PSY DES EXAM Y1 Sem1

The recent decades the traditional approach of health and disease has been the medical or biological model. What is the main currently Health is defined?

The study of intervention to help people stay healthy or become healthier mean

The developing a variety of new techniques for health-promoting behaviors and contributing to overall understanding of health-compromising behaviors is

Health and illness are influenced by a variety of factors other than those based on reductionistic explanations is emphasized on

Freud claimed that in conversion hysteria, the patient converts specific unconscious conflicts into particular physical symptoms via

The chronic physical illness or psychological illness implicates the field of health psychology as a most cause for diseases is

The abnormality of biological model is mostly based on the hypothesis of

The biological model seeks to understand how the cause of the illness stems from

The aim of understanding mental disorders in terms of the biological function of the nervous system mainly indicate on

The illness is typically deals with behavior disturbances in the context of

The model draws on an analogy between physical disease and mental illness, and work together is

The capacity to develop an effective relationship mainly requires

The best following statement of what the patient and doctor actually say is

The best following statement of what the patient and doctor mean to say is

The difference role of diagnosis in general medicine and in psychiatry derives from the greater complexities of

The main psychiatric treatment exploration of subtle aspects of patients 'personalities mean

The most effective relationship following statement is

The best strategy of introducing ( therapist) of the constructive therapeutic alliance between doctor and patient is

The most probably strategy of establishing rapport between doctor and patient is

Psychiatrist may anticipate what is felt before it is spoken and can often help patients to express their feeling. Which the most likely following indicate the explanation above?

Indicate the most likely explanation of this example “You are with female psychiatrist who reminds you of a favorite aunt and you find yourself feeling warmly towards this psychiatrist”.

Indicate the most likely explanation of this example “if the physician is hostile, the patient becomes hostile; the physician becomes angry the relationship deteriorates rapidly”.

The model is often observed during a patient's recovery from surgery which is the role of the physician is powerful and controlling. Which is the most meaningful technique?

The model is often observed during a patient is unconscious, immobilized, or delirious recovery from surgery. Which is the most meaningful model?

The model is most obvious in the treatment of such chronic illnesses (as renal failure, diabetes, pneumonia..) . Which is the most meaningful model?

The model which is the therapist may have an emotional need to turn the patient's care into a relationship of mutual sharing of personal information and love. Which is the most meaningful model?

The biopsychosocial (BPS) model of medicine is in contrast to the traditional biological model of medicine. Which is the best way you are considered?

The biopsychosocial (BPS) model of medicine has expended as the social and psychological influences. Which is the most following answer?

The biopsychosocial (BPS) model of medicine has two important systems interlinked together. Which is the best answer you are consider?

The best biological model is seeking to understand how the cause of the illness stems from

Find the best explanation of mental illness occurs the interaction of

Which of the following statements is the best describes the importance of addressing a patient’s anger during an office visit?

When a patient anger about a physician’s colleague, which of the following statements would be the most appropriate response?

34- How should physicians and office staff respond to patients who chronically miss appointments?

A 62 year-old lady, widow (husband died) for 5 years, came with her younger sister to the geriatric OPD for stomach discomfort, join pain, and dizziness. The symptoms started about 1 years ago after she was retired ( no income and support by her daughter) and she take care grandchildren. Her physical reveals normal. 1- Which is the best precipitation factor contributing the patient’s symptoms?

A 62 year-old lady, widow (husband died) for 5 years, came with her younger sister to the geriatric OPD for stomach discomfort, join pain, and dizziness. The symptoms started about 1 years ago after she was retired ( no income and support by her daughter) and she take care grandchildren. Her physical reveals normal. 2- Which is the best biological model of this patient?

A 62 year-old lady, widow (husband died) for 5 years, came with her younger sister to the geriatric OPD for stomach discomfort, join pain, and dizziness. The symptoms started about 1 years ago after she was retired ( no income and support by her daughter) and she take care grandchildren. Her physical reveals normal. 3- Which is the best social model of this patient?

A 67year-old lady, Buddhist, house wife, husband has a chronic illness for 2 years, comes alone to Geriatric OPD for painful in body, problem with memory, felt nausea, and felt low of energy. She was low of level functioning even though take care grand-children and house works. She used to see GPs but better for some days and became worse. 1- Which is the best precipitation factor contributing the patient’s symptoms?

