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Psych Exam 2 > Ch 15 > Flashcards

Ch 15 Flashcards

0
Q

An anxiety disorder characterized by fear of being in places or situations in which escape might be difficult or embarrassing or in which hep may not be available should an anxiety attack occur

A

Agoraphobia

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1
Q

Drug that increase the effectiveness of gamma aminobutyric acid (GABA) a neurotransmitter that modulates excitability and anxiety. Usually prescribed to reduce anxiety but on a short term basis due to problems with addiction

A

Anti anxiety drugs (anxiolytics)

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2
Q

A state of feeling apprehension uneasiness uncertainty or dread, results from a real or perceived threat whose actual source is unknown or unrecognized

A

Anxiety

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3
Q

An obsessive compulsive disorder that involves preoccupation with an Imagined defective body part resulting in obsessional thinking compulsive behavior

A

Body dysmorphic disorder

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4
Q

Usually unconscious intrapsychic processes used to ward off anxiety by preventing conscious awareness of threatening feelings examples include regression, projection, sublimation, repression, and denial

A

Defenses mechanisms

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5
Q

An unpleasant emotion related to a specific danger

A

Fear

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6
Q

Anxiety disorder characterized by excessive worry or anxiety about numerous things

A

Generalized anxiety disorder

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7
Q

Distressing problem in which individuals compulsively pull hair out resulting in varying degrees of disability social stigma and Altered appearance

A

Hair pulling disorder(trichotillomania)

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8
Q

The first level of anxiety occurs in the normal experience of everyday living and allows people to perceive reality in sharp focus

A

Mild anxiety

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9
Q

Second level of anxiety results In selective attention and some diminished thinking although learning and problem solving can still occur. Symptoms include tension pounding headache, increased pulse, increased respiration rate, perspiration, gastric discomfort,headache,urinary urgency, voice tremors, and shaking

A

Moderate anxiety

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10
Q

Fourth and most extreme level of anxiety and results in markedly disturbed behavior. Unable to process what is going on and may lose touch with reality

A

Panic

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11
Q

An anxiety disorder in which panic attacks are the key feature

A

Panic disorder

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12
Q

Exhibiting developmentally inappropriate levels of concern over being away from a signifying other

A

Separation anxiety disorder

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13
Q

The third level of anxiety is debilitating and causes a person to focus on one particular detail or many scattered details. Learning cannot occur and other aspects of the environment go unnoticed even when someone points them out

A

Severe anxiety

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14
Q

Skin picking disorder

A

Dermotilomania

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15
Q

Aka social phobia characterized by severe anxiety or fear provoked by exposure to a social or performance situation that will be evaluated negatively by others

A

Social anxiety disorder

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16
Q

Fear and avoidance of a single object, situation, or activity, common in the general population

A

Specific phobias

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17
Q

Used to counterbalance perceived deficiencies by emphasizing strengths

A

Compensation

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18
Q

Unconscious transformation of anxiety into a physical symptom with no organic cause

A

Conversion

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19
Q

Escaping unpleasant anxiety causing thoughts feelings wishes or needs by ignoring their existence

A

Denial

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20
Q

Transference of emotions associated with a particular person object or situation to another non threatening person object or situation

A

Displacement

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21
Q

Disruption in consciousness memory identity or perception of the environment that results in compartmentalizing uncomfortable or unpleasant aspects of oneself

A

Dissociation

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22
Q

Attributing to oneself the characteristics of another person or group

A

Identification

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23
Q

Events are analyzed based on remote cold facts and wo passion rathe than incorporating feeling and emotion into the processing

A

Intellectualizarion

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24
Q

Unconscious rejection of emotionally unacceptable features and attributing them to others

A

Projection

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25
Q

Justifying Illogical or unreasonable ideas actions or feelings by developing acceptable explanations that satisfy the teller as well as the listener

A

Rationalization

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26
Q

Unacceptable feelings or behaviors are controlled and kept out of awareness by developing the opposite behavior or emotion

A

Reaction formation

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27
Q

Reverting to an earlier more primitive and childlike pattern of behavior that May or may not have been previously exhibited

A

Regression

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28
Q

Unconscious exclusion of unpleasant or unwanted experiences emotions or ideas from conscious awareness

A

Repression

29
Q

Inability to integrate the positive and negative qualities of oneself or others into a cohesive image

A

Splitting

30
Q

Unconscious process of substituting mature and socially acceptable activity for immature and unacceptable impulses

A

Sublimation

31
Q

Conscious denial of a disturbing situation or feeling

A

Suppression

32
Q

When a person makes up for an act or communication

A

Undoing

33
Q

What are the targets of pharmacological interventions?

