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Psychiatry > Special Populations > Flashcards

Special Populations Flashcards

1
Q

True or False: there is no definitive method for clinicans to determine who will commit suicide.

A

True

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2
Q

There are 13 risk factors, but rank the following into the top 5:

Male
Age (45 and older)
Irriation, rage, violence
Prior suicidal behavior
Alcohol dependence
A
  1. Prior suicidal behavior
  2. Age (45 and older)
  3. Alcohol dependence
  4. Irritation, rage, violence
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3
Q

What is the suicide prevention mechanism to make them feel accepted and understook by allowing them to talk?

A

Make psychological contact

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4
Q

What is the suicide prevention mechanism to determine, needs, risk, and protective factors?

A

Assessment

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5
Q

What is the suicide prevention mechanism to have the pt broaden problem solving capabiltiies but listing possible options instead of suicide?

A

Develop alternatives

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6
Q

What is the suicide prevention mechanism to move into problem-solving but asking “what can help?”

A

Define and impose goals

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7
Q

What is the suicide prevention mechanism to make a pact to not commit suicide while in treatment?

A

safety contract

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8
Q

What is the suicide prevention mechanism to reduce potential for impulsive act by confiscating stuff?

A

Removal means

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9
Q

What is the suicide prevention mechanism to monitor client and provide assistance, and allowing the pt to involve others, balance, and see roles of others?

A

Engage social support

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10
Q

What is the suicide prevention mechanism to provide consistent support during period of greatest need, mainly by giving emergency contact hotlines?

A

Contacts

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11
Q

What is the suicide prevention mechanism in high risk situations by following legal and hospital procedures?

A

Voluntary hospoitalization

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12
Q

What is the suicide prevention mechanism in high risk situations when the client is uncooperative?

A

Involuntary hospitalization

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13
Q

Which class of risk factors for suicide does the following belong under?

Mental disorders, schizophrenia, hopelessness, Hx of trauma/abuse, previous suicide attempt, family Hx of suicide

A

Biopsychosocial risk factors

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14
Q

Which class of risk factors for suicide does the following belong under?

Job/financial loss, relational or social loss, easy access to lethal means, and local clusters of suicide that have a contagious influence.

A

Environmental risk factors

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15
Q

Which class of risk factors for suicide does the following belong under?

Lack of social support, sense of isolation, stigma with seeking help/care, cultural and religious beliefs, and exposure to media and others who died by suicide

A

Sociocultural risk factors

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16
Q

Suicide rates for what occupation has increased signifcantly over the past 8 years?

A

US military

esp the Army and National Guard

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17
Q

There is mandatory reporting for what 4 conditions, as a professional has a “duty to report”?

A

Child abuse
Elder abuse
Suicide intention
Harm to another person

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18
Q

From the Tarasoff case, what must the therapist do to avert a foreseeable danger?

A

Therapist MUST warn a threatened person if a pt says theyre gonna hurt them

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19
Q

Which PA mental health procedure says a mentally disabled person has to be seen by a doc in TWO hours to see if they’re actually disabled?

A

§7302 on involuntary emergency examination

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20
Q

§7302 says that you can hold a pt for upto what time frame for emergency examination and treatment, until the pt is admitted for voluntary treatment or is extended?

A

120 hours

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21
Q

Which PA mental health procedure says the pt meets the 302 criteria but the threats are not imminent, a hearing is scheduled before an attorney who can determine whether or not they should get the 120 hours?

A

§7304

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22
Q

What form of child abuse involves non-accidental injury to the child (hitting, biting, choking, etc)?

A

Physical injury

23
Q

What form of child abuse involves attitude or behavior which interferes with a childs mental health or social development (yelling, shaming, lack of praise, etc)?

A

Mental injury

24
Q

What form of child abuse involves a sexual act between an adult and child?

A

Sexual abuse

25
Q

What form of child abuse involves showing porn to a child, voyerism of a child bathing, or watching child porn?

A

Sexual exploitation

26
Q

What form of child abuse involves repeated lack of supervision or the failure to provide the essentials of life?

A

Serious physical neglect

27
Q

True or False: you are required to report child abuse if you suspect it, even though it breaks confidentiality.

A

True

Failure to report is a misdemeanor of the 3rd degree

28
Q

This is a pattern of behavior used to establish power and control over another person with whom an intimate relationship, through fear and intimdation and threats.

A

Battery

29
Q

What % of women experience domestic violence in their life?

A

1/4

30
Q

True or False: females have been most often victimized by someone they knew.

A

True

31
Q

True or False: Mongolians will use sweet and sour pork from a Trojan Horse to trap you so they can break down the wall around your chittyyy

A

True

32
Q

What are the 3 phases of the abuse cycle?

A

Tension building
Acute incident
Honeymoon phase

33
Q

What is the form of elder abuse where there is any mistreatment from someone whom the elder has a special relationship?

A

Domestic elder abuse

34
Q

What is the form of elder abuse where there is mistreatment in a residential facility and is from a caregiver?

A

Institutional abuse.

35
Q

True or False: elder abuse can be phsyical, emotional, sexual, exploitation, neglect, or abandonment

A

True

36
Q

What % of elders experience abuse per year?

A

7.6-10%

37
Q

What are the 5 stages of bereavement?

A 
Shock/Disbelief
Anger
Barganing
Depression
Acceptance
38
Q

What is it called when a person is empowered to make decisions in the place of a pt who anticipates losing their own decision making capacity?

A

Proxy (durable power of attorney)

39
Q

What is it called regaring No Heroics in case of poor prognosis or end stage of life?

A

Advanced directive (living will)

40
Q

What must be the time frame of dying to have hospice care?

A

< 6 months to live

41
Q

This is a physician who is unable to practice medicine with reasonable skill and safety to patients because of physical or mental illness, including deterioration through the aging process or loss of motor skill, or excessive use or abuse of drugs including alcohol.

A

Impaired physician

42
Q

What % of docs have drug use disorders? Alcohol disorders?

A

6% drug use

14% alcohol use

43
Q

What 2 specialists physicians are 3x more likely to abuse substances than the general physicians?

A

Anesthesiologists

ER docs

44
Q

What is the first step in approaching another doc with a drug problem?

A

Approach him/her with your concerns and ask whether there is a problem.

45
Q

Which of the following positions is not covered under Pennsylvania’s PHP since 1970?

MD, DO, residents, medical students, Physician assistants, RNs, optometrists, Falkor from the Neverending Story

A

DO’s

46
Q

This is the condition where there is the presence of 2 or more distinct personality states or an experience of possession (exorcist stuff), with variable awareness of their other “states”

A

Dissociative identity disorder

47
Q

This is when there is a an inability to recall important autobiographical information which should have been stored in memory, usually from traumatic or stressful nature.

A

Dissociative amnesia

48
Q

This is the form of amnesia where there is a failoure to recall events during a specific period of time, and is the nmost common form of dissociative amnesia.

A

Localized amnesia

49
Q

This is the form of amnesia where there is some, but not all, recollection during a period of time.

A

Selective amnesia.

50
Q

This is the form of amnesia where there is a complete loss of memory for ones life history, and is relatively rare.

A

Generalized amnesia

51
Q

This is the condition where there is experiences of unreality, detachement, or bieng outside an observer with respct to thoughts, feelings, sensations, body, or actions.

A

Depersonalization

52
Q

This is when there are experiences of unreality or detachement with respect to surroundings (like ur dreaming).

A

Derealization

53
Q

What % of adults will have a depersonalization or realization in their life?

A

50%

Psychiatry (10 decks)

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