A 67year-old lady, Buddhist, house wife, husband has a chronic illness for 2 years, comes alone to Geriatric OPD for painful in body, problem with memory, felt nausea, and felt low of energy. She was low of level functioning even though take care grand-children and house works. She used to see GPs but better for some days and became worse. 2-Which is the best biological model of this patient?

A 67year-old lady, Buddhist, house wife, husband has a chronic illness for 2 years, comes alone to Geriatric OPD for painful in body, problem with memory, felt nausea, and felt low of energy. She was low of level functioning even though take care grand-children and house works. She used to see GPs but better for some days and became worse. 3- Which is the best social model of this patient?

A 45 year-old Man, Buddhist, teacher, take care family and old mother ( 88 Years- old), comes alone to Geriatric OPD for painful in body, hopeless, head numbness, felt nausea, felt low of energy and low of level functioning. He told that no body love him as other sibling since childhood. His father had committed suicide since he was 12 years old. His physical illness reveals as normal. 1- Which is the best precipitation factor contributing the patient’s symptoms?

A 45 year-old Man, Buddhist, teacher, take care family and old mother ( 88 Years- old), comes alone to Geriatric OPD for painful in body, hopeless, head numbness, felt nausea, felt low of energy and low of level functioning. He told that no body love him as other sibling since childhood. His father had committed suicide since he was 12 years old. His physical illness reveals as normal. 2- Which is the best biological factor contribute the patient’s illness?

A 45 year-old Man, Buddhist, teacher, take care family and old mother ( 88 Years- old), comes alone to Geriatric OPD for painful in body, hopeless, head numbness, felt nausea, felt low of energy and low of level functioning. He told that no body love him as other sibling since childhood. His father had committed suicide since he was 12 years old. His physical illness reveals as normal. 3-Which is the best social factor contribute the patient’s illness?

A 20 year-old single lady, comes with complaint of sleep difficulty, palpitation, worry and headache. Her symptoms have happened about 3 years ago, she got convulsions 2-3 times per months. She mostly concerned this illness, she thought that no man married her. She wants to stay away from people. 1- Which is the best explanation the psychological symptoms?

A 20 year-old single lady, comes with complaint of sleep difficulty, palpitation, worry and headache. Her symptoms have happened about 3 years ago, she got convulsions 2-3 times per months. She mostly concerned this illness, she thought that no man married her. She wants to stay away from people. 2- Which is the best biological factor contributed the patient’s illness?

A 20 year-old single lady, comes with complaint of sleep difficulty, palpitation, worry and headache. Her symptoms have happened about 3 years ago, she got convulsions 2-3 times per months. She mostly concerned this illness, she thought that no man married her. She wants to stay away from people. 3- Which is the best social culture related?

A 18 Years old, told that in the previous 3 months while she was at school. Suddenly, she felt difficulty in breathing and got convulsion and gradually worse 2-3 times/ month. She developed more symptoms such as: palpitation, oppression, dizziness, headache and suddenly scared for no reason. She is withdrawn from others. 1- Which is the best psychological symptom you should consider?

A 18 Years old, told that in the previous 3 months while she was at school. Suddenly, she felt difficulty in breathing and got convulsion and gradually worse 2-3 times/ month. She developed more symptoms such as: palpitation, oppression, dizziness, headache and suddenly scared for no reason. She is withdrawn from others. 2- Which is the best biological factor contributed the patient’s illness?

A 18 Years old, told that in the previous 3 months while she was at school. Suddenly, she felt difficulty in breathing and got convulsion and gradually worse 2-3 times/ month. She developed more symptoms such as: palpitation, oppression, dizziness, headache and suddenly scared for no reason. She is withdrawn from others. 3- Which is the best precipitate factor contributed the patient’s illness?

A 18 Years old, told that in the previous 3 months while she was at school. Suddenly, she felt difficulty in breathing and got convulsion and gradually worse 2-3 times/ month. She developed more symptoms such as: palpitation, oppression, dizziness, headache and suddenly scared for no reason. She is withdrawn from others. 4-Which is the best social culture you should consider?

Which is the best statement may play a part in determining the patient resilience or vulnerability to stress?

Which is the best statement indicate a problematic development experience may confer vulnerability to stress?

Which is the best statement indicate the current life stress may contribute to relapse of preexisting condition?

Which is the best statement indicate “signs and symptoms” in psychiatry classification of disorders ?

Which is the best statement indicate patient who are wake up one morning with a severe pain in big toe?

