pysch 1 Flashcards
(195 cards)
1
Q
how aware in enviornment
A
level of consciousness
2
Q
awake and aware
A
alert
3
Q
talk loud, tired
A
lethargic
4
Q
shake, rub
A
obtunded
5
Q
un a rousable except to painful stimuli..sternal rub
A
stuporous
6
Q
un arousable
A
coma
7
Q
minutes to days
A
short term memory
8
Q
months to years
A
long term memory
9
Q
aware of who,where time requires memory and attetion
A
orientation
10
Q
aware of other objects in environment related to 5 senses
A
perceptions
11
Q
how people think.. logical, coherent, relevant
A
thought process
12
Q
pt understand diagnosis, aware of behaviors abnormal or not, distinguish day dreams vs hallucinations
A
insight
13
Q
can make good decisions
A
judgment
14
Q
obseravable mood of pt expressed throughout facial expressions, body movements and voice
A
affect
15
Q
sustainable emotion of pt .. how feel most days
A
mood
16
Q
complex system for expressing written verbal thoughts,emotions, attetion
A
language
17
Q
uthymic
A
normal
18
Q
disythmic
A
depressed
19
Q
amanic
A
elated
20
Q
intellegence, vocal skills, knowledge base, calculations, abstract thinking
A
level of cognitive function
21
Q
almost continuous of accelerated speech changes topics abruptly
A
flight of ideas
22
Q
sudden interruption of speech before they can finsih an idea
A
blocking
23
Q
fixed, false beliefs
A
dilusions
24
Q
may or may not be recognized, auditory, visual olfactory, with sleep and dreaming
A
hallucinations
25
central nervous system
brain and spinal cord
26
peripheral nervous system
autonomic asomatosensory
27
autonomic nervous system
parasympethictic and sympathetic
28
what protects the brain
cranial vault and menigines
29
what is the hindbrain
medulla pons RAS and cerebellum
30
Midbrain is
tectum
31
Brainstem
cranial nerves
32
what cranial nerve is directly attached to brain
crainal nerve one olfactory
33
cranial nerve one
olfactory senesory
34
cranial nerve two
optic sensory
35
3
oculomotor motor
36
4
Trochlear motor
37
5
Trigeminal both
38
6
Abducens motor
39
7
facial both
40
8
Acoustic sensory
41
9
Glossopharyngeal both
42
10
Vagus both
43
11
Spinal Accessory motor
44
12
Hypoglossal motor
45
Forebrain
Limbic system thalamus hypothalamus cerebrum
46
Sulci
wrinkles
47
Diencephalon
2 pieces of 1 brain connected by corpus lopum
48
Gryri
ridges
49
Frontal lobe
speech
50
Parietal lobe
speech taste reading
51
Occipital
vision
52
Temporal
smell hearing
53
why is circle of willis important
fail state mechanism another pathway doesn't cut off brain
54
Cauda equina
end of spinal cord
55
white matter
mylien
56
grey matter
cell bodies
57
what does autonomic nervous system do
homeostatis
58
Achetocoyline (ACH)
sensorimotor attention memory learning.
to much=over activation parasympathetic (paralysis)
to low=muscle weakness, fatigue memory loss
59
Serotonin (5HT)
inhibitory emotion mood
to much=serotonin syndrome
to low=depression, anger control, OCD, suicide, migrans
60
GABA
inhibitory effects
to much=muliple negative effects
to low= anxiety, epilepsy, depression
61
Glutamate
excitatory effects;memory
to much=nerve death;ALS
to low=memory issues
62
Epinephrine
activation
to much=panoia,hyperglycemia,panic attacks
to low=depression, fatigue
63
Norpepinephrine
activation, memory creation
to much=Increase HR and BP
to low=depression, fatigue
64
Dopamine(DA)
inhibitory effects, reward system, "feel good"
to much=hallucinations, schizoprehnia
to low=parkinsons
65
Internal pattern generators
sleep patterns and diurnal rhythms
66
Intrinsic patter generator, circadian model
sleep patters and diurnal rhythms
67
Functions of dopamine pathways
reward(motivation , pleasure, motor function (fine touching), compulsion, perservation
68
Serontonin pathways
mood,memory processing, sleep, cognition
69
CT scan
screen for allergy to shellfish
70
Magnetic reasonace imaging
shows function
71
Functional MRI
how things changing, movie whats going on
72
to survive brain needs
oxygen and glucose
73
ethic
standard belief valued by individual or group
74
legal issues solve
right from wrong when no clear way
75
Voluntary admission how leave
3 day letter
76
Involuntary admission
must be examined 24 hours
77
involuntary admission three rights
```
right to legal council
expert medical evalutation
a hearing
can sign a voluntary consent at any time
doesn't mean incompetent
```
78
some dangerous groups
current substance abusers, personality disorder, hx violence, med non-complaint
79
Your not competent when
mental disorder
defect in judgement
incapable of handling personal affairs
