Psychiatric Disorders/Tests

Question 1

Define mental health

Answer 1

“a state of WELL-BEING in which the individual REALIZES his or her own abilities, can COPE with the normal stresses of life, can WORK productively and fruitfully, and is able to make a CONTRIBUTION to his or her community.”

Question 2

Define Mental Illness

Answer 2

health conditions that are characterized by ALTERATIONS in THINKING, MOOD, or BEHAVIOR (or some combination thereof) associated with DISTRESS and/or IMPAIRED FUNCTIONING.”

Question 3

Identify the suspected percentage of mental illness that goes undetected by primary care providers

Answer 3

25-30% of patients who present to a PCP have a PSYCHOLOGICAL disorder.

Question 4

Discuss the reasons why the psychological disorders are missed.

Answer 4

• Inadequate knowledg, compassion, and skills
• time pressure
• rationalizing emotional stress
• Inadequate reimbursement/coverage

Question 5

How many axes are included in the DSM-IV?

Answer 5

Multi-axial system (5 axes)

Question 6

What is included in Axis 1?

Answer 6

clinical disorders that may be the cause of clinical attention

Question 7

What is included in Axis 2?

Answer 7

Personality disorders & mental retardation

Question 8

What is included in Axis 3?

Answer 8

Gen. med conditions that may be related to or affect the psych conditions

Question 9

What is included in Axis 4?

Answer 9

Psychosocial & Environmental stressors that may affect treatment & prognosis of the mental disorder

Question 10

What is included in Axis 5?

Answer 10

Global assessment of functioning (GAF) (organized in a dimensional manner)

Question 11

What does the Global Assessment of functioning indicate?

Answer 11

psychologically, socially, and occupationally

Question 12

What are the 3 psychological assessment tests?

Answer 12

GAF, SOFA, and GARFS

Question 13

What does the Social and Occupational Functioning Assessment Scale (SOFA) scale indicate?

Answer 13

Measures an individual’s level of social and occupational functioning

Question 14

What does the Global Assessment of Relational Functioning Scale (GARFS) scale indicate?

Answer 14

Describes and quantifies the RELATIONAL context within which the patient lives and within which problems occur

Question 15

Define psychosis

Answer 15

loss of contact with reality

Question 16

Define neurosis

Answer 16

difficulty coping with reality

Question 17

Name several disorders diagnosed in childhood

Answer 17

Mental retardation
Learning disorders
Motor skill disorders
Communication disorders
Pervasive development disorders
Attention deficit disorders
Disruptive behavior disorders
Feeding/eating disorders

Question 18

Define cognitive disorders

Answer 18

disorders that include memory, language, orientation, judgment, conduct of interpersonal relationships, performance of tasks, and problem solving

Question 19

What are the 3 major cognitive disorders?

Answer 19

Delirium, Dementia, and Amnesia

Question 20

Define delirium

Answer 20

short term confusion and disorientation that has a rapid onset (hours/days) and is accompanied by an altered level of consciousness

Question 21

Define dementia

Answer 21

• impairment in memory, judgment, orientation, and/or general cognition.
• the onset is much slower (months, years), and does not have an altered level of consciousness

Question 22

Define amnesia

Answer 22

memory impairment & forgetfulness

Question 23

Describe the Bender-Gestalt psychological test

Answer 23

Used to detect problems in perceptual-motor coordination by asking the patient to copy simple geometric drawings
-tests visual, motor maturity

Question 24

Describe the Halstead-Reitan Battery (HRB) psychological test

Answer 24

consists of a fixed set of eight or more tests (various batteries) used to evaluate brain & nervous system functioning in individuals aged 15+
-SENSORY, MOTOR, VERBAL AND COGNITIVE

Question 25

Describe the Luria-Nebraska Neuropsychological Battery (LNNB) psychological test

Answer 25

A SCREENING TOOL to determine whether a significant brain injury is present or to learn more about known brain injuries. It is also used to determine what the patient IS OR IS NOT ABLE TO DO with regard to neuropsychological functioning. -DISTINGUISH BETWEEN BRAIN DAMAGE AND FUNCTIONAL MENTAL DISORDERS -(SENSORY, MOTOR, VERBAL AND NONVERBAL, COGNITIVE, BOTH HEMISPHERES)

Question 26

Describe the Wechsler Adult Intelligence Scale Revised (WAIS-R) psychological test

Answer 26

General test of intelligence that measures IQ

Question 27

What is the most commonly used psychological test

Answer 27

Minnesota Multiphasic Personality Inventory (MMPI-2)

Question 28

Describe the Minnesota Multiphasic Personality Inventory psychological test

Answer 28

objective “true-false” test particularly useful in detecting malingering. -Used to evaluate the effectiveness of treatment programs

Question 29

Describe the Rorschach (Inkblot) psychological test

Answer 29

Projective test that examines the personality characteristics and emotional functioning of their patients -differentiates psychotic from non-psychotic thinking

Question 30

Describe the sentence completion test (SCT)

Answer 30

Projective test that is used to identify a patient’s problems by the use of verbal associations

Question 31

Describe the Thematic Apperception test (TAT)

Answer 31

Projective test used to evaluate conflicts and emotions outside of a patient’s awareness by asking the patient to make up stories based on drawings