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Clinical Skills: Unit 4 > Behavioral and Mental Status > Flashcards

Behavioral and Mental Status Flashcards

(75 cards)

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1
Q

What percentage of patients with one mental disorder meet the criteria for additional disorders?

A

50%

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2
Q

Symptom that reflects a mental or emotional state.

A

Psychological

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3
Q

Symptom relating to the bodily sensation such as pain, fatigue, or palpitation.

A

Physical (Somatic)

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4
Q

How are symptoms of mental disorders often described by patients?

A

Clusters of Functional Syndromes

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5
Q

What percentage of patients with depression report a physical complaint?

A

66%

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6
Q

Patients with unexplained and somatic symptoms are often also labeled as “frequent flyers” Many of these patients are said to be what?

A

Difficult Encounters

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7
Q

Unexplained conditions lasting more than 6 weeks should prompt screening for what two mental health conditions?

A

Anxiety
Depression

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8
Q

Brief screening questions with high sensitivity and specificity to identify those at high risk of a mental health issue. Provides a follow-up detailed investigation when indicated.

A

Two-Tier Approach

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9
Q

Mental health screen that serves as an initial screen for 5 general groups of mental disorders.
26 Questions and takes 10 minutes.

A

PRIME-MD
(Primary Care Evaluation of Mental Disorders)

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10
Q

What is an effective way of taking a health history without it seeming like an interrogation?

A

Integrate your evaluation of mental status into the history

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11
Q

Major depression affects what percent of the population?

A

9%

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12
Q

What fraction of adults in the United States experience a mental illness in a given year?

A

1 in 5

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13
Q

What fractions of adults in the United States experience a serious mental illness in a given year?

A

1 in 25

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14
Q

Term used to describe loss of pleasure in daily activities?

A

Anhedonia

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15
Q

What is the 10th leading cause of death in the United States?

A

Suicide

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16
Q

What is the 2nd leading cause of death among individuals between the ages of 15 - 24 years old?

A

Suicide

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17
Q

Do men or women attempt suicide more frequently?

A

Women

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18
Q

While women are more likely to attempt suicide, how much more likely are men to commit suicide?

A

4x more likely

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19
Q

How many people have a substance abuse disorder in the United States?

A

22 million

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20
Q

What percentage of the population 12+ year old report binge drinking?

A

23%

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21
Q

What are the 5 components of a Mental Status Exam?

A

Appearance and Behavior
Speech and Language
Mood
Thoughts and Perceptions
Cognitive Function

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22
Q

The use of many words when fewer words could be used.

A

Circumlocutions

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23
Q

When words are malformed or misused.

A

Paraphrasias

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24
Q

Speech disorder that makes it difficult to speak clearly due to issues with the muscles, nerves, or brain that control speech

A

Dysarthria

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25
Loss of ability to understand or express language.
Aphasia
26
Having an abnormal voice such as impaired volume, quality, or pitch.
Dysphonia
27
If you suspect depression or a possible risk of suicide, what is your responsibility as a provider.
Ask direct questions about suicidal thoughts
28
Speech with unnecessary detail, indirection, or delay in reaching a point.
Circumstantiality
29
Circumstantiality is seen in individuals with what mental health condition?
Obsession
30
Shifting topics that are loosely connected or unrelated.
Derailment
31
Derailment is seen in patients with mental health condition?
Schizophrenia Mania
32
Continuous flow of speech, or accelerated speech with abrupt changes of topic.
Flight of Ideas
33
Flight of Ideas are seen in individuals with what mental health condition?
Manic Episodes
34
Invented or distorted words.
Neologisms
35
Neologisms are seen in individuals with what mental health condition?
Schizophrenia Psychotic Disorders Aphasia
36
Illogical or incomprehensible speech with the lack of meaningful connections
Incoherence
37
Incoherence is seen in individuals with what mental health condition?
Schizophrenia
38
Sudden interruption of speech in the middle of a sentence. "Losing the thought"
Blocking
39
Blocking is seen in individuals with what mental health condition?
Schizophrenia
40
Fabrication of facts or events that fill the gap with impaired memory.
Confabulation
41
Confabulation is seen in individuals with what mental health condition?
Korsakoff Syndrome (due to Alcoholism)
42
Persistent repetition of words or ideas.
Perseveration
43
Perseveration is seen in individuals with what mental health condition?
Schizophrenia Psychotic Disorders
44
Repetition of the words or phrases of others.
Echolalia
45
Echolalia is seen in individuals with what mental health condition?
Manic Episodes Schizophrenia
46
Choosing words based on sounds, rhymes, and puns, rather than meaning. "Two eyes, one nose, the nose knows"
Clanging
47
Clanging is seen in individuals with what mental health condition?
Schizophrenia Manic Episodes
48
Repetitive behaviors that the person feels driven to perform in response to an obsession in order to reduce anxiety.
Compulsions
49
Recurrent thought, images, or urges experienced as intrusive or unwanted, with attempts to suppress.
Obsessions
50
Persistent irrational fears or compelling desires to avoid the stimulus.
Phobias
51
Apprehensive anticipating of future danger.
Anxieties
52
A sense that the environment is strange, unreal, or remote.
Feelings of Unreality
53
A sense that one's identity is different, changed, unreal, or lost.
Feelings of Depersonalization
54
False and fixed personal beliefs that are not amenable to change in the light of conflicting evidence.
Delusions
55
Misinterpretations of real external stimuli, such as mistaking rustling leaves for the sound of voices.
Illusions
56
Perception-like experience that seem real but lack actual external stimuli.
Hallucinations
57
A patient's awareness of their symptoms, mood, thoughts, and perceptions.
Insight
58
Patients with what mental disorder often lack insight?
Psychotic Disorders
59
Anxiety, mood disorders, delirium, psychotic states, intelligence, education, income, and cultural values can all influence what?
Judgement
60
Disorientation is common when attention is impaired. What is an example of a condition that would cause disorientation.
Delirium
61
Recite a series of digits, starting with two at a time and speaking each number clearly at a rate of about one per second.
Digit Span
62
During a Digit Span exam, how many digits should they be able to recite forward and backwards?
5 Forward 4 Backward
63
What may cause a patient to have poor performance on the Digit Span exam?
Delirium Dementia Intellectual Disability Performance Anxiety
64
Instruct patient to count backwards from 100 and subtract 7 each time.
Serial 7s
65
Poor performance of the Serial 7s may be due to what conditions?
Delirium Dementia Intellectual Disability Anxiety Depression
66
Remote memory is also known as?
Long-Term Memory
67
What stage of Dementia patients usually have their Remote Memory still intact?
Early Stage Dementia
68
Recent memory is also known as?
Short-Term Memory
69
Give the patient 3 - 4 words and ask the patient to repeat them. After 5 minutes, ask the patient to repeat them again.
New Learning Ability (Cognitive Function Test)
70
Inability to copy figures of increasing complexity onto a piece of blank paper would suggest what?
Dementia Parietal Lobe Damage
71
A special technique used by any provider to screen for Cognitive dysfunction or dementia and allows the ability to follow their course over time.
Mini-Mental Status Exam (MMSE)
72
A score of 0 - 9 on the MMSE would indicate what disease?
Late-Stage or Severe Alzheimers
73
A score of 10 - 19 on the MMSE would indicate what disease?
Middle Stage or Moderate Alzheimers
74
A score of 20 - 23 on the MMSE would indicate what disease?
Mild Cognitive Impairment or Early Stage Alzheimers
75
A score of 24 - 30 on the MMSE would indicate what?
"Normal" Range

Clinical Skills: Unit 4 (5 decks)

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