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PSYCHIATRY AND MENTAL HEALTH

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Prior to starting valproic acid therapy, baseline and routine monitoring of which of the following is recommended? - VERIFIED ANSWERSCBC and LFT Which of the following antidepressants should be avoided in a patient with depression and who has a history of seizures? - VERIFIED ANSWERSBupropion In a PHQ-9 survey, a score of 5 to 9 would indicate - VERIFIED ANSWERSmild depression In a PHQ-9 survey, a score of 15 to 19 would indicate - VERIFIED ANSWERSmoderately severe depression CBT techniques - VERIFIED ANSWERS*Therapeutic relationship *psychoeducation *Cognitive techniques - downward arrow - logical sequencing of reasoning - labeling of distortions=when pt examines a table of cognitive distortions and "catch" them throughout the week *question the evidence *automatic thought records *thought change record *cognitive restructuring

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PSYCHIATRY AND
MENTAL HEALTH

,Theory - self-actualization - VERIFIED ANSWERSMaslow

Absolute Risk Reduction (ARR) - VERIFIED ANSWERSThe risk in a control group minus the
risk in a treatment group

The concomitant use of MAOIs and St. John's wort can lead to - VERIFIED
ANSWERSserotonin syndrome

Relative Risk Reduction (RRR) - VERIFIED ANSWERSThe percentage of risk removed by the
treatment

True randomization sample - VERIFIED ANSWERSno bias in sample selection

Stratified sample - VERIFIED ANSWERSa selective reproduction of the population

non-probability sampling - VERIFIED ANSWERSa sampling technique in which there is no
way to calculate the likelihood that a specific element of the population being studied will be
chosen

Reliability - VERIFIED ANSWERSthe concept that results can be repeated and are not just a
fluke

Validity - VERIFIED ANSWERSThe results indicate what the researcher thinks they indicate

Internal validity - VERIFIED ANSWERSincludes research design and steps of the scientific
method

External validity - VERIFIED ANSWERSincludes assessment of the interference's or causal
relationship

Retrospective study - VERIFIED ANSWERSexisting data are analyzed, either qualitatively or
quantitatively

Veracity - VERIFIED ANSWERSThe healthcare provider must be truthful and avoid deception

LACE Essentials - VERIFIED ANSWERSLicensure
Accreditation
Certification
Education

Licensure - VERIFIED ANSWERSgranting of authority to practice

Primary prevention - VERIFIED ANSWERS-preventing the health problem
-most cost-effective form of healthcare
-immunizations

,Secondary prevention - VERIFIED ANSWERS-detecting the disease
-screening

Tertiary prevention - VERIFIED ANSWERS-minimizing negative disease induced outcomes
-disease already present
-adjust therapy to avoid further damage

Conditions that originate during brain development - VERIFIED ANSWERS-schizophrenia,
depression, autism, ADHD

The Reptilian Brain - VERIFIED ANSWERSBrainstem and Cerebellum

Brainstem Structure - VERIFIED ANSWERSPons, medulla oblongata, midbrain

Brainstem Function - VERIFIED ANSWERS-Regulates blood pressure, respiration, level of
arousal, and digestion
-Information relay to cerebellum

Brainstem effects of damage - VERIFIED ANSWERSimpaired inhibition, anxiety, depression,
and personality changes

Brainstem specific psychiatric conditions - VERIFIED ANSWERSPTSD, paralysis, psychosis,
coma, and death

Cerebellum function - VERIFIED ANSWERScoordinates balance, posture, movement, memory,
impulse control, cognition, language

Cerebellum effects of damage - VERIFIED ANSWERSdamage can cause ataxia, tremors,
emotional blunting, and lack of inhibition

cerebellum specific psychiatric conditions - VERIFIED ANSWERSautism and ADHD,
depression, bipolar do, schizophrenia

The emotional brain - VERIFIED ANSWERSThe Limbic System

The Limbic system major structures - VERIFIED ANSWERSAmygdala, Hippocampus

Amygdala key functions - VERIFIED ANSWERSRegulates basic, powerful emotions: fear,
rage, sexual desire

Amygdala effects of damage - VERIFIED ANSWERSIrritability, anger, aggression

Amygdala specific psychiatric conditions - VERIFIED ANSWERSPTSD, panic do, depression,
autism, and schizophrenia

, Hippocampus key functions - VERIFIED ANSWERSInvolved in memory and converting short-
term memory into long-term memory, learning

Hippocampus effects of damage - VERIFIED ANSWERSImpaired memory and attention

Hippocampus specific psychiatric conditions - VERIFIED ANSWERSPTSD, Alzheimer's,
dementia, and major depression

Thalamus key functions - VERIFIED ANSWERS-relay station that connects the cortex to the
limbic system for sensory information
-Influences affect, mood, and body movements associated with strong emotion

Thalamus effects of damage - VERIFIED ANSWERSimpairment when people are overwhelmed
with information

Thalamus specific psychiatric conditions - VERIFIED ANSWERSSchizophrenia, PTSD,
memory problems

Hypothalamus key functions - VERIFIED ANSWERSmaintains homeostasis, controls basic
needs (eating, drinking, temperature regulation, sleep-wake cycle)

Hypothalamus specific psychiatric conditions - VERIFIED ANSWERSDepression, anorexia,
violence

Hypothalamus effects of damage - VERIFIED ANSWERSdisturbed sleep, eating, changes in
body temperature, emotional instability

Cerebral Cortex - VERIFIED ANSWERSfrontal lobe, parietal lobe, occipital lobe, temporal lobe

The thinking brain - VERIFIED ANSWERSCerebral cortex

Frontal lobe major structures - VERIFIED ANSWERSmotor strip, supplemental motor area,
broca's area, prefrontal cortex

frontal lobe key functions - VERIFIED ANSWERS-executive functioning and personality
-higher-order planning, speech, motivation
-involved in emotional experience and expression of mood

prefrontal cortex regions - VERIFIED ANSWERS-orbitofrontal, dorsolateral, medial

part of the brain's reward system - VERIFIED ANSWERSmedial prefrontal cortex

works with amygdala to control emotional regulation and processing - VERIFIED
ANSWERSdorsolateral prefrontal cortex (DLPFC)
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