Exam 2

Question 1

Dealing with anxiety by reaching out to others (taking a bad thing and turning it positive)

Answer 1

Altruism

Question 2

Covering up a real or perceived weakness by emphasizing a trait one considers more desirable

Answer 2

Compensation

Question 3

Responding to stress through the unconscious development of physical manifestations not caused by a physical illness

Answer 3

conversion

Question 4

the transfer of feelings from one target to another that is considered less threatening or that is neutral

Answer 4

displacement

Question 5

a disruption in consciousness, memory, identity, or perception of the environment that results in compartmentalization of uncomfortable or unpleasant aspects of oneself

Answer 5

dissociation

Question 6

an attempt to increase self-worth by acquiring certain attributes and characteristics of an individual one admires

Answer 6

identification

Question 7

an attempt to avoid expressing actual emotions associated with a stressful situation by using the intellectual processes of logic, reasoning, and analysis

Answer 7

intellectualization

Question 8

integrating the beliefs and values of another individual into one’s own ego structure

Answer 8

introjection

Question 9

separating a thought or memory from the feeling, tone, or emotion associated with it

Answer 9

isolation

Question 10

attributing feelings or impulses unacceptable to one’s self to another person

Answer 10

projection

Question 11

attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors

Answer 11

rationalization

Question 12

preventing unacceptable or undesirable thoughts or behaviors from being expressed by exaggerating opposite thoughts or types of behaviors

Answer 12

reaction formation

Question 13

retreating in response to stress to an earlier level of development and the comfort measures associated with that level of functioning

Answer 13

regression

Question 14

involuntarily blocking unpleasant feelings and experiences from one’s awareness

Answer 14

repression

Question 15

demonstrating an inability to reconcile negative and positive attributes of self or others into a cohesive image

Answer 15

splitting

Question 16

rechanneling of drives or impulses that are personally or socially unacceptable into activities that are constructive

Answer 16

sublimation

Question 17

the voluntary blocking of unpleasant feelings and experiences from one’s awareness

Answer 17

suppression

Question 18

symbolically negating or canceling out an experience that one finds intolerable

Answer 18

undoing

Question 19

Med:
-Anxiolytic
-Short term use for GAD and panic disorder
-PRN fast acting
-Antidote = IV flumanezil
- suffix –pam or –lam

Answer 19

benzodiazepine

Question 20

Med:
-Anxiolytic
-Long term management of GAD
-Regular schedule, not PRN, non-habit forming
-Initial response = 1 week, full effect = 4 weeks

Answer 20

Atypical anxiolytic

Question 21

What is an example of an atypical anxiolytic?

Answer 21

Buspirone (BuSpar)

Question 22

Med:
-Antidepressant
-Less SEs, more calming effects
-Watch for Serotonin syndrome
-Increased risk of suicidality in peds
-Full effects = 4 weeks
- suffix = –pram or –ine

Answer 22

SSRIs

Question 23

What are examples of SSRIs?

Answer 23

-Lexapro
-Fluoxetine (Prozac)
-Sertraline (Zoloft)
-Fluvoxamine (Luvox)
-Citalopram (Celexa)

Question 24

Med:
-Antidepressant
-Panic disorder and GAD
-Watch for Serotonin Syndrome
-Full effects = 4 weeks

Answer 24

SNRIs

Question 25

What are examples of SNRIs?

Answer 25

Duloxetine (Cymbalta) Venlafaxine (Effexor)

Question 26

Med: -Antidepressant -Not typically used and fatal if OD -SEs of sedation, ortho hypo, anticholinergic effects, sweating, seizures, arrhythymias -Suffix = -- ine

Answer 26

TCAs

Question 27

What are examples of TCAs?

