DEVELOPMENTAL THEORY AND MENTAL STATUS EXAM Flashcards
1
Q
primative part of mind “unconscious” contains sexual/aggressice doings
A
id
2
Q
DECISION making of the personality
A
ego
3
Q
works realistically - pleasure/ avoiding pain
A
EGO
4
Q
satisfy immediate needs/ unrealistic
A
id
5
Q
Conscience and ideal self (ego ideal) “GUILT”
Satisfy moral needs
A
Super ego
6
Q
sexual (libido) and aggressive energies
A
internal forces
7
Q
5 psychological developmental stages
A
oral, anal, phallic, latency, genitals
8
Q
age for oral stage
A
birth 1-5yrs old
9
Q
mouth is the focus of stimulation, feeding and weaning are central.
A
Oral
10
Q
age for anal
A
1.5 yrs old-4yr old
11
Q
age for Phallic
A
4-6 or 7yrs
12
Q
Anus- focus of stimulation and interaction elimination and touley training is central.
A
anal
13
Q
genitals and focus of stimulation: gender role and moral development is central.
A
phallic
14
Q
boy toddler sees his father as rival towards affection of mother “castration anxiety” -cut of penis
A
Oedipus complex
15
Q
girl is closer to father (authority)
A
Electra complex
16
Q
age for latency
A
7-12yrs old
17
Q
energy shifts to physical intellectual activity
oedipus/ electra are solved. No pleasure zone for oral/ anal
A
latency
18
Q
age for latency
A
7-12 y/old
19
Q
this is suppressed because they play outside the house w friends
A
libido
20
Q
seek relationship w others and balance ID and superego.
A
Genital
21
Q
age for genital
A
12-adulthood
22
Q
8 Stages of Psychological Development
A
Erik Erikson
23
Q
Personality development
A
Sigmund Freud
24
Q
what is in stage 1 of erik erikson’s psychological development?
A
trust vs mistrust
25
this is the sense of control; independence
Autonomy vs shame and doubt
26
how many stages does psychological development have?
8 stages
27
what age does initiative vs guilt start? (doing things alone)
4-5 yrs old
28
what stage focuses on the child's academic advances, right and wrong operating SUPEREGO
stage 4: industry vs inferiority
29
stage where children try to discover themselves
stage 4 industry vs inferiority
30
what stage has opposite attracting conflict: accepted or rejected by ppl around
stage 5 identity vs role confusion
31
pain scale for 3-18 yrs old self rapport
Wong Baker Faces Pain Rating Scale
32
what age does stage 6: intimacy and isolation take place?
20-30 yrs old
33
this is the stage for elderlies when expectation is not met or met "career focus"
stage 7: generativity vs stagnation
34
retirement stage. starts to feel like they have no purpose. "reflective stage
stage 8: ego vs integrity vs despair
35
Stages of cognitive development
Jean piaget's
36
- Medical examination as extension of physical exam
- Involves both objective and subjective data of patient
mental status exam
37
what is the purpose of mental status exam?
to aid in diagnostic, prognostic therapeutic thinking
- Should provide pertinent positive/negative information
38
technique that looks and observes color, size, location, symmetry, movement company
inspection
39
technique with the use of touch
palpation
40
what are 4 things observed when palpating the patient?
Texture, Temperature, Mobility, Moisture
41
other factors observed when palpating a patient
1. finger pads
2. ulnar/palmar surface
3. size
4. shape
5. degree of tenderness
42
3 different parts of hand that palpates a patient
1. finger pads
2. ulnar/palmar surface
3. dorsal surface
43
what is being touched for finger pads?
pulse, texture, size, shape
44
what is being palpated for ulnar/palmar surface?
vibration/thrill (vibratory sensations )
45
what is being palpated for dorsal surface?
temperature
46
what are the 4 types of palpation and how it is done?
1. light - less than 1cm, little to no depression
2. moderate- 1-2cm depression
3. deep- 1-2 inches depression
4. bimanual- use of 2 hands for holding
47
this technique involves tapping to produce sound waves, assess underlying structure or pain
persussion
48
types of percussion
1. direct- fingertips
2. blunt
3. indirect- middle finger
49
technique used to identify intensity, pitch
auscultation
50
pain assessment toll for 8 yrs older
Visual Analog Scale (VAS)
51
Each category (FACE, legs, etc.) is scored on a 0-2 scale, which results in a total pain score between 0 and 10. The child should be observed briefly and then scored each category based on the description supplied.
FLACC scale
52
Useful assessment tool for cognitively impaired and critically ill children.
FLACC scale
53
assessment tool:
no pain, mild pain, moderate pain, severe pain, very severe pain, worst possible pain
Simple Descriptive Intensity Scale
54
what are the 4 classification of fever
1. Intermittent fever:
2. Remittent fever:
3. Relapsing fever
4. Sustained/ Constant fever:
55
low grade fever
37.1C- 38.2 C
56
High grade fever
38.2-40.5 C
57
40.5C
Hyperpyrexia
58
what is the scoring for newborn babies?
