Behavioral emergencies Flashcards

1
Q

Behavior

A

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

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2
Q

Behavioral crisis

A

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

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3
Q

Mental disorder

A

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

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4
Q

Behavioral emergencies causes:

A

Situational/interpersonal
Organic
Intrapsychic/functional disorder

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5
Q

Situational/interpersonal behavioral emergencies

A

Balance emotion, thought, action is disrrupted by stressor

Stressors include relatonships or situations

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6
Q

Organic emergencies

A

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

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7
Q

Intrapsychic/functional disorder emergencies

A

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

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8
Q

Mental disorder

A

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

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9
Q

Mental disorders can affect:

A

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

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10
Q

Most common type of hallucination

A

Auditory

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11
Q

Neurosis

A

Faulty; insufficient way of coping with anxiety or conflict

Restricted ability to achieve optimal functioning in social life

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12
Q

Psychosis

A

Maladaptive behavior involving major distortions in reality

Derangement or disorganization of personality, incapable of normal function

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13
Q

Anxiety

A

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

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14
Q

Panic attacks include:

A
Hyperventilation, SOB, chocking
Palpitations, chest pain, tachycardia
Trembling, fainting, sweating
Fear of losing control or dying
Diarrhea, polyuria
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15
Q

Depression

A

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

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16
Q

Causes of chronic depression

A

Complex, neurotransmitters, genetics, enivronment

17
Q

What to always consider with depression?

A

Suicidal ideation

18
Q

Mania

A

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

19
Q

Bi-polar disorder

A

Volatile mood swings-may have associated psychosis

Caused by brain structure, genetics

20
Q

Paranoia

A

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

21
Q

Delusion

A

Odd belief so firmly fixed that contrary evidence has no impact

22
Q

Causation of paranoia

A

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

23
Q

Chronic episodes of paranoia indicates ___

A

Schizophrenia

24
Q

Approach to paranoia

A

Calm, reassuring approach

Beware of becoming part of the delusion

25
Q

Schizophrenia

A

Group of disorders

“lose touch with reality”

26
Q

Onset of schizophrenia

A

Late adolesence, early adulthood

27
Q

Causation of schizophrenia

A

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

28
Q

Postive, negative and cognitive symptoms of schizophrenia

A

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”

29
Q

Warning signs of suicide

A
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
30
Q

Force continuum

A

Command presence
Verbal commands
Focused direction
Physical restraint