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Psych Final > Impulse Control Disorders > Flashcards

Impulse Control Disorders Flashcards

1
Q

How do impulse control disorders present?

A

As children who’s parents can’t control them, or as an adult who dos not choose to control his or her behavior.

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2
Q

Impulse and aggression increase what?

A

They increase the risk for suicide attempts, self-harm, and other-directed violence.

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3
Q

Describe the communication control approach to treat impulse control disorders.

A

Low expressed emotion, calm communication, nonthreatening body posture, matter-of-fact, consistently setting limits.

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4
Q

What prevents many long term problems in impulse control patients?

A

By recognizing and treating impulse control disorders while person is young

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5
Q

Why do families often conceal concerns or limit treatment of impulse control disorders?

A

Due to stigma and misperceptions

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6
Q

Define oppositional defiant disorder?

A

Negative hostile and defiant behaviors that last at least 6 months.

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7
Q

What are 6 characteristics of oppositional defiant disorder?

A
  1. looses temper
  2. argues with adults
  3. defies rules or requests
  4. deliberately annoys people and is easily annoyed by others
  5. blames others for misbehavior
  6. resentful, spiteful, vindictive
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8
Q

Define intermittent explosive disorder (IED)?

A

Failure to controll aggressive impulses

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9
Q

What is IED characterized by?

A

Rapid, intermittent, unanticipated outbursts of disruptive behavior that results in significant harm to people, animals, and or property.

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10
Q

According to DSM-5 what is the minimum onset age of what for IED

A

6 years of age

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11
Q

What is the treatment for IED?

A

“off label” use of medications

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12
Q

What three types of drugs are used for IED?

A

Prozac, mood stabilizers (lithium or anticonvulsants), antipsychotics (Clozaril, Haldol)

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13
Q

What helps to control aggressive impulses in IED patients?

A

psychotherapy

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14
Q

Define conduct disorder

A

un-impulsive, repetitive, persistant pattern of violating basic rights of others or age-appropriate rule/societal norms.

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15
Q

What are the characteristics (behaviors) of conduct disorders.

A

Agression to people or animals, destructive of property, deceitfulness of theft, serious violation of rules such as truancy, may stay out all night or run away.

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16
Q

When does conduct disorder occure?

A

prior to age 10 mostly in physically aggressive males.

17
Q

Patients with conduct disorder often display what type of reasoning?

A

Antisocial reasoning

18
Q

Without intensive treatment, conduct disorder may develop into what?

A

Antisocial personality disorder

19
Q

Define adolescent-onset conduct disorder.

A

No symptoms are present prior to age 10.

20
Q

What happens to the ration of male to females diagnosed with adolescent-onset as compared to conduct disorder?

A

it lessens, more girls become aggressive at this point of development.

21
Q

Often patients with adolescent-onset conduct disorder show what type of emotion?

A

Callous (lack of empathy), unemotional

22
Q

Callousness in a patient diagnosed with adolescent-onset conduct disorder may be a predictor of what in adulthood?

A

antisocial personality disorder

23
Q

What are two behaviors exhibited by patients diagnosed with adolescent-oncet conduct disorder?

A

Pyromania, and Kleptomania

24
Q

Define Pyromania

A

Repeated deliberate fire setting

25
Q

Define kleptomania

A

repeated failure to resist urges to steal objects

26
Q

Why do patients with adolescent-onset conduct disorder participate in pyromania and kleptomania?

A

They get a high from it and a relief of pleasure

27
Q

What meds are used for Conduct disorders?

A

Second generation antipsychotics, this generation antipsychotics (abilify)

28
Q

What do antipsychotics do for the conduct disorder patient?

A

Bring down aggression

29
Q

Nursing diagnosis for the conduct disorder patient focus on what three things?

A

protection of others and self, improved coping strategies/skills, and dressing the family

30
Q

What are 7 nursing implementations for the client with conduct disorders?

A
  1. Promote safety
  2. Establish rapport
  3. Set limits and expectations
  4. Consistency in follow through
  5. Provide structure and boundaries
  6. Avoid power struggles with patients
  7. Opportunities to achieve goals/sense of purpose
31
Q

What are the 3 expected desires of the patient with conduct disorders?

A
  1. Patient demonstrates increased levels of self-regulation and behaviors that are in control.
  2. Increased ability to interact appropriately with others
  3. Patient will consider rights of others

Psych Final (4 decks)

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