Assessment and Diagnosis 2

Question 1

suicide assessment

Answer 1

 Loss of Interest in Activities
 Tearfulness
 Atypical Sleeping Patterns
 Sudden Recovery from Depression
 Giving away possessions
 Displaying Themes of Death
 Extreme feeling of Hopelessness
Recent major object loss, especially if by
suicide (boyfriend, immediate family member,
pet, friend, idolized celebrity)
 The anniversary of a loss or birthday or a
person lost
 Loss of support or distance from nuclear
family.
 Psychotic or acutely confused or disoriented
(intoxication)
 Low self-esteem
 Very depressed
 Severe anxiety attacks
 Atypical eating and/or sleep patterns
(excessive increase or decrease).
Active substance abuse
 Fire-setting behaviors
 Recent suicide attempt which was highly lethal,
planned, and/or done while alone.
 Risk taking behaviors (gang involvement, speeding).
 Availability of method (ex: guns, pills) or purchase of
such
 History of significant suicide attempts
 Making suicidal gestures

Question 2

ego strength

Answer 2

the ability of the ego to effectively deal with the demands of the id, the superego, and reality.
It is a basis for resilience and helps maintain emotional stability by coping with internal and external stress

Question 3

comorbid

Answer 3

existing with or at the same time

Question 4

contraindicated

Answer 4

not recommended or safe to use

Question 5

delusion

Answer 5

false, fixed belief despite evidence to the contrary

Question 6

disorientation

Answer 6

confusion with regard to person, time, place

Question 7

idssociation

Answer 7

disturbance or change in the usual integrative function of memory, identity, perception, or consciousness
often seen when there is a hx of trauma

Question 8

endogenous depression

Answer 8

depression caused by biochemical imbalance rather than a psychosocial stressor or external factors

Question 9

exogenous depression

Answer 9

depression caused by external events or psychosocial factors

Question 10

folie a deux

Answer 10

shared delusion

Question 11

hallucinations

Answer 11

hearing, seeing, smelling or feelings something that is not real
*auditory is the most common

Question 12

hypomanic

Answer 12

elevated, expansive, or irritable mood that is less severe than full-blown manic symptoms
*typically not severe enough to interfere with functioning and not accompanied by psychotic symptoms

Question 13

postmorbid

Answer 13

subsequent to onset of an illness

Question 14

premorbid

Answer 14

prior to onset of an illness

Question 15

psychotic

Answer 15

experiencing delusions or hallucinations

Question 16

Mood Stabilizers

Answer 16

Lithium/lithium carbonate, eskalith, lithobid
 Depakote/valproic acid, divalproex, depakote sprinkles
 Tegretol/carbamazepine, carbotol
 Lamictal/lamotrigine
topamax/topiramate
Increases levels of GABA neurotransmitter and inhibits abnormal nerve impulses which cause seizures. Used with wide and rapid mood changes (rapid cyclers).

Question 17

Anti-Anxiety Medications

Answer 17

Librium, Xanax, Valium, Klonopin, Ativan, Ritalin, Buspar

These medications affects dopamine, norepinephrine and serotonin.

Question 18

Benzodiazepines

Answer 18

Librium
 Klonopin/clonazepam
 Valium/diazepam
 Xanax/alpreazolam
 Ativan/lorazepam
buspar/buspirone

highly addictive. Patients that are prescribed these medications should be closely monitored by a qualified medical professional. Additionally, the side effects of these medications are similar to being under the influence of alcohol. This fact should be taken into consideration before prescribing these meds for patients in recovery

Question 19

Anti-depressants (all)

Answer 19

Elavil, Cymbalta, Celexa, Prozac, Paxil, Effexor, Luvox, Lexapro, Wellbutrin, Zoloft, Remeron, Pamelor, Sinequan, Nardil, Parnate, Marplan, Vivactil

Generally increase the level and availability of the neurotransmitters serotonin and norepinephrine.