Which is best diagnosis explain the person is more likely to believe he is the most talented person in the world?

Which is best diagnosis explain the person is more likely to believe he/her is guilty of neglecting his responsibilities

Which is best diagnosis explain the person is more likely to believe he/her is being watched by the police

Which is best diagnosis explain the person is more likely to be moving slowly or attempting to hang himself.

Which is best statement explain that our mind changes the structure of our brain?

1. Which one of the following proposals is correct?

Ability to sustain a focus on one activity, ability to concentrate” is a definition of

3. Which one of the following proposals is not correct?

Inability to concentrate attention, attention drawn to unimportant or irrelevant external stimuli” is a definition of

Blocking out only those things that generate anxiety” is a definition of

Excessive attention and focus on internal and external stimuli, usually secondary to delusion or paranoid states” is a definition of

“focused attention, and altered consciousness, usually seen in hypnosis, dissociative disorders” is a definition of

Which one of the following phrases is not associated with Emotion

Which one of the following phrases is not associated with Affect

Which one of the following phrases is not associated with Mood

11. Definition of Anxiety:

12. Definition of Fear:

13. Definition of Agitation:

14. Definition of Tension in Psychiatry :

15. Definition of Panic:

16. Definition of Ambivalence:

17. Definition of Guilt:

18. Physiological disturbances not associated with mood:

A 32-year-old patient is being interviewed in his physician’s office. He eventually answers each question, but he gives long answers with a great deal of tedious and unnecessary detail before doing so. Which of the following symptoms best describe this patient’s presentation?

A patient with a chronic psychotic disorder is convinced that she has caused a recent earthquake because she was bored and wishing for something exciting to occur. Which of the following symptoms most closely describes this patient’s thoughts?

An 18-year-old male is brought to hospital by his parents because they have noticed that he has been acting strangely recently. His parents say that the patient has just ‘lost it’ since failing his final examinations. The patient was noted to be giggling to himself, spending almost all his time in his room, making unusual gestures with his hands, speech has been incomprehensible and nonsense. What is the most probably diagnosis of this patient?

A 30-year-old female is brought to hospital as she has been violent and hostile to her neighbors. According to the patient, her grandfather was a successful writer and she acquired his fortunes recently. However, she believes that her neighbors have found out about it and claims that she has heard them talking about stealing her money. What is the most probably diagnosis of this patient?

- A 37-year-old male is brought to hospital by his wife as he has become increasingly irritable and restless over the last 2 weeks. His wife reported that he did not sleep well and woke up all night planning business ventures and wrote letters to celebrities, claiming that they are his friends. On examination, the patient is highly aroused with marked pressure of speech and flight of ideas. Select the most likely diagnosis from the following statements:

A 22-year-old male is admitted to hospital for a psychotic illness and was commenced on an antipsychotic medication. Few days later, he complains of feeling anxious and restless. He is unable to keep his legs from moving and has been pacing up and down the corridors. He is distressed by his symptoms and has been expressing suicidal thoughts. His urine drug screen was negative. Select the most likely diagnosis from the following answer:

During a clinical interview with a 25 male patient. He said that ‘I don’t really do the things. I used to be an active person and enjoyed running. I even played tennis competitively and really liked it. but I don’t get any joy out of my hobbies now.’ Select the most appropriate correct answer from the following

Case scenario : During a clinical interview with a 22 female patient. She said that ‘I’m not eating anymore, and I constantly feel guilty for everything. I feel like I’m in a deep trench and I’m suffering down below. Select the most appropriate correct answer from the following

The following illnesses or syndromes, which is most related to genetic factors?

A Psychiatric patient who, although coherent, never gets to the point has a disturbance in the form of thought called

Asking a patient to interpret a proverb is used as way of assessing

- Disturbances of attention include

Physiological disturbance associated with mood include

Stereotypy is

- Which of the following drugs is best used to treat acute delirium?

True statements about Parkinson’s disease include

Amnestic disorders

Amnestic disorder

Patient with IQ of 60 has -

An 18 year old boy came to the psychiatry OPD with a complaint of feeling changed from inside.He described himself as feeling strange as if he is different from his normal self.He was very tense and anxious yet could not point out the precise change in him.This phenomena is best called as:

Hallucinations which occur at the 'start' of sleep is -

1) A person presents gross impairment in reality testing. S/he incorrectly evaluates the accuracy of their perceptions and thoughts and makes incorrect inferences about external reality, even in the face of contrary evidence. Would this condition be defined as:

2) A person is mainly distressed by a variety of disturbing symptoms, which chronically appears as a difficulty such as an obsession, compulsion, phobia, or a sexual dysfunction. Would this condition be defined as:

3) Behavior which is assumed to be within normal limits when no manifest psychopathology is present. This definition of normality correlates with the traditional model of the doctor who attempts to free his or her patient from grossly observable signs and symptoms. Which of below functional perspectives of normality fit to the above statement?

