Behavioral health quiz
From Iusmicm
- started here at 03/23/11.
Behavioral psych quiz prep
- 32 Multiple choice questions
- 75% to pass
- The quiz is on March 28 from 1PM to 2PM
- We take the quiz because we were below average on STEP 1 and now we do a little above average on STEP 1.
What is covered?
- ICM sessions 4, 8, 11, 16, and 18.
- Read stoudemire, but she has summarized them.
- The quiz is written to her study guide, not the student guide.
- Know the concepts and terms in the behavior study guide.
- Look at the glossary for each section
Bereavement
- There is normal grief like crying, numbness, etc.
- Other things that are normal:
- wishing they had died with the deceased
- feeling like the deceased are present or that they saw them
- Ambivalence and guilt is normal
- Bereaving patients often look for skapegoats.
Late in life
- There are increasing external threats: financials, loss of body function (hearing, etc.)
- Patients are looking for new roles
- Know the normal physiological changes and capabilities (sleep, sex, eating, etc.)
- There is struggle with isolation
- Physician's role may be to monitor and advise
End of life
- Increased interest in the transcendent
- 3 factors about impending death:
- You will cease to be
- Fears and myths about death
- Denial that people death
- The most common fears in age are lonliness, suffering, pain, and being left alone, no one will stick with them
- Death is a transition. The hard part is that it is a transition to the unknown.
- Physicians and death
- Don't have to worry about addictions in terminal illness.
5 divisions of childhood
- 5 stages: infants (carried in arms), toddlers (toddle along), early childhood, school age, and adolescence
Infant motor development
- There will be vignettes that describe a patient and we'll be asked to identify which age groups they are in.
Attachment
- Test will cover some of the people and theories of development.
- Stranger anxiety versus separation anxiety
- Baby doesn't struggle to leave mom, looks at you, then cries (6-8 months)
- Separation anxiety is when they leave their own caretaker and then usually settle after a bit (10-12 months)
- Bowlby and Ainsworth did lots of work about bonding.
- Spitz did work on orphans who got very little physical contact; anaclitic depression -> failure to thrive
- Mahler did work on how a child can separate from mom and how they interact with mom.
- Well known for object constancy
- Chess and Thomas had to do with temperament
- 9 dimensions; three groups (easy, difficult, slow to warm)
- Goodness of fit: how parents and kid temperaments interact
- Paiget and cognitive development
- How thinking develops from abstract to concrete.
- Erikson stages
- First to think that emotional development continues after adolescents.
- Winnicott and the transitional object
- Like mom, helps separate from mom
- Linear development of play
- regarding: looking at spoon
- functiona: feed the doll
- symbolic: use the spoon for something else like an airplane
- parallel play: like to be near together but don't play together
- associative: paly next to one another and do the same thing
- cooperative: play together
Object permanance vs. constancy
- Object permanance: that an object exists even when you can't see it.
- Object constancy: the object is still what it was even if you change the shape or color or something.
Gender
- Gender identity (toddler) versus gender role behavior (preschool)
- role behavior is knowing what boys versus girls do
- Sexual behavior norms: poking around, wondering what parts are.
- Abnormal is complex behavior
Preschool thinking=
- At least one question from this
- KNow the 6 kinds of thinking
Four types of parenting
- Authoritarian: parent sets all the rules, become less socially competent, hard for them to make decisons, often depressed
- Permissive (hippy): kids make decisions, poor boundaries, socially competent,
- Authoratiative: there are rules but they let the kids make decisions they are ready to make (and then learn from them), most socially competent, least depressed
- Indifferent / neglectful: low self esteem, no rules
School age
- School age motor:
- Get handed and footedness
- Get balance and large muscle control and timing improvement.
- Puberty begins, 2 years ahead for girls
- School age social:
- Rigid gender roles
- Teasing and dares
- Sexual exploration
- Still shouldn't see complex behavior but interest is not odd
- School age cognition
- Concrete thinking (Paiget)
- Learn multiple dimensions (2D, at least)
- Develop conservation: quantity, weight, volume (in that order)
- metacognition: thinking about thinking (ages 10-12)
- Figure out how they best learn
IQ and retardation
- Common IQ tests
- We need to know the names of tests and which ones are only for children
- Mental retardation
- If pt is normal up to 18 and then has trauma or something that sets IQ back, you call it dimensia.
- If you don't make it to stable before the low performance it is mental retardation.
- Know some of the main etiologies
- Know the primary, secondary, and tertiary prevention
- See session 8
Freud
- Many of our current theories are related
- Know it or look like an idiot at a party some day
Adolescents
- Major adolescent events
- Trying to determine who you are and what you're about.
- Differentiating what you are about versus what your parents taught you to be about
- Sexual development and maturity occurs
- Lots of risk, lots of angst
- Accidents, homicide, and suicide
- Maturity with periods of regression
- Trying to determine who you are and what you're about.
- Tanner's stages:
- Know these stages
Family development
- Stages of family development
- Session 8
- Developmental terms
- STage = stable period with few cahnges
- Transitional stages moves to next stage
- NOrmative crisis: expected changes
- Precocious or delayed (late-blooming)
Sexual development
- Stages of sexual response
- Masters and Johnson is four stages and most accepted
Adult years
- Middle adult years
- 20 common defense mechanisms
- 8 terms related to psychotherpay
- Mid-life tasks (not just reassessing and reformalizing but ripping things apart i.e. divorce)
- Crisis more dramatic than mid-life transition
- Questions will ask "what is this defense mechanism".
- stopped here on 03/23/11.