KeyTermsExam2

Question 1

person’s emotional state or feelings expressed in own words
- doc pt description

Answer 1

mood

Question 1

observed responsiveness of a person’s emotional state

Answer 1

affect

Question 1

rapid, extreme mood swings
- irritability or sudden outburst of misplaced rage

Answer 1

lability

Question 1

loss of interest or pleasure
- especially in things that you like

Answer 1

anhedonia

Question 2

visible slowing of the physical activity such as movement and speech
- mental cause
- associated with severe depression

Answer 2

psychomotor retardation

Question 2

an inc in activity brought on by mental tension
- associated with agitated depression

Answer 2

psychomotor agitation

Question 3

180/120 with sx
- occipital ha, palpitations, N/V, sweating, dilated pupils, neck stiffness, photophobia, cardiac disturbances

Answer 3

hypertensive crisis

Question 4

medical emergency characterized by
- digfast (distractibility, indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness)

Answer 4

mania

Question 5

similar to mania but lasts for a shorter period of time and slightly more mild

Answer 5

hypomania

Question 6

four or more manic episodes for at least two weeks

Answer 6

rapid cycling

Question 7

multiple hypomanic sx but no episodes
- fluctuating hypomania and depressive episodes

Answer 7

cyclothymia

Question 8

flat or blunted emotion

Answer 8

affective

Question 9

reduction in circulating granulocytes and dec production with limits ability to fight off infection

Answer 9

agranulocytosis

Question 10

dry mouth, constipation, hot, sweating, urinary retention, blurred vision, tachycardia, memory impairment

Answer 10

anticholinergic side effect

Question 11

little emotion

Answer 11

blunting

Question 12

feeling of inner restlessness that can be manifested as excessive pacing

Answer 12

akathisia

Question 13

brief and lack of content verbal responses
- not able to elaborate

Answer 13

alogia

Question 14

presence of two opposing forces, leading to inaction, cant decide and get stuck

Answer 14

ambivalence

Question 15

inability to realize you are ill
- caused by illness itself

Answer 15

anosognosia

Answer 16

apathy

Question 17

inability to complete projects, assignments, work

Answer 17

avolition

Question 18

hyperactivity
fully concious
purposeless activity
waxy flexing

Answer 18

catatonia

Question 19

extremely detailed and lengthy talk about a topic
eventually gets to the point

Answer 19

circumstantiality

Question 20

repetition of words that are similar in sound but in no other way
- heard the bell, well hell then i fell

Answer 20

clang associations

Question 21

auditory hallucinations in the form of commands - are you hearing voices? what are the voices telling you to do?

Answer 21

command hallucinations

Question 22

inability to think abstractly

Answer 22

concrete thinking

Answer 23

delusional disorder

Question 24

erroneous fixed beliefs that cannot be changed by reasonable argument

Answer 24

delusion

Question 25

repetition of another's words - pathological repetition of another's word

Answer 25

echolalia

Question 26

involuntary imitation of another's movement or gesture

Answer 26

echopraxia

Question 27

pseudoparkinsons akathisia acute dystonia tardive dyskinesia *caused by antipsychotics*

Answer 27

extrapyramidal side effects

Question 28

topic of conversation changes repeatedly and rapidly with only superficial associative connectedness - buisness --> economy --> government

Answer 28

flight of ideas

Question 29

perceptual experiences that occur without actual external stimuli that can include all five sense - auditory, visual, tactile, olfactory, gustatory

Answer 29

hallucinations

Question 30

sustained attention to external stimuli - waiting for something to happen

Answer 30

hypervigilance

Question 31

absence of normal connectedness of thought, ideas, topics

Answer 31

loose associations

Question 32

made up words that have meaning to the patient only

Answer 32

neologism

Question 33

serious and potentially fatal reaction to antipsycotics - dehydration and warm climate can lead to it - fever (103-105), sweating, muscle rigidity, liable BP, tachycardia/pnea

Answer 33

neuroleptic malignant syndrome

Question 34

an irrational fear ranging from mild to profound - suspciousness that is unrealistic

Answer 34

paranoia

Question 35

sx that should not be there - hallucinations - delusions - disorganized behavior - disorganized speech

Answer 35

positive sx

Question 36

sx that should be there but arent - affective flattening or blunting, ambivalence, alogia, avolition, anhedonia, asociality (dec desire for or comfort during social interactions)

