Psych
Exam 2
Dysfunction - ✔✔-Which aspect of the definition of abnormality (the four D's) includes the
inability to get up and go to work on a regular basis?
-indicated that it is more important for therapists to protect the public than to protect the
client-patient confidentiality
-therapists are allowed to break confidentiality if there is danger to the patient or others -
✔✔-What is the significance of the Tarasoff ruling with respect to issues of privileged
communication between the provider and patient?
No, their life expectancy is at least 4 years shorter - ✔✔-Do psychiatric patients have a life
expectancy equal to that or the general population?
1. Biological (ex: family hx of bipolar disorder)
2. Psychological (ex: loss, rejection, failure)
3. Sociocultural (ex: low SES= social stress) - ✔✔-What are the types of etiological risk factors
for mental disorders? Give an example of each
,-useful for integrating various risk factors for abnormal behavior and suggests disorders can be
biological, psychological, and/or sociocultural
-suggests that stress along with other factors can lead to mental disorder, so it is more than one
factor causing the disorder to develop - ✔✔-Does the diathesis-stress model of abnormality
suggest that only one factor is required for a mental disorder to develop?
better to under-diagnose than over diagnose a psychiatric problem b/c mislabeling can be
harmful to the patient. PS nees to be mindful that not all symptoms and problems are caused by
mental disorders
-also patient may be placed on drugs that are not needed, become addicted, or overdose -
✔✔-Why might it be better to withhold a questionable diagnosis if there is no proven treatment
or if the available treatment has potentially dangerous side effects?
-White, female, mid-late twenties - ✔✔-What is the typical certified physician assistant in the
United States?
1.4% - ✔✔-Approximately what percent of certified PAs work in psychiatry?
Pharmacotherapy - ✔✔-For most of today's mentally ill, the primary model of therapy is which
of the following: pharmacotherapy or psychodynamic psychotherapy, or cognitive-behavioral
therapy, or neurosurgery?
jumping to a premature conclusion - ✔✔-Which is the more probable cause of an inaccurate
diagnosis?
-jumping to a premature conclusion
-waiting to long to suggest likely diagnosis
for potentially inappropriate medication in older adults
-dont prescribe to pts over 65 yo
-most drugs on list cause anticholinergic effects and confusion - ✔✔-What are the Beers
Criteria?
-the widespread recognition of the pervasive problem of metabolic syndrome in clinical
psychiatry
-the shorter life expectancy of psychiatric patients compared to that of the general population -
✔✔-There are two recent issues which have pushed medical assessment and lab testing in
psychiatric patients to the forefront of attention for most physicians:
Lithium - ✔✔-Which drug has the lowest therapeutic index?
-clozapine
-lithium
-diazepam
-fluoxetine
, Mental Status Exam - ✔✔-An interviewer who asks a client questions such as "Where are you
now?," "Why do you think you're here?," or even "Who are you?" is probably conducting what
type of exam?
Observer - ✔✔-The knowledge that a person a clinician is about to interview has already been
diagnosed as having a particular disorder could lead to _____ bias
Psychiatric - ✔✔-The DSM-5 was developed by the America _____ Association
evidence - ✔✔-Therapy that has received clear research support for a particular disorder and
has corresponding treatment guidelines is generally referred to as _____ based treatment
Dopamine - ✔✔-Name the monoamine neurotransmitter that is deficient in Parkinson's disease
but excessively active in Schizophrenia
interrater - ✔✔-A healthcare team evaluates the test results and clinical interviews of a client in
a sanity hearing. They all arrive at the same diagnosis. The heathcare team has high ______
relaibility
True - ✔✔-True or False: Many mental health providers feel that over-diagnosis is likely to be
more harmful than under-diagnosis
Hypercortisolism - ✔✔-Endocrine disease is of great relevance to psychiatry. In Cushing's
syndrome, for example, patients may present with depressed mood or panic due to what
hormonal condition?
18% - ✔✔-Of the people who would qualify for a DSM-5 diagnosis in their lifetimes,
approximately what percentage would show comorbidity for another mental disorder?
Idiographic- focuses on the individual
-nomothetic focuses on the generalized group - ✔✔-A mental health practitioner attempts to
learn about the medical status, behavior, and psychological state of each client. Is this approach
to assessment called nomothetic or idiographic?
-a visual motor design test
-The patient is instructed to copy a design that is placed in front of them. For example, the
patient would have to copy a picture of 8 dots. In a patient with damage to the frontal lobe
(prefrontal cortex), the patient would continue to draw dots (8,9,10,11,12....) and cannot put the
brakes on to stop. - ✔✔-How is the Bender-Gestalt used to assess psychological impairment
following neurological damage (such as perseveration after damage to the frontal lobe)?
