T2 - Blueprint (Josh) Flashcards

(82 cards)

1
Q

— are the mental skills that are coordinated in the brain’s frontal lobe.

A

Executive Functions

  • lost with NCD
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2
Q

Types of Crisis

A
  • Dispositional
  • Anticipated Life
  • Traumatic Stress
  • Reflecting Psychopathology
  • Developmental
  • Psychiatric Emergencies
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3
Q

In family therapy, — is a three person emotional configuration that is considered a basic building block of the family system.

A

Triangulation

  • reliance on different members of family instead of an equal continuation
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4
Q

Noncompliance is common with —

A

Oppositional Defiant Disorder

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5
Q

Husband comes home with dirty shoes. Instead of being mad, the wife reorients her thinking to be thankful and view it as a sign of love b/c he works hard for the family.

A

Reframing

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6
Q

Complication from ETOH Abuse:

a syndrome of confusion, loss or recent memory, and confabulation in alcoholics.

A

Korsakoff’s Psychosis

  • often seen in those recovering from Wernicke’s Enephalopathy
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7
Q

— is a primary NCD

— is a secondary NCD

A

Alzheimer’s (or any organic brain disease)

any caused by another disease such as HIV, depression, etc

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8
Q

Complication from ETOH Abuse:

A condition in which an excessive amount of serous fluid accumulates in the abdominal cavity

Occurs in response to portal hypertension

A

Ascites

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9
Q

— is a persistent pattern of angry mood and defiant behavior.

A

Oppositional Defiant Disorder

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10
Q

— is creating imaginary events to fill memory gaps to cover up/deny that memory problem exists.

A

Confabulation

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11
Q

NCD or Depression:

Oriented to time and place

A

Depression

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12
Q

— is the inability to carry out motor activities and eventually unable to care for self.

A

Apraxia

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13
Q

Lack of equal partnership b/t spouses.

A

Marital Skew

  • ex: wife domineers husband and puts him down in front of kids
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14
Q

— is serious because is t a precursor to Antisocial Personality Disorder.

A

Conduct Disorder

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15
Q

— is NOT treatable.

A

Cardiomyopahty

  • needs a heart transplat
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16
Q

According to ATI, alcohol intoxication occurs at BAC of —

According to the text, it occurs at —

A

0.08% (80 g/dl)

100-200 mg/dl

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17
Q

Meds for NCD:

A
  • Antipsychotics
  • Benzos
  • SSRI
  • Tricyclic Antidepressants

more in book

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18
Q

Peripheral Neuropathy and Wernicke’s Encephalopathy are the results of a deficiency in –

A

B Vitamins (Thiamine)

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19
Q

NCD or Depression:

Forgetful and confabulates

A

NCD

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20
Q

Complication from ETOH Abuse:

inflammation and pain in the esophagus. Occurs b/c of the toxic effects of alcohol on the esophageal mucosa.

A

Esophagitis

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21
Q

Labs to test for Alcoholic Cardiomyopathy.

A
  • CPK elevation
  • AST elevation
  • ALT elevation
  • LDH elevation
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22
Q

— is another term for depression.

A

Pseudodementia

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23
Q

When caring for client’s with NCD, — is foremost.

A

safety

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24
Q

Types of Crisis:

— normal life-cycle transitions that may be anticipated but over which the individual may feel a lack of control

