Mental Health Disorders and Symptoms, Exams of Health psychology

Download Mental Health Disorders and Symptoms and more Exams Health psychology in PDF only on Docsity! Swift River- Mental Health Questions And Answers Dementia - correct answer Slow onset forgetting most recent events, inability to process new information, easily confused, can be depressed or anxious, lacking familiarity. Bulimia - correct answer An eating disorder characterized by binge eating and purging or consuming a large amount of food in a short amount of time, followed by an attempt to rid oneself of the food content (purging) Dissociative Amnesia - correct answer Cannot remember anything concerning recent past experience, and cannot function in daily activities. No previous evidence of dementia. Major Depressive Disorder - correct answer Lasting at two weeks, feeling sad, empty or tearful (anhedonia), insomnia or hypersomnia, worthlessness, poor concentration, and suicidal ideation. PTSD - correct answer Experienced overwhelming negative event in life characterized by nightmares, flashbacks of the traumatic events, withdrawn in denial or Swift River- Mental Health Questions And Answers over anxious and panicky. Afraid of crowds, hypervigilant, unable to return to previous functioning levels. Antisocial Personality Disorder - correct answer Disrespect for lawful behaviors, repeated lying, interested in only pleasing self first, no guilt or remorse Panic Disorder with Agoraphobia - correct answer Anxiety so intense causes person to fear death, fear more episodes, afraid of crowds or open spaces, lasting at least one month. Catatonia - correct answer Patient observed posturing and staying in the same position for extended periods of time, flat affect, waxy flexibility. ETOH Dependence - correct answer Absence of alcohol consumption produces physical symptoms ranging from mild discomfort to severe tremors, vital sign changes and even death. Paranoid Schizophrenia - correct answer The presence of hallucinations, auditory or visual, or delusions, irrational belief, persecutions, flat affect, no motivation, no speech or minimal, or speaks as word salad. Swift River- Mental Health Questions And Answers Bulimia - correct answer Jennifer Evans, a 20-year-old student, presents to the ER with suicidal ideations and some confusion. She has an irregular heart rate. Her mother accompanies her and provides a recent history. Jennifer vomits after each meal and has diarrhea. Lab results show low potassium and low sodium. Questioning reveals Jennifer has been laxatives liberally. PTSD - correct answer Veteran returns from a combat- related tour of duty in Iraq. He cannot remember who he is or anyone in his family. Upon finding him some time later, he does not recognize his family nor is he able to remember anything. After six months, he begins to remember seeing battle buddies mortally wounded during combat. Bipolar Maniac - correct answer Shirley Stevens, an unmarried 24-year-old, is walking back and forth in the day room. She waves as if she has an audience. She tells you she is practicing her acceptance walk when she crowned Miss America. Somatization Disorder - correct answer Joseph Dickson, a 33-year-old engineer,presents with complaints of blindness, joint pain, headache, and erectile dysfunction. Swift River- Mental Health Questions And Answers For the past year, he has been to several doctors and emergency settings seeking an answer. No evidence of organic cause has been discovered. Panic ETOH Dependence - correct answer John Lewis, 35 years of age, presents after being picked up by police for domestic violence. He is admitted to the psychiatric unit and has had an uneventful first day. On the second day, he develops elevated blood pressure, diaphoresis, and fine hand tremors, along with a headache, nausea, and anxiety. Mild/Normal Major Depressive Disorder - correct answer James Thomas, a 52-year-old divorced male, is sitting alone along the wall in the dayroom reading a book. You notice his is not turning any pages. His mood is sad, isolative, and blunted. He has a history of two suicide attempts. Panic Swift River- Mental Health Questions And Answers Paranoid Schizophrenia - correct answer Scott Davis, a 21-year-old, with no prior psychiatric history, is brought to the ER by his family. He is refusing to bathe, thinks food is poisoned, and will only eat wrapped foods. Suddenly, he is talking to imaginary people, and his speech is nonsensical. Panic Dementia - correct answer Bob McKay, 70 years old, arrives at ER accompanied by his daughter who states her father is irrational, irritable, anxious, isolative, and is having sleeping problems. This appears to be getting worse, and the patients daughter is concerned about memory loss, especially in recent events. Somatization DisorderU - correct answer Rosie Morales, an 18-year-old who recently relocated from Puerto Rico with her family, began having symptoms soon after arriving in New York. She has multiple complaints. These complaints range from a stomach ache, headaches, and muscle pains. After her fourth visit to the doctor with no physical findings to justify her symptoms, she is convinced she needs to see another doctor. Swift River- Mental Health Questions And Answers Panic Disorder with Agoraphobia - correct answer Ralph Santoro, is a 36-year-old, married father of three children who works from home. He avoids crowds and has a list of friends and family who accommodate his many requests to bring he needs to his home. He has short periods of anxiety and pain that usually peak in 10 minutes or less. He arrives at the ER with both chest pain and numbness and tingling in his hands. Mild/Normal Stress - correct answer Allowing expression of feelings Employ empathy in communication Demonstrate active listening Help patient identify problems Assist in problem solving Evaluate, explore results, plan Moderate Stress-patient