4) Normality is a harmonious and optimal blending (mixture/combination) of the diverse elements of the mental apparatus that culminates in optimal functioning. Such a definition emerges when psychiatrists or psychoanalysts talk about the ideal person, when they deal with a complex problem, or when they discuss their criteria for a successful treatment. Which of the below functional perspectives of normality fit to the above statement?

5) Another perspective, commonly used in normative studies of behavior, is based on a mathematical principle of the bell-shaped curve. This approach considers the middle range normal and both extremes deviant. The normative approach based on this statistical principle describes each individual in terms of general assessment and total score. Which of the below functional perspectives of normality fit to the above statement?

6) Normal behavior is the end result of interacting systems. Temporal changes are essential to a complete definition of normality rather than a cross-sectional definition. Which of the below functional perspectives of normality fit to the above statement?

7) Normality is the ability to master the periods of life (from birth to death). Which of the below authors delivered this statement?

8) Normality is an idealized fiction. A normal ego is like normality in general. Normality is indicated by the capacity to love and work. Which of the below authors delivered these statement?

9) In a context where a person is seen as normal by members of his/her own society observing him or her, which of the below terms fit to this context?

10) In a context where a person is seen as unusual by members of another society observing him or her, which of the below terms fit to this context?

1) Chess, M.D. and Alexander Thomas M.D have demonstrated a wide range of differences among newborns. What do the differences called?

2) There is a phenomenon of elimination during the development of neurons, synapses, axons, and other brain structures from the original number to a lesser number at birth. Therefore, some part of developing brain contains structures and cellular elements are absent in the older brain. That phenomenon is called:

3) Why damage at the fetal stage usually has a more global impact than damage after birth? Because:

4) Among male and female fetus, which one are more vulnerable to developmental damage?

5) The newborn has already been influenced by many factors that have occurred in the safety of the womb, the result of which has produced wide individual differences among infants. Stella Chess, M.D. and Alexander Thomas M.D., have demonstrated a wide range of differences among newborns. What differences they have observed?

6) A fetus is involved in a variety of behaviors that are necessary for adaptation outside the womb. Pregnant women are extraordinarily sensitive to prenatal movements, such as kicking vigorously or rolling around. Which of below statements that the mothers describe is correct?

7) By 18th week, the fetus is able to hear and responds to loud noises and bright light. Which signs indicate these responses?

8) When pregnant women are in time of high level of stress, what is expected to also happen in the fetus?

9) Mothers with high levels of anxiety are more likely to have babies who are:

10) Smoking during pregnancy is associated with:

11) How long time more beyond the expected date of birth that an infant is defined as post-mature infant?

12) A baby is born with long nails, scanty lanugo hair; more scalp-hair than usual and more alert than usual. These characteristics indicate that the baby is:

13) Within the first 2 months, infants begin to smile spontaneously without or unrelated to any stimulation from their environment. What does this smiling called?

14) Within the 16th week, the infants begin to smile in response to emotions of others around them, usually stimulated by mother. What does this smiling called?

15) The stages of emotional development and those of cognitive development are:

16) Major stimulus for both emotional and cognitive growth is provided by:

17) Human infants depend totally on:

18) By the age of 3 weeks, infants imitate the facial movements of adult caregivers. They open their mouths and thrust out their tongues in response to adults who do the same. These imitative behaviors are believed to be:

19) Prolonged separation from the mother (or other primary caregiver) during the second 6 months of life can lead to a condition that may persist into adulthood as part of an individual's character. Choose one of the below conditions?

20) Before a jittery, irregular and irritable infant, what should the mother do?

