Medicine /Psychotherapy: Clinical Medicine

Psychotherapy: Clinical Medicine

Medicine11 CardsCreated 1 day ago

This flashcard set identifies and differentiates disorganized thought processes such as flight of ideas and loose associations, which are key indicators in diagnosing mental health conditions like mania and schizophrenia. It also situates these features within the thought process section of the mental status exam.

What kind of thought process is characterized by “moving from one idea to another, usually with some type of link between thoughts”?

Which mental status change might this indicate?

Flight of ideas

Mania (when severe)

Vs. loose associations, where there is no link between ideas; may be found in schizophrenia

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Key Terms

Term
Definition

What kind of thought process is characterized by “moving from one idea to another, usually with some type of link between thoughts”?

Which mental status change might this indicate?

Flight of ideas

Mania (when severe)

Vs. loose associations, where there is no lin...

What kind of thought process is characterized by “shifts from one topic to another without any apparent logical connection”?

Which mental disorder might it indicate?

Loose associations (derailment)

Schizophrenia

“Flight of ideas” belongs in which portion of the mentla status exam?

  1. Appearance

  2. Speech

  3. Thought process

  4. Thought content

  5. Cognitive function

C. Thought process

On the MOCA, what skill is assessed when we ask a patinet to tap their pencil every time we say the letter “A”

Attention (vigilance)

On the MOCA test, which skill is assessed when we ask the patinet to draw a clock?

Visuoconstructional skills

Which of the following is true of The Montreal Cognitive Assessment (MoCA):

  1. Instructions should be read verbatim

  2. Does not take into account a patient’s level of education

  3. Is only valid when conducted by a trained clinical psychologist

  4. Is used to distinguish dementia from depression

  5. May only be used by those who have paid a licensing fee

A: Instructions should be read verbatim

  • Education is accounted for: add 1 to the final score for patients wtih 12 or fewer years of e...

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TermDefinition

What kind of thought process is characterized by “moving from one idea to another, usually with some type of link between thoughts”?

Which mental status change might this indicate?

Flight of ideas

Mania (when severe)

Vs. loose associations, where there is no link between ideas; may be found in schizophrenia

What kind of thought process is characterized by “shifts from one topic to another without any apparent logical connection”?

Which mental disorder might it indicate?

Loose associations (derailment)

Schizophrenia

“Flight of ideas” belongs in which portion of the mentla status exam?

  1. Appearance

  2. Speech

  3. Thought process

  4. Thought content

  5. Cognitive function

C. Thought process

On the MOCA, what skill is assessed when we ask a patinet to tap their pencil every time we say the letter “A”

Attention (vigilance)

On the MOCA test, which skill is assessed when we ask the patinet to draw a clock?

Visuoconstructional skills

Which of the following is true of The Montreal Cognitive Assessment (MoCA):

  1. Instructions should be read verbatim

  2. Does not take into account a patient’s level of education

  3. Is only valid when conducted by a trained clinical psychologist

  4. Is used to distinguish dementia from depression

  5. May only be used by those who have paid a licensing fee

A: Instructions should be read verbatim

  • Education is accounted for: add 1 to the final score for patients wtih 12 or fewer years of education

  • Cannot distinquish dementia and depression

  • Free online

On the MOCA, what skill is assessed when we ask a patient to explain how an “orange and a banana are alike”?

Abstraction

On the MOCA, what skill is assessed when we ask a patient to name as many words as they can that begin with the letter “B”?

Verbal fluency

On the MOCA, what skill is assessed when we ask a patient to repeat numbers forward and backward?

Attention

What is the difference between mood and affect?

  • Mood

    • Patinet’s subjective report of their emotional state

  • Affect

    • Clinician’s objective description of the patient’s emotional state

Which part of the MOCA assesses executive functioning?

Path finding, cube drawing, clock drawing