T3 Horwitz Geriatric Eval

Front 1

what are you worried about when you're doing your geriatric evaluation when it comes to their family

Back 1

do they care about them or are they just using them for their money

Front 2

list some of the medical problems that are significant in the evaluation

Back 2

hearing, vision, seizures disorders, headaches, alcohol and substance abuse

Front 3

what is the big issue when dealing with the geriatric patient which may cause seizures

Back 3

multiple drugs and side effects

Front 4

issue that may cause significant changes

Back 4

death of a spouse

Front 5

issue that often leads to napping in the day

Back 5

sleep problems

Front 6

issue that can cause serious problems

Back 6

loss of independence

Front 7

depression is present in about __ % of geriatric patients

Back 7

15%

Front 8

2 risk factors that lead to depression in geriatric psychiatric patients

Back 8

being widowed and having a chronic medical illness

Front 9

What is not a risk factor

Back 9

Age

Front 10

is higher or lower doses used for psychiatric patients

Back 10

lower

Front 11

What is the big psychosocial risk factor for mental disorders

Back 11

decreased cognitive functioning

Front 12

some other psychosocial risk factors for mental disorders

Back 12

loss of social roles and autonoomy, death of friends and relatives, declining health, increased isolation, and financial constraints

Front 13

what is psuedodementia

Back 13

depression c cognitive impairments

Front 14

Reduced energy and concentration, sleep problems, decr appetite, weight loss and somatic complaints

Back 14

most common s/s of geriatric depression

Front 15

Answer " I don't know" when uncertain

Back 15

pseudodementia patients

Front 16

most important factor assoc c increased prevalence of sleep disorders

Back 16

Age

Front 17

What are the clinical presentation of older patients c alcohol and substance abuse problems

Back 17

confusion, poor hygiene, depression, malnutrion, and effects of risk and falls

Front 18

which drugs are most commonly abused

Back 18

prescription drugs

Front 19

Drugs least commonly abused or not usuualy a concern

Back 19

cannabus, cocaine, heroin

Front 20

What is the main concern when giving anxiolytics to the elderly patient

Back 20

cognitive effects- memory impairment

Front 21

What must one be aware of when giving anxiolytics

Back 21

half-life of drugs- may accumulate

Front 22

extremely helpful in improving mood, apathy, anhedonia, and motivation in depressed elderly patient

Back 22

psychostimulants- aderrall, ritalin, Cylert, Dexedrine and Provigil

Front 23

Which psychostimulant makes patient more alert

Back 23

Provigil

Front 24

5 reasons not to give antidepressants because they may increase incidence or severity of

Back 24

orthostatic hypoTension, memory problems, sedation, anticholinerhic symptoms

Front 25

What is the essential feature of the dissociative disorders

Back 25

state of disrupted consciousness, memory, identity or perception of the env

Front 26

How do people c dissociative disorders see themselves

Back 26

as having one basic personality and experience a unitary sense of self

Front 27

What usually causes or is a result for one to have a dissociative disorder

Back 27

result of self defense against trauma, both removing them from the situation and delaying through needed to place the trauma into perspective

Front 28

What are the unique challenges when dealing with the elderly

Back 28

being aware of your feelings and understanding of aging, death, dying and chronic illness

Front 29

amnesia that is too extensive to be explained by ordinary forgetfulness

Back 29

dissociative amnesia

Front 30

when the individual takes an unexpectant yet organized journey away from home or ordinary places of work or social activity

Back 30

dissociative fugue

Front 31

what must be present in the two above dissociative problems

Back 31

amnesia that is either partial or complete

Front 32

persistent or recurring experiences of feeling detachment as if one is an outside observer of ones mental processes or body

Back 32

depersonalization

Front 33

which out of the 4 dissociative disorders is least imp

Back 33

depersonalization

Front 34

multiple personality disorder

Back 34

dissociative identity

Front 35

dissociative disorder caused by involuntary seizure like activity

Back 35

dissociative convulsions

Front 36

what would you want to do with the dissociative patient

Back 36

help to get the bad personality out and get the normal person

Front 37

prescence of two or more distinct identities or personality states with each pattern of perceiving, relating to thinking about the environment and self

Back 37

dissociative identity

Front 38

disorder that seems like patient is taken over by something

Back 38

trance and possesion disease

Front 39

what are treatments of dissociative disorders

Back 39

therapy, meds, and education

Front 40

how important is board certification when dealing with the credentials workers in the psychological examination

Back 40

not very important, in fact, less than 10%

Front 41

what can MA licensed therapists do

Back 41

limited testing for vocational and growth issues

Front 42

increase in intelligence scores do to the administration of a test that is over 15 yrs old

Back 42

Flynn effect

Front 43

which one of the pitfalls must one consider because of the difference where one lives

Back 43

culture

Front 44

which test is the most valid of all tests

Back 44

intelligence tests

Front 45

what is IQ test designed to predict, and when is it not useful

Back 45

predicting school performance, predicting job skills

Front 46

what is neuropsychology?

Back 46

use of tests to quantify and determine neurological impairments

Front 47

How long must one be supervised to be qualified to do neuropsychology

Back 47

2 yrs

Front 48

part of neuropsychological tests that assesses frontal lobe type abnormalities, and planning, organizing and monitoring

Back 48

executive functioning

Front 49

part of neuropsychological tests that assesses speech sounds perception, seashore rhythm, PASAT, Trail Making

Back 49

Attention

Front 50

Test used to assess R parietal lobe

Back 50

facial recognition test

Front 51

Tests used to assess memory

Back 51

Wechsler memory Scale 3, CA Verbal Learning Test, should assess visual, verbal, short and long

Front 52

Ability to identify where fingers

Back 52

Sensory Perceptual Exam, R hemispheric problem?

Front 53

inability to initiate coordinate movement

Back 53

L hemispheric damage

Front 54

most widely used projective test

Back 54

Rorschach

Front 55

part of Rorschach that identifies how one sees a tree

Back 55

content part

Front 56

if patient sees a lot of patient

Back 56

patient is more passive dependent

Front 57

patient sees clouds

Front 58

patient sees bugs

Front 59

test to see if patient is depressed

Back 59

emotional test

Front 60

most useful aspect of eval that can take over an hour to complete

Back 60

History