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131 Cards in this Set
- Front
- Back
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There are 2 forms of mood disorders, they are......
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Unipolar & bipolare
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There are 2 key moods involved in mood disorders....what are they?
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Depression & Mania
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The distinguishing factors of determining a mood disorder are....
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Severity & duration
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Normal depression is mild & caused by a significant personal event that is not severe & prolonged.
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False....is severe
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Disorganization, despair, post partum blues & lability....These are symptoms of what kind of depression?
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Normal
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This disorder is characterized by depressed mood w/an identifiiable precipitating event in the person's life within the last 3 months before the onset of symptoms. The person is x-periencing impaired social or occupational functioning, whereas the attached stressor would not account for the depressive symptoms.
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Adjustment Disorder w/Depressed Mood
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Wha do you call persistently depressed mood most of the day for more days than not for at least 2 yrs. They must have 2 of the following symptoms, appetite disturbance, sleep disturbance, low energy, low self esteem, problems w/concentration or decision making, feelings of hopelessness.
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Dysthymia
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Double depression refers to patients that suffer from major depression & dysthymia
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True
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What do you call the onset of depressive symptoms during fall or winter?
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Seasonal Affective Disorder
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Major Depressive disorder is characterized by the same symptoms of Dysthymia but a more severe and persistent & must be x-perienced by the patient nearly every da for at least 2 consecutive weeks.
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True
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What depressive disorder has the presence of psychosis which includes delusions & hallucinations?
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Major depression w/psychotic features
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Major depression w/melancholic features is the ability to x-perience pleasurable activities
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False, inability
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Bipolar disorder is distinguished from major depression by at least one episode of anxiety or mixed episodes
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False, mania
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The depression aspect of bipolar is indistinguishable from unipolar depression
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True
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Bipolar II is distinguished by full blown mania episodes & is beleved the Bipolar II will turn into Bipolar I eventually
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False, distinguishhed by hypomania episodes
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85% who have manic episodes will go on to have others
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False, 90
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Bipolar's can have up to 16 manic episodes per yr. & are considered slow cyclers.
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False
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Most suicides happen during a depressive episode or in the recovery phase
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True
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Suicide is the __ leading cause of death for children between the ages of 5 & 14
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7th
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Suicide is the __ leading cause of death for college students
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2nd
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Adolescents have poor impulse control & are at high risk of acting on their suicidal thoughts
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True
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People whose father's are aged 45 - 55 at the time of their birth, have 2 - 3 times the chance of developing schizophrenia when they grow up
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True
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The average onset of schizophrenia is late adulthood
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False, Late adolescence / early adulthood
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The onset of schizophrenia w/women in middle & late 40's has a menstrual connection
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False, hormone connection
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It is believed that males develop a more severe form of schizophrenia
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True
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Schizophrenia is more common with females than males
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False, males than females
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A firmly held erroneous belief is known as a.....
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Delusion
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The belief that thoughts are being controlled by an outside force is called....
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Thought Insertion
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The belief that an outside force has taken ones thoughts is called....
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Thought Withdrawl
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The belief that radio & television is communicating w/the person is called.....
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delusions of reference or referential delusions
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A sensory experience that takes place in the absence of any outside stimuli is called....
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Hallucination
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Name the 5 types of hallucinations:
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1. Auditory 2. Visual 3. Tactile 4. Olfactory
5. Gustatory |
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Hallucinations usually have no relevance in the person's life
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False, does have relevance
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Hallucinations often reflect the persons fears or traumatic experiences
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True
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Auditory hallucinations are the least common
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False, most
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Auditory hallucinations are negative in nature most of the time
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True
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A natural manifestation of a disorder of thought is desorganized speech.
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True
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Name some negative symptoms of schizophrenia
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Alogia, apathy, asociality, cognitive impairment
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Name some positive symptoms of schizophrenia
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Hallucinations, delusions, bizarre behavior
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What are the 2 types of schizophrenia
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Type I & type II
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What subtype has increasing suspiciousness, severe difficulty in personal relationships?
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Paranoid type
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What subtype is characterized by disorganized speech, disorganized behavior & flat or inappropriate affect?
