Class II Flashcards

0
Q

seeks instant gratification, no regard for rules, unorganized reservoir of energy

A

ID

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1
Q

allows person to function well, controls action & perception, develop mutually satisfying relationships

A

ego

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2
Q

moral & ethical, follows rules & regulations

A

super ego

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3
Q

what is included in axis 1 of DSM IV

A

major mental disorders

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4
Q

what is included in axis 2 of DSM IV

A

personality/mental disorders

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5
Q

what is included in axis 3 of DSM IV

A

medical conditions/surgeries

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6
Q

what is included in axis 4 of DSM IV

A

psychosocial & environmental stressors

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7
Q

what is included in axis 5 of DSM IV

A

global assessment of functioning (GAF)

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8
Q

who can make a diagnosis using DSM

A

master prepared clinicians

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9
Q

pt says they had an anxiety attack - what is your first question

A

what were you symptoms

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10
Q

what is the purpose of a H&P on admission

A

to r/o non-psych causes for their condition

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11
Q

what electrolyte imbalance may cause a change in mental status

A

hyponatremia

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12
Q

what is a noticeable slowing down of speech, thinking, & movement

A

psychomotor retardation

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13
Q

what is a noticeable speeding up of movement that is usually purposeless, repetitive, & associated w/ an inner tension

A

psychomotor agitation

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14
Q

a behavior where a person gets into your personal space

A

intrusive

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15
Q

a behavior where the person interacts in a bright cheery way that discounts their problems

A

superficial

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16
Q

restriction of speech, shortage of words

A

poverty of speech

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17
Q

speech w/ no ⬇️ in intensity or pace, no pauses, loud w/ a sense of urgency

A

pressured speech

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18
Q

speech w/ repeating the same words or movements

A

perservation of speech

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19
Q

speech where pts use made up words

A

neologisms

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20
Q

thoughts - gives excessive unneeded details before getting to the point

A

circumstantial thinking

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21
Q

thoughts - pt goes off topic

A

tangential thinking

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22
Q

disorganized thoughts moving from topic to topic w/o connection

A

loose associations

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23
Q

nearly continuous flow of speech w/ abrupt & frequent changes in topic that are usually connected

A

flight of ideas

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24
thoughts stopping abruptly for seconds-minutes
blocking
25
person is unable to decipher what is real and what isn't
psychosis
26
false sensory perceptions that the person is experiencing when there is no real stimuli
hallucinations
27
what is a common reason for gustatory or olfactory hallucinations
brain tumor, aneurysm
28
fixed false beliefs that the pt believes are true, will not be convinced otherwise
delusions
29
delusion - belief that someone is attempting to harm them
paranoid/persecutory
30
delusion - belief that they have a special power or abilities - wealth, knowledge, achievements
grandiose
31
delusion - belief that the person's body is diseased, abnormal, or changed
somatic
32
person believes that insignificant remarks, statements, or events refer directly to them (tv, paper, magazines)
delusion of reference
33
belief that one can bring about an event by thinking about or wishing for it
magical thinking
34
a person misinterprets something that is real (usually visual)
illusion
35
amount of schooling completed & ability to evaluate ideas & isssues
intellectual functioning
36
ability to interpret a situation or statement
abstract thinking
37
ability to understand the situation correctly and adapt behavior or decisions to the situation
judgement
38
ability to understand a situation and accept personal responsibility for the situation
insight
39
what is the priority of the milieu
safety
40
team member - perform research, testing, interpret tests, psychotherapy
clinical psychologist
41
team member - focus on ways to improve functional ability of pts using creative activities
occupational therapist
42
team member - help pts find constructive activities for leisure time
recreational therapist
43
team member - assist w/ job seeking/retention, completing educational goals
vocational rehab specialist
44
team member - assist w/ d/c planning, community referrals, & psychotherapy
social worker
45
team member - review management of med side effects, make sure all meds are compatible
pharmacist
46
team member - diagnose psych disorders, prescribe medical treatment
psychiatrist
47
involuntary confinement to a room, pt cannot leave
seclusion
48
freedome & movement are restricted, even being held
restraints
49
what is the purpose of psych drugs
relieve symptoms
50
what type of drug ⬇️ anxiety & helps w/ sleep
anxiolytics
51
benzo anxiolyts alter the effects of which neurotransmitter
GABA
52
non-benzo anxiolytics alter which neurotransmitter
serotonin
53
which type of drug is used to treat psychotic symptoms
antipsychotics
54
what symptoms do antipsychotics treat
hallucinations, delusions, illusions, paranoia, disorganized thinking
55
what conditions do antipsychotics treat
schizophrenia, mood disorders, agitation, aggressive behavior
56
what are some non-psych symptoms that antipsychotics treat
intractable vomiting hiccoughs vertigo
57
what neurotransmitter does antipsychotics affect
dopamine (blocks)
58
what type of drug is available in long-acting form
typical antipsychotic
59
what additional symptoms do atypical antipsychotics treat
blunted affect apathy withdrawal
60
which type of antipsychotic is associated w/ less side effects
atypical
61
which type of drug is used to treat OCD & phobias
antidepressant
62
which type of drug is used to treat expansive emotional states
anti-manic
63
what are anticonvulsants used to treat
bipolar disorder
64
what type of drug releases dopamine so regions of the brain are stimulated, ⬆️ attention & concentration
psychostimulants
65
what are the 2 types of mood stabilizers
antimanic | anticonvulsant
66
what type of drug ⬇️ anxiety & insomnia, inducing sleep
sedative hypnotics