21) Infant’s behaviors such as jittery, irregular and irritable toward mother are viewed by researchers as below meaning:

22) When a mother increase capacity for caring before a jittery, irregular and irritable infant, her behavior is viewed by researchers as below meaning:

Each newborn has innate psychophysiological characteristics, which are known collectively as temperament. Chess and Thomas identified a range of normal temperamental pattern from the difficult child at one end of the spectrum to the easy child at the other end. 23) When mother or father tries to relate (get along) with the newborn or developing infant, Chess and Thomas term it as:

24) The difficult child is harder to raise and places greater demands on the parent than the easy child. However, when the interaction between mother and child is harmonious and consonant, Chess and Thomas term this as:

25) Parents of a difficult child often have feelings of inadequacy and believes that they are doing something wrong to account for the child's difficulty in sleeping and eating. They also have problems in comforting the child because they could not harmonize the child’s motivations, capacities, and styles of behavior, Chess and Thomas term this as:

26) Winnicott believed that infants begin life in a state of non-integration, with unconnected and diffuse experiences. Mother plays a vital role in bringing the world to the child and offering empathic anticipation of the infant's needs. When the mother can resonate with the infant's needs, the baby can become attuned to its own bodily functions and drives that are the basis for the gradually evolving sense of self. Winnicott terms it as:

27) Toddler is:

28) The pace of language development varies considerably from child to child. Although a small number of children are truly late developers, most child experts recommend a hearing test if the child cannot make two-word sentences by age of:

29) How does a child accomplish the bowel control and urination control?

30) In infancy, the major responsibility for parents is to meet the infant's needs in a sensitive and consistent fashion. Whereas in toddler stage, the parental task requires firmness about the boundaries of acceptable behavior and encouragement of the child's progressive emancipation. Which of the below “must not” is correct?

The recognition of visual and auditive signals take place:

Goal directed voluntary movements take place:

In the parietal cortex is important for

Our judgment make about what occurs in our daily activities locate in

Our practical skills take place in

We know what we are doing within our environment take place in

In the frontal cortex assigns

Hypothalamus contains

Blood pressure, heart rate, body temperature, blood sugar levels were maintained by

Govern navigational skills are stored in:

Memories of life experiences (learning) are stored in:

Short and long-term memory are located in:

Our survival emotions associated with sexual desire are located in:

Self protection is responsible for:

Our fear and anxiety are responsible for:

- Substantia nigra (dopamin), locus coeruleus (nor-adrenalin) and the raphe nuclei (serotonin) are located in:

Mechanisms for respiration, heart , temperature and autonomous functions were regulated by:

Mechanisms of sleep/awake state, insticts, emotions, judgement were regulated by:

The activity of Gamma-aminobutyric acid (GABA)is increased by:

The activity of Gamma-aminobutyric acid (GABA) is increased by:

The muscle contraction and heart beat were responsible by:

The first neurotransmitter to be identified 70 years ago, was:

The neurotransmitters act as excitatory signals are:

The neurotransmitters inhibit the firing of neurons are:

A neurotransmitter is formed at the axon terminals. When an action potential arrives at the terminal, the electrically charged calcium ion rushes in, and this neurotransmitter is released into the synapse and attaches to their receptors. This action can cause a muscle to contract. What is the name of this neurotransmitter?

What is the name of a neurotransmitter that the activity is increased by benzodiazepine (Valium) and by anticonvulsant drugs?

A 36 year-old boy accompanied by his father comes to psychiatric outpatient department because of hearing voices, strange and agitated behaviour, poor sleep and talking to himself. His father said that the symptoms appeared for 2 weeks. He brought him to see many kruu Khmers and was treated there but the symptoms worse and worse. His father is very concerned about this issue and needs your assistance. A. What is the most important history you need to explore?

A 36 year-old boy accompanied by his father comes to psychiatric outpatient department because of hearing voices, strange and agitated behaviour, poor sleep and talking to himself. His father said that the symptoms appeared for 2 weeks. He brought him to see many kruu Khmers and was treated there but the symptoms worse and worse. His father is very concerned about this issue and needs your assistance. B- What is you probable diagnosis?

A 36 year-old boy accompanied by his father comes to psychiatric outpatient department because of hearing voices, strange and agitated behaviour, poor sleep and talking to himself. His father said that the symptoms appeared for 2 weeks. He brought him to see many kruu Khmers and was treated there but the symptoms worse and worse. His father is very concerned about this issue and needs your assistance. C- Your co-worker who psychiatric resident disagrees with your diagnosis. What is your explanation?

A 36 year-old boy accompanied by his father comes to psychiatric outpatient department because of hearing voices, strange and agitated behaviour, poor sleep and talking to himself. His father said that the symptoms appeared for 2 weeks. He brought him to see many kruu Khmers and was treated there but the symptoms worse and worse. His father is very concerned about this issue and needs your assistance. D- Your explanation is nonsense for him. He feels frustrated with your response. Again what is your explanation?

