Deck 6: Mental Health Disorders

Question 1

Which of the following is involved in emotions?

A) Limbic system
B) Cranial nerves
C) Cerebellum
D) Hippocampus

Answer 1

A

Question 2

Which of the following structures is responsible for sensory and motor functions of the head and upper body?

A) Hippocampus
B) Amygdala
C) Frontal lobe
D) Cranial nerves

Answer 2

D

Question 3

A patient reports having trouble falling asleep many nights, waking up very early many nights, and difficulty concentrating. Which of the following is most closely associated with this pattern?

A) Depression
B) General anxiety
C) Bipolar disorder
D) PTSD

Answer 3

B

Question 4

The physician has discovered that the patient is unable to concentrate, claims a sense of superiority, appears to have thoughts that move faster than her ability to articulate them, sleeps little, and has added a number of hobbies and personal projects to her routine. What mnemonic did the physician most likely use to uncover this information?

A) SIGECAPS
B) PQRST
C) DIGFAST
D) SAFE

Question 5

Which component of the SAFE acronym would be used to assess if a patient feels safe with their partner?

A) S
B) A
C) F
D) E

Question 6

Use of alcohol and recreational drugs is information discussed as part of which of the following?

A) The past medical history
B) Family history
C) Social history
D) Assessment

Question 7

A patient who is unsure of where they are and what's happening, can't pay attention to questions for long, and seems to give odd or unusual responses to certain stimuli is in what level of consciousness?

A) Lethargy
B) Stupor
C) Confusion
D) Delirium

Question 8

A patient presents wearing inappropriate clothing for the season and having lost weight since his last visit. He is somewhat uncooperative, with a labile affect. His motor behavior is rigid and he appears to have difficulty with short-term memory. Which of these illnesses does this most closely suggest?

A) Dementia
B) Depression
C) Delirium
D) Bipolar disorder

Question 9

A patient who presents as underweight and with fine, dry skin and downy hair on his or her hands and face shows signs of which disorder?

A) Bulimia
B) Dementia
C) Generalized anxiety disorder
D) Anorexia

Question 10

A Folstein Mini-Mental Status Examination score of 18 signifies which of the following?

A) Dementia
B) A healthy cognitive score
C) An affective disorder
D) Cognitive impairment

Question 11

What appears in new mothers as anxiety, tearfulness, irritability, and depression and usually lasts 10 days or less?

A) The "baby blues"
B) Postpartum depression
C) Postpartum psychosis
D) SIGECAPS

Question 12

Which of the following statements represents a typical change that aging brings to a geriatric patient?

A) Patients are more adept at identifying and verbalizing their feelings.
B) Patient is taking multiple medications for multiple diseases, complicating assessment of mental status.
C) In younger years, patient was charming and cheerful; now presents as abrasive and disillusioned.
D) Patient is more willing to ask questions about items not understood.

Question 13

Observing a patient's facial tone and facial muscle strength can give initial clues to the condition of their cranial nerves.

Question 14

A patient showing four symptoms of SIGECAPS and anhedonia over the past 10 days may be diagnosed as having major depression.

Question 15

Delirium sets in rapidly, whereas dementia takes time and increases slowly.

Question 16

The acronym ADL represents a guide to assessment of domestic abuse and risk of danger.

Question 17

Patients with schizophrenia present with a flat or inappropriate affect, paranoid thoughts, hallucinations, rigid or withdrawn motor behavior, and disorganized speech.

Question 18

Only adults should participate in interviews with open-ended questions as part of a mental status examination.

Question 19

What four major topics should be discussed with the patient to gain a past medical history (PMI)?

Question 20

A physician notes that a patient's skin, mouth, gastrointestinal, and musculoskeletal systems show symptoms of a mental health disorder. What is the likely disorder, and what are the likely symptoms?