NGR 6064C ADVANCED DIAGNOSTICS MODULE 5 MENTAL HEALTH AND BEHAVIORAL SCREENING COMPREHENSIVE EXAM UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NGR 6064C ADVANCED DIAGNOSTICS MODULE 5 MENTAL HEALTH
AND BEHAVIORAL SCREENING COMPREHENSIVE EXAM UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS

Question:
Diagnosis
Answer:
Ask
- HPI Do
- Complete subjective data - including medications, PMH, Family Hx, Social Hx
- Rule out physiologic (organic) etiology (eg: cerebral bleed, neurological dysfunction)
- Rule out toxicological etiology (eg: substance abuse, medication interactions)
- Rule out metabolic and pathophysiological causes (eg: electrolyte imbalance,
hypoglycemia) Measure
- Screenings Utilize the screening tools Know which tools are the most frequently used
Are the tools Population Specific

Question:
Subjective Data
Answer:
Every interview should cover the following topics:
- (1) complaint, from the patient's viewpoint
- (2) the present illness, or the evolution of the symptoms Subjective Data
- (3) neurovegetative signs such as libido, appetite, and sleep
- (4) previous disorders and the nature and extent of their treatment
- (5) the family history-important for genetic aspects and family influences
- (6) the personal history-childhood development, adolescent adjustment, level of
education, and adult coping patterns
- (7) current life functioning, with attention to vocational, social, educational, and
avocational areas
- (8) present or past use of alcohol and other drugs.

Question:
Clinical Features of Mental Health
Answer:
- Appearance
- Activity and behavior
- Affect
- Mood
- Speech
- Content of thought
- Thought process
- Cognition
- Judgment

, Question:
Appearance and Behavior
Answer:
- Posture and motor behavior-
* Does the patient lie in bed or prefer to walk around?
* Is the patient sitting or lying comfortably?
* Is the patient agitated with repetitive movements?
- Assess the patient's dress, grooming, and personal hygiene
* Generally, grooming and hygiene deteriorate in depression or schizophrenia
- Assess the patient's facial expressions
* Physical vs emotional A flat affect (lack of facial movement) Eg: Parkinson's disease
Eg: profound depression Assess the patient's manner, affect, and relationship to people
and things
- Does the affect reflect the mood? - Is the affect stable or labile mood changing from
happiness to tears and back quickly?
- Does the patient seem to see or hear things you do not?

Question:
Speech and Language
Answer:
Quantity: Is the patient talkative or silent? Rate: Is the speech fast or slow? Loud: Is
speech loud or soft? Articulation of words: Does the patient speak clearly and distinctly?
Is there nasal quality to the speech? Fluency: The rate, flow, and melody of speech
- Hesitancies in speech (as seen in patients with aphasia from strokes)
- Monotone inflections (schizophrenia or severe depression)
- Circumlocutions: words are substituted for the word a person cannot remember;
e.g., "the thing you block out your writing with" instead of saying "eraser"
- Paraphasias: words are malformed "I write with a den", or "I write with a dar", instead
of "I write with a pen"

Question:
Assessing Mood
Answer:
Use open-ended questions
- "How do you feel about that?"
- "How are you feeling?" How long has the patient's mood been this way How good or
bad has the patient felt Sometimes you have to ask friends or family of the patient to
help you assess the patient's mood Do not be afraid to ask the patient about thoughts of
self-harm or suicide, It is important

Question:
Thought and Perceptions: Thought Processes
Answer:
Assess thought processes: logic, relevance, organization, and coherence Abnormalities
in the thought process Assess thought content during the interview by following
appropriate leads as they occur