Shared Flashcard Set

Details

Psych Test 2
DSM IV & Menatal Status exam
67
Health Care
Professional
08/31/2012

Additional Health Care Flashcards

 


 

Cards

Term
Clinical disorders
Definition
Axis I
Term
Personality disorders, mental retardation
Definition
Axis II
Term
General medical conditions
Definition
Axis III
Term
Psychosocial and environmental problems
Definition
Axis IV
Term
Global assessment of functioning
Definition
Axis V
Term
Schizophrenia
Bipolar disorder
Panic disorder
(are all considered an illness not a maladaptive behavior)
Definition
Axis I
Term
Comprises personality disorders and mental retardation
Maladaptive personality traits and behavior problems
Definition
Axis II
Term
Primarily records medical problems relevant to the ongoing treatment of a patient
Definition
Axis III
Term
Examples:
Glaucoma requiring antidepressants
Asthma in patients with anxiety requiring anti-anxiety medications
AIDS in a patient with new-onset psychosis (brain lesions)
Cirrhosis of the liver in a patient with alcohol dependence
Definition
Axis III
Term
Records psychosocial stressors encountered by the patient within the previous 12 months contributing to:
Development of a new mental disorder
Recurrence of a previous mental disorder
Exacerbation of an ongoing mental disorder
Definition
Axis IV
Term
Records the patient’s global level of functioning:
Both at the time of evaluation and during the past year
Clinician consults the Global Assessment of Functioning (GAF) scale to determine the level of functioning
GAF is based on 0-100 scale
Definition
Axis V
Term
Uses psychological, social, and occupational component to determine assessment of function
Definition
Global Assessment of Functioning (GAF)
Term
Global Assessment of Functioning (GAF)scale based off the
Definition
Doctors opinion The higher the score the better
Term
Mental illness is not classed in the same method as physical illness because:
Definition
Hard measures are much more difficult
Definitive diagnosis become elusive
Term
The DSM Can be viewed as:
Definition
Close-minded
Reductionistic
Fixed
Term
Mental status is the total expression of a person’s
Definition
Emotional response
Mood
Cognitive function
Personality
Term
Menatal status is closely linked to the individual’s executive functioning such as
Definition
Motivation, initiative, goal formation, planning and performing, self-monitoring, and integration feedback
Term
Frontal lobe functions in
Definition
Speech formation (broca area)
Emotions
Affect (emotional tone, dull, flat)
Drive
Awareness of self
Short-term memory
Goal-oriented behavior
Term
Parietal Lobe functions in
Definition
Processing sensory data
Term
Temporal Lobe functions in
Definition
Perception and interpretation of sounds (and determination of the source)
Wernicke speech area (comprehension of written and spoken language)
Integration of behavior, emotion, and personality
Long-term memory
Term
Limbic system functions
Definition
Survival behaviors – mating, aggression, fear, affection
Reactions to emotions, and expression of affect is mediated by connections of the limbic system and the frontal lobe
Term
Dementia is a clinical syndrome, characterized by
Definition
deteriorating cognition, behavior, and functional independence
Term
D:
Definition
drugs and toxins
Term
E:
Definition
endocrine
Term
M:
Definition
metabolic and mechanical
Term
E:
Definition
epilepsy
Term
N:
Definition
nutritional and nervous system
Term
T:
Definition
tumor and trauma
Term
I:
Definition
infection
Term
A:
Definition
arterial
Term
Delirium is different than dementia in that it is
Definition
an acute confusional state accompanied by a disorder of perception
Term
Symptoms for delirium include:
Definition
Alterations in mental status
Attention span
Sleep patterns
affect
Term
Major Components of the MSE
Definition
Appearance
Motor
Speech
Affect
Thought Content
Thought Process
Perception
Intellect
Insight
Term
Age
Gender
Race
Body build
Posture
Eye contact
all fall under this cat. of MSE
Definition
Appearance
Term
Hesitancy
Agitation
Abnormal movements
Gait
Catatonia (not moving, speaking, or talking
all fall under this cat. of MSE
Definition
Motor
Term
Rate
Rhythm
Volume
Amount
Articulation
Spontaneity
all fall under this cat. of MSE
Definition
Speech
Term
Stability
Range
Appropriateness
Intensity
Affect
Mood
all fall under this cat. of MSE
Definition
Affect
Term
Suicidal ideation
Death wishes
Homicidal ideation
Depressive cognition
Obsessions
Phobias
Paranoid ideation
Ruminations pondering (thoughts that can’t be let go)
Magical ideation (bizarre linking of outcomes)
Delusions
Overvalued ideas
all fall under this cat. of MSE
Definition
Thought Content
Term
Associations (can’t stay on tract)
Coherence
Logic
Stream (are they able to logically put together a process of thoughts, or do they tell you everything they are thinking)
Clang associations
i.e. frog/dog
Perservation
Uncontrollable repetition of a response, word, phrase, gesture
Neologism
Invention of new words
Blocking (find their own thoughts disturbing)
Attention
all fall under this cat. of MSE
Definition
Thought Process (how they think of these thoughts)
Term
Hallucinations
Illusions (self referancing things in your environment)
Depersonalization (talk about self in 3rd person)
Derealization
Déjà vu
Jamais vu – it’s new every time
all fall under
Definition
Perception
Term
Global impression
Average
Above average
Below average
describes
Definition
Intellect
Term
Awareness of illness
describes their
Definition
Insight
Term
The MMSE test:
Definition
Orientation
Immediate and short term memory
Concentration
Arithmetic ability
Language
Praxis (learning)
Term
Inability to recognize and identify familiar objects or persons
Difficulty recognizing geometric features
Definition
Agnosia
Term
Defect or loss of expressive ability
Speech
Writing
Signs

