SHADOW HEALTH MENTAL HEALTH TINA JONES STUDY GUIDE EXAM

SHADOW HEALTH MENTAL HEALTH TINA JONES STUDY GUIDE EXAM 2023- 2024 what brings you in today - CORRECT ANSWER-Reports difficulty sleeping and "feeling nervous" Why did you decide to seek treatment? - CORRECT ANSWER-Reports seeking treatment because she has an upcoming exam and feels "too foggy to study" how do you feel just before bed - CORRECT ANSWER-reports excessive worry and racing thoughts before bed "I'm sorry to hear about your trouble sleeping and stress. I'm glad you came in. Let me learn more about what you're experiencing, and I will try to help." - CORRECT ANSWER-Tina describes problems sleeping and stress-symptoms like racing thoughts. how long have you been having trouble sleeping - CORRECT ANSWER-Reports difficulty sleeping began 3 1/2 weeks ago how long have your sleep difficulties lasted - CORRECT ANSWER-reports sleep difficulties have been occurring regularly past 3.5 weeks how many nights a week do you have trouble sleeping - CORRECT ANSWER-reports difficulty sleeping at least four or five times a week what makes it harder to sleep - CORRECT ANSWER-reports sleeping becomes more difficult when she can not redirect her thoughts from the things she is worried about do you take naps - CORRECT ANSWER-denies naps during the day do you drink caffeine - CORRECT ANSWER-reports drinking caffeine to stay alert when do you usually have your last caffeinated drink - CORRECT ANSWER-reports stopping caffeine use after 4 pm do you drink alcohol before bed - CORRECT ANSWER-denies alcohol use before bed do you use drugs before bed - CORRECT ANSWER-denies drug use before bed do you think your sleep problems could be due to breathing issues - CORRECT ANSWER-reports respiratory problems are controlled and not interfering with sleep what helps you sleep - CORRECT ANSWER-reports sleeping more easily if she can distract herself from her racing thoughts do you exercise - CORRECT ANSWER-reports no exercise how does your lack of sleep affect your daily life - CORRECT ANSWER-reports feeling tired and out of it most of the time during the day due to lack of sleep have you been falling asleep when you didnt mean to - CORRECT ANSWER-reports no increased chance of drifting off during the day despite lack of sleep what do you mean when you say you feel out of it - CORRECT ANSWER-reports feeling slowed down and tired, having trouble focusing, and generally feeling less sharp can you tell me about how your anxiety feels - CORRECT ANSWER-reports feelings of anxiety as thoughts she cant turn off and being on edge do you ever have a sense of impending doom - CORRECT ANSWER-reports worry about the future but no sense of impending doom have you been having panic attacks - CORRECT ANSWER-reports no panic attacks have you been having trouble concentrating - CORRECT ANSWER-reports difficulty concentrating due to fatigue from lack of sleep do you feel restless - CORRECT ANSWER-reports only restlessness occurs just before bed do you feel irritable - CORRECT ANSWER-reports slight irritability due to fatigue how does your anxiety interfere with your daily life - CORRECT ANSWER-reports stress only interferes with daily life because it interrupts her sleep how often do you awaken during the night - CORRECT ANSWER-reports waking up two or three times during the night for at least 10 minutes how do you feel when you wake up in the morning - CORRECT ANSWER-reports waking in the morning feeling out of it and not rested when do you go to bed - CORRECT ANSWER-reports going to bed around midnight but feeling too nervous to sleep when do you fall asleep - CORRECT ANSWER-reports actually falling asleep at 2 or 3 am what do you usually do before bed - CORRECT ANSWER-reports reading before bed do you watch tv or use the computer before bed - CORRECT ANSWER-reports no screen time before bed when do you usually wake up - CORRECT ANSWER-reports average wake time of 8 am how many hours a night do you sleep - CORRECT ANSWER-reports sleeping an average of 4-5 hours a night "It's hard to function at our best when we don't get enough sleep. I know you're very busy with work and school, but let's talk about some strategies to help you get more sleep and make sure you're getting good quality sleep." - CORRECT ANSWER-Tina describes her sleep hygiene and routine. can you describe where you sleep - CORRECT ANSWER-reports sleeping alone in a quiet room how do you feel when you're stressed - CORRECT ANSWER-reports feeling nervous and worrying about the future with racing thoughts are you taking any new medications - CORRECT ANSWER-confirms medications have you been taking OTC meds to help you sleep - CORRECT ANSWER-denies taking OTC sleep meds have you taken prescription medications to help you sleep - CORRECT ANSWERdenies taking prescription sleep medications have you had any new allergies - CORRECT ANSWER-confirms allergies do you have a history of sleep problems - CORRECT ANSWER-reports usually falls asleep very easily and sleeps like a log have you had