Psych Dsm Disorders N Stuff

Front 1

What 3 things is the mental status examination used for?

Back 1

understanding clients presentation/functioning

observing and describing pts state of mind

part of clinical assessment

Front 2

What are the domains of the mental status exam?

Back 2

appearance, behavior, cooperation

speach, motor, mood, affect, thought process, thought content, cognition, insight, jugement

Front 3

What is included in the Appearance portion of the MSE?

Back 3

apparent age, height, weight

gender

manner of dress

grooming

Front 4

what is included in the behavior portion of the MSE?

Back 4

gait

eye contact

childen: how they relate to caregiver or other adults in room

Front 5

what is included in the cooperation/attitude portion of the MSE? what are the descriptors?

Back 5

this refers to the rapport between the patient and the interviewer

the pt. can be Cooperative, Uncooperative, Hostile, Gaurded, or Suspicious

Front 6

What do you look at when evaluating speech?

Back 6

Rate, Rythm/Prosody, Volume

Front 7

What are the speech disturbances to know?

Back 7

pressure of speech- rapid speech, difficult to interrupt

Dysprosody- loss of normal speech melody

Dysarthria- difficult articulation, not grammer

Cluttering- erratic or dysrhythmic speech, rapid or jerky spurts

dysphonia- difficult or pain in speaking

Front 8

What do you look for when evaluating Motor?

Back 8

Agitation

Retardation

Tics

Tremors

Mannerisms

Front 9

What is Alexithyma?

Back 9

a pt is Unable to describe subjective mood (feelings and such)

Front 10

what are the 5 mood states? in descending order

Back 10

Euphoric- intense elation, with feelings of grandure

Elevated- air of confidence and enjoyment

Euthymic- normal mood

Dysthymic- not super happy

Dysphoric- unpleasent mood

Front 11

What defines affect? what is Range, and its descriptors?

Back 11

Range, Congruence to mood, Appropriateness

Labile- rapid and abrupt changes in emotional tone, not inresponse to stimulus

Expansive-

Full Range- all emotions are expressed in relation to the correct stimulus

Restricted- reduced feeling tone, not blunted, but reduced

Blunted- severe reduction in the intensity of externalized feeling tone

Flat-no signs of affective expression, monotonous voice, face immobile

Front 12

What are the portions of Thought Process examined in the Mental Status exam?

Back 12

Form (linear, circumstantial, tangential, loose associations)

Productivity (flight of ideas, rapid thinking, slow thinking, blocking)

Logical vs. illogical

future or goal orientation

Front 13

What are the 4 Types of Form for thought processes? what are their descriptions?

Back 13

Linear- normal

Circumstantial- indirect speech that is delayed in getting to the point. usually over inclusion of details

Tangential- inability to have goal directed associations of thought. never gets to the point

Loose Associations-flow of thought shifts from one subject to another, may be severe

Front 14

What are the 4 types of Productivity issues when discussion Thought Process? What are their descriptions?

Back 14

Flight of ideas- rapid, continuous verbalizations or plays on words, shifting ideas, which can be connected.

Rapid thinking-

slow thinking-

Blocking- abrupt interruption in train of though before a thought or idea is finished. No recall of what was being said

Front 15

What are the 4 types of Language Impairments involved in Though Process? what are their descriptions?

Back 15

Incoherent- dirka dirka

Clang Associations- Words of similar sound but not in meaning, no logical connection. includes rhymes and puns

Neologisms- new words created by the pt. combines syllables of other words

Perseveration- persisting response to previous stimulus after new stimulus has been presented

Front 16

What are the 5 types of thought disturbances and their descriptions, related to Thought Content?

Back 16

Delusions- (many, will go over in detail)

Illusions-

Ideas of Reference-false belief that behavior of others refers to pt. Feels that others are talking about or to pt. (radio or tv or people)

Thought Insertion- delusions that thoughts are being implanted by other people or forces

Thought Withdrawal- belief that thoughts are being removed by other people or forces

Thought broadcasting- belief that a persons thoughts can be heard by others

Front 17

What are the 7 types of Delusions we looked at? what are their descriptions?