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Disorganized type
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What subtype is charcterized by pronounced motor signs, rigid body movements, muteness & may mimic others or easily obey commands?
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Catatonic type
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The undifferentiated type of schizophrenia is used for what type of schizophrenia?
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Wastebasket category
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Name the 4 windows of Johari
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Open, blind, hidden & unknown
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Schizophrenia disorder displays features of schizophrenia and what.....
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Severe affective disorder
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Unipolar depression is the least common mood disorder
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False, most common
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Name the 5 stages of group development
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1. Forming 2. Storming
3. Norming 4. Performing 5. Adjourning |
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Grief & loss is a numbing & disbelieving condition that can last for yrs. & may be interrupted by intense distress, panic & anger.
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True
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Dysthymia is a condition that includes poor appetite, sleep disturbance, low energy, feelings of hopelessness & problems w/concentration.
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True
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Major depressive disorder is more severe than dysthymia lasting every day for at least 2 consecutive weeks
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True
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Delusions & hallucinations are most often negative in nature
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True
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Double depression is a term used to describe someone that has dysthymia & major depression
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True
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Seasonal depression is a form of major depression that usually occurs in the summer time
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False, winter & fall
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Bipolar is distinguished from other mood disorders by the presence of manic episodes.
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True
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Onset of bipolar disorder is usually in what stage of life....
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Adolescence
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Depressed peoples are 75 times more likely to commit suicide than non-depressed people
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False, 50
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The highest rate of completed suicides are by what population?
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the elderly
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Suicide is the 2nd leading cause of death for what population?
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College students
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Co-occuring clients have a substance abuse problem & a mental disorder
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True
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40 - 75% of substance abusers have a mental illness
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False, 40 - 66%
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Chemical dependency decreases the risk of developing a mental illness
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False, increases
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Overtime symptoms of both disorders, become linked and go away
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False, linked & worsen w/o treatment
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Failure to address bothe disorders or waiting for a client to hit bottom is a form of .....
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enabling
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People with co-occuring disorders must attend 2 different programs
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False
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A thorough bio-psych-social assessment is not necessary to determine the appropriate level of care for any patient seeking treatment
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False, necessary
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The ideal size group is 20 people
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False, 12 - 13
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Strengthing coping skills & preventing further development of dysfunctional behaviors & lifestyles are the purpose of what kind of group?
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Psycho-educational group
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Group facilitators should carefully plan for group including handouts, break times, length of group & objectives
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True
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Life skills group emphasizes the "how to" of different essential tasks.
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True
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Process groups are not designed to work through issues & problems that are directly impacting the patient's ability to function
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False, they are designed
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AA/NA/CA are known as self help groups
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True
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Personality disorders are characterized by chronic interpersonal difficulties & problems w/ 1's sense of identity or sense of self
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True
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Personlity disorders are classified into 5 clusters in the DSM IV
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False, 3
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Paranoid, shizoid & schizotypal are all part of what cluster?
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A
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Histrionic & borderline disorders belong to which cluster group
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B
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Depressive & passive aggressive personality disorders are not identified in the cluster classifications
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True
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Paranoid personality disorder is characterized by trusting others too much
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False, not trusting
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Schizoid personlity disorder is charcterized by the inability fo form social relationships & they have absotutely no desire to do so
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True
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Schizoid personality disorder patients appear not cold and distant, but unable to express their feelings
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False, they are cold & distant
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Schizotypal personlity disorder is characterized by introverted & pervasive social & interpersonal dificits w/cognitive & perceptual distortions, eccentric behavior & communication
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True
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Histionic personality disorder is charcterized by attention seeking behavior & emotionality
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True
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Narcissistic personality disorder is charcterized by angry temperament and feelings of boredom
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False, grandiosity, self-promoting & lack empathy
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Borderline personlity disorder is charcterized by impulsivity, inappropriate anger, drastic mood swings & self-mutilation
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True
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What disorder causes long & short term memory impairment, involve structural damage to the brain & is evident by disturbance of attention, orientation & intellectual abilities?
