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LCCC Nursing > Psych Exam 3 > Flashcards

Psych Exam 3 Flashcards

(90 cards)

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0
Q

Cluster B personality disorder

A

Dramatic, emotional, erratic- antisocial, borderline, histrionic, narcissistic

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1
Q

Cluster A personality disorder

A

Odd and eccentric- paranoid, schizoid, schizotypical

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2
Q

Cluster C personality disorders

A

Anxious, fearful- avoidant, dependent, obsessive compulsive

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3
Q

Paranoid personality disorder

A

Cluster A- others are malevolent; condition begins by early adulthood- trusts no one, over sensitive

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4
Q

Schizoid personality disorder

A

Defect in ability to form relationships- want to form relationship, but can’t. Indifferent to others, aloof, inappropriately serious about everything, isolated

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5
Q

Schizotypal personality disorder

A

Cluster A- “latent schizophrenics” odd and eccentric, but not to the level of schizophrenia. Aloof, isolated, bland, apathetic, MAGICAL THINKING

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6
Q

Antisocial personality disorder

A

Cluster B- socially irresponsible, guiltless, disregard for law, manipulative

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7
Q

Borderline personality disorder

A

Cluster B- intense & chaotic relationships, fluctuating and extreme attitudes, impulsive, most common type of personality disorder, lacks sense of identity, borderline because between neurosis and psychosis, inability to be alone, splitting

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8
Q

Histrionic personality disorder

A

Cluster B- “all hangin’ out”, excitable, emotional, seductive, manipulative, exhibitionistic, distracts easy, difficulty forming relationships

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9
Q

Narcissistic personality disorder

A

Cluster B- self centered, grandiosity, relaxed, cheerful, but can easily change because of fragile self esteem

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10
Q

Avoidant personality disorder

A

Cluster C- sensitive to rejection, socially withdrawn, but desires relationship and is fearful of them, express feelings of being unwanted

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11
Q

Dependent personality disorder

A

Cluster C- Excessive need to be taken care of, more common in youngest children, passive

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12
Q

Obsessive-Compulsive personality disorder

A

Cluster C- inflexibility about the way things are done, common in oldest children, polite, rank-conscious, not emotional

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13
Q

Passive-Aggressive personality disorder

A

Negative attitude and passive resistance, frequently changes roles, feel unappreciated, life has been unkind to them

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14
Q

Splitting

A

Primitive ego defense- they view everything is either good or bad.

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15
Q

General intellectual functioning

A

Measured by IQ tests

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16
Q

Mild retardation

A

50-70 IQ- capable of independent living with some assistance

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17
Q

Moderate retardation

A

35-49 IQ- can perform some activities independently

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18
Q

Severe retardation

A

20-34 IQ- may be trained in hygiene skills, but requires complete supervision

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19
Q

Profound retardation

A

Below 20 IQ- no independent functioning

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20
Q

Autism

A

Fantasy world, withdrawn, introverted

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21
Q

Lower IQ requires what type of intervention?

A

Environmental

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22
Q

Higher IQ requires what type of intervention?

