) |
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Term
| Which part of thought content involves an incorrect perception of real stimuli? |
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Definition
|
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Term
| Which aspect of thought content involves false, fixed idea? |
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Definition
|
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Term
| Which aspect of thought content involves false sensory experiences perceived only by the pt, not by an observer? |
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Definition
| hallucinations (visual generally never psychiatric). auditory, visual, tactile, gustatory, or olfactory. |
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Term
| What would be the cause of auditory vs. visual hallucinations vs. gustatory and olfactory? |
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Definition
| auditory: psychosis, wherease visual: delerium. gustatory and olfactory: partial seizure disorders |
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Term
| Level of Consciousness, Orientation, Attention, Memory, Executive Functions are all part of what? |
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Definition
| mental status examination: cognition |
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Term
| What are 3 considerations of executive functions? |
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Definition
| education and literacy level (make questions appropriate to their level- it's not a test of education it's a test of attention span), information level, abstraction |
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Term
| Which aspect of cognition involves the ability to see general principles in concrete statements? |
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Definition
| executive functions. cognition |
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Term
| Who is normally disorientated? |
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Definition
| generally speaking, psychiatric pts are not disoriented (this is more dementia) |
|
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Term
| What is the norm for attention span questions? |
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Definition
| the norm is for pts not to do well or they wouldn't be in a psych eval |
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Term
| What is a test for delerium? |
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Definition
| SAVE A HAART. you're allowed 1 mistake. otherwise delerium until proven otherwies. |
|
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Term
| How is a memory test performed? |
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Definition
| 3 words to remember initially (banana, shirt, penny). start w/free recall. then give cues (it was a fruit. it was an apple, orange, banana). Distinguishes alzheimers from other dementias. inability to store or consolidate illnesses. others they have trouble retrieving a memory that is there (frontal lobe disfunction). |
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Term
| What is a term for the ability to organize, plan, sequence, follow through w/activities, inhibit inappropriate responses? |
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Definition
| executive functions- frontal lobe function |
|
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Term
| (Which pts have trouble w/abstraction- how is an apple and an orange similar? what does the phrase "a rolling stone gathers no moss mean"?) |
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Definition
| demented pts, schizophrenia |
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Term
| Which part of the mental status examination is involved w/ the following: naming, repetition, comprhesion, fluency and writing, reading? |
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Definition
|
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Term
| Which part of the mental status exam answers the question: do you have an illness? |
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Definition
|
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Term
| Which part of the mental status exam answers the question: do you need tx for your illness? |
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Definition
|
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Term
| What ms pathological personality traits? |
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Definition
| Minnesota Multiphasic personality inventory (MMPI) (most often used) |
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Term
| Which test assesses a person's inner psychological experiency? |
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Definition
| rorschach (the inkblot test) (less often used- less structured) |
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Term
| Is it easier to get info from tests or clinicial interview? |
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Definition
| it's easier to get info from tests than by clinical interview |
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Term
| Which is more scientifically consistent: the info from clinical interview or info from tests? |
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Definition
|
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Term
| Is it harder to get away with lying on a test or in a clinical interview? |
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Definition
|
|
Term
|
Definition
| impossible to make yourself look good/bad by fabricating deceptive answers in a test |
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Term
| Which has greater pt autonomy: outpt tx or inpt tx? |
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Definition
|
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Term
| Is outpt or inpt more involved in longitudinal follow up? |
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Definition
|
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Term
| Should pts w/saftey risk be monitored outpt or inpt? |
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Definition
|
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Term
| If a pt is observed to have psychiatric s/s that the pt is hx for: functional impairment, atypical presentations med eval, assess for comorbidities, esp substancies: is this outpt or inpt? |
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Definition
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Term
| What would presence of a temporal association btwn the onset, exacerbation, or remission of the general med condition and that of the mental disorder indicate? |
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Definition
|
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Term
| What does the presence of a feature that are atypical of the primary mental disorder indicate? |
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Definition
|
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Term
| The most common example of what is an atypical age at onset or course? |
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Definition
| presence of a feature that are atypical of the primary mental disorder indicate- do medical tests |
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Term
| Evidence of a well-established or frequently encountered association btwn the general med condition and the phenomenology of a specific med disorder |
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Definition
| presence of a feature that are atypical of the primary mental disorder indicate |
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Term
| What are 7 dx tests for mental disorders? |
|
Definition
| cbc. cmp (ggtp). tsh, t4. rpr (HIV), vitb12- folate, ct scan (MRI): screening exam. eeg: seizures- delirium- dementia. |
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Term
| When might you need to do a med eval? |
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Definition
|
|
Term
| What is the most common reason for inpt? |
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Definition
| safety, inability to care for themselves |
|
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Term
| What is a manual that contents a listing of psychiatric disorders? |
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Definition
|
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Term
| What accompanies each disorder in the dx and stat manual of mental disorders IV rev? |
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Definition
| set of dx criteria, text containing info about disorder |
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Term
| Associated features, prevalence, familial patterns, age- culture- and gender- specific features, d/d, and no info about tx or presumed etiology is included. all these are a part of what? |
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Definition
|
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Term
| What is the primary purpose of the DSMD IV? |
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Definition
| facilitate communication among mental health professionals |
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Term
| What in the DSMD IV provides a convenient shorthand when communicating about pts? |
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Definition
|
|
Term
| Which axis of dx involves psychiatric disorders? |
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Definition
|
|
Term
| Which axis of dx involves personality disorders i mental retardation? |
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Definition
|
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Term
| Which axis of dx involves relevant medical diseases and conditions? |
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Definition
|
|
Term
| Which axis of dx involves psychosocial and environmental stressors? |
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Definition
|
|
Term
| Which axis of dx involves overall functioning based on the 100 pt scale called the global assessment of functioning? |
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Definition
|
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Term
| What does the dsm4tr not have? |
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Definition
| info about tx or presumed etiology |
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