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clinical exam of the psych pt
CBN
23
Medical
Graduate
12/15/2010

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Cards

Term
what does most of the psych disorder dx rely on?
Definition
the clinical examination
Term
what do the major psych disorders have usually involve a problem with?
Definition
consciousness, emotion, motor behavior, thinking and perception
Term
what is the definition of perception?
Definition
the action of your senses being relayed through association areas of the brain, finally ending up at the R cortical region and registering.
Term
what are different categories of memory disturbance?
Definition
there may be defects in immediate recall, recent recall and remote recall
Term
why are problems w/intellect a major psychiatric issue?
Definition
b/c the pt cannot then acquire new knowledge - necessary for independent day-day life.
Term
what is insight?
Definition
the ability to understand that which is underlying current difficulties
Term
what is judgment?
Definition
the ability to pre-think something and then make a decision based on that
Term
what does the psychiatric hx consist of?
Definition
childhood hx (learning, coordination), chief complaint, adolescent hx, occupational hx, military hx, religious hx, personal/romantic life, legal hx, and family hx.
Term
what characterizes the childhood portion of the psych hx?
Definition
note relationships, use of language, and coordination
Term
what characterizes the adolescence portion of the psych hx?
Definition
comparison of the pt's hx w/the "usual" model
Term
what characterizes the occupational portion of the psych hx?
Definition
this may be the only source of problems w/for the pt
Term
what characterizes the military portion of the psych hx?
Definition
possible post traumatic stress, stress not related to trauma, and adaptations into and out of the hierarchical structure of the military.
Term
what characterizes the religious portion of the psych hx?
Definition
this is important in psych even though this question is not generally present elsewhere
Term
what characterizes the personal/romantic portion of the psych hx?
Definition
sexual preference etc
Term
what characterizes the legal portion of the psych hx?
Definition
people w/poor judgment may have more of this
Term
what characterizes the family hx portion of the psych hx?
Definition
many psych disorders are familial
Term
what is the mental status examination?
Definition
AMSIT: appearance, mood+affect, sensorium, intellect, thought
Term
what characterizes the appearance portion of the mental status examination?
Definition
is their appearance appropriate for everything else about their life? usually people strive to be clean, even people who are homeless.
Term
what characterizes the mood/affect portion of the mental status examination?
Definition
mood: what a person feels emotionally. affect: the exterior representation of how a person feels.
Term
what is a neologism?
Definition
a word made up by the pt which has no meaning to anyone else but them
Term
what characterizes the sensorium portion of the mental status examination?
Definition
is the pt accurately oriented (location)? what day/month/year is it?
Term
what characterizes the intellect portion of the mental status examination?
Definition
the list test (name 5 reptiles, composers, artists, etc) can be used in lieu of a formal IQ tests.
Term
what characterizes the thought portion of the mental status examination?
Definition
determine the flow of thought (can questions be answered w/cohesive logical sentences) and the truth of their thoughts (if untrue = delusion)
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