A

Anticipated Life

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25
Alcohol screening using CAGE:
- have you CUT down on your drinking? - have people ANNOYED you by criticizing your drinking? - have you felt GUILTY about your drinking? - have you needed a drink first thing in the am as an EYE-OPENER?
26
NCD or Depression: Wanders in search of familiar things.
NCD
27
--- is the inablity to speak or express what they want to. May forget meanings of words and names of things.
Aphasia
28
Enmeshment occurs in response to --- ----
diffuse boundaries in which there is overinvestment, overinvolvement, and lack of differentiation b/t individuals
29
--- is the inability to recognize familiar objects.
Agnosia
30
Types of Crisis: --- caused by situations that trigger emotions related to unresolved conflicts in one’s life
Developmental
31
Drugs of choice to manage Tourette's Syndrome:
- Haloperidol (only severe symptoms) - Pimozide (not younger than 12) - Atypical Antipshychotics - Alpha Agonists
32
Types of meds to manage ADHD
- Antidepressants - CNS Stimulants - Atomoxetine - Buproprion - Centrally Acting Alpha Agonists
33
Need to do:
``` 10f 11b 12a,b,e 14a,b,i 15 ```
34
Hallucinations and Illusions are common w/ ---
Delirium
35
Death could result from BAC levels of ---
greater than 0.35% (300 g/dl)
36
Complication from ETOH Abuse: Veins in the esophagus become distended b/c of excessive pressure from defective blood flow through the cirrhotic liver
Esophageal Varices
37
NCD or Depression: Better as day progresses.
Depression
38
In --- ---, there is a persistent patter of behavior in which basic rights of others are violated.
Conduct Disorder
39
--- are common in alcohol withdrawal.
D.T.'s (Delirium Tremens)
40
Types of Crisis: -- general function has been severely impaired and the individual rendered incompetent or unable to assume personal responsibility
Psychiatric Emergencies
41
How many positive symptoms of schizophrenia must one have? Examples?
3 - Hallucinations - Disorganized Thinking/Speech - Disorganized Behavior
42
--- have to do with the 5 sense.
Hallucinations - Visual - Auditory - Tactile - Gustatory - Olfactory
43
When a family member is the target of projection.
Scapegoating
44
Complication from ETOH Abuse: Can be acute or chronic and affects the pancreas
Pancreatitis
45
If Delirium is caused by substance withdrawal, which med do we use?
Benzodiazepine
46
Syndrome of chronic and possibly progressive intellectual and functional impairment involving memory, language, emotion, cognition, and changes in personality.
Neurocognitive Disorder (NCD)
47
Complication from ETOH Abuse: Occurs in response to the inability of the diseased liver to convert ammonia to urea for excretion The continued rise in serum ammonia, if allowed to progress, leads to coma and eventual death
Hepatic Encephalopathy
48
Types of Crisis: --- precipitated by an unexpected external stressor over which the individual has little/no control and as a result of which he/she feels overwhelmed and defeated
Traumatic Stress
49
Complication from ETOH Abuse: Characterized by peripheral nerve damage that results in pain, burning, tingling, or prickly sensations of the extremities
Peripheral Neuropathy
50
Complication from ETOH Abuse: Paralysis of the ocular muscles, diplopia, ataxia, somnolence, stupor
Wernicke's Encephalopathy - death will result of thiamine replacement therapy isn't started quickly
51
Seeing what's not there is --- Seeing what' there and confusing it with something else is --
Hallucination Illusion
52
--- is exagerated correctness among family members during family therapy.
Enmeshment
53
--- are fixed false beliefs.
Delusions
54
Which cognitive test is used to assess for NCD?
Mental Status Exam (p. 342)
55
Complication from ETOH Abuse: alcohol negatively affects the heart by lipid accumulation in the myocardial cells, resulting in enlargement and a weakened condition. (Generally relate to CHF or arrhythmia)
Alcoholic Cardiomyopathy
56
The most serious result of thiamine deficiency in alcoholics is ---
Wernicke's Encephalopathy
57
``` Which meds are given to offset the - agitation - aggression - hallucinations - illusions common w/ Delirium? ```
Neuroleptics (antipsychotics)
58
--- is an acute, time-limited event during which a client experiences an emotional response that cannot be managed w/ the client's normal comping mechanisms.
Crisis
59
--- are misinterpretations / misconceptions of the environement
Illusions
60
Examples of Negative symptoms of Schizo?
- Affective flattening - Alogia - Avolition/Apathy - Anhedonia - Social Isolation
61
A state of severe chronic disequilibrium and discord w/ recurrent threats of separation.
Marital Schism
62
Types of Crisis: --- preexisting psychopathology has been instrumental in precipitating the crisis or it significantly impairs or complicates adaptive resolution
Reflecting Psychopathology
63
Types of Crisis: --- is an acute response to an external situation.
Dispositional
64
NCD or Depression: Rapid Onset
Depression
65
Complication from ETOH Abuse: Caused by overworking the liver trying to assimilate large amounts of alcohol Formation of nodules, or lumps, of regenerating liver cells. Liver cells replaced with connective tissue (fibrosis).
Cirrhosis of the Liver
66
CNS stimulants for ADHD
- troamphetamine - methylphenidate - pemoline - dextroamphetamine/amphetamine
67
Complication from ETOH Abuse: he effects of alcohol on the stomach (inflammation of the stomach lining characterized by epigastric distress, nausea, vomiting, and distention.
Gastritis
68
Detoxification occurs when?
4-12 hrs of cessation or reduction if it's really heavy useage
69
--- is when symptoms of NCD worsen at sunset/evening.
Sundowning
70
NCD or Depression: No change in concentration.
Depression
71
NCD or Depression: Consistently poor performance instead of variable performance.
NCD
72
When client's with a coexisting substance disorder along with a mental disorder.
Dual Diagnosis
73
--- is persistently repeating the same word or idea in response to different questions.
Perseveration
74
In --- ---, there is fat globules in the stool (Steatorrhea)
Acute Pancreatitis
75
The main defense mechanism of substance abusers is ---
denial
76
Complication from ETOH Abuse: Elevation of BP through the portal circulation results from defective blood flow through cirrhotic liver
Portal HTN
77
--- is the most popular screening tool for alcohol abuse.
CAGE questionnaire
78
Centrally Acting Alpha Agonists for ADHD.
- Clonidine | - Guafacine
79
An acute and rapid onset of disturbance in attention, awareness, and cognition.
Delirium
80
--- includes presence of multiple motor tics and one or more vocal tics.
Tourette's Syndrome
81
NCD or Depression: Unchanged appetite instead of worsening appetite.
NCD does not remember to eat, but appetite isn't changed
82
In --- ---, the Interdisciplinary Team (IDT) works together to orchestrate a therapeutic environment.
Milieu Therapy