Psych

Question 1

First thing to evaluate:

Answer 1

Psychotic or non-psychotic

Question 2

Non- psychotic

Answer 2

-Has insight
-Reality based
-> Use Good therapeutic communication (reflection, clarification, amplification, restatement etc)

Question 3

Psychotic

Answer 3

-No insight
-Not reality based
-Have delusions, hallucinations, illusions

Question 4

Delusion

Answer 4

false belief or idea (no sensory component) all in the head
3 types:
paranoia- someone out to harm you
grandiose- belief you are superior (world revolves around you)
somatic- false beliefs about body parts

Question 5

Hallucinations
(There is nothing there)

Answer 5

false SENSORY beliefs (5 senses)
-Auditory (most common): voice telling you to harm self
-Visual (2nd most common): see things that arent there
-Tactile (3rd most common): feel things that arent there
-Gustatory: taste
-Olfactory: small

Question 6

Illusion
(something there)

Answer 6

Misinterpretation of reality (sensory)
referent in reality: pt and dr can both refer to it
It’s really there pt is just misinterpreting what it actually is

Question 7

Types of Psychosis

Answer 7

1. functional
2. psychosis of dementia
3. psychosis of delirium

Question 8

Functional psychosis

Answer 8

They can function in every day life
-chemical imbalance in the brain
(skeezo/skeezo/major/maics)
-schizophrenia
-schizoaffective
-Major depression
-Mania (bipolar pts psychotic in acute mania)

Question 9

Psychosis of Dementia

Answer 9

Brain damage from Alzheimer, stroke, organic brain syndrome
(if it says SENILE/DEMENTIA)

Question 10

Psychotic Delirium

Answer 10

Temp, sudden, dramatic episode secondary to something else that causes loss of reality

Question 11

Functional Treatment

Answer 11

-acknowledge feelings
-present reality
-set limits
-enforce limits

Question 12

Demented Treatment

Answer 12

-Acknowledge feelings
-Redirect/Reality orientation (person,place,time)
NEVER PRESENT REALITY their brain damage wont allow them to process it

Question 13

Delirious Treatment

Answer 13

-acknowledge feelings
-Reassure safety & temporariness of this state

Question 14

Approach to answer Psych Questions

Answer 14

1. psychotic vs non- psychotic
   -No? use therapeutic communication
   -yes? determine which kind
2. functional, demented or delirious
   -functional: acknowledge feeling, present reality, set limits & enforce them
   -demented: acknowledge feeling, redirect
   -delirious: acknowledge feeling, reassure safety & temporary state

Question 15

Psychotic symptoms (loose associations)

Answer 15

Thoughts are all over the place
flight of idea
word salad
neologisms
narrowed self concept
idea of reference

Question 16

flight of idea

Answer 16

rapid flow through
-each phrase is coherent but the phrases together dont make sense

Question 17

word salad

Answer 17

just throwing words together not coherent at all (sicker than flight of idea)

Question 18

neologisms

Answer 18

Making up words

Question 19

Narrowed self concept

Answer 19

Defines themself with where they are and what theyre wearing w/o it they dont know who they are
-functional psychosis
-leave them alone & dont force them to do something they dont want