80
when incompetent you can't
vote, marry,drive, or make contract
81
Habeas corpus
quick release for someone claiming to be detained illegally
82
NGBI
not guilty by reason of insanity
83
GBMI
guilty but mentally ill
84
malpractice
failure of professional to provide proper care
85
With malpractice must prove
legal duty to care
performance negligence
damages suffered
damages substantial
86
self awareness
the process of understanding ones own beliefs,thoughts,motivations,biases and limitations and recognizing how they affect others
87
Phases of nurse patient relationship
Orientation
Working
Termination
88
Confortation
identifying discrepancies timing is important
89
Immediacy
focusin on the nurse patient relationship as an example of how the patient interacts in other relationships
90
Nurse Self-Disclosure
revealing of personal info
91
Emotional Catharsis
release of feelings
92
Role Playing
acting a situation to increase insight, see situation from another point of view;allows experimentation
93
Resistance
ct. presesnts a defiant or unwilling attitude in response to therapeutic assistance
94
Transference
unconscious assignment to others of the feelings that the ct. originally associated with important figures
95
Countertransference
proivders emotional reaction to the ct. based on personal unconscious needs
96
what is schizophrenia
a chronic brain disorder symptoms include delusions,hallucinations, trouble with thinking and concentration and lack of motivation
97
Causes of schizophrenia
Diathesis stress, genetics, nero anatomic findings, to much dopamine
98
Neuro anatomic findings
decreased blood flow to left globes pallid us
absence normal blood flow increased in frontal lobes
decreases in gray matter, smaller anterior portion of the hippocampus, enlarged lateral and third ventricles
99
Positive symptoms
added too
| dulsions hallucinations
100
grandiose
thinking bigger
101
Nihilistic
world end
102
Persecutory
watching me
103
somatic
something inside them wrong
104
Ambicalence
not caring
105
alogia
not speaking
106
anhedonia
lack of interest
107
cognitive symptoms
related to problems in info procession .. memory,attention, form speech, decision making and thought content
108
Delusion
personal belief based on incorrect inference of external reality;fixed false belief
109
Hallucinations
false perceptual distortions in maladaptive neurobiological respnoses
110
First symptom of psychosis
inaccurate identification and interpretation of stimulus
111
Alexithymia
difficulty naming, descrbing emotions
112
Apathy
lack of feelings, emotions, interest, concern
113
Echolalia
repletion of words
114
Cicumstantial
excessive detail
115
loose assocaiations
ideas loosely connected
116
tangential
logical but detour
117
flight of ideas
change topics
118
word salad
unconnected words
119
Clang association
repletion of similar sounding words
120
pressure speech
words forced
121
what do antipychotics do
black dopamine transmission in the brain
122
Neuroleptic malignant syndrom
sever muscle rigidity.. give dantrolene(dopamine agonist)
123
Anticholenergic crisis
Treatment discontinue med
Physiostigmine 1-2mg IV
Gastric lavage
Charcoal, catharsis
124
First generation antipsychotic meds
Phenothiazines: chlorpromazine
Thioxanthenes: Thiothixine
Butyrophenones: Haloperidol
125
Atypical (2nd) generation
```
Clozapine
Risperidone
Olanzapine
Quetiapine
Ziprasidone
Aririprazole
```
126
Side effects of antipsychotics
extrapyramadial symptoms
orthostatic hypotension
weight gain
diabetes
127
four adaptive functions of emotions
socail communication
physiologic arousal
subjective awareness
psychodynamic defencse
128
mood
pervasive and sustained emotion that colors ones perception of the worlds
129
recurrent disturbances or alterations in mood that cause psychological distress and behavior impairment
mood disorders
130
types of depressive disorders
major depressive; single episode or recurrent
| dysthymic disorder
131
Biploar 1
pt. current or past manic episode at least 1 week
132
bipolar 2
present or hx of 1 or more major depressive episodes, 1 hypomanic episode
133
hypomanic
not full blown mania
134
cyclothymic disorder
less severe bipolar symtoms
135
substance induced mood disorder
steriods etc
136
Depression
depressed mood or loss of interest or pleasure in nearly all activates for at least 2 weeks
137
chronic milder form of depressions
dysthymia
138
post partum blues
brief 1-4 days. seen within first 1-5 days after giving birth
139
post partum depression
2weeks-12 months. screen for !
