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NU 664 EXAM 2 with correct answers
levels |of |anxiety |- |correct |answer |✔1-normative, |perceptual |field |broadened 2-normative, |perceptual |field |mild |narrow 3-pathological, |VS |changes 4-pathological, |panic ataque |de |nervios |- |correct |answer |✔a |self-labeled |syndrome |found |in |Latinos |in |which |they |experience |a |mixture |of |anxiety, |panic, |depression, |and |anger older |adult |anxiety |symptoms |- |correct |answer |✔somatic |concerns DSM5 |anxiety |disorders |- |correct |answer |✔panic |disorder agorabphobia social |anxiety |disorder generalized |anxiety |disorder selective |mutism fear |vs |anxiety |- |correct |answer |✔panic |attacks |are |fear |response fear |is |imminent |threat anxiety |is |perceived/future
2 |components |of |anxiety |- |correct |answer |✔awareness |of |physiological |sensations |I.e. |VS | awareness |of |being |nervous/frightened limbic |system |- |correct |answer |✔amygdala, |hypothalamus, |hippocampus thalamus mild |anxiety |- |correct |answer |✔eustress motivating normal ___% |pts |with |GAD |have | 1 |other |psychiatric |disorder |- |correct |answer |✔90% ____ |of |people |with |GAD |also |have |____ |- |correct |answer |✔2/3 |also |have |MDD _____ |is |comorbid |with |BPD |and |body |dysmorphic |disorder |- |correct |answer |✔social |phobia medical |conditions |associated |w/ |anxiety |- |correct |answer |✔migraines anemia IBS PUD RA asthma/COPD
withdrawal |syndromes |that |mimic |anxiety |sx |- |correct |answer |✔SSRI |discontinuation |syndrome most |common |anxiety |disorder |<12 |- |correct |answer |✔separation |anxiety |disorder | important |to |consider |"normal |development" separation |anxiety |duration |- |correct |answer |✔ 4 |weeks |in |children 6 |months |in |adults selective |mutism |essential |feature |- |correct |answer |✔will |not |initiate |speech |or |reciprocate |with |others |in |social |situations | speak |w/ |immediate |family |members |at |home | most |common |<5 |YO duration | 1 |month separation |anxiety |essential |feature |- |correct |answer |✔excessive |fear/anxiety |focused |on |separation |from |home |or |attachment |figures nightmares kidnapping,monsters, |school |avoidance, specific |phobia |essential |feature |- |correct |answer |✔immediate |reaction |linked |to |"phobic |stimulus" |can |occur |in |presence |in |or |anticipation |of coding |for |specific |phobia |based |on |phobic |stimulus. |Give |codes |- |correct |answer |✔1. |animal
- |natural |environment |(heights, |storms, |water |etc)
- |blood |injection |injury |
- |situational |(airplanes, |elevators, |small |spaces)
- |other ____% |of |people |will |have |more |than |one |phobia |- |correct |answer |✔75% what |to |look |for |in |children |with |specific |phobia |(difficult |to |assess) |- |correct |answer |✔rule |out |normal |fear |I.e. |afraid |of |dark -may |"freeze, |cry, |tantrum" |bc |they |don't |understand |avoidance |of |phobic |stimulus social |anxiety |disorder | 2 |types |- |correct |answer |✔1. |performance |only
- |regular |in |all |situations social |anxiety |essential |feature |- |correct |answer |✔fear/anxiety |in |social |situations |of |being |negatively |scrutinized |including |fear |of |one's |own |responses |I.e. |excessive |blushing | self |medication |before |event |is |common |I.e. |ETOH |before |event panic |disorder |essential |feature |- |correct |answer |✔recurrent, |unexpected |panic |attacks |and |either |fear |of |future |attacks |or |modifying |behavior |to |try |and |avoid |future |attacks |(panic |attacks |alone |is |not |criteria |for |panic |attacks, |must |fear |future |or |modify |behavior |to |avoid" |I.e. |can't |go |to |grocery |store |b/c |what |if |I |have |a |panic |attack
frequent |comorbidity |of |agoraphobia |- |correct |answer |✔panic |d/o | used |to |be |coded |with |panic |d/o |but |now |always |coded |separately most |common |agoraphobic |stimulus |in | children adults |- |correct |answer |✔1. |being |outside |the |home |(think |of |being |lost)
- |standing |in |lines/being |in |a |crowd |(fear |of |falling |or |experiencing |panic-like |symptoms) GAD |essential |feature |- |correct |answer |✔excessive |anxiety |and |worry |about |a |number |of |events |or |activities | worry |can |"shift" |and |tends |to |be |expansive | "im |a |worrier, |I |was |always |a |worrier" DSM5 |GAD |criteria |___ |of | 6 |of |the |following |symptoms |for |most |days |for |___ |months |- |correct |answer |✔ 3 |or |more |of |the | 6 |for | 6 |months |
