Ch 22 Psychiatry

Question 1

external expression of emotion

Answer 1

affect

Question 2

loss of memory

Answer 2

amnesi

Question 3

absence of emotions

Answer 3

apathy

Question 4

uncontrollable urge to perform an act repeatedly

Answer 4

compulsion

Question 5

anxiety becomes a bodily symptom that has no physical basis

Answer 5

conversion

Question 6

flight from customary surrounding, dissociative disorder

Answer 6

fugue

Question 7

confused thinking, disorientation, changes in alertness, difficulty paying attention, and fearfulness, usually reversible

Answer 7

delirium

Question 8

fixed false belief that cannot be changed by logical thinking

Answer 8

delusion

Question 9

loss of intellectual abilities with impairment of memory, judgement, and reasoning

Answer 9

dementia

Question 10

unstable, undergoing rapid emotional change

Answer 10

labile

Question 11

overly suspicious thinking with fixed delusions of being harasses, persecuted, or unfairly treated

Answer 11

paranoia

Question 12

a disorder marked by loss of contact with reality often associated with delusions and hallucinations

Answer 12

psychosis

Question 13

medical doctor, able to prescribe medications, oversee diagnosis and treatment of psychiatric patients

Answer 13

psychiatrist

Question 14

advanced degree but not a medical doctor, often have extensive training in research, treat patients with psychotherapy, may aid in evaluation of disorders

Answer 14

psychologist

Question 15

can PAs and NPs be psych providers?

Answer 15

yes, they can prescribe meds, oversee dx and tx

Question 16

what are a group of disorders characterized by an unpleasant emotional state?

Answer 16

anxiety disorders

Question 17

______ and ______ changes often accompany anxiety disorders

Answer 17

behavioral and psychological changes

Question 18

what are two very common symptoms of anxiety disorders?

Answer 18

fatigue and sleep disturbances

Question 19

what is a common contributing factor in a person’s everyday life that contribute to anxiety disorder?

Answer 19

lack of daily structure

Question 20

what is a short-lived, intense anxiety disorder associated with physiological manifestations?

Answer 20

panic disorder

Question 21

what are common causes of anxiety disorders? (4)

Answer 21

1. unknown
2. hyperthyroidism
3. drugs (cocaine, amphetamines, corticosteroids)
4. associated with other mood disorders

Question 22

what is chronic anxiety and exaggerated worry when there is little/no precipitating factors?

Answer 22

Generalized Anxiety Disorder

Question 23

what are common S/S with anxiety disorder? (4)

Answer 23

1. motor tension (shaky, trembling, jumpy)
2. autonomic hyperactivity (sweat, palpitations, diarrhea, dry mouth, etc)
3. apprehensive expectation
4. vigilance and scanning (poor concentration, insomnia)

Question 24

what disorder is irrational and debilitating fears associated with a specific object or situation?

Answer 24

phobic disorder

Question 25

fear of being in crowded place is called?

Answer 25

Agoraphobia

Question 26

fear of closed spaces is called?

Answer 26

claustrophobia

Question 27

fear of heights is called?

Answer 27

acrophobia

Question 28

what disorder is the fear of public scrutiny which leads to humiliation or embarrassment

Answer 28

social anxiety disorder

Question 29

what disorder is a development of symptoms following an exposure to a traumatic event?

Answer 29

PTSD

Question 30

S/S PTSD include? (5)

Answer 30

1. intense fear 2. flashback 3. nightmares 4. anxiety 5. impairment of social interactions or ability to do work/ function properly

Question 31

what disorder is characterized by one or more panic episodes alternating with depressive episodes

Answer 31

bipolar I disorder

Question 32

bipolar I mania would look like (symptoms?) (4)

Answer 32

1. inflated self esteem 2. feelings of grandiosity 3. decreased need for sleep 4. excessive involvement in pleasurable activities that have negative outcomes

Question 33

one or more hypomanic episodes alternating with major depressive episodes is called?

Answer 33

bipolar II disorder

Question 34

do patients reach delusional grandiosity during hypomania in bipolar II disorder?

Answer 34

no

Question 35

is thought more organized in hypomania/bipolar II disorder?

Answer 35

yes

Question 36

hypomania is described as

Answer 36

quick and creative thoughts that leads to productivity (unlike mania)

Question 37

what is the most common psychiatric disorder?

Answer 37

depressive disorder

Question 38

what is an adjustment disorder with a depressed mood?

Answer 38

depressive disorder

Question 39

what is depressive disorder associated with (what leads someone to having this disorder) (3)

Answer 39

1. adverse life situation 2. grief reaction (death) 3. family / financial crisis

Question 40

what disorder is characterized by at least one episode of serious mood depression occurring at any time of life

Answer 40

major depressive disorder

Question 41

symptoms milder than in major depressive episodes, but longer lasting with two or more episodes in 1 year is called?

Answer 41

dysthymia

Question 42

a combination of mild depression and hypomania, lasting for 2 years, resolving, and recurring is called?

Answer 42

cyclothymia

Question 43

depression occurring during the winter months?

Answer 43

seasonal affective disorder (SAD)

Question 44

is depression often secondary to substance abuse (if yes, give an example)

Answer 44

yes, alcohol dependence

Question 45

causes of depressive disorders include? (5)

Answer 45

1. unknown 2. adverse life change 3. divorce 4. financial / family crisis 5. illness

Question 46

drug and substance abuse that can lead to depressive disorders include (8)

Answer 46

1. alcohol dependence 2. reserpine 3. corticosteroids 4. oral contraceptives 5. methyldopa 6. digitalis 7. beta blockers 8. sedatives

Question 47

when can a depressive disorder occur specifically in women?

Answer 47

1. postpartum 2. premenstrual 3. postmenopausal

Question 48

s/s of depressive disorders include (8)

Answer 48

1. SIGECAPS 2. anhedonia (withdrawal from activities) 3. feelings of guilt/worthlessness 4. inability to concentrate 5. anxiety, fatigue, insomnia 6. anorexia/constipation 7. suicidal ideation 8. psychotic ideations