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60 Cards in this Set

  • Front
  • Back
what are you worried about when you're doing your geriatric evaluation when it comes to their family
do they care about them or are they just using them for their money
list some of the medical problems that are significant in the evaluation
hearing, vision, seizures disorders, headaches, alcohol and substance abuse
what is the big issue when dealing with the geriatric patient which may cause seizures
multiple drugs and side effects
issue that may cause significant changes
death of a spouse
issue that often leads to napping in the day
sleep problems
issue that can cause serious problems
loss of independence
depression is present in about __ % of geriatric patients
2 risk factors that lead to depression in geriatric psychiatric patients
being widowed and having a chronic medical illness
What is not a risk factor
is higher or lower doses used for psychiatric patients
What is the big psychosocial risk factor for mental disorders
decreased cognitive functioning
some other psychosocial risk factors for mental disorders
loss of social roles and autonoomy, death of friends and relatives, declining health, increased isolation, and financial constraints
what is psuedodementia
depression c cognitive impairments
Reduced energy and concentration, sleep problems, decr appetite, weight loss and somatic complaints
most common s/s of geriatric depression
Answer " I don't know" when uncertain
pseudodementia patients
most important factor assoc c increased prevalence of sleep disorders
What are the clinical presentation of older patients c alcohol and substance abuse problems
confusion, poor hygiene, depression, malnutrion, and effects of risk and falls
which drugs are most commonly abused
prescription drugs
Drugs least commonly abused or not usuualy a concern
cannabus, cocaine, heroin
What is the main concern when giving anxiolytics to the elderly patient
cognitive effects- memory impairment
What must one be aware of when giving anxiolytics
half-life of drugs- may accumulate
extremely helpful in improving mood, apathy, anhedonia, and motivation in depressed elderly patient
psychostimulants- aderrall, ritalin, Cylert, Dexedrine and Provigil
Which psychostimulant makes patient more alert
5 reasons not to give antidepressants because they may increase incidence or severity of
orthostatic hypoTension, memory problems, sedation, anticholinerhic symptoms
What is the essential feature of the dissociative disorders
state of disrupted consciousness, memory, identity or perception of the env
How do people c dissociative disorders see themselves
as having one basic personality and experience a unitary sense of self
What usually causes or is a result for one to have a dissociative disorder
result of self defense against trauma, both removing them from the situation and delaying through needed to place the trauma into perspective
What are the unique challenges when dealing with the elderly
being aware of your feelings and understanding of aging, death, dying and chronic illness
amnesia that is too extensive to be explained by ordinary forgetfulness
dissociative amnesia
when the individual takes an unexpectant yet organized journey away from home or ordinary places of work or social activity
dissociative fugue
what must be present in the two above dissociative problems
amnesia that is either partial or complete
persistent or recurring experiences of feeling detachment as if one is an outside observer of ones mental processes or body
which out of the 4 dissociative disorders is least imp
multiple personality disorder
dissociative identity
dissociative disorder caused by involuntary seizure like activity
dissociative convulsions
what would you want to do with the dissociative patient
help to get the bad personality out and get the normal person
prescence of two or more distinct identities or personality states with each pattern of perceiving, relating to thinking about the environment and self
dissociative identity
disorder that seems like patient is taken over by something
trance and possesion disease
what are treatments of dissociative disorders
therapy, meds, and education
how important is board certification when dealing with the credentials workers in the psychological examination
not very important, in fact, less than 10%
what can MA licensed therapists do
limited testing for vocational and growth issues
increase in intelligence scores do to the administration of a test that is over 15 yrs old
Flynn effect
which one of the pitfalls must one consider because of the difference where one lives
which test is the most valid of all tests
intelligence tests
what is IQ test designed to predict, and when is it not useful
predicting school performance, predicting job skills
what is neuropsychology?
use of tests to quantify and determine neurological impairments
How long must one be supervised to be qualified to do neuropsychology
2 yrs
part of neuropsychological tests that assesses frontal lobe type abnormalities, and planning, organizing and monitoring
executive functioning
part of neuropsychological tests that assesses speech sounds perception, seashore rhythm, PASAT, Trail Making
Test used to assess R parietal lobe
facial recognition test
Tests used to assess memory
Wechsler memory Scale 3, CA Verbal Learning Test, should assess visual, verbal, short and long
Ability to identify where fingers
Sensory Perceptual Exam, R hemispheric problem?
inability to initiate coordinate movement
L hemispheric damage
most widely used projective test
part of Rorschach that identifies how one sees a tree
content part
if patient sees a lot of patient
patient is more passive dependent
patient sees clouds
patient sees bugs
test to see if patient is depressed
emotional test
most useful aspect of eval that can take over an hour to complete