Question 20

SSRIs antidepressants

Answer 20

 Prozac/fluoxetine
 Luvox/fluvoxamine
 Zoloft/sertraline
 Paxil/paroxetine
 Lexapro/escitalopram
 Celexa/citalopram

Question 21

Atypical antidepressants

Answer 21

Wellbutrin/bupropion
 Effexor/venlafaxine
 Cymbalta
 Remeron/mirtazapine

desyrel/trazodone, serzone/nefazodone

Question 22

Monoamine Oxidase Inhibitors

MAOIs

Answer 22

Nardil/phenelzine
 Marplan
 Parnate/tranylcypromine

Question 23

Tricyclic Antidepressants

Answer 23

Sinequan/doxepin
 Vivactil/protriptyline
 Pamelor/nortriptyline

anafranil/clomipramine, asendin/amoxapine, elavil/amitriptyline, norpramin/desipramine, surmontil/trimipramine, tofranil/imipramine

Question 24

Anti-Psychotic Medications

Answer 24

Risperdal, Zyprexa, Seroquel, Geodon, Invega, Santris, Abilify, Thorazine, haldol
The medication reduces/blocks the dopamine neurotransmitter. Though non-addictive, these drugs are potentially harmful. Careful monitoring is required to prevent irreversible side effects. An additional medication may be prescribed to counteract side effects from the primary drug.

Question 25

Typical anti-psychotic medications

Answer 25

Thorazine/chlorpromazine haldol/haloperidol loxitane/loxapine, mellaril/thioridazine, moban/molindone, navane/thiothixene, prolixin/fluphenazine, serentil/mesoridazine, stelazine/trifluoperazine, trilafon/perphenazine

Question 26

Atypical anti-psychotic medications

Answer 26

``` Risperdal/risperidone Zyprexa/olanzapine Seroquel/quetiapine Geodon/ziprasidone Invega Santris Abilify/aripiprazole ```

Question 27

somatization

Answer 27

the unconscious process by which psychological distress is expressed in physical symptoms

Question 28

malingering

Answer 28

intentionally falsely or grossly exaggerating physical or psychological problems motivation is typically to avoid work/military or to gain benefit usually financial/medication etc. can be an adaptive response

Question 29

pure malingering

Answer 29

feigning a nonexistent disorder

Question 30

parital malingering

Answer 30

consciously exaggerating real symptoms

Question 31

fase imputation

Answer 31

ascribing real symptoms to a cause a client knows is unrelated to the symptoms

Question 32

Levels of Behavioral Health services

Answer 32

early intervention, outpatient services, intensive outpatient services, partial hospitalization, residential/inpatient services

Question 33

methods to assess organizational functioning

Answer 33

structural indicators - evaluation organization features such as training, equipment, office space, licenses, degrees obtained, etc organizational processes - assess effort rather than effect formative evaluations - look at how the work gets done in organization and satisfaction of those doing the work rather than outcomes outcome assessment - determine the extent to which the tangible, defined differences have been made

Question 34

secondary data

Answer 34

data that has already been collected for other purposes

Question 35

descriptive statistics

Answer 35

used to describe the basic feature of data | describe what the data shows

Question 36

inferential statistics

Answer 36

used to answer research questions or test models or hypotheses

Question 37

reliability

Answer 37

dependability, staility, consistency, predictability

Question 38

validity

Answer 38

accuracy

Question 39

external validity

Answer 39

can the results be generalized

Question 40

internal validity

Answer 40

is there confidence in cause/effect

Question 41

traumatization

Answer 41

when a client experiences neurological distress that does not go away or when he or she is not able to return to a state of equilibrium can lead to mental, social, emotional, and physical disability

Question 42

psychosocial stress

Answer 42

results when there is a perceived threat (real or imagined | typically caused by ongoing problems, not single events

Question 43

mental status examination should include

Answer 43

``` appearance orientation speech pattern affect/mood impulsive/potential for harm judgment/insight thought processing/reality testing intellectual functioning/memory ```