Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NURS 329 Psychiatric Nursing > DSM IV, DSM 5 & SCID > Flashcards

DSM IV, DSM 5 & SCID Flashcards

Diagnostic Statistical Manual IV Structured Clinical Interview for Diagnosis (52 cards)

Start Studying
1
Q

DSM IV

A

Diagnostic Statistical Manual IV - this is the older version., based more on consensus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

DSM 5

A

Diagnostic Statistical Manual 5 - this is the newer version, based more on evidence and research

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Axis I

A

Major Mental Health Disorders - such as depression, anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Axis II

A

Personality DIsorders and Mental Retardation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Personality Disorders and treatment

A

not a lot of treatment we do and not a lot of getting better - there is psychotherapy but there is not a lot of treatment to address the issue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Axis III

A

General Medical Conditions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Axis IV

A

Psychosocial & Environmental Problems

  • problems that are related to mental illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Axis V

A

Global Assessment of Functioning (GAF)

this is a number from 0-100 for insurance reimbursement purposes

all of us in class would be around 99

50 is the cutoff - 50 and below indicates a need for inpatient intensive care

10 or below is a serious risk for harm to self and others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

DSM IV

A

Has 5 axis system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

DSM-5 is non axial - what is combined ?

A

DSM-IV axes I, II, and III have been combined

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What axis has been eliminated in DSM-5

A

Global Assessment of Functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

WHODAS

A

World Health Organization Disability Assessment Schedule

This is what the DSM-5 uses instead of GAF (Global Assessment of Functioning)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

NOS

A

not otherwise specified - would see this in old DSM IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SCID

A

Structured Clinical Interview for Diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is SCID ?

A

The subjective and objective process of making mental health disorder diagnoses

you are asking a barrage of questions and rating their responses and adding up numbers to see if they reach a diagnosis threshold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The etiology of most mental health disorders is _________

A

unknown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In the SCID, what is the first thing you do ?

A

Ask qualifying questions ……

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Psychiatric diagnoses are ___________ from medical diagnoses

A

different.

Its based on how you answer questions, what you are feeling and what the clinician observes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

past or present

A

many diagnoses make the distinction of being past or present

Alcohol dependence Present

Alcohol Dependence Past

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

If someone is diagnosed with Alcohol Dependence Present, what does this mean?

A

They have presented symptoms within the past 60 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

If someone is alcohol dependence past, what does this mean ?

Study These Flashcards
A

The person has exhibited symptoms over 60 days ago, but not within 0-60 days

22
Q

Mood disorders

Study These Flashcards
A 
Major Depressive Disorder 
Bipolar 1 Disorder (more severe than Bipolar 2)
Bipolar 2 Disorder 
Dysthymic Disorder 
Mood D/O due to a Medical Condition 
Mood D/O due to Substance Abuse
23
Q

Major Depressive Disorder

Study These Flashcards
A

down and depressed most of the day, nearly every day for a two week period

lost interest or pleasure in things you usually enjoy (2 week period)

