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OTA 127 FINAL > chapter 11 > Flashcards

chapter 11 Flashcards

1
Q

A sensory experience that has no basis on external reality?

A

Hallucinations

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2
Q

Hearing voices, seeing animals, people, or lights, and feeling burning or crawling sensations on the skin?

A

Common Hallucinations

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3
Q

Most common may hear voices telling them to do something or criticize them or may hear music or strange sounds or someone calling their name. The sounds may be higher or softer then they actually are.

A

Auditory Hallucinations

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4
Q

Common may involve seeing walks move, having one’s face look strange in the mirror, or thinking people look transparent or flat.

A

Visual Hallucinations

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5
Q

This is usually unpleasant to the patient

A

Gustatory/olfactory Hallucinations

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6
Q

May be of itching or burning or a feeling that insects are crawling on our biting one’s skin

A

Tactile Hallucinations

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7
Q
  • May be unable to perceive reality accurately enough to interact safely or effectively with environment
  • may become frightened or agitated by hallucinatory content and may experience feelings of shame & isolation
  • may be unable or unwilling to interact with others due to preoccupation with amount of overstimulation from Hallucinations
  • usually motivated to be more in contact with reality
A

Predictable functional deficits/strengths

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8
Q

Schizophrenia, depression, mania, some personality disorders, dementia, and some physical illnesses

A

Where Hallucinations can be found

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9
Q
  • Reassure a client and help them understand what is happening to them
  • talk calmly, firmly, naturally, rhythmically, soothing manner
  • avoid sarcastic comments
  • try and redirect the clients attention to some neutral topic or activity and try to draw the person back to reality
  • use grounding techniques
A

Therapeutic use of self for Hallucinations

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10
Q

Make the environment calm, quiet and nondistracting. DO NOT ISOLATE PERSON

A

Environment setting for Hallucinations

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11
Q
  • Keep activities simple, highly structured, and interactive.
  • DO NOT include fine motor coordination or detail due to intrusion of Hallucinations.
  • DO NOT ALLOW TO WORK ALONE.
A

Appropriate activity guidelines for Hallucinations

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12
Q

A belief that is contrary to reality as experienced by others in one’s cultural group

A

Delusions

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13
Q

The belief the TV shows or newspapers have special messages

A

Ideas of reference

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14
Q

The belief that “they” are taking thoughts out of one’s head

A

Thought withdrawal

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15
Q

The thought that “they” are inserting thoughts into one’s head

A

Thought insertion

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16
Q

The feeling of being followed

A

Delusions of persecution

17
Q

Feeling of having special powers

A

Megalomania or Delusions of grandeur

18
Q

The delusion that someone is in love with you

A

Erotomania

19
Q

Belief that something is horribly wrong with one’s body

A

Somatic

20
Q
  • Sometimes hard to recognize
  • DO NOT reinforce or feed into delusional system
  • DO NOT patronize client
A

Therapeutic use of self for Delusions

21
Q

Should be relatively stimulating and provide opportunities for persons to get involved in real life activities of meanings

A

Environment for Delusions

22
Q
  • Should be suited to the person’s good intelligence,
  • higher verbal & cognitive skills
  • use activities that support the person’s occupational roles&interests
  • DO NOT use activitiesthat are in any way related to the person’s Delusions
A

Guidelines for activities for Delusions

23
Q

A type of thinking in which persecutory and grandiose ideas predominate

A

Paranoia

24
Q

Hyper alertness, highly suspicious. Always scanning

A

Paranoid ideation

25
Q

Extreme and unbelievable ideas (someone is out to get them)

A

Paranoid Delusions

26
Q
  • understand their world viewed and situation
  • approach slowly
  • use clear communication and congruent actions
  • when in groups~om to keep person close to increase sense of safety
  • stay in control as a leader
A

Therapeutic use of self for Paranoia

27
Q
  • Keep it stable and predictable, prepare client for transition or change
  • support isolation until person can increase interaction
  • watch if threatened do not block and always provide a path to exit
A

Environment for Paranoia

28
Q
  • used client controlled, structured, complex activities using easily controlled materials
  • give supplies/directions all at once
  • allow individual, independent work
A

Guidelines for activities for Paranoia

OTA 127 FINAL (1 decks)

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