A 36 year-old boy accompanied by his father comes to psychiatric outpatient department because of hearing voices, strange and agitated behaviour, poor sleep and talking to himself. His father said that the symptoms appeared for 2 weeks. He brought him to see many kruu Khmers and was treated there but the symptoms worse and worse. His father is very concerned about this issue and needs your assistance. E- What is medication should we suggest to give the patient in order to help him better at night?

Deficiencies in a neurotransmitter occur in patients with a cognitive disorder associated with chronic alcoholism. What is the name of this neurotransmitter?

The researchers believe that a neurotransmitter may play a role in both learning and memory is:

What is the name of a neurotransmitter that is secreted by the sympathetic nervous system in the periphery to regulate heart rate and blood pressure?

What is the name of a neurotransmitter that is present in many tissues, particularly blood platelets and the lining of the digestive tract and the brain?

Hormones are very important for the activation and control of basic behavioral activities such as sex, emotion, response to stress and the regulation of body functions, such as growth, energy use and metabolism. What is the name of these hormones?

Our memory for habits and motor activities are located in

You overhear a patient state, “If you make me well, God, I will try to be a better person.” You know that this type of statement is one of the stages of dying known as:

You listen to a patient who talks to himself, “He tries in his mind to tell himself that life is as it was before his loss”. You learn this type of statement is one of the stages of dying known as:

Intensive Care Unit calls you to see a patient who admitted there. You hear the patient and relatives say that” the disease the patient has just suffered is not real.” You know that this type of reaction is one of the stages of dying known as:

A patient who admitted at Oncology Department reacts as Overwhelming anxiety after he was informed about his disease. You were called to help him. A-What is your co-morbidity diagnosis?

A patient who admitted at Oncology Department reacts as Overwhelming anxiety after he was informed about his disease. You were called to help him. B- Your colleague disagrees with your diagnosis. What is your explanation?

A patient who admitted at Oncology Department reacts as Overwhelming anxiety after he was informed about his disease. You were called to help him. C- What is your treatment you suggest to give him?

A male patient was referred to Intensive Care Unit because of seriously uncomfortable breathing. After he made X tray and the Doctor told him about the result of his lung then he was sudden emotional disturbance and physical weakening. You were called to help him. A- What is your co-morbidity diagnosis?

A male patient was referred to Intensive Care Unit because of seriously uncomfortable breathing. After he made X tray and the Doctor told him about the result of his lung then he was sudden emotional disturbance and physical weakening. You were called to help him. B- Your co-worker doesn’t agree with your statement. What is your explanation?

A male patient was referred to Intensive Care Unit because of seriously uncomfortable breathing. After he made X tray and the Doctor told him about the result of his lung then he was sudden emotional disturbance and physical weakening. You were called to help him. C- What is your medication you suggest to give this patient?

- You overhear a patient state, “the doctor might have looked at the wrong x rays (not mine!), wrong lab tests.” You know that this type of statement is one of the stages of dying known as:

An Oncology department has a patient that not long ago have been told he has cancer and there are no cure for it. He reacts immediately with agitation and aggressiveness and tells the doctor to go away. He expresses how unsatisfied he is with him who does not want to help him to recover from the illness. The doctor goes out of the room and calls you to help this patient. A- What is your co-morbidity diagnosis?

An Oncology department has a patient that not long ago have been told he has cancer and there are no cure for it. He reacts immediately with agitation and aggressiveness and tells the doctor to go away. He expresses how unsatisfied he is with him who does not want to help him to recover from the illness. The doctor goes out of the room and calls you to help this patient. B- The doctor disagrees with your statement. What is your explanation?

An Oncology department has a patient that not long ago have been told he has cancer and there are no cure for it. He reacts immediately with agitation and aggressiveness and tells the doctor to go away. He expresses how unsatisfied he is with him who does not want to help him to recover from the illness. The doctor goes out of the room and calls you to help this patient. C- What is your comment to give to Doctor and relatives?

An Oncology department has a patient that not long ago have been told he has cancer and there are no cure for it. He reacts immediately with agitation and aggressiveness and tells the doctor to go away. He expresses how unsatisfied he is with him who does not want to help him to recover from the illness. The doctor goes out of the room and calls you to help this patient. D- What is your medication you suggest to give the patient?