24
Q

Major Depressive Disorder

Study These Flashcards
A 
Appetite - can be up or down 
Sleep - can be too much or none
Motor (restlessness or lethargic)
Feelings of Worthlessness
Inappropriate Guilt 
Concentration, Indecisiveness 
Suicidal Ideation
25
Suicidal Ideation
best to ease into these questions 1. Life is too hard 2. Better off dead 3. Thoughts of self-harm 4. Plan 5. Attempt
26
Bipolar I
Have diagnosis of major depressive disorder in addition to manic episodes
27
Manic Episodes
Has there ever been a time when you were feeling so good, so “high”, excited or hyper that other said you were not acting your normal self? What about periods of anger, rage, that concerned others?
28
what is an often misdiagnosed symptom of manic episode ?
Rage
29
Why is it so important to distinctly identify depression and bipolar disorder ?
For med treatment, if you are bipolar and given an SSRI this is contraindicated, because it will trigger manic episodes. Thats why its so important to make an accurate diagnosis
30
Bipolar I , Manic Episodes
more severe manic episodes last at least 1 week issues of functioning ``` Inflated self-Esteem Require less sleep? Thoughts racing Easily distracted Increased goal directed activity (Work, cleaning, sexual acting out) Impulsive spending or trips Mixed Episodes at same time ```
31
Bipolar II
periods of hypomania (not as severe) manic episode is less than a week there are no real issues of functioning
32
Dysthymic Disorder (DSM IV)
renamed persistent depressive disorder (DSM 5) ``` During the past couple of years have you been bothered by depressed mood more days than not? Appetite Sleep Energy level Feeling down on yourself Trouble concentrating ```
33
Substance Abuse DIsorders - multiple categories
``` Alcohol Sedatives Cannabis Stimulants Opioid Cocaine Hallucinogens/PCP Poly Drug Abuse ```
34
In DSM IV, for substance abuse disorders, they made the distinction between _________ and ___________
Abuse versus Dependence
35
Abuse qualifying questions
Missed work or School because you were intoxicated, high or hung over (recurrent) What about not keeping your house clean, taking proper care of your children Drink in situations that could be considered dangerous- drive, use machines (recurrent) Trouble with the law (recurrent)
36
Dependence Qualifying Questions
Drank more than initially intended Ever try to cut down or stop your drinking Spent a lot of time drinking, being drunk or hung over Lost interest in hobbies, friends due to drinking Blackouts (recurrent) Tolerance Withdrawal
37
blackouts pertaining to alcohol
conscious while it happened but have no memory of it
38
SUD
Substance Use Disorder
39
In DSM 5, substance ________ and substance ______________ were combined into a single disorder .
Abuse; dependence
40
someone can have a panic attack without being diagnosed with a panic disorder. True or false
True
41
Anxiety Disorders
Panic Disorders - with or without agoraphobia Panic Attacks Social Phobias (public speaking) Specific Phobias (animal, environmental –heights, storms, Blood, injection types, situational (flying, bridges, elevators) Others (choking, contacting illness, clowns, children avoidance)
42
Obsessive Compulsive
Recurrent persistent thoughts or images causing distress
43
Compulsive Behaviors
repetitive, hand washing, checking, mental acts, counting, touching, cleaning aimed at reducing stress or preventing some dreaded event
44
PTSD
Sometimes things happen to people that are extremely upsetting, like being in a life threatening situation like a major disaster, very serious accident or fire, or being physically assaulted or raped, or seeing another person killed or hurt or hearing about something horrible that has happened to someone close to you.
45
PTSD symptoms
Intense Fear, helpless, horror Recurrent or distressing recollections Dreams, nightmares Feeling like the event reoccurs Distress over any cues that remind you of the event Physical Sx – heavy breathing, heart pounding Avoids places or people that remind you of the event Inability to recall certain aspects of the event Diminished interest in activities and feelings ``` Difficulty Sleeping - falling asleep or staying asleep Irritability, outbursts of anger Difficulty concentrating Hyper-vigilance Exaggerated startle response ```
46
Somatoform Disorders
Pain Disorder - having pain, though there is no seeming cause Hypochondriasis - believing you have an illness when there is no evidence of it Body Dysmorphic
47
Eating Disorders
Anorexia Nervosa Bulimia Binge Eating Disorder (new in DSM 5)
48
Psychotic Disorders
Schizophrenia
49
Diagnostic criteria for Schizophrenia
Delusions (religious, grandiose, paranoid, somatic) Hallucinations (auditory, visual, tactile) Disorganized speech (e.g., frequent derailment or incoherence Grossly disorganized or catatonic behavior Negative symptoms, i.e., affective flattening, alogia (poverty of speech), or avolition (lack of motivation)
50
Regarding schizophrenia, positive symptoms are the
Delusions (religious, grandiose, paranoid, somatic) Hallucinations (auditory, visual, tactile) Disorganized speech (e.g., frequent derailment or incoherence Grossly disorganized or catatonic behavior
51
What is Schizoaffective Disorder ?
A dual diagnosis of Schizophrenia with mood disorder
52
Thing to note about personality disorders
medications generally are not very effective these personalities are ingrained and don't change much these individuals often do not do well in groups as the symptoms become especially evident in groups Long term individual therapy is the best course of action

NURS 329 Psychiatric Nursing (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions