N240 Assessment Final

Front 1

Fear is a ______ appraisal of a threatening stimulus

Back 1

intellectual

Front 2

Anxiety is the ______ response to that intellectual appraisal of a threatening stimulus.

Back 2

emotional

Front 3

At the center or essence/goal of anxiety is ________ of self-threats to physical inegrity, self-worth...

Back 3

preservation

Front 4

Anxiety disorders affect ____ % of US population in any given year

Back 4

10-25%

Front 5

Public health costs of anxiety? It is 1/3 of the total US mental health bill.

Back 5

46.6 billion public health costs

Front 6

1 in __ people will have a dual diagnosis anxiety disorder and a substance abuse disorder.

Back 6

4

Front 7

Interpersonal theory of anxiety (HS Sullivan)

Back 7

anxiety results from some awareness of client's environment, related to other people, decreased self-esteem

Front 8

Psychoanalytic theory of anxiety (Freud)

Back 8

unconscious conflict; to warn the ego-in danger from internal or external threat; individual's struggle with demands/limits of environment

Front 9

Panic attack exhibits ___ of the 13 sx of and peaks within ____ minutes

Back 9

4 of the 13 sx,

10 minutes

Front 10

Define agoraphobia

Back 10

anxiety about being in places or situations from which escape might be difficult or embarassing or in which help may not be readily available. As a result of te fear, the person avoids situations.

Front 11

_______ is excessive anxiety or worry, occuring for >6 mos. Associated with 3 or more of the following symptoms:

1. Restlessness or feeling on edge
2. Being easily fatigued
3. Difficulty concentrating or mind going blank
4. Irritability
5. Muscle tension
6. Sleep disturbances

Back 11

Generalized Anxiety Disorder

Front 12

Tyhurst's stages of disaster: name all three

Back 12

1. Impact
2. Recoil
3. Post trauma

Front 13

FEMA's Phases of Disaster Management

Back 13

1. Mitigation
2. Preparedness
3. Response
4. Recovery

Front 14

Phases of Emotional Reaction During Disaster

Back 14

1. Heroic phase
2. Honeymoon phase
3. Disillusionment phase
4. Reconstruction

Front 15

___% of US adult population, or ___ million people will experience a depressive disorder in any given year.

Back 15

10%, 19 million

Front 16

___% of the population of most developed countries suffer severe depression

Back 16

15%

Front 17

Only about ___% (1 in 5) will receive adequate treatment for depression

Back 17

20%

Front 18

___% of depressed people will commit suicide

Back 18

15%

Front 19

High medical comorbidity with depression (what disorders/diseases)?

Back 19

- Diabetes, Cancer, Parkinson's, stroke, Alheimer's, MI

Front 20

___ billion per year lost to depression

Back 20

51 billion

Front 21

Life prevalence for clinical depression M and F

Back 21

M: 5-12%
F: 10-25%

Front 22

Men are __times more likely to commit suicide than women

Back 22

3 times

Front 23

Men recently diagnosed with depression are at _____ the risk of cardiovascular problems in the next five years.

Back 23

double

Front 24

Caucasian men over the age of ___ are ___ times more likely to commit suicide than any other demographic group

Back 24

80 years, 6x

Front 25

Older people with depression will have about ___% higher healthcare costs

Back 25

50%

Front 26

Major Depressive Disorder

Must meet at least ___ or more of the following sx for at least 2 weeks and represent a change from a previous level of functioing; must have sx 1 or 2 as part of the total 5 sx.

1. Dysphoric mood
2. Anhedonia
3. Sleep disturbances
4. Appetite disturbances
5. Energy loss-fatigue
6. Psychomotor retardation
7. Concentration Difficulties or Indecisivness
8. Feelings of worthlessness or guilt
9. Recurrent thoughts of death, suicide

Back 26

5 or more

Front 27

How to assess for Suicidal Ideation

Back 27

- Plan
- Intent
- Means

Front 28

Define "incidence"

Back 28

number of NEW cases of a particular condition identified during a specific period of time

Front 29

Define "prevalence"

Back 29

TOTAL number of people affected by a particular condition at a particular point in time

Front 30

Define "risk"

Back 30

likelihood that certain conditions will occur; that persons will develop a specific condition

Front 31

Casualty is based on the idea that ...

Back 31

one event is the result of another event.

Front 32

Casualty includes:

Back 32

1. Consistency
2. Strength
3. Specificity
4. Temporal relationship
5. Coherence

Front 33

Populations at risk

Back 33

- health risks
- limited acces and control over certain types of choices about health
- some degree of disenfranchisement from larger society
- potential victimization
- disadvantaged status
- relative powerlessness

Front 34

Failure to report abuse, neglect, etc wll result is considered a misdemeanor, punishable by up to ___ months in prison or by fine of _____ or both

Back 34

6 months, $1000

Front 35

In ___% of cases of abuse, the perpetrator is a family member

Back 35

90%

Front 36

Epidemiology:

1. Provides the scientific basis to prevent disease and injury and promote health
2. Determines relative importance to establish priorities for research and action
3. Identif sections of the population at greatest risk to target interventions
4. Evaluate effectiveness of programs in improving the health of the population
5. Stud natural history of disease from precursor states through clinical course
6. Conduct surveillance of disease and injury occurence in populations
7. Investigate disease outbreaks

Back 36

YES

Front 37

The Epidemiologic Triangle consists of...

Back 37

1. HOST
2. AGENT
3. ENVIRONMENT

Front 38

Modes of transmission

Back 38

- Fomites (objects such as clothing, towels, utensils)
- Vector: an invertebrate animal capable of transmitting an infectious agent among vertebrates

Front 39

Define "reservoire"

Back 39

the habita on which the infectious agent lives, grows, and multiples and is dependent on for its survival in nature

* humans often serve as both reservoir and host