Dimensional- to determine the severity of illness score for an individual case, a rater scores
each of the seven dimensions into one of four levels of increasing severity by examining data in
Exam 2
Dysfunction - ✔✔-Which aspect of the definition of abnormality (the four D's) includes the
inability to get up and go to work on a regular basis?
-indicated that it is more important for therapists to protect the public than to protect the
client-patient confidentiality
-therapists are allowed to break confidentiality if there is danger to the patient or others -
✔✔-What is the significance of the Tarasoff ruling with respect to issues of privileged
communication between the provider and patient?
No, their life expectancy is at least 4 years shorter - ✔✔-Do psychiatric patients have a life
expectancy equal to that or the general population?
1. Biological (ex: family hx of bipolar disorder)
2. Psychological (ex: loss, rejection, failure)
3. Sociocultural (ex: low SES= social stress) - ✔✔-What are the types of etiological risk factors
for mental disorders? Give an example of each
,-useful for integrating various risk factors for abnormal behavior and suggests disorders can be
biological, psychological, and/or sociocultural
-suggests that stress along with other factors can lead to mental disorder, so it is more than one
factor causing the disorder to develop - ✔✔-Does the diathesis-stress model of abnormality
suggest that only one factor is required for a mental disorder to develop?
better to under-diagnose than over diagnose a psychiatric problem b/c mislabeling can be
harmful to the patient. PS nees to be mindful that not all symptoms and problems are caused by
mental disorders
-also patient may be placed on drugs that are not needed, become addicted, or overdose -
✔✔-Why might it be better to withhold a questionable diagnosis if there is no proven treatment
or if the available treatment has potentially dangerous side effects?
-White, female, mid-late twenties - ✔✔-What is the typical certified physician assistant in the
United States?
1.4% - ✔✔-Approximately what percent of certified PAs work in psychiatry?
Pharmacotherapy - ✔✔-For most of today's mentally ill, the primary model of therapy is which
of the following: pharmacotherapy or psychodynamic psychotherapy, or cognitive-behavioral
therapy, or neurosurgery?
jumping to a premature conclusion - ✔✔-Which is the more probable cause of an inaccurate
diagnosis?
-jumping to a premature conclusion
-waiting to long to suggest likely diagnosis
for potentially inappropriate medication in older adults
-dont prescribe to pts over 65 yo
-most drugs on list cause anticholinergic effects and confusion - ✔✔-What are the Beers
Criteria?
-the widespread recognition of the pervasive problem of metabolic syndrome in clinical
psychiatry
-the shorter life expectancy of psychiatric patients compared to that of the general population -
✔✔-There are two recent issues which have pushed medical assessment and lab testing in
psychiatric patients to the forefront of attention for most physicians:
Lithium - ✔✔-Which drug has the lowest therapeutic index?
-clozapine
-lithium
-diazepam
-fluoxetine
, Mental Status Exam - ✔✔-An interviewer who asks a client questions such as "Where are you
now?," "Why do you think you're here?," or even "Who are you?" is probably conducting what
type of exam?
Observer - ✔✔-The knowledge that a person a clinician is about to interview has already been
diagnosed as having a particular disorder could lead to _____ bias
Psychiatric - ✔✔-The DSM-5 was developed by the America _____ Association
evidence - ✔✔-Therapy that has received clear research support for a particular disorder and
has corresponding treatment guidelines is generally referred to as _____ based treatment
Dopamine - ✔✔-Name the monoamine neurotransmitter that is deficient in Parkinson's disease
but excessively active in Schizophrenia
interrater - ✔✔-A healthcare team evaluates the test results and clinical interviews of a client in
a sanity hearing. They all arrive at the same diagnosis. The heathcare team has high ______
relaibility
True - ✔✔-True or False: Many mental health providers feel that over-diagnosis is likely to be
more harmful than under-diagnosis
Hypercortisolism - ✔✔-Endocrine disease is of great relevance to psychiatry. In Cushing's
syndrome, for example, patients may present with depressed mood or panic due to what
hormonal condition?
18% - ✔✔-Of the people who would qualify for a DSM-5 diagnosis in their lifetimes,
approximately what percentage would show comorbidity for another mental disorder?
Idiographic- focuses on the individual
-nomothetic focuses on the generalized group - ✔✔-A mental health practitioner attempts to
learn about the medical status, behavior, and psychological state of each client. Is this approach
to assessment called nomothetic or idiographic?
-a visual motor design test
-The patient is instructed to copy a design that is placed in front of them. For example, the
patient would have to copy a picture of 8 dots. In a patient with damage to the frontal lobe
(prefrontal cortex), the patient would continue to draw dots (8,9,10,11,12....) and cannot put the
brakes on to stop. - ✔✔-How is the Bender-Gestalt used to assess psychological impairment
following neurological damage (such as perseveration after damage to the frontal lobe)?
Dimensional- to determine the severity of illness score for an individual case, a rater scores
each of the seven dimensions into one of four levels of increasing severity by examining data in
