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T/F: A mental disorder is apparent when a person's response is much lesser than the expected reaction to a trauma. (98)
F: Greater
What characterizes a mental disorder? (98)
Significant behavioral or psychological pattern that is associated with distress or disability and has a significant risk of pain, disability. or death, or a loss of freedom.
What are the two types of mental disorders? (98)
Organic and psychological
How would you define organic disorders? (98)
Due to brain disease of known specific organic cause such as delerium, dementia, intoxication, and withdrawal.
What is psychiatric mental illness? (98)
Organic etiology hasnt been established.
T/F: Mental status can be scrutinized directly like the characterists of skin or heart sounds. (98)
F: Cannot
How is mental status inferred? (98)
  • Consciousness
  • Language:
  • Mood and affect.
  • Orientation
  • Attention
  • Memory
  • Abstract reasoning
  • Thought process
T/F: Consciousness is the most elementary or mental status functions. (98)
T
T/F: Loss of language doesn't have a heavy social impact because humans are able to cope. (98)
F: It does have a heavy social impact.
T/F: Affect is a prolonged expression of feelings, whereas mood is more temporary, but has a more profound impact on the emotional life. (98)
F: Affect is more temporary and mood is more prolonged.
T/F: Orientation is the awareness of the objective world in relation to others.
F: In relation to self.
T/F: Attention is the power of concentration, te ability to focus on one specific thing without being distracted by many environmental stimuli. (98)
T
T/F: Recent memory evokes day-to-day events whereas remote memory brings up years' worth of experiences. (98)
T
What is abstract reasoning? (98)
Pondering a deeper meaning beyond the concrete and literal.
What is thought process? (98)
The way a person thinks, the logical train of thought.
What the person thinks such as specific beliefs, ideas, and the use of words. (98)
Thought content.
T/F: Using the five senses to interpret the world is reasoning. (98)
F: Perception
At what point in a child's life is he/she conscous of their self? (98)
18 to 24 months
What is the pattern of development of language for a growing child? (98)
Individualized crying at 4 weeks, cooing at 6 weeks, one word sentences by age 1, and multi-word sentences by 2 years. They are ready to use communication as a social tool by the age of 4 or 5.
T/F: With again, there is a small loss of general knowlegde and vocabulary. (98)
F: There is no loss.
Abstract thinking typically first occurs when? (98)
12 to 15 years.
T/F: Quick presentations are an effective way of teaching an aged adult?
F: Their response time is slower.
Is recent memory or remote memory affected in aging? (98)
Recent memory is decreased.
How is hearing affeted the the elderly? (98)
They lose the ability to hear high-pitched sounds such as consonants.
What does A,B,C,T stand for during the mental health assessment? (98)
A - Appearance
B - Behavior
C - Cognition
T - Thought process
What situations would elicit a full mental status examination? (99)
  • Family members are concerned about a person's behavioral changes, such as memory loss, inappropriate social interaction.
  • Brain lesions. A mental status assessment documents any emotional or cognitive change associated with the lesion. Not recognizing these changes hinders care planning and creates problems with social readjustment.
  • Aphasia. Assessing language dysfunction as well as any emotional problems associated with it, such a sdepression or agitation.
  • Symptoms of psychiatric mental illnes, especially with acute onset.
What is aphasia? (99)
Impairment of language ability secondary to brain damage.
It is also important to note what certain factors that could affect the interpretation? (99)
  • Illnesses or health problems, such as alcoholism or chronic renal disease.
  • Current medications whose side effects may lead to confusion or depression
  • Usual educational and behavioral level
  • Responses to personal history questions, indicating current stress, social interaction patterns, sleep habits, drug and alcohol use.
Why is it important to assess the most basic functions such as consciousness and language first? (99)
It takes priority because impairment of those will impair the assessment of the subsequent functions.
Which abnormalities correlate with hyperthyroidism and anxiety? (99)
Sitting on edge of chair or curled in bed, tense muscles, frowining, darting watchful eyes, restless pacing.
Which abnormal body movements are associated with schizophrenia? (100)
Abnormal posturing and bizarre gestures.
Schizophrenic dressing? (100)
Eccentric dress combination and bizarre make-up
Grooming and hygiene with CVA? (100)
Unilateral neglect
Flat, masklike expression occurs with _________ and _________ (100)
Parkinson's and depression.
Dysphonia is abnormal ______ and _____. (100)
volume and pitch
Speech of Parkinson's/depression? Manic syndrome?
  • Montone
  • Rapid-fire, pressured, and loud
What is dysarthria? (100)
Abnormal speech.
How is speech affected in aphasia? (100)
Misuse of words; omits letters, syllables, or words; transposes words; or it takes an abnormally long time to find words or failure to say words.
T/F: Orientation is lost in the following order: Place, time, and then to person.
F: Time, then place, but rarely to person.
In what situations would somebody suffer recent memory loss? Remote memory? (101)
  • Delirium, dementia, organic disorders, Korsakoff's syndrome in chronic alcoholism.
  • Cortical storage area damage, Alzheimer's dementia or any disease that damages the cerebral cortex.
The four word test is conducted at what time intervals? What is the normal response? (101)
5, 10, and 30 minutes. For persons under 60 years, they should be accurate to three to four words and each delay interval.
How does aphasia affect word comprehension? (101)
Loss of ability to speak or write coherently, or to understand speech or writing due to brain attack (CVA)
When assessing judgement, what should you focus on? (102)
The person's judgement about daily or long-term life goals, the likelihood of acting in response to delusions or hallucinations, and the capacity for violent or suicidal behavior.
Impaired judgment (unrealistic or impulsive decisions, wish fulfillment) occurs with what? (102)
Mental retardation, emotional dysfunction, schizophrenia, and organic brain disease.
What questions could you ask yourself to assess thought processes? (102)
  • "Does this person make sense?"
  • Can I follow what they're saying?
Auditory and visual hallucinations occur with _________ and ___________ and ____________. Tactile hallucinations occur with __________. (102)
  • psychiatric
  • Organic
  • Alcohol withdrawal
What time period constitutes a high risk for suicide? What are the clues and warning signs? (103)
THe next 24 to 48 hours.
  • Prior attempts
  • Depression, hopelessness
  • Social withdrawal, running away
  • Self-mutilation
  • Hypersomnia or insomnia
  • Slowed psychomotor acitiviy
  • Anorexia
  • Verbal suicide messages
  • Death themes in art, jokes, writing, behaviors
  • Saying goodbye (giving away prized possesions)
T/F: The MiniMental State test concentrates on cognitive functioning, mood, and thought processes. (103)
F: Only on cognitive functioning.
T/F: The MiniMental State is a valid detector of psychological disorders. (103)
F: Organic disease
What is the normal score for the MiniMental State? What are the irregular scores? (103)
Normal people average 27. Scores between 24 and 30 indicate no cognitive impairment.
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