Final Flashcards

1
Q

Cluster A personality disorders (odd, eccentric)

A

Schizotypal
Paranoid
Schizoid

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2
Q

Cluster B personality disorders (dramatic, erratic)

A

Antisocial
Boderline
Narcissistic
Histrionic

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3
Q

Cluster C personality disorders (high levels of anxiety)

A

Avoidant
OCD
Dependent

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4
Q

Characteristics of schizotypal personality disorder

A
Avoid interpersonal relationships
Have unusual beliefs
Indifferent to the reactions of others
Magical thinking and rituals 
Believe they can control the actions of others 
Eccentric and unkempt appearance 
Unhappy about lack of relationships
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5
Q

Characteristics of schizoid personality disorder

A
Eccentric, isolated, lonely 
Flat affect 
Indifferent to praise or criticism 
Invest energy into nonhuman interests
Often attached to animals
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6
Q

Characteristics of histrionic personality disorder

A

Manipulate others thru dramatic, charming, flamboyant and sexually seductive behavior
Seek constant attention, love and admiration
Shallow and superficial relationships

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7
Q

Interventions for manipulation

A
Assess own reaction toward patient 
Set limits 
Provide clear boundaries and consequences 
Enforce consequences 
Avoid discussing yourself
Avoid promising to keep secrets
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8
Q

Treatment for depression in patients with personality disorders

A

SSRI’s: trazadone and venlafaxine

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9
Q

Which anticonvulsant is used to target impulsitivity, uncontrolled behaviors and self harm

A

Carbamazepine

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10
Q

S/S of anorexia nervosa

A

Terror of ganiing weight
Preoccupation with thoughts of food
View self as fat even when emaciated
Cut food into small pieces
Development of rigorous exercise program
Use of laxatives and diuretics
Controls what they eat to feel powerful to overcome feelings of helplessness

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11
Q

S/S of bulimia

A
Binge eating behaviors 
Self-induced vomiting 
depressive s/s 
Problems with self-concept 
Increased levels of anxiety and compulsiveness
Possible chemical dependence
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12
Q

Medical complication of anorexia

A
Bradycardia 
Orthostatic hypotension 
Cardiac murmur 
Prolonged QT
Acrocyanosis 
Leukopenia 
Hypokalemic alkalosis 
Elevated serum bicarbonate levels
Electrolyte imbalances 
Amenorrhea 
Abnormal thyroid function 
Hematuria 
Proteinuria
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13
Q

Medical complications of bulimia

A
Bradycardia 
Electrolyte imbalance 
Hypochloremia
Hypokalemia
Dehydration 
Erosion of teeth 
Loss of dental arch 
Diminished chewing ability 
Parotid gland enlargement 
Esophageal tears 
Severe abdominal pain
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14
Q

Criteria for hospital admission of individuals with eating disorders

A
Weight loss more than 30% over 6 months
Rapid decline in weight
Inability to gain weight 
Severe hypothermia 
Heart rate less than 40bpm
Systolic bp less than 70
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15
Q

What are the two neurotransmitters involved in depression?

A

Serotonin and norepinephrine

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16
Q

Decreased levels of serotonin can result in

A

Poor impulse control
Low sex drive
Decreased appetite
Irritability

17
Q

Decreased levels of norepinephrine can result in

A

Anergia
Anhedonia
Decreased concentration
Diminished libido

18
Q

S/S of depression

A
Mood of sadness, despair, emptiness
Low self esteem,
Anhedonia
Apathy, low motivation
Social withdrawal 
Irritability 
Suicidal ideation
19
Q

Full effect of tricyclic antidepressants may not by evident for about

A

4-8 weeks

20
Q

S/E of tricyclic antidepressants

A
Dry mouth 
Blurred vision
Tachycardia
Urinary retention 
Postural hypotension can lead to dizziness
21
Q

Why should tricyclics be administered at night

A

They have a sedative effects

22
Q

Contraindications for tricyclics

A

Pt who have recently had a MI, those with narrow angle glaucoma or a hx of seizures

23
Q

Suddenly stopping TCA can cause

A

Nausea, altered heartbeat, nightmares and cold sweats in 2-4 days

24
Q

An advantage of SSRI’s over TCA’s is

A

Less anticholinergic effects
Faster onset of action
Patients are more likely to comply bc of more favorable s/e

25
Q

S/E of SSRI’s

A
Agitation
Anxiety
Sleep disturbance
Tremor 
Sexual dysfunction 
Tension HA 
Dry mouth, nausea
26
Q

Sx of serotonin syndrome include

A
Abdominal pain 
Diarrhea
Sweating, Fever 
Tachycardia
Elevated BP
Delirium
Muscle spasms 
Irritability, hostility 
Hyperpyrexia
27
Q

The risk of serotonin syndrome increases when SSRI’s are given with

A

MAOI’s