Past psych hx - Study guides, Class notes & Summaries

DSM: Development of diagnosis hypothesis (diagnostic formulation); Gather information and make assessment (723.1) Diagnostic Formulation considerations: 1. onset of issue 2. chronic/episodic 3. Family history 4. Use Multiple Sources (client, collateral) 5. context of information (e.g., currently in crisis?) 6. Use clinician observation and client reports (723.1) Assessment Rule out: 1) Malingering and Factitious Disorder, 2) a substance etiology, 3) an etiological medi...

PMHN Exam 3 |137 Questions with Verified Answers Dissociative disorders: - CORRECT ANSWER 1. Depersonalization/derealization 2. Dissociative amnesia 3. Dissociative fugue 4. Dissociative identify Depersonalization/derealization disorder: - CORRECT ANSWER Temporary change in awareness displaying depersonalization, derealization or both. Depersonalization: - CORRECT ANSWER Feeling of observing own personality or body from a distance. Out of body experience Derealization: - CORREC...

  How can you differentiate between Cushing and Addison disease? (in terms of secreting hormone). - Answer: Cushing: HYPERsecretion of Cortisol "C for Cushing, C for Cortisol". ADDison: HYPOsecretion of Cortisol & Aldosterone "ADD - Aldosterone" Mnemonic for Cushing - Answer: Mnemonic STRESSED Skin fragile Truncal obesity w/ small arms Rounded face "Moon face". Reproductive- amenorrhea and ED. Ecchymosis and Elevated BP Stretchmark on abdominal (purple color) Sugar e...

What is the standard template for charting? - Correct answer-HPI, ROS, Past History, PE, ED Course, Disposition What are some general PMHx? - Correct answer-Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes Mellitus (IDDM, NIDDM) What are some cardiac PMHx? - Correct answer-Myocardial Infarction, Coronary Artery Disease, Congestive Heart Failure, Atrial Fibrillation What are some pulmonary PMHx? - Correct answer-Pulmonary Embolism, Pneumonia, Chronic Obstructive Pulm...

Discrepancy between anatomical sex and gender is known as? B) Gender Discordance Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Rapid dose escalation; parental route of administration; higher potency typical antipsychotics Antipsychotic medication provides D2 blockage in the meso-coritcal pathway causing which of the following effects? B) Increases EPS Incorrect: reduces negative s/s, causes prolactinemia, reduces positive symptoms Ph...

Which of the following statements reflect the current understanding of DA pathways and clinical symptoms in schizophrenia? -Symptoms are related to DA deficit in the cerebral cortex; + are related to DA excess in the substantia nigra and VTA Which of the following findings would raise concern in a pre-school wellness exam for a 5 yo girl? Height 43 in, weight 55 lbs (she is overwt) A 24 yo mother of a 2 yo child presents to the clinic. Which of the following facial characteristics would lead...

21 yo female college student acne x 4 days concerned about appearance because wedding in 3 weeks Obj - acute acne over face with predominance of comedones and pustules Initial step in tx? ---------- Correct Answer --------- Topical retinoic acid Acne vulgaris: Usually a self-limited disorder of teenagers and young adults. Comedones (small cyst formed in hair follicle) are clinical hallmark; often accompanied by inflammatory lesions of Papules, Pustules, or Nodules. May scar in severe ca...

You want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? a. Stress importance of the team (look up evidence about how team affects outcomes) b. Describe how to improve and expand the team a What is the best way for the AGACNP to get involved in policy making? a. attend legislative days at the state capitol b. join a hospital committee c. write your local congressman d. review literature and give more in-services B What i...

THE PSYCHIATRIC INTERVIEW - CARLAT (NOTES) what are the 4 tasks of the interview? - CORRECT ANSWER-build an alliance obtain the Psychiatric database (hx relevant to their presentation today, PHx, Fhx, PMHx etc) interview for dx negotiate a tx plan what is our intitaly first job? how do we do this? - CORRECT ANSWER-to ease their suffering, this is before making a dx. all our pts are suffering, you have to address this first. how: depression is different for everybody and may present ...

Rosh Review Questions and Answers Already Passed A patient presents with dizziness. Romberg testing with the eyes open is normal, but with the eyes closed, the patient sways and almost falls over. Given this Romberg test result, pathology in which of the following systems is most likely? A Cardiovascular B Cerebellar C Vestibular D Visual Vestibular In the US, what is a common cause of imbalance due to peripheral disease? Diabetic distal peripheral polyneuropathy An elderly man complains o...