APGAR
59
assessment tool for pregnany
GP-TAL
60
This assesses first day of last menstrual period
GP-TAL
61
Meaning of GP-TAL
Gravida, para, term gestation, abortion, living
62
the distance between your pubic bone and the top of your uterus during pregnancy.
fundal height
63
a systematic method of abdominal palpation used to assess fetal position, presentation, and engagement in the third trimester of pregnancy.
The Leopold maneuvers
64
this is an adult functional assessment that records what a patient does
Barthel Index
65
establish a degree of independence from any help, physical or verbal
barthel index
66
what does 0-20 indicate in barthel index?
total dependency
67
21-60 indicate in barthel index?
severe dependecy
68
61-90 indicate in barthel indexx
moderate dependency
69
10 elements of mental status examination
appearance
behavior
speech
mood
affect
emotional of a person
thought process
thought content
cognitive
insight/judgment
70
regular intervals between periods of fever and periods of normal temperature within 24 hours
intermittent fever
71
fever spikes and falls without a return to normal temp in 24 hours
remittent fever
72
short febrile fever periods of a few days are interpersed with w periods of 1-2 days of normal temperature
relapsing fever
73
fever fluctuates minimally above 38 degree C and demonstrates little fluctutation but always remain above normal
sustained/constant fever
74
expanded sigmund freud's psychosexual theory
erik eikson
75
in this stage and developmental level, they develop a sense of moral responsibility and assertiveness influence others. they fear disapproval of own powers
stage 3, preschooler: initiative vs guilt
76
in this stage and developmental level, this is having control without loss of self-esteem they doubt abilities, feels ashamed for not trying
stage 2: toddler, autonomy vs shame vs doubt (toilet training)
77
in this stage and developmental level, they are academically advanced and may feel a sense of failure.
stage 4, school aged child: industry vs inferiority
78
in this stage and developmental level, trusting self, others and environment
stage 1: infant, trust vs mistrust (feeding)
79
in this stage and developmental level, they commit to intimate realtionships or work connections. they may have exp loneliness, poor relationships
stage 6 young adult, intimacy versus isolation
80
what are the four stages of the cognitive development theory?
1. sensorimotor
2. preoperational
3. concrete operational
4. formal operations
81
age range for sensorimotor?
birth to nearly 2 years
82
experiencing the world through senses and actions (looking, touching, mouthing and grasping)
sensorimotor
83
what is the developmental phenomena for sensorimotor?
- object permanence
- stranger anxiety
84
age range for preoperational?
2-7 years old
85
representing thngs with words and images; use intuitive rather than logical reasoning
preoperational
86
developmental phenomena for preoperational
-pretend play
- egocentrism
- language development
87
age range for concrete operational?
7-11 yrs old
88
thinking logically about concrete events; grasping concrete analogies and performing arithmetical operations
concrete operational
89
developmental phenomena for concrete operational
- conservation
- mathematical transformations
90
age range for formal operational
12 to adulthood
91
abstract reasoning
formal operational
92
developmental phenomena for formal operational
- abstract logic
- potential for mature moral reasoning
93
3 parts/ stages of lawrence kohlberg's theory on Moral Development
1. post conventional
2. conventional
3. pre conventional
94
Theory on Moral Developmet
Lawrence Kohlberg's
95
Theory on Moral Developmet: moral reasoning, based on PERSONAL ethics
Post conventional (adulthood)
96
2 stages on post conventional
social contract,
principle
97
2 stages on conventional
good boy attitude,
law and order morality
98
Theory on Moral Developmet: moral reasoning based on EXTERNAL ETHICS
conventional
99
Theory on Moral Developmet: moral reasoning based on REWARD AND PUNISHMENT
PRE-conventional
100
2 stages for pre conventional
avoiding punishment
self-interest
101
age for conventional
8-13 yrs old
102
age for post conventional
adulthood
103
age for pre conventional
3-7 yrs old
104
an image of the moral stages:
stage 1
avoiding punishment
105
an image of the moral stages:, stage 2
aiming at a reward
106
an image of the moral stages: stage 3
good boy and good girl attitude
107
an image of the moral stages: stage 4
loyalty to law and order
108
an image of the moral stages: stage 5
justice and the spirit of the law
109
an image of the moral stages: stage 6
universal principles of ethics
110
what level is stage 1 and 2 as an image of the moral stage?
preconventional level
111
what level is stage 3 and 4 as an image of the moral stage?
conventional level
112
vwhat level is stage 5 and 6 as an image of the moral stage?
post conventional level
113
a level of images of the moral stage where: an individual follows rules to avoid punishment. blind obedience to authority for its own sake
level 1 preconventional
114
a level of images of the moral stage where: an individual lives up to expectations of others. fulfills duties and obligations of social system. upholds law
level 2: conventional
115
a level of images of the moral stage where: an individual follows internalised universal principles of justice and right. Balances concern for self with concern for others and the common good. acts in an independent and ethical manner regardless of expectations of others
level 3: post conventional (principled)
116
refers to a client's level of cognitive functioning and emotional functioning
mental status exam
117
most persistent conditions affect mental health
substance abuse
118
harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs
substance abuse
119