feels overwhelmed and troubled - correct answer Offer a cool beverage Respect need for personal space Actively dialogue with patient to share feelings Create activities for distraction Explore alternatives coping mechanisms Swift River- Mental Health Questions And Answers Help patient focus on the here and now Severe Stress- somatic complaints, agitations, and anger - correct answer Begin limit setting Make simple and direct statements Describe behavior needed Notify MD and administer medication Remove other patients from day room Explain consequences of behavior Panic Level- person is physically and emotionally exhausted from stress. The ability to cope and exert self- control is virtually non-existent. - correct answer Assess potential for injury to self/others Conduct debriefing of unit community Call for therapeutic team support Call Physician for onsite assessment Conduct debriefing of staff and patient post-containment. ADHD - correct answer Charles Wheeler, 18 years old, paces in the dayroom. During group, patient constantly interrupts, unable to wait for his turn to speak. He blurts out answers, oblivious to others in the group. Swift River- Mental Health Questions And Answers ETOH Dependence. - correct answer Mr. Hanks, visits his wife of nine years, who is in the hospital for back surgery. She is now second day post-op and not doing well. Her temperature is up, her skin is diaphoretic, she is complaining of severe headache, her BP is 165/110. She is having tactile hallucinations and is extremely restless. Dissociative Amnesia - correct answer Harry Baker, age 41, recently was in a severe motor vehicle accident with his family in the car. His wife and two of his three children were killed. He now remembers none of the event. He does not know where his wife and children are. Major Depressive Disorder - correct answer Mary Rothchild, a 36-yo mother of three children, married 15 years, presents with suicidal thoughts without a plan. Her husband accompanies her and states she sleeps most of the time at home and for the past month avoids conversation with him and the children. She was formerly an excellent housekeeper but now she shows no interest. Upon interviewing her, she appears sad but is alert and oriented, and is cooperative to all requests. Antisocial Personality Disorder - correct answer Tom Richards, age 25, has a history of adolescent behavior Swift River- Mental Health Questions And Answers herself vomit, but she still gaining weight. She is starting to take laxatives and depressing is escalating. Antisocial Personality Disorder - correct answer Harold Williams, 58, CEO of a local pharmaceutical company, has been married four times and is now divorced and living with his girlfriend. He has six grown children. He is estranged from his children and seems unaffected by their lack of involvement in their lives. He presents with back pain. Upon questioning him about his current back pain, he has prescription bottles from several pharmacies. He claims he has no refills available for pain medication. He appears to be tense and in pain. He also complains about his extended ER wait time before seeing you. He tells you that he heard another patient say that you always make patients wait for treatment. Bulimia - correct answer Rick Masterson, 22 yo medical student, who has been weight lifting, running, and strength training. He feels that he is overweight and wants to portray a healthy, fit appearance. A former child model, he has been vomitting and using laxatives along with the exercise to control his weight. Gastric acid is eroding his tooth enamel. Swift River- Mental Health Questions And Answers Paranoid Schizophrenia. - correct answer Edward Martin, age 44, arrives at the ER accompanied by the city police who apprehended hi for a business disturbance where he was harassing patrons at a furniture store. He refuses to use his cell phone because of his fear that the phone is connected and monitored by the CIA. At the furniture store, he was keeping customers away from the television section to keep them from hearing special messages meant only for him. Catatonia - correct answer During hospitalization on a psych unit, Lena Smith, 26 yo of age, is observed in an awkward pose in the dayroom. She has been in the same position for several hours, and is not responding to verbal commands. The patient is not responding to any verbal stimuli and is exhibiting waxy flexibity. Somatization Disorder - correct answer Martha Simmons, a 76 yo retired school teacher who was recently widowed, present with headache, nausea, general weakness, and chronic constipation. All her lab tests were negative. Major Depressive Disorder - correct answer Mary Jane, a 21 yo who has cut herself four times in the past three years, sleeps excessively, feels worthless, is unable to Swift River- Mental Health Questions And Answers complete, dropped out of college and is living with her parents. Anorexia - correct answer Kathy Mills, a 19 yo female, presents to the Medical Center with severe weight loss. Her father is a four star general. She is attending the Air Force Academy. She states that the family image is very important. She sees herself losing 10 more pounds but her current weight is 92 pounds and she is 5'6 tall. Anorexia - correct answer Jefferson Marshall, an 18 yo male, presents to his pediatrician for a routine physical. The patient is noted to be 5/10 and weights 105 lbs. He is requesting assistance with weight loss. He is also noted to have worn tooth enamel and dental cavities. Catatonia - correct answer Liza Moore, 21 yo, is found on rounds standing off in the distance. Upon approach, she is non-responsive to verbal and physical stimuli. She remains in the same position for long periods of time. PTSD - correct answer Janie Robinson, recent Tuscaloosa hurricane survivor who lost her home, presents to the ER complaining of insomnia, night sweats,