Kk&s Ch.07 Clinical Exam Of Psych Pt

Front 1

The most important technique for obtaining a psychiatric history is

Back 1

to allow patients to tell their stories in their own words in the order that they consider most important

Front 2

Overinclusion of trivial or irrelevant details that impede the sense of getting to the point.

Back 2

Circumstantiality

Front 3

Thoughts are associated by the sound of words rather than by their meaning (e.g., through rhyming or assonance).

Back 3

Clang associations

Front 4

A breakdown in both the logical connection between ideas and the overall sense of goal-directedness. The words make sentences, but the sentences do not make sense.

Back 4

Derailment

Front 5

A succession of multiple associations so that thoughts seem to move abruptly from idea to idea; often (but not invariably) expressed through rapid, pressured speech.

Back 5

Flight of ideas

Front 6

The invention of new words or phrases or the use of conventional words in idiosyncratic ways.

Back 6

Neologisms

Front 7

Repetition of out of context of words, phrases, or ideas

Back 7

Perseveration

Front 8

In response to a question, the patient gives a reply that is appropriate to the general topic without actually answering the question. Example:
Doctor: “Have you had any trouble sleeping lately?”
Patient: “I usually sleep in my bed, but now I'm sleeping on the sofa.”

Back 8

Tangentiality

Front 9

A sudden disruption of thought or a break in the flow of ideas.

Back 9

Thought blocking

Front 10

What cogntive fxn?
n Starting at 100, count backward by 7 (or 3).
Say the letters of the alphabet backward starting with Z.
Name the months of the year backward starting with December.

Back 10

Concentration

Front 11

Repeat these numbers after me: 1, 4, 9, 2, 5.

Back 11

Immediate Memory

Front 12

What did you have for breakfast?
What were you doing before we started talking this morning?
I want you to remember these three things: a yellow pencil, a cocker spaniel, and Cincinnati. After a few minutes I'll ask you to repeat them.

Back 12

Recent memory

Front 13

What was your address when you were in the third grade?
Who was your teacher?
What did you do during the summer between high school and college?

Back 13

Long Term

Front 14

If you buy something that costs $3.75 and you pay with a $5 bill, how much change should you get?
What is the cost of three oranges if a dozen oranges cost $4.00?

Back 14

Calculations

Front 15

What is the distance between New York and Los Angeles? What body of water lies between South America and Africa?

Back 15

Fund of knowledge

Front 16

Which one does not belong in this group: a pair of scissors, a canary, and a spider? Why?
How are an apple and an orange alike?

Back 16

Abstract reasoning

Front 17

How assess visuospatial ability

Back 17

The patient should be asked to copy a figure, such as a clock face or interlocking pentagons.

Front 18

levels of insight:

Back 18

1. Complete denial of illness
2. Slight awareness of being sick and needing help, but denying it at the same time
3. Awareness of being sick but blaming it on others, on external factors, or on organic factors
4. Awareness that illness is caused by something unknown in the patient
5. Intellectual insight: admission that the patient is ill and that symptoms or failures in social adjustment are caused by the patient's own particular irrational feelings or disturbances without applying this knowledge to future experiences
6. True emotional insight: emotional awareness of the motives and feelings within the patient and the important persons in his or her life, which can lead to basic changes in behavior.