FINAL EXAM NU 664 LATEST
SET 1
In Obsessive and compulsive/Anxiety/trauma and stress related
disorders it is wise to rule out - ANSWERS-underlying medical
disorders and tx of comorbid conditions - Hair pulling and skin picking.
Substance induced, depressive d/o
Major and Minor Neurocognitive Disorders - ANSWERS-Significant
decline from previous level of performance in one or more cognitive
domains (complex attention, executive function, learning and memory,
language, perceptual-motor, or social cognition) based on:
a. Concern of the individual, a known informant, or clinician that has
witnessed the decline
b. A substantial impairment in cognitive performance documented by
neuropsychological testing
Specifiers of Major and Minor Neurocognitive Disorders - ANSWERS-
a. Without behavioral disturbances
b. With behavioral disturbances
i. Mild- difficulty with house work and managing money
ii. Moderate - difficulty feeding and dressing
iii. Severe- fully dependent
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PAGE
1
, FINAL EXAM NU 664 LATEST
SET 1
Other determinants of Major and Minor Neurocognitive Disorders -
ANSWERS-The cognitive deficits interfere w/independence in everyday
activities (i.e. paying bills)
The cognitive deficits do not occur exclusively in the context of delirium
or better explained by another mental health d/o.
Etiology Major and Minor Neurocognitive Disorders - ANSWERS-HIV,
Prions, Parkinson's Disease, Huntington's Disease, Alzheimer's, Lew
Body, Vascular, trauma, medications
Mild neurocognitive Disorder - ANSWERS-Evidence of modest
cognitive decline from previous level of performance in one or more
cognitive domains (complex attention, executive function, learning and
memory, language, perceptual-motor, or social cognition) based on:
a. Concern of the individual, a known informant, or clinician that has
witnessed the decline
b. A modest impairment in cognitive performance documented by
neuropsychological testing
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PAGE
2
, FINAL EXAM NU 664 LATEST
SET 1
With Mild neurocognitive Disorder - ANSWERS-The cognitive deficits
do not interfere w/independence in everyday activities (i.e. paying bills)
but require greater effort
The cognitive deficits do not occur exclusively in the context of delirium
or better explained by another mental health d/o.
Mild neurocognitive Disorder Specifiers - ANSWERS-a. Without
behavioral disturbances
b. With behavioral disturbances
Major and Minor Neurocognitive Disorders Due to Alzheimer's
Diagnosis Criteria - ANSWERS-1. Criteria for major or mild
neurocognitive disorder is met
2. Insidious onset and gradual progression in one or more cognitive
domains
Specifiers of Major neurocognitive disorder, probable Alzheimer's -
ANSWERS-i. Evidence of Alzheimer's genetic mutation via testing or
family history and;
ii. Decline in memory and learning and at least one other cognitive
domain and;
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3
, FINAL EXAM NU 664 LATEST
SET 1
iii. Steadily progressive, gradual decline in cognition, w/o extended
plateaus and;
iv. No evidence of other causative factor
Specifier of Mild neurocognitive disorder, probable Alzheimer's -
ANSWERS-i. Evidence of Alzheimer's genetic mutation via testing or
family history
i. Decline in memory and learning and at least one other cognitive
domain and;
ii. Steadily progressive, gradual decline in cognition, w/o extended
plateaus and;
iii. No evidence of other causative factor
Genetic mutation of apolipoprotein E4 - ANSWERS-increases risk of
Alzheimer's
Assessment tools of Major and Minor Neurocognitive Disorders Due to
Alzheimer's - ANSWERS-Mini-Cog, Memory impairment screen, mini-
mental status exam, general practitioner assessment of cognition,
activities of daily living, functional activities questionnaire.
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PAGE
4
SET 1
In Obsessive and compulsive/Anxiety/trauma and stress related
disorders it is wise to rule out - ANSWERS-underlying medical
disorders and tx of comorbid conditions - Hair pulling and skin picking.
Substance induced, depressive d/o
Major and Minor Neurocognitive Disorders - ANSWERS-Significant
decline from previous level of performance in one or more cognitive
domains (complex attention, executive function, learning and memory,
language, perceptual-motor, or social cognition) based on:
a. Concern of the individual, a known informant, or clinician that has
witnessed the decline
b. A substantial impairment in cognitive performance documented by
neuropsychological testing
Specifiers of Major and Minor Neurocognitive Disorders - ANSWERS-
a. Without behavioral disturbances
b. With behavioral disturbances
i. Mild- difficulty with house work and managing money
ii. Moderate - difficulty feeding and dressing
iii. Severe- fully dependent
END OF
PAGE
1
, FINAL EXAM NU 664 LATEST
SET 1
Other determinants of Major and Minor Neurocognitive Disorders -
ANSWERS-The cognitive deficits interfere w/independence in everyday
activities (i.e. paying bills)
The cognitive deficits do not occur exclusively in the context of delirium
or better explained by another mental health d/o.
Etiology Major and Minor Neurocognitive Disorders - ANSWERS-HIV,
Prions, Parkinson's Disease, Huntington's Disease, Alzheimer's, Lew
Body, Vascular, trauma, medications
Mild neurocognitive Disorder - ANSWERS-Evidence of modest
cognitive decline from previous level of performance in one or more
cognitive domains (complex attention, executive function, learning and
memory, language, perceptual-motor, or social cognition) based on:
a. Concern of the individual, a known informant, or clinician that has
witnessed the decline
b. A modest impairment in cognitive performance documented by
neuropsychological testing
END OF
PAGE
2
, FINAL EXAM NU 664 LATEST
SET 1
With Mild neurocognitive Disorder - ANSWERS-The cognitive deficits
do not interfere w/independence in everyday activities (i.e. paying bills)
but require greater effort
The cognitive deficits do not occur exclusively in the context of delirium
or better explained by another mental health d/o.
Mild neurocognitive Disorder Specifiers - ANSWERS-a. Without
behavioral disturbances
b. With behavioral disturbances
Major and Minor Neurocognitive Disorders Due to Alzheimer's
Diagnosis Criteria - ANSWERS-1. Criteria for major or mild
neurocognitive disorder is met
2. Insidious onset and gradual progression in one or more cognitive
domains
Specifiers of Major neurocognitive disorder, probable Alzheimer's -
ANSWERS-i. Evidence of Alzheimer's genetic mutation via testing or
family history and;
ii. Decline in memory and learning and at least one other cognitive
domain and;
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PAGE
3
, FINAL EXAM NU 664 LATEST
SET 1
iii. Steadily progressive, gradual decline in cognition, w/o extended
plateaus and;
iv. No evidence of other causative factor
Specifier of Mild neurocognitive disorder, probable Alzheimer's -
ANSWERS-i. Evidence of Alzheimer's genetic mutation via testing or
family history
i. Decline in memory and learning and at least one other cognitive
domain and;
ii. Steadily progressive, gradual decline in cognition, w/o extended
plateaus and;
iii. No evidence of other causative factor
Genetic mutation of apolipoprotein E4 - ANSWERS-increases risk of
Alzheimer's
Assessment tools of Major and Minor Neurocognitive Disorders Due to
Alzheimer's - ANSWERS-Mini-Cog, Memory impairment screen, mini-
mental status exam, general practitioner assessment of cognition,
activities of daily living, functional activities questionnaire.
END OF
PAGE
4