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Organic disorders
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Alcoholic dementia involves the shrinking of the brain tissue that is subsequently replaced with spinal fluid
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True
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Fear & panic are basic emotions shared by most animals & humans
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True
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Fight or flight us a response of the parasympathetic nervous system
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False
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Out of breath, fearful & confused & having feeling of impending doom all appear when a person is having a.....
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Panic attack
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A group whose primary function is to promote self awareness, support abstinence & recovery is called a.......
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Support group
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A group whose primary purpose is to educate patients about alchol/drugs, recovery & family dynamics is called a.....
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psycho-educational group
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A group whose primary focus is to solve problems is called a ........
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problem solving group
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Initiating is a clinical skill to summarize
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False, it is to get the ball rolling
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Facilitating a group is a clinical skill used to give feedback
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False, encourage participation
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Expressing group feelings refers to identifying thoughts and moods common to the group
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True
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Giving & seeking feedback is asking the group for their responses as well as the counselors shard responses to the group
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True
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What are the qualities of a good group leader?
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Reliable, responsiveness, trustworthy, firm identity & fallible
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What are the stages of motivation?
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Pre-contemplation, contemplation,determination, action & maintenance
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The best way to find out if someone is suicidal is to ask open ended questions
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False, ask them directly
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Why would a counselor notify a supervisor on duty, call the psychiatric evaluation team or dial 911 & stay w/the client until help arrives?
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If that patient is sucicidal
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An intense reaction of fear lasting a few minutes to several hrs. resulting in shortness of breath, dizziness, nausea, chest pains & chills is called.....
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Panic Attack
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Generalized anxiety disorder is a disorder of chronic worry and global fear
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True
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Arare condition where patients have obsessions that are recurrent, persistant, involuntary, thaought, images or ideas that are percieved as upleasant or repugnant is called....
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Obsessive compulsive disorder
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A condition that arises following exposure to an unusually highly stressful, psychologically traumatic event is called....
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Post traumatic stress disorder
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Narcissistic is classified into what cluster?
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B
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What cluster of personalities appear fearful and anxious?
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Type C, avoidant, dependent & obsessive, compulsive
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Withdrawl, sadness, paranoia, blunted affect, disorganized, loose association & disassociations are all positive symptoms of schizophrenia
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False, just delusion, hallucination & loose association
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These are all what of schizophrenia, blunt, flat affect, alogia avolition
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Negative symptoms
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Deslusions are a reflection of a disturbance of thought content
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True
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Anxiety is not a learned response
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False
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Agorphobia is a form of anxiety that results in a panic attack where escape could be difficult
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True
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The fear of heights is called...
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Acrophobia
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The fear of crowds is called....
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Claustrophobia
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The fear of water is called.....
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Hydrophobia
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Social anxiety disorder & social phobia are disodrers whereas people fear most social situations but it does not lead to avoidant personality disorder
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False, does lead to avoidant personality disorder
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Panic attacks rarely last more than one hr. and are usually very brief
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True
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Wernicke-Korsadoff's syndrome are not forms of alchoholic dementia
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False, they are
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What are the 4 components of the addiction cycle?
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1.feelings
2. escape 3. using 4.consequences |
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Cut down, annoyed, guilt, eye opener stand for what kind of screening tool?
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CAGE
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According to Gorski the craving cycle consists of what?
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Obsession, compulsion, physical craving & drug seeking behavior
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According to Bob Tyler, addicts are not bad people trying to be good, but _____ people trying to get ____.
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sick, well
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Who wrote the Drs. opinion in the AA Book?
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William Silkworth
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A 12 step sponsor is a guide that helps you along with your recovery
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True
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Poor diet is a physical set up for relapse
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True
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The ability to cope with uncomfortable feelings is a common cause of relapse.
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False, inability
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When Bill W. met Dr. Bob in Akron, Ohio, it was known as the first meeting of AA
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True
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Toxic shame stems from deep rooted childhood messages.
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True
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Casino's are the most common social set-ups for relapse
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False, isolation
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Not taking your vitamins is one of the most common physdical set-ups for relapse
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False, poor diet
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When in the craving cycle the addict will block out the negative consequences of his previous drug/alcohol use.
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True
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It is not more difficult for people with co-occuring disorders to stay sober
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False, more difficult
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