Psychotherapy: Clinical Medicine
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
Key Terms
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?
Appearance
Speech
Thought process
Thought content
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):
Instructions should be read verbatim
Does not take into account a patient’s level of education
Is only valid when conducted by a trained clinical psychologist
Is used to distinguish dementia from depression
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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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 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?
| 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):
| A: Instructions should be read verbatim
|
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? |
|
Which part of the MOCA assesses executive functioning? | Path finding, cube drawing, clock drawing |