Answer 36

negative sx

Question 37

state in which ind is experiencing hallucinations, delusions, or disorganized thoughts, speech, behavior *sx of mental illness rather than a mental illness itseld*

Answer 37

psychosis

Question 38

words being forced out

Answer 38

pressured speech

Question 39

extremely detailed and lengthy talk *never gets to the point*

Answer 39

tangentiality

Question 40

involuntary movement disorder that occurs with long term antipsychotic use (may not be reversible) - occurs only when patient is awake - typically orofacial

Answer 40

tardive dyskinesia

Question 41

spasmodic and painful spasms of muscles - head pulled to one side

Answer 41

torticollis

Question 42

repetition of the same word or sound over and over again

Answer 42

verbigeration

Question 43

posture held in fixed position

Answer 43

waxy flexibility

Question 44

string of words totally unconnected, jumble of meaningless words

Answer 44

word salad

Question 45

head and heels arch backward in extreme hyperextension and the body forms a reverse bow

Answer 45

opisthotonos

Question 46

eyes roll back towards the head

Answer 46

oculogyric crisis

Question 47

treat as emergency because can progress to more severe

Answer 47

oral facial muscle spasm

Question 48

spasms of throat impairing breathing and swallowing

Answer 48

laryngospasm

Question 49

stimulates parkinson but is reversible - tremors of hands and arms, rigid arms and shoulders, bradykinesia, hypersalivation, shuffling gait

Answer 49

parkinsonian reaction

Question 50

dry mouth

Answer 50

xerostomia

Question 51

believe they have exceptional powers, wealth, skills, influence, destiny

Answer 51

grandiose

Question 52

believe one is dead or a disaster is impending

Answer 52

nihilistic

Question 53

believe they are being watched, plotted against, ridiculed

Answer 53

persecutory

Question 54

believe in abnormalities of body function or structure

Answer 54

somatic

Question 55

special relationship w God or on a mission for him or they are the biggest sinner

Answer 55

religious

Question 56

believe newspapers, TV shows, or songs are directly specifically towards them

Answer 56

referential

Question 57

takes a while to begin talking or abruptly stops and is unable to remember what they were saying

Answer 57

thought blocking

Question 58

believe other people are able to read your mind

Answer 58

thought broadcasting

Question 59

believes people are stealing your thoughts - typically government agencies

Answer 59

thought withdrawal

Question 60

thoughts are being replaced by outsiders, like by satan

Answer 60

thought insertion

Question 61

conclusion reached that do not follow logically

Answer 61

illogicality

Question 62

expression of stress though physical sx that are manifestations of pschyological and emotional distress

Answer 62

somatization

Question 63

multidimensional interplay of biological, psychological and sociocultural needs

Answer 63

holistic approach

Question 64

primarily relief from emotional conflict and freedom from anxiety *internal relief*

Answer 64

primary gain

Question 65

relief of responsibility *external relief*

Answer 65

secondary gain

Question 66

absence of psychological distress despite having serious medical illness - commonly associated with conversion disorder

Answer 66

labelle's indifference

Question 67

concious fabrication of illness or exaggeration of sx for secondary gain

Answer 67

malingering

Question 68

preoccupation with an imagined defect of appearance

Answer 68

body dysmorphic disorder

Question 69

loss of menstrual periods in females after puberty

Answer 69

amenorrhea

Question 70

eating more than 1500 cals in less than 2 hours

Answer 70

binge eating

Question 71

gauge used to determine the severity of the eating disorder

Answer 71

body mass index

Question 72

consistently eating below or above caloric needs to maintain a healthy weight - occurs without hunger or fails to produce satiety

Answer 72

eating disorder

Question 73

downy growth of body hair on the face and back

Answer 73

lanugo

Question 74

ingestion of substances that have no nutritional value

Answer 74

pica

Question 75

self induced vomiting or the misuse of laxatives, diuretics, enemas

Answer 75

purging

Question 76

potential complication that results of eating too much too soon resulting in shift in electrolytes

Answer 76

refeeding syndrome

Question 77

undigested food being returned to the mouth rechewed, reswallowed, or spit out

Answer 77

rumination disorder

Question 78

callusues and or scars on the knuckles of hands from self induced vomiting

Answer 78

russells sign

Question 79

comfortable fullness

Answer 79

satiety