Final review Flashcards

1
Q

add

A
apparent at 7
difficulty concentrating 
be patient 
don't blame parents
communicate
don't sweat it
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2
Q

ADD 3 primary characteristics

A

inattention
hyperactivity
impulsivity

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3
Q

autism disorder

A

1/68 children

on schedule
anything not on routine can be scary

consider guardian

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4
Q

anorexia nervousa

A

mental and biological

can also be from irregular hormone function

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5
Q

bulimia nervosa

A

binge/purge

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6
Q

phycological assessment

A

call law if needed

rule out factors for behaviour (BGL/SPO2/OD)

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7
Q

tips with disorganized patients

A

explain what you are doing
keep orientating the patient to place/time and people in the environment
identify yourself multiple times if needed

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8
Q

1 in _ adults experience a form of anxiety any given year

A

5

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9
Q

GAD

A

generalized anxiety disorder

must experience anxiety most days for 6 months before diagnosing

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10
Q

treating phobias

A

offer O2

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11
Q

panic disorders

A

rapid onset of overwhelming unexpected feelings of fear

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12
Q

how to treat someone with panic disorder

A

separate them from bystanders and put them in a calm environment

be understanding and reassure

address patients symptoms and help them regain control

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13
Q

best way to manage hyperventilating

A

help them slow down their breathing

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14
Q

its a good idea to use a paper bag when hyperventilating t/f?

A

F! it can make other conditions worse!

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15
Q

PTSD

A

type of anxiety that comes from traumatic events

ex. MVC, terrorist attacks etc.

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16
Q

PTSD symptoms

A

flashbacks
survivor guilt
depression

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17
Q

most prevalent psychiatric disorders

A

mood disorders

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18
Q

whats more common unipolar mania or depression

A

DEPRESSION

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19
Q

what gender does depression affect more

A

women

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20
Q

diagnostic features of depression

A

GAS PIPES

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21
Q

GAS PIPES of depression

A

guilt
appetite
sleep disturbance

paying attention
interest
psychomotor abnormalities
energy
suicide
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22
Q

common meds prescribed for anxiety and depression

A

SSRIs

selective serotonin reuptake inhibitors

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23
Q

suicide attempts are more common in _____ and more successful in _____

A

women

men

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24
Q

hallmark of mania

A

affect

patient seems to be one a high

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25
people with personality disorders
have a harder time managing depression may not be afraid to hurt if agitated *be calm and professional*
26
what is personality disorder
a mental disorder in which an unhealthy pattern of thinking, functioning and behaving develops
27
personality disorder clusters
odd behaviour emotional behaviour anxious or fearful behaviour
28
somatofrom disorders
think there is something wrong with them when there is not
29
dissociative disorder
feeling of being detached from themselves as if they were dreaming
30
depersonalization experience
feels like a dream ex. if they were in a car accident and it feels like time has stopped
31
derealization
objects appear to change size / people may seem dead and act like robots
32
what gender is more affected by eating disorders
women
33
impulse control disorders
lack the ability to resist temptation commonly found in patients with other mental illnesses
34
urge to steal
kleptomania
35
urge to start fires
pyromania
36
substance users
social drinkers
37
substance intoxication
drunk drivers use the substance until thinking is impaired
38
substance abuse
drinks to try and solve problems or forget
39
substance dependence
addiction
40
tips when dealing with blind patients
take equipment that helps them function put anything you moved out of place back communicate with them
41
hemiplegia
paralysis on one side of the body
42
paraplegia
paralysis on the lower part of the body
43
quadriplegia
paralysis of all 4 extremities
44
bariatric
fatties
45
pickwickian syndrome
hypoxemia hypercapnia polycythemia (to many RBC's) usually found in very obese patients
46
t/f bariatrics breathe easier supine?
F! sit them up
47
tips with bariatrics
communicate | make the receiving facility aware you are coming
48
developmental disability
person develops more slowly and differently then the average person
49
risk factors of down syndrome
family history | maternal age of more than 35
50
t/f down syndrome patients have small tongues
F! they tend to have larger tongues which can make it difficult to intubate
51
antisocial
occurs around the age of 15 but is diagnosed around 18
52
anti social clinical features
disregard the rights of others criminal behaviour fighting
53
difference between an antisocial person and someone with autism
people with an antisocial disorder don't care about others and are unethical on purpose they also only care about themselves and are good at mimicking emotions
54
t/f treating anti social patients can be quite difficult
T! never hesitate to call law enforcement
55
prehospital treatment for antisocial patients
rule out reversible causes like BGL and O2 remain calm and don't be manipulated
56
med for agitated patients and dose
lorazepam! 1-2 mg PO repeat 30 minutes if needed
57
delusional disorder
can be aware of their behaviour but unable to alter it
58
delusional types
erotomatic/erotic - stalking behaviour grandiose - thinks they have a special power/relationship with a power figure persecutory - patient is being threatened or maltreated somatic - having an illness/defect
59
t/f delusional disorders are very common?
F! they are rare usually a symptom of another disorder like schizophrenia
60
what is schizophrenia
brain disorder affecting the ability to differentiate between real and false reality
61
when do most people get schizophrenia
early in adulthood genetic?
62
schizophrenia clinical features
hard time thinking hallucinations delusions change in mood
63
1 in _ people will experience depression
6 more common in women
64
persistent depressive disorder
more chronic and not as severe as other forms depressed most of the time for over 2 years includes 2 of the following symptoms
65
depressive seasonal affective disorder
related to seasons can be based on sunlight same symptoms as major depression but also include binging in winter and poor appetite in spring can lead to other conditions like substance abuse/suicide
66
1 in _ depressed patients will succeed in suicide
6 75% will give a clear warning of their attempt
67
tips when dealing with suicides/suicidal patients
let them talk about it * don't leave them alone * bring pills don't argue with them
68
bipolar disorder
depression symptoms mixed with mania symptoms usually have a period of wellness between episodes don't consider themselves ill
69
how to assess manic patients COAST MAP
``` consciousness orientation activity speech thought memory affect perception ```
70
ADHD is a _________ disorder
neurodevelopmental
71
ADHD symptoms
onset of ages 3-6 inattention hyperactivity impulsivity
72
ADHD meds
stimulants increase dopamine levels
73
obesity is being over __% of the ideal body weight
20%-30%
74
morbidly obese is being __% over the ideal body weight
40%
75
intertrigo
rash due to moisture trapping
76
t/f its harder to ventilate fatties
T!
77
people calling due to panic attacks should stay back from the hospital T/F
F!
78
depression age of onset
32
79
chronic depression
2+ years
80
possible suicide tips
dont leave the patient alone collect implements acknowledge the patients feelings encourage transport
81
mania drugs
lithium drugs for first line therapy (bad adverse effects) anti epileptic drugs
82
mental status examination for mania
COAST MAP
83
3 types of personality disorders
odd behaviour emotional behaviour fearful behaviour
84
munchausen syndrome
making someone sick for attention
85
stretcher for fatties
pneumatic