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94 Cards in this Set
- Front
- Back
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What type of personality disorder has exaggerated emotions?
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histrionic PD
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What is included in the detailed inquiry stage of a psychiatric interview? (14)
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identifying data
presenting problem HPI PMH past psych hx drug/alcohol/antisocial hx childhood hx educational hx vocational hx FH sexual hx marital hx coping mechanisms values/ideals |
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What is included in a mental status exam?
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appearance
attitude behavior speech mood/affect thought/language perceptions cognitive function insight/judgement |
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What are some components that are included with "appearance, attitude, and behavior" portion of MSE?
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Clothing
Nourishment Grooming Posture Motor Activity Attention Facial expressions |
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What are 4 components included with "speech" portion of MSE?
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Speed
Articulation Connectedness Difficulty |
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What is the difference b/t mood and affect?
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mood is how the patient tells you they feel (inner state); affect is the reaction that you see (feeling/emotion)
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What type of affect is emotionally dull, monotonous, and lacking in resonance?
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flat affect (ex. schizophrenia)
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What type of affect has a narrow range and is limited, as in obsessional or schizoid personality? (ex. may smile a little but you would expect more)
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constricted affect
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What type of affect changes from one emotional pole to another?
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labile effect
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What type of language disorder is a dysfunction in the patient's abilty to express himself?
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aphasia
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Which type of abnormal thought content is a false perception that occur in the absence of a sensory stimulus?
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hallucination
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Which level of consciousness is temporarily rousable with a stimulus (ex. sternal rub)?
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stupor
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Which level of consciousness is a common condition in medical/surgical wards that may include abnormalities of thought content?
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delirium
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What some components are included in the cognitive portion of the MSE?
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level of consciousness
orientation memory attention and concentration funds of knowledge abstraction insight and judgment |
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What are 6 good interview teachniques?
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open-ended questions
direct questions attentive silence facilitation ("uh-huh") summarization clarification |
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When should suicidality/homicidality be assessed?
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every visit!
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Suicide Risks? (10)
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SADPERSONS
Sex-male Age- <19, >45 Depression Previous Attempt Excessive alcohol Rational thinking loss Separated, widowed, divorced Organized plan No social support Sickness |
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What is a type of nearly incomprehensible/incoherent speech, which contains words/phrases that are joined incoherently?
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word salad
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What is it called when a pt believes that insignificant remarks, statements, or events refer to him or have some special meaning for him? (Think schizotypal)
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ideas of reference (differ from delusions b/c pt is suspicious, yet recognizes that his idea may be erroneous)
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Which type of delusion occurs when a patient believes that they are being conspired against?
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persecutory delusion
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What does DSM stand for and who published it?
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diagnostic and statistical manual of mental disorders
American Psychiatric Association |
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What is the most recent version of the DSM?
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DSM-V-TR published in 2013
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Is the DSM approach descriptive or theoretical?
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descriptive
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How many disorders are included in the DSM?
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>300
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What is included on axis I?
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clinical disorders
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What is included on axis II?
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personality disorders and mental retardation
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What is included on axis III?
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physical disorders or general medical conditions
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What is included on axis IV?
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psychosocial and environmental problems
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What is included on axis V?
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GAF scale
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Which axis is delirium, dementia, and amnestic disorder included?
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axis I
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Which axis is schizophrenia included?
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axis I
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What are 4 examples of mood disorders included in axis I?
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major depressive disorder
cyclothymic disorder bipolar II disorder |
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What are 2 examples of anxiety disorders included in axis I?
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social phobia
acute stress disorder |
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What are 2 examples of somatoform disorders included in axis I?
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conversion disorder
body dysmorphic disorder |
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Which axis is factitious, eating, and sleep (insominia, narcolepsy, sleep terro) disorders included?
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axis I
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What axis is adjustment disorder with depressed mood?
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axis I
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What are the 11 personality disorders?
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paranoid
schizoid schizotypal antisocial borderline histrionic narcissistic avoidant dependent obsessive-compulsive NOS |
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Do the medical conditions listed under axis III have to be a cause of or caused by the mental disorder?
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no
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What are 4 examples of positive/negative stressors that may be included in axis IV?
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birth of child
marital problems unemployment financial strain |
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What are the 3 major areas of the Global Assessment of Functioning (GAF)?
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social
occupational psychological |
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What is the criteria for a personality disorder?
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deviant from the individual's culture in at least 2 of the following:
-cognitions -affectivity -interpersonal functioning -impulse control |
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What must the pattern of a personality disorder include? (5)
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-across life situations
*leads to distress/impairment -stable over time & over life experiences -not part of another mental disorder -not due to substance abuse/use, general medical conditions, or some other altered state |
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Which type of personality disorder includes: fears contact with others; "don't get too close"?
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schizoid
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Which type of personality disorder includes: "let me enertain you"; flair; stand out in a crowd; neither missed nor forgotten; too much of everything?
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histrionic
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Which type of personality disorder includes: lives in internal world withot much affect available?
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schizoid
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Which type of personality disorder includes: "you are the only one who understands me"; affectively unstable; cannot be alone; tend to be splitters; feelings of emptiness/boredom and intense anger; wants to pull you close and push away at the same time?
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borderline
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Which type of personality disorder includes: "it is mine for the taking"; no concept of "other"; cutting you down is analogous to cutting down a tree or plant?
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antisocial
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Which type of personality disorder includes: fearful that something terrible will happen; resist involvement; tries to live in real world but not actually in their mind living in the real world?
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avoidant
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Which type of personality disorder includes: hyper-vigilant; "they are out to get me"?
