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Q4 Psych > DSM (lec 1) > Flashcards

DSM (lec 1) Flashcards

1
Q

DSM Axis I?

A

psych clinical disorders/conditions, focus of clinical attention
(e.g. depression, anxiety)

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2
Q

DSM Axis II?

A 
personality disorders (e.g. paranoid personality disorder)
or developmental disorders (e.g. mental retardation)

that may cause or exacerbate Axis I

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3
Q

DSM Axis III?

A

general medical conditions

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4
Q

DSM Axis IV?

A

psychosocial and environment disorders/stressors

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5
Q

DSM Axis V?

A

global assessment of fxning (GAF scale)

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6
Q

Axis IV details?

A

psychosocial and environment PROBLEMS that affect diagnosis/tx/prognosis of Axis I/II:

primary support group
social environment
education
occupational
economic
access to healthcare
legal/criminal
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7
Q

Axis V details?

A

Global Assess of Fxning (GAF) scale measures provider’s overall judgement of pt’s level of fxn

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8
Q

GAF used for?

A

planning tx
predicting outcome
tracking progress

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9
Q

What is NOT part of determining GAF?

A

physical limitations

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10
Q

Mental Status Eval: General includes?

A

overall appearance
posture
grooming/dress

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11
Q

Mental Status Eval: Alertness/Orientation includes?

A

awareness of environment

oriented person/place/time

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12
Q

Mental Status Eval: Speech includes?

A

ability to express, receive and comprehend words

Eval:
Rate
Volume
Quantity
Type (e.g. slurred, dramatic, etc)
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13
Q

Mental Status Eval: Motor includes?

A 
hyper/hypoactive
rigid
combative
tics
restless/akathisia (have to move, involuntary)
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14
Q

Mental Status Eval: Mood definition?

A

sustained emotion affecting view of world,

subjective description of own emotional state in own words

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15
Q

Mental Status Eval: Affect definition?

Descriptors?

A

observable feeling/tone/responsiveness seen in face, voice, demeanor

blunted
exaggerated
flat
constricted
labile (quickly changing)
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16
Q

Mental Status Eval: Attention definition?

A

ability to focus/concentrate on one task over time

17
Q

Mental Status Eval: Memory definition?

A

process of registering/recording info

18
Q

Categories of Memory? (4)

A

1) remote (childhood)
2) recent remote (w/i past few months)
3) recent (same day)
4) immediate retention/recall

19
Q

Mental Status Eval: Perception definition?

A

sensory awareness of objects and their interrelationships,

or relating to internal stimuli

20
Q

Types of Perception? (5)

A

1) hallucination
2) illusions
3) depersonalization
4) derealization
5) formication

21
Q

Hallucinations are?

A

false sensory perception not a/w real external stim

22
Q

Illusions are?

A

misperception/interpretation of real external stim

23
Q

Depersonalization is?

A

subjective sense of being unreal, strange, unfamiliar

24
Q

Derealization is?

A

subjective sense of environment being unreal, strange

25
Q

Formication is?

A

feeling of bugs crawling on/under skin

26
Q

Mental Status Eval: Insight definition?

A

awareness of sxs/behaviors normalcy or abnormalcy

awareness/understanding of own illness

27
Q

Mental Status Eval: Judgement definition?

A

process of comparing/eval alternatives when deciding a course of action

28
Q

Mental Status Eval: Thought Content includes?

A

delusions
obsessions
compulsions
phobias

29
Q

Delusions are?

A

fixed, false personal beliefs not shared by others in same culture and cannot be corrected by reasoning

30
Q

Types of delusions?

A 
paranoid
grandeur
nihilistic (reject all morals/religions)
ideas of reference (TV talking directly to me)
ideas of influence (I can control minds)
31
Q

Obsessions are?

A

recurrent, uncontrollable thoughts/images/impulses

32
Q

Compulsions are?

A

repetitive behaviors or mental acts

33
Q

Phobias are?

A

persistent, irrational, exaggerated fear of specific stim or situation

accompanies by need to avoid the stim/situation

34
Q

Mental Status Eval: Thought Processes definition?

A

logic, coherence, relevance of thoughts related to goals

35
Q

Components of Mental Status Eval? (13)

A

1) General
2) Alert/orient
3) Speech
4) Motor
5) Mood
6) Affect
7) Attention
8) Memory
9) Perception
10) Insight
11) Judgement
12) Thought content
13) Thought processes

36
Q

What are Clang Associations?

A

pattern of speech where words are put together based on rhyme instead of concepts

37
Q

What is Neologism?

A

making up words

38
Q

What is perserveration?

A

a thought process of fixation on particular word, phrase, action

Q4 Psych (14 decks)

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