Week 5 - Mental Health Flashcards
(51 cards)
Important to assess ___. Are they well-dressed and groomed? Do they look older than what they actually are? What types of facial expressions do they make? Are they making eye contact with you?
appearance
Be sure to maintain ___ space and sit ___ to the pt so that they have the option of either looking at you or away from you.
interpersonal, adjacent
Assess their level of ___. Are they motionless and lethargic or hyper and tapping a foot?
activity
Monitor for any abnormal movements, such as ___ or ___.
tics, tremors
AIMS stands for ___ ___ ___ ___ and assess for ___ ___ in pt’s taking psychotropic meds.
abnormal involuntary mvmnt scale, tardive dyskinesia
Repetitive clearing of the throat or eye blinking are examples of ___.
tics
Assess ___ for rate, volume, quantity, and characteristics.
speech
Rapid speech may indicate ___, whereas slow speech may indicate ___.
anxiety, depression
Assess ___ to interviewer and whether they are ___ and open in conversation.
responsiveness, cooperative
The competencies for assessing mental health pt’s include: 1) detecting ___ and nonverbal ___, characteristics, ___, ___, and ___ to interviewer that gives clues to mental state. 2) interpreting ___ and ___ across the life span. 3) assess the potential for ___ and ___ behavior. 4) detecting ___ s/s. 5) differentiate among ___ span, short/long term ___, working ___, conceptual processes and ___.
1) motor, behavior, appearance, speech, responsiveness
2) mood, affect
3) violent, suicidal
4) psychotic
5) attention, memory, memory, judgment
Two questions to ask when assessing mood. Over the past 2 weeks have you felt, down, ___, or ___? Over the past 2 weeks have you felt little ___ or ___ in doing things?
depressed, hopeless, interest, pleasure
If you get a “yes” answer to either of the 2 questions, ask pt about ___ and rate mood on scale of ___-___.
duration, 0-10
Depression scales include: ___ depression scale, ___-___ from PrimeMD, and ___ self rating depression scale.
beck, PHQ-9, Zung
Children often report ___ symptoms along w/feeling sad, such as stomach ache.
physical
Mood disorders in children are often secondary to ___ dysfunction, ___ difficulty, or ___ difficulty.
family, academic, social
If pt has a cognitive impairment, may not be able to assess accurately for ___. May need to rely on ___. ALWAYS check ___ and consider coexisting ___.
depression, caregiver, meds, morbidities
W/dementia, there is ___ onset, lack of ___, attempt to respond to MMSE questions, will see altered ___/___ spatial ability.
gradual, concern, language/visual
W/depression, there is ___ onset (wks to months), the pt states “I don’t know” to MMSE questions, voices ___, there is a ___/___ hx of depression, ___/___ is preserved.
fast, concern, family/personal, language/construction
T or F: Ind w/depressive disorder are less likely to try calculations.
True
T or F: Ind w/depressive disorder are more likely to report sadness.
True
T or F: Ind w/depressive disorder have problems w/word usage.
False
Risk of suicide ___ w/age, but also peaks during ___ as well.
increases, adolescence
T or F: there is no evidence of increased suicide when it comes to occupation.
True
There is a ___ rate of suicide in men.
higher