- |restlessness |"on |edge"
- |easily |fatigued
- |difficulty |concentrating
- |irritability |(common)
- |muscle |tensions
- |sleep |disturbance big |component |of |GAD |assessment |- |correct |answer |✔psych/social/family |history |is |huge
acute |onset |with |no |family |history |and |previously |high |functioning |and |no |hx |of |worry |then |investigate |substance |use/other |causes rare |but |common |example |of |cause |of |panic |attack |symptoms |- |correct |answer |✔pheochromocytoma ____ |is |common |example |of |medical |diagnosis |causing |GAD |symptoms |- |correct |answer |✔hyperthyroidism SCARED |screening |tool |- |correct |answer |✔anxiety |screening |for |pediatric |population | 40 |questions
30 |more |specific |for |diagnosis GAD-7 |- |correct |answer |✔over | 2 |weeks |bothered |by | 7 |symptoms |rated |0- anxiety |dx |first |line |meds |- |correct |answer |✔SSRIs | buspar | PRN |hydroxyzine, |clonidine, |propranolol |(performance |social |anxiety) treatments |for |specific |symptoms
- |panic |symptoms
- |general |anxiety, |excessive |worries |- |correct |answer |✔1. |biofeedback |
- |CBT
- |assigned |a |CPS |response |if |report |is |"screened |in"; |determine |reasonable |cause |to |believe supported, |unsupported reporter |receives |a |letter |from |DCF |of |department |response does |DCF |tell |the |family |who |made |report |of |child |abuse? |- |correct |answer |✔not |unless |ordered |by |a |court where |to |report |elder |abuse |- |correct |answer |✔elder |protective |servies, | 60 |YO |and |older | MA |elder |abuse |hotline who |to |report |abuse |if |under | 60 |- |correct |answer |✔disabled |persons |protection |commission who |do |you |call |to |report |abuse |of |patient |by |nursing |home/hospital |staff? |- |correct |answer |✔MA |department |of |public |health who |to |call |to |report |rape/sexual |assualt |- |correct |answer |✔department |of |criminal |justice/local |police |but |don't |include |victim's |name section | 12 |A |1/2 |- |correct |answer |✔reporting |rape/sexual |assault |by |clinician |treating |victim | describe |general |area |where |attack |occurred
Bupert |case |- |correct |answer |✔PA |duty |to |warn |case |mother |asserts |provider |knew |of |patient's |intention |to |kill |a |neighbor |and |should |have |warned |all |the |neighbors parens |patriae |- |correct |answer |✔doctrine |that |allows |the |state |to |step |in |and |serve |as |a |guardian |for |children, |the |mentally |ill, |the |incompetent, |the |elderly, |or |disabled |persons |who |are |unable |to |care |for |themselves section | 8 |- |correct |answer |✔commitment |to |Bridgewater |state |hospital section | 7 |- |correct |answer |✔civil |commitment section | 12 |criteria |- |correct |answer |✔ 3 |day |hospitalization |of |person's |by |reason |of |mental |illness |
- |imminent |risk |to |harm |self/others
- |substantial |risk |of |physical |harm |to |other |persons |manifested |by |homicidal/violent |behavior |
- |substantial |risk |of |physical |impariment/injury |to |person |by |evidence |of |impaired |judgment Roger's |guardian |- |correct |answer |✔psychiatric |med |administration | lawyer |only | appointed |by |probate/family |court MPC | 120 |form |- |correct |answer |✔form |to |file |petition |for |guardianship |of |incapacitated |person |(Roger's)
- |capacity CDC |most |frequent |suicide |precipitants |(top |5) |- |correct |answer |✔1. |relationship |problems |
- |crisis |in |past |or |upcoming | 2 |weeks
- |problematic |substance |use
- |physical |health |problem
- |job/financial |problems aspects |of |suicide |inquiry |assessment |- |correct |answer |✔1. |ideation: |frequency/intenisity |in |last |48h, |month |or |ever
- |plan: |time, |location, |availability, |preparation
- |behaviors: |past |attempts, |aborted |attempts
- |intent: |will |they |carry |it |out? |explore |ambivalence suicide |intervention |for |medium |risk |level |- |correct |answer |✔IOP |program |or |partial |program | imminent |risk |is |section | 12 |obvs SBQ-R |cut |off |score |- |correct |answer |✔suicide |assessment |risk, |cut |off |score |is | 8 |for |psychiatric |population | 7 |for |general |population SAD |PERSONS |- |correct |answer |✔Risk |factors |for |Suicide