Back 17

Paranoid-

Erotomanic- the illusion that someone is deeply in love with them, more common in women then in men

Persecutory- a paranoid delusion- someone thinks they are being mistreated

Grandious- a paranoid delusion- someone exaggerates their importance

Somatic- a false belief involving body function (melting brain)

Mood congruent-the mood matches the delusion (depressed pt thinks they destroyed the world)

mood incongruent- mood does not influence the delusion

Front 18

What are the Perceptual Disturbances that are discussed in the MSE? what are their descriptions?

Back 18

Hallucinations- stuff isnt really there (auditory, visual, olfactory, tactile)

Depersonalization- a person subjective sense of being unreal, strange, or unfamiliar

Derealization- the enviorment feels strange or unreal. feeling of changed reality

Front 19

What is Insight

Back 19

this is a persons understanding of his or her own mental illness.

Must be able to understand problem and treatment options

Front 20

what is judgment?

Back 20

this is the ability to state appropriate reactions to imaginary situations

Front 21

What are the levels of conciousness?

Back 21

Conscious Alert

Confused- reactions to enviormental stimuli are inappropriate

Obtunded

Stuporous- lack of reaction to surroundings

Comatose

Front 22

What are the two methods to evaluate cognition?

Back 22

Level of Consciousness

Abstraction (proverbs/comparisons)

Front 23

What are more of the ways to define Cognition?

Back 23

Orientation

Calculation

Attention/concentration

Memory- (Anterograde- cant form new memories....Retrograde- cant remember the past)

Front 24

Whats the max score on the MMSE? a low score?

Back 24

Max is 30

23 or less shows significant impairment

Front 25

When using the mini mental status exam, what 5 areas of cognition are being tested?

Back 25

Orientation

Registration

Attention

Calculation

Recall

Language

Front 26

What are the limitations of the MMSE? like what could cause someone to not score appropriately high on the test?

Back 26

Hearing/ vision impaired

intubated

non-english speaker, stupid,
communication disorder

Front 27

what are the MMSE orientation questions?

Back 27

what is the year, sears, date, day, month

where are?

Front 28

What are the MMSE registration questions?

Back 28

be able to rapidly identify objects within 1 second.

name objects and have pt repeat names

Front 29

What are the MMSE attention and calculation questions?

Back 29

Serial sevens math questions

or, spell world backwards

Front 30

what questions are used in the Recall portion of the MMSE?

Back 30

ask the pt to recall the 3 objects used in the registration question

Front 31

What are the questions used in the Language portion of the MMSE

Back 31

Name pencil and watch

repeat phrase

follow 3 stage command

obey written orders

write something

copy an image

Front 32

What is included in Axis 1?

Back 32

Clinical disorders, including major mental disorders and learning disorders

Front 33

What is included in Axis 2?

Back 33

personality disorders and mental retardation

Front 34

what is included in axis 3?

Back 34

acute medical conditions, and physical disorders

Front 35

what is included in axis 4?

Back 35

pyschosocial and environmental factors contributing to the disorder

Front 36

what is included in axis 5?

Back 36

the global assessment scale of functioning

Front 37

What is the more defined range of things included in Axis 1?

Back 37

Mood disorders

Anxiety disorders

pyschotic disorders

eating disorders

cognitive disorders

substance related disorders

Front 38

how old does a pt have to be for personality disorders to be diagnosed?

Back 38

18 years old

Front 39

What is the more defined range of things included in Axis 2?

Back 39

Personality Disorders...must be pervasive patterns of behaviors/symptoms

mental retardation- (the medical condition would be coded in axis 3)

Front 40

In the active phase of 1st stage of labor, how fast does the cervix dilate?

Back 40

- nuligravida: >1.2cm/hr
- multigravida: >1.5 cm/hr

Front 41

What can the DSM not be used for?

Back 41

Medical treatment options

Front 42

what axis does homelessness fall under?

Back 42

Axis 4- housing problems

Front 43

what axis does mental retardation fall under?

Back 43

Axis 2- mental retardation

Front 44

What axis does trisomy 21 fall under?

Back 44

Axis 3, acute medical conditions and physical disorder

Front 45

what axis does drug abuse fall under?

Back 45

axis 1