A

Neurons, neurotransmitters, and receptors

34
Q

Most psychotropics drugs act by either increasing or decreasing the activity of certain ______-_______ systems.

A

Neurotransmitter-receptor

35
Q

_______ Is the major inhibitory [calming] neurotransmitter in the central nervous system

A

Gamma aminobutryic acid (GABA)

36
Q

_____ target GABA receptors in order to enhance them

A

Benzodiazepines

37
Q

Drugs that enhance receptors exert a _______~_______ action on the brain

A

Sedative -hypnotic

38
Q

The most commonly used anti anxiety drugs are

A

Benzodiazepines

39
Q

The use of benzodiazepines create a ______ effect

A

Calming

40
Q

These drugs are also used as anticonvulsants and to treat alcohol withdrawal

A

Benzodiazepines

41
Q

What are 5 benzodiazepines used for insomnia

A
  1. flurazepem
  2. temazepam
    3 triazolam
    4 estazoam
    5 quazepam
42
Q

What is the brand name of flurazepem

A

Dalmane

43
Q

What is the brand name of temazepam

A

Restoril

44
Q

What is the brand name of triazolam

A

Halcion

45
Q

What is the brand name of estazoam

A

Prosom

46
Q

What is the brand name of quazepam

A

Doral

47
Q

What two drugs reduce anxiety without such sleep producing effects at lower therapeutic doses

A

Lorazepam and alprazolam

48
Q

What is the brand name of lorazepam

A

Ativan

49
Q

What is the brand name of alprazolam

A

Xanax

50
Q

When used ____ benzodiazepine, even at higher dosages, rarely inhibit the brain to the degree that respiratory depression coma and death result

A

Alone

51
Q

When benzodiazepine is combined with other CNS depressants like _______, ________, or ___ ________, the inhibitory actions of the benzodiazepines can lead to life-threatening CNS depression

A

Alcohol, opiates, try cyclic antidepressants

52
Q

Patients taking benzodiazepines will have _____ ______activity of the brain which can interfere with motor ability attention and judgment

A

Inhibited electrical

53
Q

What is a common side effect of taking benzodiazepines

A

Ataxia ( lack of voluntary coordination of muscle movement )

54
Q

Short acting sedative hypnotic sleep agents

A

z drugs

55
Q

Z drugs are a new class of hypnotics that include:

A 
1 zolpidem (Ambien)
2 zaleplon (Sonata)
3 eszopiclone (Lunesta)
56
Q

What is the brand name of zolpidem

A

Ambien

57
Q

What is the brand name of zaleplon

A

Sonata

58
Q

What is the brand name of eszopiclone

A

Lunesta

59
Q

These drug help sleep wo the anti anxiety, anticonvulsant, or muscle relaxant effects of BZDs

A

Z drugs

60
Q

Short acting sedative hypnotic sleep agents have a _____ onset

A

Quick

61
Q

_____ is a hormone that is only excreted at night as part of the normal circadian rhythm

A

Melatonin

62
Q

This drug is not classified as a scheduled substance or one having abuse potential

A

ramelton (Rozerem)

63
Q

Side effects of ramelton (Rozerem)

A

Headache dizziness prolonged use can result in sexual dysfunction

64
Q

This drug comes in 3 and 6 mg tablets and is classified as an antidepressant and is used to treat insomnia

A

doxepin (Silenor)

65
Q

Patients with severe urinary retention or on ______ should avoid doxepin (Silenor)

A

MAOIs

66
Q

Patients taking doxepin (Silenor) should avoid ________ and sedating ________

A

CNS depressants and sedating antihistamines

67
Q

______ is a drug that reduces anxiety without having strong sedative-hypnotic properties

A

buspirone (Buspar)

68
Q

Does not leave patient sleepy, less danger of interaction of other CNS DEPRESSANTS such as alcohol and there is less potential for addiction than BZDs

A

buspirone (Buspar)

69
Q

Block the nerves that stimulate the heart to beat faster students often prescribed for test anxiety

A

Beta blockers

70
Q

Safe, non addictive alternative to BZDs to lower anxiety levels also used to treat patients with substance abuse problems

A

Antihistamines

Psych Exam 2 (4 decks)

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