Week 1 and 2 Powerpoint

Question 1

Define mental health

Answer 1

The capacity of each and all of us to feel, think, and act in ways that enhance our ability to enjoy life and deal with the challenges we face
- positive sense of emotional and spiritual well-being

Question 2

True or False:

Mental health is more than the absence of mental illness

Answer 2

True

Question 3

True or False:

An individual with a mental illness can still have mental health

Answer 3

True

Question 4

What are some examples of phenomena that are associated with deteriorating mental health?

Answer 4

• growing inability to cope with problems and daily activities
• withdrawal from society/friends
• Excessive self-preoccupation
• Excessive anxiety/fear
• Prolonged deep depressed mood
• Extreme high and low moods

Question 5

What is the difference between a delusion and a hallucination?

Answer 5

Delusion = fixed false BELIEF
Hallucination = sensory based incidents that are not reality based

Question 6

Define mental health issue

Answer 6

Any departure from a state of mental or psychological well being (ex: anxiety)

Question 7

Define mental illness/disorder

Answer 7

Clinically recognized condition

- implies significant distress, dysfunction, or a substantial risk of a harmful or adverse outcome

Question 8

Define mental illness

Answer 8

Characterized by alterations in thinking, mood, and behaviour
- associated with significant distress and impaired functioning

Question 9

What are 5 protective factors associated with mental well-being (mental health)?

Answer 9

1. Individual factors
2. Family factors
3. School context
4. Life events and situations
5. Community and cultural factors

Question 10

What are 5 risk factors associated with mental well-being (mental health)?

Answer 10

1. Individual factors
2. Family/social factors
3. School context
4. Life events and situations
5. Community and cultural factors

Question 11

What are three examples of mood disorders?

Answer 11

1. Bipolar 1
2. Bipolar 2
3. Major depressive disorder

Question 12

What are three examples of anxiety disorders?

Answer 12

1. Panic disorder
2. Phobias
3. Obsessive compulsive disorder

Question 13

What are three examples of schizophrenia and other psychotic disorders?

Answer 13

1. Delusional disorder
2. Brief psychotic disorder
3. Psychotic disorders due to substances (cocaine)

Question 14

What are five example of somatoform disorders?

Answer 14

1. Somatization disorder
2. Pain disorder
3. Conversion disorder
4. Hypochondriasis
5. Factitious disorder

Question 15

What are the three clusters of personality disorders?

Answer 15

1. Cluster A - odd eccentric disorders
2. Cluster B - dramatic emotional disorders
3. Cluster C - anxious fearful disorders

Question 16

What are three examples of Cluster A Personality Disorders (odd eccentric disorders)?

Answer 16

1. Schizoid
2. Schizotypal
3. Paranoid

Question 17

What are three examples of Cluster B Personality Disorders (dramatic emotional disorders)?

Answer 17

1. Borderline
2. Anti-social
3. Histrionic
4. Narcissistic

Question 18

What are three examples of Cluster C Personality Disorders (anxious fearful disorders)?

Answer 18

1. Avoidant
2. Dependent
3. Obsessive-compulsive

Question 19

What are three examples of neuropsychiatric disorders?

Answer 19

1. Delirium
2. Alzheimer’s type dementia
3. Other dementias

Question 20

What are two other kinds of major mental disorders?

Answer 20

1. Eating disorders

2. Substance abuse/dependence disorders

Question 21

What is the purpose of the axes system of assessment?

Answer 21

To provide a comprehensive diagnosis

- includes a complete picture of a person’s mental health

Question 22

What are the names of the five axes?

Answer 22

Axis I: Clinical disorders
Axis II: Personality disorders, mental retardation
Axis III: General medical conditions
Axis IV: Psychosocial and environmental problems
Axis V: Global Assessment of functioning scale

Question 23

What is the GAF (Global Assessment of Functioning)?

Answer 23

Numeric scale ( 1 - 100) used by mental health clinicians and physicians to rate subjectively the:
- social, occupational, and psychological functioning of adults

Question 24

What is the meaning behind the psychological, social/interpersonal, and occupational categories when scoring a GAR?

Answer 24

Psychological = obsessions, panic attacks, etc
Social/interpersonal = maintaining friendships, personal hygiene
Occupational = work attendance, ability to follow directions

Question 25

What is stigma?

Answer 25

A negative stereotype

Question 26

What does the MSE stand for?

Answer 26

Mental Status Exam(ination)

Question 27

What is involved in the MSE?