140
post partum psychosis
low incidence. 2-3 days after delivery 2 types depressive and manic
141
what are the scales for depression
BECK and ZUNG
142
distinct period of intense psychopsychioloigal activation
| elevated mood or irratilibity
mania
143
hyperthyroid state
mania symptoms
144
Lithum toxicty symtoms
cardiac arrythmias, decreased urine output, decreased Bp, seizures-coma-death
145
therapeutic level for lithum
0.6-1.4
146
Depakote toxcity symptoms
stupor
adjatation
disorientated
147
Depakote facts
not during pregnancy weight gain tolerated well
148
depakote therapeutic levels
50-125
149
Tegretol
decreases effectiveness in other drugs , not in diabetes
150
Lamictal
newer life threatening rash, needs ti treated
151
Topamax
weight loss, medal taste with carbonated drinks, increased risk for kidney stones
152
SSRI (1st line drug) side effects
sexual dysfunction, impotence, nausa, dizzy, HA
153
SSRI advantage
fewer SE, low lethal chance, easy to dose, once a day drug
154
SSRI disadvantage
Serontonin sydrome: ss; fever, adjatated, tremeors, hallucinations, anxiety diaphresis
expensive
sexual dysfunction
increase suicide
155
SSRI drugs
prozac, zoloft, rasporil, vibryd
156
SNRI SE
drymouth,dizzy, nausea, HA
157
SNRI advantage
absorbed by body with or without food
158
SNRI disadvantage
liver toxcity, serotonin sydrom
159
SNRI nurs care
tapper off monitor side effects
160
SNRI examples
simbaltia , efexsor, pristiq
161
TCAS SE
weight gain, dry mouth, blurred vision, orthostatic hypotension, constipation
162
TCA advantage
non addictive, cheap, sedative properties
163
TCA disadvantage
triggers manic, lots SE, lethal overdose
164
TCA nurs care
caution with cardiac and thyroid disorders
165
TCA examples
elevil, promalone, limpramine
166
MAO se
dry mouth, insomnia, orthostatic hypotension, drowsy, constipation
167
MAOI advanatages
pts. uncommon symptoms. last line drug
168
MAOi disadvanatge
be off two weeks before can start diff one, more SE, lethal OD , hyptertensive crisis, monitor foods
169
MAOi examples
isocarboxied
nardil
panate
170
Atypical se
blurred vsion, HA, upset tummy, dry mouth
171
atypical adv
older, cheaper, weight loss
172
atypical dis
can't mix with eating disorders, liver failure, no seizures
173
atypical examples
wellbutrin, sarizon, remerion, alvron
174
Why no NSAIDS with lithium why
NASAIDS cause kidneys to reabsord lithum and to be toxic
175
what are side effects of ECT
memory loss and fatigue
176
ECT is..
gold standard for major depression
not painful
safe
works safe
177
How many series off ECT
12.. then maintenance oncews
178
Prep pt for ect how
```
change in gown
NPO 6-8hrs
go bathroom
hair clean and dry
no dentures, contacts, or hearing aids
```
179
During ECT they give
anticholingeric, anesthetic, muscle relaxant
180
Post OP monitor
```
vitals q5 min
ECG
EEG
gag reflex
reassure them
```
181
Phototherapy
expose to artificial light.
adverse effects: eyestrain and headach
some insurance pays for
relief in 3-5 days
182
total sleep deprivation
adverse affects induce mania
| trying to reset circadian rhythms
183
TSM
noninvase
pts with screws pass makers or seizures can't
potetional for inducing seziures, tinnitus
184
Vagus nerve stimulation
surgical implant
| hoarsness
185
deep brain stimulatioion
uncommon
brain pacemaker
seizures bleeding mood memory and cognition
186
Direct suicide
intentional method
187
indirect suicide
doesn't remember was told to
188
self injury
cutting self
189
suicidal ideation
thought about
190
suicidal threat
verbalized or written the thought
191
suicidal attempt
tried and not succeeded
192
completed suicde
actually death from self- infliction evidence they intended to do it
193
10th leading cause death
suicide
194
prevalence of suicde
more males.. but more women try
195
warning signs of suicdie
```
is path warm
ideation
substance abuse
purposlessnes
anxiety
trapped
hoplesness
withdrawl
anger
recklessness
mood change
```