Your hear many dying patients state, ” they regret all they think they have done in life. They will start doing good things and change their life style if they have a good health”. You know that this type of statement is one of the dying known as:

You have seen your patients behave as they pray to the Buddha and ask for forgiveness and promise that they will be a good person if they are still alive. You learned this type of reaction is one of the stages of dying known as:

You hear a patient statement,” the Buddha will not change my fate , even though I bag my life from him”. You know that this type of statement is one of the stages of dying known as:

A 72 year-old woman who was referred to Intensive care unit because of seriously illness. Her diagnosis is cancer in the state that can not be cured. She has been depressed, cries and needs more empathic support and comfort from her children and relatives. She gets poor sleep and poor appetite. She would like to talk more and more with her lovely children about what she has kept confident for her life especially her wishes. Her children sit arround her and touching her hands. She tells them that her disease will not improve. Her children come to meet you and need you to help their mother? A- What is the most important information you need to explore?

A 72 year-old woman who was referred to Intensive care unit because of seriously illness. Her diagnosis is cancer in the state that can not be cured. She has been depressed, cries and needs more empathic support and comfort from her children and relatives. She gets poor sleep and poor appetite. She would like to talk more and more with her lovely children about what she has kept confident for her life especially her wishes. Her children sit arround her and touching her hands. She tells them that her disease will not improve. Her children come to meet you and need you to help their mother? B- What is the most relevant history you need to focus on:

A 72 year-old woman who was referred to Intensive care unit because of seriously illness. Her diagnosis is cancer in the state that can not be cured. She has been depressed, cries and needs more empathic support and comfort from her children and relatives. She gets poor sleep and poor appetite. She would like to talk more and more with her lovely children about what she has kept confident for her life especially her wishes. Her children sit arround her and touching her hands. She tells them that her disease will not improve. Her children come to meet you and need you to help their mother? C-What is your co-morbidity diagnosis?

A 72 year-old woman who was referred to Intensive care unit because of seriously illness. Her diagnosis is cancer in the state that can not be cured. She has been depressed, cries and needs more empathic support and comfort from her children and relatives. She gets poor sleep and poor appetite. She would like to talk more and more with her lovely children about what she has kept confident for her life especially her wishes. Her children sit arround her and touching her hands. She tells them that her disease will not improve. Her children come to meet you and need you to help their mother? D-Her children are unhappy with your statement. What is your explanation?

A 72 year-old woman who was referred to Intensive care unit because of seriously illness. Her diagnosis is cancer in the state that can not be cured. She has been depressed, cries and needs more empathic support and comfort from her children and relatives. She gets poor sleep and poor appetite. She would like to talk more and more with her lovely children about what she has kept confident for her life especially her wishes. Her children sit arround her and touching her hands. She tells them that her disease will not improve. Her children come to meet you and need you to help their mother? E-What is your treatment you suggest to give the patient?

A 72 year-old woman who was referred to Intensive care unit because of seriously illness. Her diagnosis is cancer in the state that can not be cured. She has been depressed, cries and needs more empathic support and comfort from her children and relatives. She gets poor sleep and poor appetite. She would like to talk more and more with her lovely children about what she has kept confident for her life especially her wishes. Her children sit arround her and touching her hands. She tells them that her disease will not improve. Her children come to meet you and need you to help their mother? F-What is the other therapy you need to give the patient?

At Intensive Care Unit you observe a seriously patient is more expressed gratefulness to her lovely children for what she has been in life. You know that type is one of the stages of dying known as:

The period of sadness after losing a loved one through death is:

The emotional response to the loss of loved one is:

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. A- What is the most information you need to explore?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. B- What is the history you need to know in detail?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. C- What is the most relevant information you need to know more?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. D- Related to the present history, what is the information you need to know more detail?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. E- What is your provisional diagnosis?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. F- Your co-worker disagrees with you diagnosis. What is your explanation?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. G- What is your suitable differential diagnosis?

Siphay is 36 years old man was accompanied by his relatives to Psychiatric out patient department because of feeling numness, sadness, loss of sleep and appetite, extreme tiredness and loss of interest in life. The symptoms appeared 2 months after his mother passed away but he can continue his daily life as usual. His relatives are very concerned about Siphay and need your assistance. H- What is your medication you suggest to give Siphay?

For most people with normal grief symptoms will lessen between

Complicated grief may be treated with different types of psychotherapy such as