Exam 1 Flashcards

1
Q

Axis 1

A

All mental disorders

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2
Q

Axis 2

A

Personality disorders and mental retardation

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3
Q

Axis 3

A

All medical diagnoses

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4
Q

Axis 4

A

Environmental and psychosocial problems

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5
Q

Axis 5

A

Global assessment functioning

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6
Q

Milieu therapy

A

Orient the pt to the physical setting
Identify rules and boundaries of the setting
Ensure safe environment
Select activities for the client that meet physical and mental health needs

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7
Q

Maslow’s hierarchy of needs

A

Self actualization
Esteem needs
Love and belonging (affiliation, affection, love)
Safety needs (security, protection, stability)
Physiological (food, water, oxygen, rest)

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8
Q

Frontal lobe

A

thought processes (plan, insight, motivate)

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9
Q

Temporal lobe

A

auditory (language comprehension, stores sound into memory)

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10
Q

Occipital lobe

A

Vision (interprets visual images, visual association, visual memories)

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11
Q

Parietal lobe

A

Sensory and motor (receives and identify sensory information, concept formation and abstraction)

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12
Q

Cerebellum

A

Coordinator of motor functions

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13
Q

Monnoamine neurotransmitters

A

Dopamine
Serotonin
Norepinephrine
Histamine

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14
Q

Dopamine (stimulatory)

A

Involved in cognition, motivation and movement, controls emotional responses, stimulates the heart and increases blood flow to vital organs

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15
Q

Acetylcholine

A

Balances dopamine. Plays a role in learning, memory, regulates mood, mania, sexual aggression, stimulates parasympathetic nervous system

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16
Q

Norepinephrine (stimulatory)

A

Mood, attention and arousal, activates fight or flight syndrome

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17
Q

Serotonin (inhibitory)

A

Mood, sleep regulation, hunger, pain perception, impulse control, inflammatory response, stimulates gastric secretions

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18
Q

GABA (inhibitory)

A

Reduces anxiety, excitation, aggression. Anticonvulsant and muscle-relaxing properties, may impair cognition and psychomotor functioning (inhibitory neurotransmitter)

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19
Q

Glutamate (stimulant)

A

Excitatory neurotransmitter, Plays a role in learning and memory

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20
Q

Antidepressant drugs

A

MAOIs
Tricyclic antidepressants
SSRIs
SNRIs

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21
Q

Antianxiety drugs

A

Benzodiazepines

Non-benzodiazepines

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22
Q

Monoamine oxidase inhibitors (MAOIs) restrictions

A

May cause hypertensive crises if taken with OTC pseudoephedrine. Dietary restriction of tyramine must be kept 2 weeks after stopping MAOI.

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23
Q

Antipsychotics should be stopped immediately if there are signs of

A

Neuroleptic malignant syndrome (NMS) such as severe muscle rigidity, confusion, agitation, and increased temperature, pulse, and BP

24
Q

Dopamine increase/decrease

A

Increase: Schizophrenia, mania, anxiety
Decrease: Parkinsons, depression

25
Q

Norepinephrine increase/decrease:

A

Increase: Anxiety, mania, schizophrenia
Decrease: Depression

26
Q

Serotonin increase/decrease:

A

Increase: anxiety
Decrease: depression

27
Q

Histamine increase/decrease:

A

High levels associated with anxiety and depression

28
Q

GABA increase/decrease:

A

Increase: less anxiety, mania,
Decrease: Anxiety, mania, schizophrenia, Huntington

29
Q

Acetylcholine increase/decrease:

A

Increase: depression
Decrease: Alzheimers, Parkinsons

30
Q

Action of tricyclic antidepressants

A

Increase norepinephrine

31
Q

Action of SSRI’s

A

Increase serotonin, have fewer anticholinergic side effects

32
Q

Which medications can cause hypertensive crisis?

A

MAOI’s

33
Q

Vegtables and fruits high in tyramine

A

Avacados, fermented bean, soybean and soybean paste

Fruits: Figs, bananas in large amounts

34
Q

Meats high in tyramine:

A

Fermented, smoked and aged meats, liver, bologna, pepperoni, salami

35
Q

Other foods high in tyramine

A

All cheeses, yeast extract, Chianti wines, some imported beers, protein dietary supplements, shrimp pasta, soy sauce

36
Q

Toxic effects of lithium include

A

Tremor, ataxia, confusion, convulsions, N/V, blurred vision

37
Q

Conventional (First generation) antisychotic side effects

A
Dystonia
Akathisia
Tardive dyskinesia
Pseudo-parkisonism
NMS
Orthostatic hypotension
38
Q

Antidepressants target which neurotransmitter?

A

Serotonin

39
Q

Antianxiety target which neurotransmitter?

A

GABA

40
Q

Sedative hypnotic target which neurotransmitter?

A

Histamine

41
Q

Mood stabilizers target which neurotransmitter?

A

Norepinephrine

42
Q

Antipsychotics target which neurotransmitter?

A

Dopamine

43
Q

Anticholinesterase target which neurotransmitter?

A

Acetylcholine

44
Q

Pharmacodynamics is

A

what the drug does to the body

45
Q

Pharmacokinetics

A

what the body does to the drug

46
Q

EPS are the result of

A

Dopamine blocking

47
Q

Genetics play what role in response to psychotropic deugs?

A

Response to psychotropic drugs may be related to genetics

48
Q

Signs of mental health

A
Finds life enjoyable
Meet needs
Can respond to rules, routines and customs
Accurate pic of what is happening 
Good sense of consequences
Has reasonable degree of self confidence
Experiences satisfaction and stability in relationships
Socially integrated 
Uses stress reduction strategies
49
Q

Signs of mental illness

A

Loses interest in all usual activities
Describes mood as depressed
Shows persistent pattern of aggressive conduct
Auditory hallucinations
Bizarre delusions
Passively allows others to assume responsibility for major areas of life
Lacks self-confidence
Unstable and intense interpersonal relationships

50
Q

Hypothalamus controls

A

Fear and stress, also part of sympathetic nervous system

51
Q

Beneficence

A

The duty to act as to benefit or promote good of others

52
Q

Autonomy

A

Respecting the rights of other to make their own decisions

53
Q

Justice

A

The duty to distribute resources or care equally

54
Q

Fidelity

A

Maintaining loyalty and commitment to the patient and doing no wrong to the patient

55
Q

The atypical antipsychotic clozapine can cause

A

agranulocytosis

56
Q

A mental status examine includes

A

Personal info (age, gender, race, marital status)
Appearance (grooming, hygiene, facial expressions)
Behavior (body movements, eye contact)
Speech (rate, volume, cluttering)
Affect (flat, animated, angry)
Mood (sad, labile)
Thought (disorganized, thought blocking)
Perceptual Disturbances (hallucinations)
Cognition (LOC, orientation, memory, insight)

57
Q

Effective communication skills

A
Use of silence
Active listening 
Paraphrasing
Restating 
Reflecting
Exploring