Assessment and Intervention Planning Flashcards Preview

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Flashcards in Assessment and Intervention Planning Deck (36):
1

Clozaril

most powerful drug for schizophrenia

most toxic - needs blood tests to monitor (mandated by law in many states)

2

anxiety best treated with which class of drug?

SSRIs
- Prozac (Fluoxetene)
- Zoloft (Sertraline)
- Paxil (Paroxetene)
- Lexapro (Escitalopram)
- Celexa (Citalopram)

Newer anti-depressants
- Cymbalta (Duloxetene)
- Effexor (Venlofaxine)

NOT BENZOS (valium, klonopin, ativan, xanax)

3

agitation/activation with anti-depressant

means person may have bipolar disorder

should be treated with Lamictal or Lithium

4

tardive dyskenisia

abnormal movements that come months or years (or sometimes in weeks) of being on anti-psychotics

5

common antipsychotics

Haldol
Abilify
Zyprexa
Seroquel
Risperadol
Geodon
Stelazine
Thorazine

6

schizoid personality disorder

introverted, withdrawn, solitary, emotionally cold, distant

absorbed with own thoughts and feelings

fearful of closeness and intimacy with others

7

paranoid personality disorder

interpreting actions of others as deliberately threatening or demeaning

untrusting, unforgiving, prone to angry or aggressive outbursts

8

schizotypal personality disorder

peculiarities: odd, eccentric manners of speaking or dressing

strange, outlandish, or paranoid beliefs

display signs of "magical thinking"

9

antisocial personality disorder

impulsive, irresponsible, callous

history of legal difficulties

belligerent and irresponsible bx

aggressive and even violent relationships

no respect for others

10

borderline personality disorder

unstable interpersonal relationships, bx, mood, self-image

abrupt, extreme mood changes

stormy interpersonal relationships

fluctuating self-image

self-destructive actions

11

narcissistic personality disorder

exaggerated sense of self-importance

absorbed by fantasies of unlimited success

seek constant attention

oversensitive to failure

12

histrionic personality disorder

behave melodramatically, over the top, constant display of excessive emotionality

attention seeking

13

avoidant personality disorder

hypersensitive to rejection, needs to be sure of being liked before getting involved with others

avoidance of social events, work that involves interpersonal contact

14

dependent personality disorder

pattern of dependent, submissive bx

relying on others to make personal decisions

require excessive reassurance and advice

15

obsessive-compulsive personality disorder

conscientious, high levels of aspiration

strive for perfection

never satisfied with achievements

16

other personality d/o

personality change due to another medical condition

other specified personality disorder

unspecified personality disorder

17

ataxia

lack of muscle control during voluntary movements (picking objects up, walking)

18

agnosia

inability to recognize familiar objects

19

prosopagnosia

inability to recognize familiar faces

20

acalculia

inability to do basic arithmetic

21

paraphilic d/os

cts with atypical sexual interests that...
- they feel personal distress about their interests (not just distress from society's disapproval)
- their sexual desire involves another person's psychological distress, injury, or death
- their sexual bx involves unwilling persons, or persons unable to give legal consent

desires/behaviors don't need to have resulted in legal involvement

22

Mental Status Examination

appearance

orientation

speech/pattern

affect/mood

impulsiveness/potential for harm

judgment/insight

thought process/reality testing

intellectual functioning/memory

23

comorbid

existing with or at the same time

(2 different illnesses at one time)

24

contraindicated

not recommended or safe to use

(i.e. not prescribing medication because it could have serious consequences)

25

folie a deux

shared delusion

26

endogenous versus exogenous depression

caused by biochemical imbalance

caused by external events or psychosocial stressors

27

postmorbid

after onset of illness

28

premorbid

prior to onset of illness

29

engagement

actively involved with client re:

why tx sought

what precipitated desire for change

parameters of helping relationship (roles)

expectations for tx

30

assessment

ct is source of providing essential information to define problems, solutions; also collateral contact

31

planning

develop common understanding of ct's preferred lifestyle

goals

specific action plans developed, agreed upon (roles, resources, timelines)

32

intervention

mobilizing support network to make continued progress & sustainable change

bring issues threatening goal attainment to social workers attention

progress tracked, timeline adjusted accordingly

33

evaluation

subjective reports of client & objective indicators of progress

have goals been met? do new goals need to be set?

client self-monitoring helpful!

34

termination

reflect on achievement

anticipate supports in place if problems arise again

35

phases of treatment

engagement

assessment

planning

intervention

evaluation

termination

36

SMART (research/goal acronym)

specific, measurable, attainable, realistic, timely