A

Cognitive

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23
Q

ADHD

A

Inattention that is more frequent and severe than typically observed

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24
ADHD combined type
Can't sit still and can't pay attention
25
ADHD inattentive
Can't pay attention
26
ADHD hyperactive-impulsive
Can't sit still
27
Major problems with ADHD
Difficulty performing age-appropriate tasks, highly distractible, difficult forming interpersonal relationships, accident prone
28
Common comorbidity with ADHD
Oppositional defiant disorder
29
CNS stimulant for ADHD
Ritalin, Adderall
30
Alpha Agonist for ADHD
Clonidine (Catapres)
31
Conduct disorder
Basic rights of others and major age appropriate societal norms are violated- do not feel remorse
32
What influences conduct disorder?
Peer relationships
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Oppositional defiant disorder
Negative, defiant, hostile toward authority figures, passive aggressive- feels remorse and does not see self as oppositional, but blame others
34
Tourette's disorder
Multiple motor or vocal tics, most common is eye blinking
35
Medication for Tourette's
Atypical antipsychotic
36
Separation anxiety disorder
Anxiety over separation from home or person attached to, mostly mother, refusal to attend school is common in adolescents
37
Delerium
Disturbance of consciousness and change rapidly over short period
38
Symptoms of delerium
Disorganized thinking, rambling, impairment of recent memory, ILLUSIONS AND HALLUCINATIONS, psychomotor activity fluctuates
39
Dementia
Loss of previous levels of cognitive, executive, and memory function in a state of full awareness
40
Primary dementia
Organic brain disease, not related to any other illness (Alzheimer's)
41
Secondary dementia
Caused by or related to another disease (HIV)
42
Symptoms of dementia
Impairment in abstract thinking, judgment, and impulse control, personality change is common, progressive, irreversible course
43
Reversible dementia
Function of underlying pathological condition and of the availability and timely application of effective treatment
44
Stage 1 of Alzheimer's
No apparent symptoms
45
Stage 2 of Alzheimer's
Forgetfulness
46
Stage 3 of Alzheimer's
Mild cognitive decline
47
Stage 4 of Alzheimer's
Mild to moderate cognitive decline, confusion
48
Stage 5 of Alzheimer's
Moderate cognitive decline, early dementia
49
Stage 6 of Alzheimer's
Moderate to severe cognitive decline, middle dementia
50
Stage 7 of Alzheimer's
Severe cognitive decline, late dementia
51
Dementia of Alzheimer's
Onset is slow and insidious, early = before 65 years of age, late = after 65 year of age, plaques and tangles in brain are most common
52
Vascular dementia
Due to cerebrovascular disease, stroke victim, hypertension
53
Dementia due to Lewy body disease
Similar to Alzheimer's but progresses more rapidly, 25% of all dementia cases
54
Dementia due to Parkinson's
60% of clients with Parkinson's get dementia, resembles Alzheimer's
55
Dementia due to pick's disease
Etiology is unknown, results in atrophy in frontal and temporal lobes
56
Dementia due to Creutzfeldt-Jakob disease
Course is extremely rapid, deterioration and death in less than two years
57
Amnestic disorders
Inability to learn new info and recall previously learned info
58
Systems of amnestic disorders
Disorientation to place and time, confabulation, may know problem exists, but with lack of concern, onset is fast or slow
59
Amnestic disorder due to a general medical condition
Cerebral neoplastic disease (tumor), herpes simplex encephalitis, poorly controlled diabetes
61
Diagnostic evaluation for amnesia
CT scan
62
treatment for delirium
room with low stimulus and benzodiazepines when etiology is substance withdrawal
63
Aricept
dementia medication
64
Exelon
dementia medication
65
Namenda
dementia medication
66
Why should you not use benzodiazepines for long term use with dementia?
lowers BMR, lowers cognitive, which increases fall risk
67
phase one of battering
tension building phase and then trigger
68
phase two of battering
acute battering incident
69
phase three of battering
honeymoon stage
70
expressed response pattern
normal response to traumatic experience
71
controlled response pattern
very bland, bleak response, no emotion
72
compounded response pattern
over reaction to traumatic experience
73
silent rape reaction
tells no one of the assault
74
Stages of grief
DABDA (denial, anger, bargaining, depression, acceptance)
75
acute grief
lasts about 6 to 8 weeks, after is considered chronic
76
delayed/inhibited grief
remains fixed in the denial stage, grief may be triggered much later
77
distorted grief
exaggerated, fixed in the anger stage
78
chronic grief
prolonged, behaviors aimed at keeping the lost loved one alive
79
birth to age 2 understanding of death
unable to understand death
80
ages 3 to 5 understanding of death
difficulty distinguishing between fantasy and reality
81
ages 6 to 9 understanding of death
beginning to understand that death is finale and normal grieving begins
82
ages 10 to 12 understanding of death
understand that death is final and eventually effects everyone
83
adolescents understanding of death
views death like you and me, have difficulty perceiving their own death
84
African americans and death
expressed openly and publicly
85
Chinese-americans and death
ancestor worship, avoid references to death
86
Japanese-americans and death
Buddhism, body is prepared by close family members, cremation
87
Vietnamese-americans and death
Buddhism, cremation, 1 year anniversary death is celebrated
88
Filipino-americans and death
week long wake, wear dark clothing for 1 year
89
native americans and death
cleansing ceremony, dead are buried with shoes on wrong feet and rings on index fingers, reluctant to touch the dead body
90
living will/durable power of attorney
someone else makes medical decisions for you if you are unable to

LCCC Nursing (15 decks)

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