Sex Age Depression Previous |attempts Ethanol loss |of |Rational |thinking Sickness Organized |plan No |social |support Stated |future |intent how |is |disorganized |thinking |assessed? |- |correct |answer |✔by |speech |patterns |of |clients |I.e. |tangental, |circumstantial, |word |salad, |loose |association what |is |the |cause |of |positive |symptoms |of |schizophrenia? |- |correct |answer |✔excessive |dopamine |in |mesolimbic |pathway what |is |the |cause |of |negative |symptoms |of |schizophrenia? |- |correct |answer |✔decreased |dopamine |in |mesocortical |pathway routine |monitoring |for |schizophrenia |pts |on |AS |meds |- |correct |answer |✔A1C lipid |profile BMI CBC height/weight
tx |with |AS schizophrenia |onset |age |men |vs |women |- |correct |answer |✔men |18- women |25-30s most |abused |drug |in |patients |with |schizophrenia? |- |correct |answer |✔alcohol dementia |precox |- |correct |answer |✔kraeplin/bueler |schizophrenia |theory | chronic |sx |no |fluctuating |course blubber | 4 |A's |- |correct |answer |✔associations affect autism ambivalence | 5th |A: |accessory |sx |(hallucinations/delusions) who |is |Kurt |Schneider |and |what |is |his |contribution? |- |correct |answer |✔coined |Schneiderian |sx |of |schizophrenia | first |rank |sx |(emphasized |the |positive |sx) high |risk |schizophrenia |births |- |correct |answer |✔spring |and |early |winter |(viral |exposure |in |utero)
too |much |dopamine |in |what |part |of |brain |results |in |positive |sx |of |schizophrenia? |- |correct |answer |✔basal |ganglia |(movement |and |emotions, |integrating |sensory |info); |D2 |receptors too |little |dopamine |in |what |part |of |brain |results |in |negative |symptoms |of |schizophrenia? |- |correct |answer |✔prefrontal |cortex |(executive |functioning); |D |receptors biological |abnormalities |of |brain |in |schizophrenia |- |correct |answer |✔1. |reduced |cerebral |ventricles
- |reduced |density |of |PFC, |thalamus, |cingulate |gyrus
- |abnormal |cell |migration |in |hippocampus |and |PFC phencyclidine |model |of |schizophrenia |- |correct |answer |✔neurotransmitter |hypothesis |of |too |much |glutamate schizophrenia |is |a |developmental |brain |d/o |involving |specific |pathways |r/t |_____ |in |brain |- |correct |answer |✔prefrontal |cortex _____ |have |protective |effect |in |schizophrenia |which |could |lead |to |delayed |onset |- |correct |answer |✔estrogen cyp3a4 |AS |meds |- |correct |answer |✔quetiapine ziprasidone | haldol
what |causes |NMS? |- |correct |answer |✔excessive |dopamine-2 |receptor |blockage NMS |- |correct |answer |✔-NMS |is |like |S&M; -you |get |hot |(hyperpyrexia) -stiff |(increased |muscle |tone) -sweaty |(diaphoresis) -BP, |pulse, |and |respirations |go |up |& -you |start |to |drool NMS |treatment |- |correct |answer |✔Dantrolene D2 |agonists |(e.g., |bromocriptine). For |NMS, |think |FEVER: Fever Encephalopathy Vitals |unstable Elevated |enzymes Rigidity |of |muscles FGAs |with |highest |weight |gain |- |correct |answer |✔clozapine olanzapine when |do |you |initiate |schizophrenia |tx |with |clozapine? |- |correct |answer |✔failure |of |at |least | 2 |other |meds
refractory |schizophrenia |high |risk |for |suicide goal |BMI |and |weight |circumference |for |men |+ |women |on |FGAs |- |correct |answer |✔BMI |25- MEN: |under | 32 |inch |waist women: |under | 40 |inch |waist Antipsychotics |FDA |approved |for |ages |13-17? |- |correct |answer |✔risperidal |and |aripiprazole SGA's |main |risks |- |correct |answer |✔weight |gain/metabolic |syndrome |(CATIE |study-43% |develop |metabolic |syndrome) | increased |CV |disease anticholinergic sedation why |do |SGA |have |lower |risk |for |EPS |side |effects? |- |correct |answer |✔dopamine |has |inverse |relationship |with |acetylcholine, |when |serotonin |is |blocked |in |nigrostriatal |pathway |by |SGA, |dopamine |increases |which |causes |ACh |to |decrease |(EPS |are |caused |by |increased |ACh) DSM5 |outline |for |cultural |formulation |categories |- |correct |answer |✔1. |cultural |identity |of |individual
- |cultural |concept |of |distress
- |psychosocial |stressors |and |cultural |features |of |vulnerability |and |resilience
- |cultural |features |of |the |relationship |between |individual |and |clinician |