difficultly falling asleep before - CORRECT ANSWER-reports only past sleep problems occurred for a few months after dad died have you ever had depression - CORRECT ANSWER-denies history of depression have you ever had anxiety - CORRECT ANSWER-denies history of anxiety do you have a psychiatric illness - CORRECT ANSWER-denies current psychiatric illness do you have a history of psychiatric illness - CORRECT ANSWER-denies history of psychiatric illness denies past psychiatric treatment do you have bipolar disorder - CORRECT ANSWER-denies bipolar disorder do you have schizophrenia - CORRECT ANSWER-denies schizophrenia do you have OCD - CORRECT ANSWER-denies OCD have you taken psychotropic meds - CORRECT ANSWER-denies psychotropic meds do you have symptoms of depression - CORRECT ANSWER-reports belief she does not have depression symptoms do you have difficulty making decisions - CORRECT ANSWER-reports no difficultly making decisions have you had less energy than usual - CORRECT ANSWER-reports slightly decreased energy due to lack of sleep do you feel guilty for no reason - CORRECT ANSWER-denies feelings of guilt or worthlessness do you feel hopeless - CORRECT ANSWER-denies feelings of hopelessness have you had trouble enjoying your usual activities - CORRECT ANSWER-denies loss of enjoyment in activities usually found enjoyable have you had a change in appetite - CORRECT ANSWER-reports slightly less appetite because she feels queasy from lack of sleep do you feel sad - CORRECT ANSWER-denies feelings of sadness have you ever had suicidal thoughts - CORRECT ANSWER-denies suicidal thoughts have you ever done something that could end your life - CORRECT ANSWER-denies suicidal behaviors have you ever attempted suicide in the past - CORRECT ANSWER-denies suicide attempts have you ever hurt yourself - CORRECT ANSWER-denies self harm have you experienced any trauma - CORRECT ANSWER-denies past trauma do you have angry outbursts - CORRECT ANSWER-denies angry outbursts have you had a history of violent behavior - CORRECT ANSWER-denies past violent behavior have you ever tried to harm others - CORRECT ANSWER-denies desire to harm others are you employed - CORRECT ANSWER-currently employed where do you work - CORRECT ANSWER-works for a shipping company how many hours a week do you work - CORRECT ANSWER-works 32 hours a week how much work do you miss - CORRECT ANSWER-rarely misses work "It sounds like you have a lot on your plate. I'm sorry you're dealing with so much stress." - CORRECT ANSWER-Tina describes how busy she is with school and work what is your highest level of education - CORRECT ANSWER-about to receive BA in accounting have you ever taken special education courses - CORRECT ANSWER-denies past special education courses do you have any learning disablities - CORRECT ANSWER-denies learning disabilities do you have any speech problems - CORRECT ANSWER-denies speech problems do you have hearing problems - CORRECT ANSWER-denies hearing problems what do you do for fun - CORRECT ANSWER-hobbies are reading and watching TV do you have a legal history - CORRECT ANSWER-denies past legal issues have you served in the military - CORRECT ANSWER-denies military service can you tell me about your housing - CORRECT ANSWER-lives in a house do you live with anyone - CORRECT ANSWER-lives a home with mom and sister do you have siblings - CORRECT ANSWER-brother and sister can you tell me about your family - CORRECT ANSWER-dad died in MVA almost 2 years ago does your family get along well - CORRECT ANSWER-reports family is tight knit and gets along well who are your friends - CORRECT ANSWER-close group of friends from middle and high school as well as from church how often do you spend time with friends - CORRECT ANSWER-spends time with friends a few times a month though less so with her recent schedule what are your religious beliefs - CORRECT ANSWER-identifies as baptist do you attend church regularly - CORRECT ANSWER-attending baptist church regularly since childhood have you ever used drugs - CORRECT ANSWER-smoked pot in high school do you currently use drugs - CORRECT ANSWER-denies current substance use how long did you smoke pot - CORRECT ANSWER-reports smoking marijuana for 5 or 6 years when did you last smoke pot - CORRECT ANSWER-last smoked pot when she was 20 or 21 why did you stop smoking pot - CORRECT ANSWER-it wasnt fun anymore and bad for asthma why did you smoke pot - CORRECT ANSWER-for recreation do you drink alcohol - CORRECT ANSWER-confirms alcohol use how often do you drink alcohol - CORRECT ANSWER-couple times a month how much alcohol do you drink - CORRECT ANSWER-few drinks when she goes out how many drinks per month - CORRECT ANSWER-10-12 drinks per month why do you drink alcohol - CORRECT ANSWER-to relax and blow off steam has anyone asked you to stop drinking - CORRECT ANSWER-denies anyone has asked her to stop drinking do you feel guilty after you drink - CORRECT ANSWER-denies guilt associated with drinking do you drink and drive - CORRECT ANSWER-takes a cab home