Answer 27

- Objective observations by the clinician | - Subjective descriptions given by the client

Question 28

What is the MSE the psychological equivalent to?

Answer 28

H2T Physical Exam

Question 29

What is the purpose of the MSE?

Answer 29

- Provides information for diagnosis - Assessment of a disorder - Response to treatment

Question 30

What are the 9 components of the MSE?

Answer 30

1. General appearance 2. Behaviour 3. Speech 4. Mood and affect 5. Sensory/perception 6. Thought form/process 7. Thought Content 8. Sensorium & cognitive processes 9. Insight/judgement

Question 31

What do you need to focus on when addressing the "General Appearance" category of the MSE?

Answer 31

- build, posture, dress, grooming - level of alertness - facial expression - attitude towards examiner

Question 32

What do you need to focus on when addressing the "Behaviour" category of the MSE?

Answer 32

- eye contact - psychomotor activity - movements (tremor, abnormal movements, gait)

Question 33

What do you need to focus on when addressing the "Speech" category of the MSE?

Answer 33

- rate - rhythm (articulation, monotone) - volume - content

Question 34

What do you need to focus on when addressing the "Mood" category of the MSE?

Answer 34

The prevalent emotional state that the persons tells you they currently feel - subjective data - "fantastic", "sad", "depressed"

Question 35

What do you need to focus on when addressing the "Affect" category of the MSE?

Answer 35

The emotional state that the EXAMINER observes - facial expression and behaviour - looking at the: type, range, congruency, stability

Question 36

Define euthymic

Answer 36

Normal mood

Question 37

Define dysphoric

Answer 37

Depressed/irritable/angry mood

Question 38

Define euphoric

Answer 38

Elevated/elated mood

Question 39

Define congruency in regards to mood

Answer 39

Does the mood the examiner sees, match what the client says they're feeling?

Question 40

What does it mean if a client has a labile affect?

Answer 40

Excessive displays of emotion

Question 41

What are the 5 types of hallucinations?

Answer 41

- auditory - visual - tactile - olfactory - gustatory

Question 42

What is a hallucination?

Answer 42

A false sensory perception

Question 43

What do you need to focus on when addressing the "Thought form/processes" category of the MSE?

Answer 43

Describing the rate of thoughts, how they flow and how they are connected - normal or abnormal

Question 44

What does "Thought content" refer to in the MSE?

Answer 44

Refers to the themes that occupy the person's thoughts and perceptual disturbances - delusions, depressive thoughts, compulsions, phobias, self-harm

Question 45

What 5 things do you need to focus on when addressing the "Cognition" category of the MSE?

Answer 45

1. LOC 2. Attention and concentration 3. Memory 4. Abstraction 5. Orientation

Question 46

Define insight related to the MSE

Answer 46

Awareness of one's own illness and/or situation

Question 47

Define judgement related to the MSE

Answer 47

The ability to anticipate the consequences of one's behaviour and make decisions to safeguard own well-being and that of others

Question 48

Define anxiety

Answer 48

A group of conditions that share a key feature of excessive anxiety (predominant disturbance) - result in maladaptive behavioural, emotional, cognitive, and physiological responses

Question 49

True or False: | Anxiety can become chronic and can permeate into major portions of a person's life

Answer 49

True

Question 50

What are Maslow's 5 Hierarchy of Needs?

Answer 50

1. Physiological 2. Safety 3. Love/belonging 4. Esteem 5. Self-actualization

Question 51

When "we treat the whole person", what 4 things do we look at?

Answer 51

1. Biological 2. Psychological 3. Social 4. Spiritual

Question 52

What does cognitive behavioural therapy (CBT) focus on?

Answer 52

Focuses on the way people think and act

Question 53

True or False: | In CBT our thoughts have no impact on our actions

Answer 53

False | - In CBT, our thoughts about a situation affect how we feel and how we behave in that situation

Question 54

What is the main idea of CBT?

Answer 54

The meanings we ASSIGN to the situation that affect how we feel and act, NOT the situation itself

Question 55

What are 6 anxiety disorders?

Answer 55

1. Generalized anxiety disorder 2. Panic disorder 3. Agoraphobia 4. Phobia 5. Obsessive compulsive disorder 6. Post traumatic stress disorder

Question 56

What are coping skills?

Answer 56

Methods that a person uses to DEAL WITH a stressful situation - may help face it, take action, be flexible = conscious strategies

Question 57

What are defense mechanisms?

Answer 57

Automatic psychological process PROTECTING the individual against anxiety and from awareness of internal or external dangers = unconscious