Answer 27

Amitriptyline (Elavil) Clomipramine (Anafranil) -Imipramine (Tofranil)

Question 28

Med: -Antidepressant -Panic and social anxiety disorder -Only used if other meds fail; dietary and substance abuse issues -Avoid foods high in tyramine -SEs = hypertensive crisis, anxiety, agitation, ortho hypo

Answer 28

MAOI

Question 29

What is a "non-addictive" alternative to benzodiazepines (fast-acting)

Answer 29

Antihistamines (hydroxyzine hydrochloride/pamoate)

Question 30

Med: -Used for tremors, palpitations in test/performance anxiety "stage fright" -Decreases hyperarousal in PTSD

Answer 30

Beta blockers Alpha 2 Receptor Agonist

Question 31

Med: -Anxiolytic -Not first line, used for anxiety -Considered a controlled substance

Answer 31

Anticonvulsant

Question 32

What is an example of an anticonvulsant?

Answer 32

pregabalin (Lyrica)

Question 33

Med: -Anxiolytic -Not first line and not approved by FDA -Used for GAD

Answer 33

Atypical antidepressant mirtazapine (Remeron)

Question 34

What are the 3 stages of GAS (general adaptation system)?

Answer 34

1) Alarm -- fight or flight 2) Adapt 3) Exhaustion

Question 35

What is it called when a therapist uses painless sensors on skin to monitor AND - therapist and client identify techniques to decrease stress

Answer 35

Biofeedback

Question 36

An emotional response -a diffuse, vague apprehension that is associated with feelings of uncertainty and helplessness, may cause dread r/t anticipation of danger

Answer 36

Anxiety

Question 37

A cognitive response: -Involves the intellectual appraisal of the threatening stimulus

Answer 37

Fear

Question 38

What level of anxiety: A student getting ready for an exam, heightened senses, jitters, excitable

Answer 38

Mild anxiety

Question 39

What level of anxiety: Problem solving ability decreases, learning decreases, person may not hear questions being asked, may need someone to repeat what is being said so they can participate in the group activity -Tension, pounding heart, increased HR and RR, diaphoresis ***STILL HAVE ABILITY TO REGAIN CONTROL

Answer 39

Moderate

Question 40

What level of anxiety: Problem solving and learning are not possible -Person may be dazed or confused -May experience a sense of doom -Physical sx --> chest pain, HA, SOB

Answer 40

Severe

Question 41

What level of anxiety: -Inability to process environmental stimuli -Person may become impulsive -Erratic behaviors -May lose touch with reality -Runs across the street w/o looking both ways **SAFETY IS A HIGE RISK

Answer 41

panic

Question 42

What phobia: Extreme fear of certain places -- being outside, riding a bus, feeling they can escape

Answer 42

Agoraphobia

Question 43

What phobia: Fear of needles, pins, and sharp objects (medical setting)

Answer 43

trypanophobia

Question 44

What is the tx for hoarding disorder?

Answer 44

1) Cognitive behavioral therapy 2) SSRIs 3) Psychoeducation ***SLOW PROCESS

Question 45

What is the criteria for Acute Stress Disorder?

Answer 45

At least 9 sx from 5 categories (intrusion, negative mood, dissociation, avoidance, arousal) for at least 3 days but no longer than a month

Question 46

Exposure to traumatic events that cause anxiety, detachment, and other manifestations about the traumatic event for longer than 1 month & can last for years

Answer 46

PTSD

Question 47

What are sx of PTSD?

Answer 47

-Intrusion (flashbacks) -Guilt "survivors guilt" -Recurring dreams -Avoidance of people -Inability to feel positive emotions -Negative mood -Persistent arousal

Question 48

What is the first line tx of PTSD?

Answer 48

SSRIs

Question 49

What disorders is PTSD a risk factor for?

Answer 49

Anxiety Depression Substance abuse Dissociative disorders

Question 50

What trauma/stress-related disorder: temproary change in awareness characterized by feeling they are observing one's own personality or body from a distance

Answer 50

depersonalization/derealization disorder

Question 51

What trauma/stress-related disorder: inability to recall personal information r/t traumatic or stressful events, common with trauma victims

Answer 51

Dissociative amnesia

Question 52

What trauma/stress-related disorder: type of dissociative amnesia where a person travels to a new area and does not know self or parts of their past

Answer 52

dissociative fugue

Question 53

What trauma/stress-related disorder: personality switches to protect their primary self, at least 2, will have memory gaps

Answer 53

dissociative identity disorder

Question 54

What is "flooding"?

Answer 54

a rapid type of desensitization, floods person with painful memories