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paranoid
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Which type of personality disorder includes: lives in own inner world, but w/ emotions; cognitive symptoms (majical thinking, ideas of reference, suspicious ideation and recurrent illusions); needs to be alone?
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schizotypal
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Which type of personality disorder includes: focuses on self; public face is a rxn to feared internal self; favorite words are "me" and "I"?
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narcissistic
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Which type of personality disorder includes: helpless person; need to be cared for; pull at you emotionally?
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dependent
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Which type of personality disorder includes: need for perfection; "to err is unforgivable"; importance to detail is magnified?
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obsessive-compulsive
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Which type of personality disorder includes: compulsions with a driven quality, even to the exclusion of reality?
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obsessive-compulsive
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Which type of personality disorder includes: pattern of distrust and suspiciousness, such that others' motives are interpreted as malevolent; may be seen first in childhood or early adulthood?
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paranoid
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Which type of personality disorder includes: pattern of detachment from social relationships and a restricted range of emotional expression; may be seen in childhood/adolescence?
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schizoid
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Which type of personality disorder includes: pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior; may be seen in childhood/adolescence?
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schizotypal
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Which type of personality disorder includes: pattern of excessive emotionality and attention seeking; MUST begin by early adulthood; seen in children but too difficult to separate from role identity?
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histrionic
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Which type of personality disorder includes: pattern of grandiosity, need for admiration, and lack of empathy; many of these same behaviors are seen in adolescence and are not diagnostic?
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narcissistic
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Which type of personality disorder includes: pattern of instability in interpersonal relationships, self-image, & affects, & marked impulsivity; young adults with identity problems may be misidentified?
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borderline
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Which type of personality disorder includes: pattern of disregard for, and violation of, the rights of others?
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antisocial
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Which type of personality disorder includes: pattern of submissive and clinging behavior related to an excessive need to be taken care of?
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dependent
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Which type of personality disorder includes: pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation?
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avoidant
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Which type of personality disorder includes: pattent of preoccupation w/ orderliness, perfectionism, & control; seen in children, adolescence, and young adults?
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obsessive-compulsive
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Which personality disorder CANNOT be dx before age 18?
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antisocial
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Which personality disorder are suicide rates the highest?
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borderline
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Which type of personality disorder pts are more likely to initiate a lawsuit, make reports to license boards, or any number of retaliation behaviors?
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borderline
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Which personality disorder pts is it not unusual to see cited as heroes at the same time they are being investigated for social problems?
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borderline
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In what ways to personality disorders lead to self-fulfilling prophecy?
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-Paranoids turn others against them
-Obsessive-Compulsive make others irresponsible -Dependents make others dominate -Avoidants invite teasing -Histrionics invite rejection |
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What are the 3 types of cluster A (eccentric) personality disorders?
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paranoid
schizoid schizotypal |
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What are the 4 types of cluster B (dramatic) personality disorders?
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histrionic
narcissistic borderline antisocial |
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What are the 4 types of cluster C (anxious) personality disorders?
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avoidant
dependent obsessive-complusive passive-agressive |
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Which type of personality disorder is known as the "splitters"?
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borderline
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Which type of personality disorder includes: compromised compliance, not telling you their fears; may listen, excuse what you say, & ignore your advice/medicine?
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paranoid
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Which type of personality disorder includes: mundane, complain rarely; not likely to continue w/ Tx once the initial crisis is over?
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schizoid
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Which type of personality disorder includes: "oddities" of thought; look "weird"; now way to know how cooperative they will be w/ Tx?
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schizotypal
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Which type of personality disorder includes: dramatic and emotional; spend your time gaining your approval; will feed your ego?
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histrionic
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Which type of personality disorder includes: "show off"; "want something"?
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narcissistic
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Which type of personality disorder includes: low on empathy; often seen as depressed; intense; don't trust they will understand if you forget to call?
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borderline
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Which type of personality disorder includes: seen as part of court referral or in an effort to get out of something; malingerers who will feign physical symptoms; careful w/ confrontation?
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antisocial
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Which type of personality disorder includes: unlikely to show until there is no other recourse; trouble relating; expect you to read their minds; under report symptoms; not likely to give feedback about Tx outcomes?
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avoidant
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Which type of personality disorder includes: fall apart when you ask for a decision; problems for which there is no solution; quote your every word?
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dependent
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Which type of personality disorder includes: pt that pays close attention; appears most cooperative; rigid; misunderstand generalized directions; difficulty describing their symptoms but will keep trying?
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obsessive-compulsive
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What is the Tx for extreme sensitivity to rejection/being alone?
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serotonergic antidepressants (SSRIs)
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What is the most common form of dementia?
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Alzeheimer's
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Which lab should you always get with depressed patients?
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TSH
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What are the cognitive disturbances that demenita patients must have at least one of?
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aphasia
apraxia agnosia executive functioning disturbance |
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What is the DSM-IV criteria for demenita?
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-Memory impairment
-cognitive disturbance -Significant impairment in social or occupational functioning representing a significant decline from a previous level of function -Gradual onset and progressive cognitive decline |
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What are 7 systemic conditions that are known to cause dementia?
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hypothyroidism, vitamin B12 or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection
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What areas of dementia does a MMSE address? (8)
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orientation, attention, immediate and delayed memory, visuospatial ability, aphasia, agnosia, and apraxia
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What areas of dementia does a MMSE address? (8)
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orientation, attention, immediate and delayed memory, visuospatial ability, aphasia, agnosia, and apraxia
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What are the 3 levels/categories of the MMSE?
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24-30 no impairment
18-23 mild impairment 0-17 severe impairment |
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What is the 2nd most common cause of dementia?
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vascular
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Which type of dementia is caused by multiple CVAs and is most common in men?
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vascular
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