Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
56 Cards in this Set
- Front
- Back
|
how do you get a psych dx usually?
|
relies on patient interviews and observation
mental status examination represents our primary diagnostic instrument |
|
|
how does the diagnostic rating scale supplement the MSE?
|
it provides objective info about symptoms where MSE is inadequate or inappropriate
can help with assessment, dx, tx planning and tx monitoring |
|
|
define reliability
|
the extent that an instrument provides consistent measurements across different raters and testing milieus
|
|
|
define validity
|
whether it correctly detects the true underlying condition
|
|
|
what is the difference between sensitivity vs specificity?
|
if the disorder is present, how likely is that test going to be positive?
if the disorder is absent, how likely is that test going to be negative |
|
|
name some depressiong diagnostic rating scales
|
hamilton depression rating scale
beck depression inventory zung self rating depressiong scale geriatric depression scale |
|
|
what are the 2 rating scales for psychosis
|
positive and negative sx scale
brief psychiatric rating scale |
|
|
what are the 2 scales for mania?
|
young mania rating scale
manic state rating scale |
|
|
what are the rating scales for anxiety
|
hamilton anxiety rating scale
beck anxiety inventory yale brown obsessive compulsive scale brief social phobia scale |
|
|
substance abuse rating scale
|
CAGE questionnaire
michigan alcoholism screening test drug abuse screening test |
|
|
cognitive disorder rating scales?
|
mini mental state exam
clock drawing test dementia rating scale |
|
|
medication side effects rating scales
|
abnormal involuntary movement scale
barnes akathisia rating scale simpson angus extrapyramidal side effect scale |
|
|
what are some psych tests to do
|
intelligence, objective personality, projective personality, neuropsych tests
|
|
|
what does an intelligence test represent?
|
a person's best level of adaptive function
intelligence is estimated 50% inherited IQ is highly correlated with academic achievement however IQ does NOT predict vulnerability to mental illness |
|
|
what 3 major IQ scores does the intelligence test provide?
|
full scale IQ
verbal IQ performance IQ discrepancies of 12-15 points between verbal and performance IQ may suggest clinically significant problems |
|
|
how do you measure iq?
|
popular test is wechsler intelligence scale for children which has multiple subtests.
vocab, arithmetic, general info/trivia. |
|
|
for an IQ score of less than 70, you are considered what? over 129?
|
<70 intellectually disabled
>129 very superior |
|
|
this objective personality test is used to assess common personality traits
|
minnesota multiphasic personality inventory 2
|
|
|
this is used to identify both sx disorders (axis 1) and personality disorderes
|
million clnical multiaxial inventory III
|
|
|
what are projective tests of personality good for?
|
used in children who are unable or unwilling to self disclose their internal states
tied to psychoanalysis and idea of unconscious motives |
|
|
gives some examples of project tests of personality
|
roschach inkblot tests
thematic apperception test sentence completion tests projective drawings - house- tree- person |
|
|
what is the goat of neuropsych assessment?
|
determine whether and to what extent a patient's cognitive status has been altered
use specialized tests to evaluate cognitive and behavioral constructs mediated by specific regions of the brain |
|
|
when do you do neuropsych assessments?
|
CVA accidents
traumatic brain injury dementia ADHDH learning disabilities degenerative disorders |
|
|
dimensions of behaviors are assessed in diff ways. how do you assess intellectual function?
|
IQ tests
|
|
|
how do you assess attention
|
attentional capacity/short term memory span
working memory compelx visual search and scan sustained attention and task vigilance selective/divided attention |
|
|
how do you assess frontal/executive functions?
|
initiation and maintenance of a complex task set
generation of multipel response alternatives cognitive flexibility organization/planning concept formation and reasoning |
|
|
how do assess memory
|
auditory-verbal
visual remote/long term memory |
|
|
how do you assess language
|
receptive language, expressive language
|
|
|
how do you assess visual processing skills
|
visuoperceptual abilities
visuospatial abilities vusoconstructional abilities |
|
|
when are you considered to have a learning disability?
|
academic achievement 2 standard deviations below that predicted by IQ
age/grade discrepancies may be preferable to IQ discrepancies |
|
|
T or F. children with ADHD all suffer in school
|
false, chidlren with learning disabilities may be of average or above intelligence
learning disabilities are comorbid with other learning disabilities and ADHD |
|
|
learning disabilities affect girls or boys more?
|
boys > girls 3:1
|
|
|
what is the reading disorder called
|
dyslexia
reading accuracy, speed, or comprehension is below educational level or age |
|
|
rates in susceptible families are 35-45%. which chromosome is a/w phonological recognition? which chrom is a/w impairments in whole word reading
|
chrom 6= phonological
15 = whole word reading |
|
|
how do you treat dyslexia?
|
multisensory approachces to teaching phonological processing
|
|
|
what is disorder of written expression
|
ability to express self in writing falls below expectations for child's intellectural functioning, age, and educational level
|
|
|
what is dyslexic dysgraphia
|
poor spelling, poor spontaneous work, good copied work
|
|
|
what is motor dysgraphia
|
spelling normal, poor handwriting including copied work
|
|
|
spatial dysgraphia
|
poor alignemtn of written work on lines
|
|
|
what is the tx for written expression disorder
|
phonological instruction, occupational therapy
|
|
|
when are you considered to have a mathematics disorder?
|
math ability on tests fall significantly below that predicted for age, iq, and educational background, AND impairs academic achievement
|
|
|
what are some factors that can contribute to a mathematics disorder
|
comprehending the language of math
recognizing signs and symbols grasping spatial organization problems with sequential ordering and sequencing |
|
|
what are some tx for mathematics disorder?
|
extra time, extra tutoring
|
|
|
what is a coordination disorder
|
significant deficiencies in motor coordination for age and intelelctual ability
delay in developmental milestones is usually presenting complaint |
|
|
what is the tx for coordination disorder?
|
occupational therapy
|
|
|
name some communication disorders
|
expressive language disorder
mixed receptive-expressive language disorder phonological disorder stuttering |
|
|
describe expressive language disorder
|
delayed language acquisition and slow rate of language growth
|
|
|
which disorder is a/w difficulty understanding words, sentences, and meanings. can be innate or acquired via CNS infection/trauma
|
mixed receptive-expressive language disorder
|
|
|
which is a/w failure to recognize and utilize speech sounds. can be related to chronic ear infections, incompletely palate, or other neuro problems
|
phonological disorder
|
|
|
which is dt physical tension when talking and the words repeat, disrupting the timing and rhythm of speech
|
stuttering
|
|
|
all children with communication disorders should have what to R/O hearing impairment
|
audiogram
|
|
|
how do you treat CD?
|
interventions focused on breathing and oropharyngeal manipulation
multisensory individualized interventions stuttering may benefit from cognitive/behavioral therapy |
|
|
what are some accommodations for learning disorders
|
let individual learn at own pace
direct explicit instruction extra time ontests classroom assistants special equipment - word processors, taped lectures individualized educational plan |
|
|
what are some etiologies for mental retardation
|
fragile x
downs inadequate placental perfusion fetal infection teratogenic exposure fetal alcohol syndrome |
|
|
what are the diagnostic criteria for mental retardation
|
significantly subaverage intelelctural functioning
concurrent deficits or impairments in 2 or the following: self care communication home living social interpersonal skills self direction functional academic skills work leisure health safety onset before age 18 |
|
|
name the diff IQ for mental retardation
|
mild 50-70
moderate 35-55 severe 20-40 profound <20 |
