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Psychiatric Evaluations & Follow Ups
Neurobiology
Mystery ?s
Modalities & Theorists
DSM 5 and more...
100
The part of the psychiatric evaluation that is a subjective account of the patient symptoms.
What is the HPI (history of present illness) The ROS (review of systems) is a subjective account of other body systems The CC (chief complaint) is a patient or caregiver quote which briefly states the reason for the appointment/evaluation
100
The place of the brain where noradrenergic neurons originate
What is locus coeruleus
100
The common term for tetrahydrocannabinolol.
What is marijuana? (THC)
100
A CAM (Complementary Alternative Medicine) whose goal is to educate patients on how to consciously control physiologic involuntary processes, hence reducing pain.
What is Biofeedback?
100
True or False: According to DSM IV-R, one could not be diagnosed with ADHD if one also had an ASD (Autism Spectrum Disorder) diagnosis
What is True. DSM 5 changed this exclusionary criteria based on clinical research and empiric reporting (Many clients with PDD and Aspergers (now ASD in DSM 5) also meet and have met criteria for ADHD.
200
True or false: The amount of time spent with a client is the most important component of a psychiatric evaluative visit in determining what code to use.
What is false **time is important when determining code for psychotherapy (always needed) and if more than half of an evaluative visit is spent in counseling and coordination of care
200
The 2 neurotransmitters that are rapidly increased in the prefrontal cortex after a stimulant is administered.
What are norepinephrine and dopamine?
200
What NCSBN stands for
What is National Council for State Boards of Nursing whose task force created National Concensus Model for APRNs
200
True or False: Complementary Alternative Medicines were developed to be used in place on medical treatments
What is False? Complementary = in addition to medical treatment/s Alternative = in place of medical treatment/s
200
The age cut off in DSM 5 in which observed symptoms causing impairment of functioning can be seen in ADHD. hint= this age changed to a higher number from DSM IV-R
What is age 12 and under previous was age 7 and under (DSM IV-R)
300
A Freudian term which can occur during a psychiatric visit when the PMHNP unconsciously or subconsciously feels the need to "fix" the client, or feels as though he/she is failing in the care of the client.
What is countertransference?
300
The dopamine pathway in the brain which is implicated in the improvement of psychotic symptoms.
What is the mesolimbic pathway? (Nigrostriatal = EPS, Tuberoinfundibular = hyperprolactinemia Mesocortical = emotional, cognitive blunting)
300
A tool that is useful for teachers, parents, and children in assessing for ADHD
What is any of the following possibilities: ADHD IV, Vanderbilt, Connors, SWAN*, Snap IV, Wender- Utah
300
What EMDR stands for
What is Eye Movement Desensitization & Reprocessing. A form of behavioral therapy developed by Francis Shapiro which has been found to be efficacious in PTSD clients
300
True or False: Schizophrenia subtypes have been eliminated in DSM 5
What is true. The subtypes were determined to be confusing, unreliable and unclear. In DSM 5, there are now dimensional distinctions to qualify schizophrenia as a diagnosis.
400
Thought process is assessed by: a) having the patient spell WORLD backwards b)having the patient repeat a short phrase c) observing the links the patient makes between thoughts and speech through questions or d) asking if the patient is experiencing hallucinations
c) observing the links the patient makes between thoughts and speech through questions a- assesses concentration, recall b - assesses registry d- assesses for perceptual disturbances, thought content
400
This medicine works on dopamine regulation in the ventral tegmentum (reward center of brain) to reduce cravings.
What is Buproprion/Wellbutrin/Zyban/Budeprion/Forfivo?Aplenzin?
400
Either of the following: pharmacokinetics or pharmacodynamics The process of what the body does to the drug: absorption, distribution, metabolism, and excretion
What is pharmacokinetics? Pharmacodynamics is what the drug does to the body= impact on target sites (ion channels, receptors, impacts enzymes, and carrier proteins) for its drug actions
400
The family theorist who developed a 3 generation schizophrenia hypothesis as his/her first conceptualized theory.
Who is Murray Bowen?
400
The term mental retardation was eliminated from DSM 5 and intellectual disability has replaced it. Below this IQ value indicates that a patient has an intellectual disability.
What is below 70 (mild) Less than 50 = moderate Less than 35 = severe equal or less than 20 = profound
500
What CPT stands for
What is Current Procedural Terminology?
500
The neurotransmitter that is most correlated with the symptoms of OCD (Obsessive Compulsive Disorder)
What is serotonin? (5HT)
500
According to first order kinetics: The number of half lives it takes for a medication to be eliminated from one's system
What is about 5 half lives (answer on average can be 3-5). Added info: *It also takes about 5 half lives for a medicine to achieve a steady state in the body
500
This type of psychotherapy uses Zen philosophies (a nonjudgemental attitude, for example), and promotes distress tolerance and emotional regulation as core goals of therapeutic work with clients.
What is DBT. Dialectical Behavioral Therapy, developed by Marsha Linehan
500
Major and Mild Neurocognitive disorders have replaced the term Dementia in DSM 5. True or False: In all major and mild neurocognitive categories, a diagnosis of possible or probable is required.
What is True