Behavioral emergencies

Question 1

Behavior

Answer 1

What can be observed of a person’s response to the environment; his/her actions

Question 2

Behavioral crisis

Answer 2

Any reaction to events that interferes with activities of daily living or becomes unacceptable to the patient, family or others

Question 3

Mental disorder

Answer 3

Illness with psychological or behavioral symptoms that may result in an impairment in functioning

Question 4

Behavioral emergencies causes:

Answer 4

Situational/interpersonal
Organic
Intrapsychic/functional disorder

Question 5

Situational/interpersonal behavioral emergencies

Answer 5

Balance emotion, thought, action is disrrupted by stressor

Stressors include relatonships or situations

Question 6

Organic emergencies

Answer 6

Dysfunction of brain caused by structural or metabolic circumstances
Hypoxia, hypoglycemia, hypoperfusion, endocrine, EtOH, substance abuse
Trauma, stroke, Alzheimer’s, infection, tumor

Question 7

Intrapsychic/functional disorder emergencies

Answer 7

No obvious structural or physiological change
My have correlation ot physiological events, but not conclusively causal
Schizophrenia, depression

Question 8

Mental disorder

Answer 8

A substantional disorder of thought, mood, perception, orientation or memory which grossly impairs judgement, behavior or capacity to recongize reality or ability to meet the ordinary demands of life, but not include alcoholism or substance abuse which is defined under MGL 123.s.35

Question 9

Mental disorders can affect:

Answer 9

Thought (rate of thought, content, language)
Mood
Perception (hallucinations)
Orientation and memory (immediate recall, short and long term memory, effected by trauma, stress, etc)

Question 10

Most common type of hallucination

Answer 10

Auditory

Question 11

Neurosis

Answer 11

Faulty; insufficient way of coping with anxiety or conflict

Restricted ability to achieve optimal functioning in social life

Question 12

Psychosis

Answer 12

Maladaptive behavior involving major distortions in reality

Derangement or disorganization of personality, incapable of normal function

Question 13

Anxiety

Answer 13

Persistant fearful or uneasy feeling not related consciously to reality
Withdrawel from activities to avoid episodes
Phobias
Panic attacks

Question 14

Panic attacks include:

Answer 14

Hyperventilation, SOB, chocking
Palpitations, chest pain, tachycardia
Trembling, fainting, sweating
Fear of losing control or dying
Diarrhea, polyuria

Question 15

Depression

Answer 15

Hopelessness, sadness
Isolation, worthless
Irritale, tense
Altered sleep, appetitie, libido

Question 16

Causes of chronic depression

Answer 16

Complex, neurotransmitters, genetics, enivronment

Question 17

What to always consider with depression?

Answer 17

Suicidal ideation

Question 18

Mania

Answer 18

Excessive elation
Delusions of grandeur
Increased: talkativeness, libido, motor activity
Flight of ideas
Manic states: may begin gradually, usually precipitating factor results in abrupt change, may last weeks
Calm, reassuring approach

Question 19

Bi-polar disorder

Answer 19

Volatile mood swings-may have associated psychosis

Caused by brain structure, genetics

Question 20

Paranoia

Answer 20

Exaggerated/unwarrented mistrust: intense anxious/fearful feelings, persecution, threat, conspiracy frequently part of psychosis
Delusion

Question 21

Delusion

Answer 21

Odd belief so firmly fixed that contrary evidence has no impact

Question 22

Causation of paranoia

Answer 22

Breakdown in reasoning, assigned meanings
Repressed, denied projected feelings
Experience relationships, situational

Question 23

Chronic episodes of paranoia indicates ___

Answer 23

Schizophrenia

Question 24

Approach to paranoia

Answer 24

Calm, reassuring approach

Beware of becoming part of the delusion

Question 25

Schizophrenia

Answer 25

Group of disorders

“lose touch with reality”

Question 26

Onset of schizophrenia

Answer 26

Late adolesence, early adulthood

Question 27

Causation of schizophrenia

Answer 27

Neurotransmitters in brain (Dopamine, serotonin, glutamate)
Prenatal, prebescent
Genetics-likehoold multiple genes
Environment-psychosocial, prenatal influences

Question 28

Postive, negative and cognitive symptoms of schizophrenia

Answer 28

Postive-psychotic behaviors-hallucinations, delusons, thought disorders, movement disorders
Negative-flat affect, decreased pleasure in life, difficulty sustaining or completing tasks
Cognitive-executive function, “waking memory”

Question 29

Warning signs of suicide

Answer 29

Depression
History of mental illness
Avoidance: eye conact, suggestions for help, discussion of the future
Precipitating factor
Usually resigned or agitated
Prior attemps
Verbalization of intent
Gender
Well defined plan
Increasing usage of alcohol, drugs

Question 30

Force continuum

Answer 30

Command presence
Verbal commands
Focused direction
Physical restraint