Alt. Mental Exam 1

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Alt. Mental Exam 1
2013-02-26 19:12:48
Alt Mental Exam

Alt. Mental Exam 1
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  1. What are the 5 Axis?
    • I: mental disorder (depression)
    • II: personality (ODD, ADHD)
    • III: Medical (pneumonia)
    • IV: Environment (probs w/law, community, family)
    • V: GAF
  2. What is the ID?
    Hungry infant. No problem solving.
  3. What is ego? What stage of life does it emerge?
    Problem solver, reality tester. 4-5 month. 

    "Hungry man. I know i'm hungry and i know how to solve it"
  4. Superego
    all the should and should nots.
  5. Decrease in dopamine?
    • parkinson's 
    • depression
  6. increase in dopamine?
    • schizo
    • mania
  7. decrease in norepi?
  8. increase in norepi?
    • mania
    • anxiety
    • schizo
  9. decrease in serotonin?
  10. increase in serotonin?
  11. decrease in GABA?
    • anxiety
    • schizo
    • mania
    • huntington's
  12. increase in GABA??
    reduction in anxiety
  13. decrease in glutamate?
  14. increase in glutamate?
    improvement in behavioral tasks
  15. increase in ach?
  16. decrease in ach?
    • alzheimer's
    • huntington's
    • parkinson's
  17. SE of TCAs?
    ACH SE.
  18. SE of SSRI?
    no orgasm. no libido.
  19. SE of MAOI?
    MAOI tyramine crisis.
  20. Can you use MAOIs with other antidepress?
  21. what does lithium do to nervous and muscular?
    tremor, ataxia, confusion, convulsions.
  22. what does lithium do to digestive?
  23. what does lithium do to cardiac?
  24. does lithium cause polyuria, polydipsia, edema?
  25. what does lithium do to endocrine?
    goiter and hypothyroid
  26. when is a mental pt admitted?
    suicide/homicide/needs acute medical
  27. does an interpreter cost money?
  28. how do you pick an appropriate interpreter for a pt?
    close to age, gender, social status, religion, culture (has to be able to interpret culture) 

    non verbals interpreted from their culture. not western

    NOT family.
  29. what is beneficence?
    promote good of others

    (staying to calm an anxious pt)
  30. what is autonomy?
    respecting other's rights to make own decisions
  31. What is justice
    duty to share resources equally

    (nurse cares equally for suicide pt and brain aneurysm)
  32. what is fidelity?
    doing no wrong to pt
  33. what is veracity
    communicate truthfully

    (don't lie about effects and SE of drugs to pt)
  34. What is the least restrictive alt. doctrine?
    the least invasive way must be used first, then go on to the more agressive.
  35. What does the least restrictive doctrine mean for restraints?
    the least time needed is always used.
  36. What are the 3 stages of GAS? (general adaption syndrome)
    • alarm or acute
    • resistance or adaption
    • exhaustion
  37. What is distress and eustress?
    distress is stressors. 

    eustress is the good events. (vacation, called in for an interview)
  38. cognitive stress release techniques.


  39. who develops the defense mechanisms? Id, Ego, Superego?
  40. What are the levels of anxiety?
    • -Mild (restlessness)
    • -moderate (agitation)
    • -severe (can't function)
    • -panic (distorted perception)
  41. What is a panic attack?
    sudden onset of fear/impending doom
  42. what is agoraphobia?
    fear about being in a place or situation where you can't escape or it might be embarrassing.
  43. What is the difference between a panic disorder and a panic attack?
    Panic attack is a panic disorder w/o agoraphobia. (comes out of the blue. no time to think that there is a situation with no escape)
  44. What does release of GABA do to the anxiety?
    calms you down
  45. what is the psychodyamic theory of anxiety
    it's contagious
  46. what is the behavioral theory of anxiety?
    learned response to stimuli
  47. cognitive theory for anxiety?
    caused by distortion in thoughts
  48. what rating scale do you use to assess anxiety?
    hamilton rating scale
  49. Why are benzos the major med to use for anxiety?
    quick onset.
  50. why are benzos used the most but not for long periods?
    quick onset, but risk for dependency.
  51. how long does buspar need to take effect? why would i use that instead of benzo?
    2-4 weeks. doesn't have risk for dependency.
  52. how are antihistamines used?
    nonaddictive alt. to benzos. anxiety and substance abuse.
  53. How are beta blockers used?
    stops beta receptors. so heart doesn't beat as fast. treats "winter blues".
  54. what is used to treat GAD, PTSD...
  55. what is the leading cause of disability in the US.
  56. MDD (major depression disorder) is more common in men or women?
  57. which has a higher success rate for killing themselves? men or women?
  58. How do you differentiate b/w MDD and DD (dysthymic disorder)?
    duration and severity of Sx.
  59. why are endorphins important with depression?
    reduces sensitivity to pain
  60. how is exercise important to depression?
    gain control and relax.
  61. What did Pavlov come up with?
    classical conditioning. the dog and the bell.
  62. what did John B. Watson come up with?
    Behaviorism theory. girl and the hammer and rat.
  63. what did B. F. Skinner come up with?
    operant conditioning.