Inability to comprehend spoken or written language
Definition
Aphasia
Term
Inability to make learned coordinated movements, example folding a piece of paper in half
Definition
Apraxia
Term
Include the MMSE in the ________ section of your narrative history
Definition
Neurology
Term
Usefulness of the MSE & MMSE limited by
Definition
Age over 60
Education less than 9th grade
Cultural experiences
Low socioeconomic status
Term
Score of 21-25:
Definition
results not conclusive
Term
Score of 26-30:
Definition
dementia highly unlikely
Term
Score of 0-20:
Definition
dementia highly probable
Term
23 or greater score
Definition
Traditional threshold for the MMSE:
Term
Post-traumatic stress disorder
Alcohol abuse
are found in
Definition
Axis I
Term
imaging provides a measure of regional blood flow (like a more specific bone scan)
utilized to assess brain FUNCTION
Definition
Single emission computed tomography (SPECT)
Term
imaging provides a measure of metabolic activity by marking glucose utilization
utilized to assess brain FUNCTION
Definition
positron emission tomography (PET)
Term
Most commonly utilized advanced imaging procedures in the mental health field (an in neurology):
Can assess brain STRUCTURE
Definition
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Term
provides an instantaneous, localized measure of electrophysiological activity of the brain
Definition
Electroencephalography (EEG)
Term
Dementia
structural assessment of atrophy
Definition
MRI
Term
Dementia
blood flow patterns may identify Alzheimer's disease
Definition
SPECT
Term
Dementia
characteristic increase in slow wave activity in dementia
Definition
EEG
Term
Tumor
anatomic assessment
Definition
MRI
Term
Tumor
useful to assess tumor vascularization
Definition
SPECT
Term
Tumor
may reveal focal slowing
Definition
MRI
Term
Parkinson’s disease
useful after infraction
Definition
MRI & CT
Term
Parkinson’s disease
may identify early ischemic changes before CT and MRI
Definition
SPECT
Term
Parkinson’s disease
identified characteristic defects in neuroanatomy
Definition
MRI
Term
Parkinson’s disease
identifies decreased uptake of F-DOPA
Definition
PET
Supporting users have an ad free experience!