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paramedic school > CHP 29: PSYCH EMERGENCIES > Flashcards

CHP 29: PSYCH EMERGENCIES Flashcards

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1
Q

overt vs covert behaviors

A

overt: open and generally understood by surrounding people

covert: hidden meanings or intentions understood only by person displaying the behavior

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2
Q

delusions vs hallucinations

A

delusions: false beliefs

hallucinations: sensory perceptions not founded on objective reality

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3
Q

behavioral vs psychiatric emergencies

A

behavioral: person’s behavior is interfering with activities of daily living

psychiatric: behavior threatens person’s health/safety or another person’s health/safety

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4
Q

definition of serious mental illness

A

diagnosis of psychiatric disorder with serious functional impairment

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5
Q

4 categories of causes for abnormal behavior

A
  1. biologic or organic
  2. person’s environment
  3. acute injury/illness
  4. substance-related
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6
Q

2 ways people cope with environmental caused behavior

A

find ways to alter the situation or alleviate discomfort by escaping from stress

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7
Q

what is affect

A

outward expression of a person’s inner feelings such as happy, sad, angry

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8
Q

what are stereotyped movements

A

repetition of movements that do not seem to serve any useful purpose

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9
Q

what are compulsions

A

repetitive actions that are carried out to relieve the anxiety of obsessive thoughts

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10
Q

what is the pressure of speech

A

pouring out of words liked water escaping under pressure

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11
Q

what are neologisms

A

words invented by patients

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12
Q

what is echolalia

A

patient echoes words they hear

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13
Q

what is mutism

A

patient does not speak at all

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14
Q

what is flight of ideas

A

accelerated thinking in which mind skips very rapid from one thought to the next

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15
Q

what is perseveration

A

repetition of same idea over and over again

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16
Q

what circumstantial thinking

A

inclusion of many irrelevant details

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17
Q

what is inappropriate affect

A

emotion out of sync with situation

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18
Q

what is flat affect

A

absence of emotion

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19
Q

what is confabulation

A

inventing experiences to fill gaps in memory

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20
Q

what is catatonic

A

lacking expression or movement, appearing rigid

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21
Q

what is labile

A

rapidly shifting among different emotional states

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22
Q

what mnemonic is used for mental status exam

A

COASTMAP - consciousness, orientation, activity, speech, thought, memory, affect and mood, perception

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23
Q

in what patients may scars be found and why

A

self-mutilation in patients with borderline personality disorder

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24
Q

what is hobble tie

A

tying feet together

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25
Q

what patients do you have to be cautious in giving droperidol and haloperidol to

A

suspected electrolyte imbalances, cardiac abnormalities, and pt’s taking drugs that affect QT interval

26
Q

antipsychotic to use for pediatrics

A

haloperidol

27
Q

what is loosening of associations

A

logical connection between one idea and the next becomes obscure

28
Q

what is thought broadcasting

A

belief that thoughts are broadcast aloud and can be heard by others

29
Q

what is thought insertion

A

belief that thoughts are being thrust into the patient’s mind by another person

30
Q

what is thought withdrawal

A

belief that thoughts are being removed

31
Q

what does delirium present with

A

disorientation, hallucinations, or delusions

32
Q

three types of delirium

A

hyperactive - periods of agitation and restlessness

hypoactive - inactivity usually associated with CNS depressants, fever, or liver/kidney failure

mixed delirium - hyperactive and hypoactive delirium

33
Q

what does dementia present with

A

chronic that produces deficits in memory, abstract thinking, and judgement

34
Q

what is excited delirium and its S/S

A

potentially fatal state of extreme agitation and delirium

acute onset of agitation, aggressiveness, high pain tolerance, psychotic behavior, bizarre behavior, noncompliance with police and EMS, profuse sweating, incoherent speech, superhuman strength, hyperactivity, respiratory arrest and death

35
Q

what is bipolar mood disorder

A

patients who alternate between mania and depression

36
Q

what is manic behavior

A

“elated, on top of the world”, tangential thinking, flight of ideas, delusions of grandeur

37
Q

what are delusions of grandeur

A

inflated belief about one’s own fame, wealth, power, or intelligence

38
Q

what is tangential thinking

A

skipping rapidly from one topic to another

39
Q

what determines chronic depression

A

S/S of depression for most days over at least two years

40
Q

what mnemonic is used for depression

A

GAS PIPES - guilt, abnormal appetite, sleep disturbance, paying attention, interest decrease, psychomotor abnormalities, energy low, suicidal thoughts

41
Q

symptoms of schizophrenia

A

delusions, hallucinations, apathy, mutism, flat affect, lack of interest in pleasure, erratic speech, overly emotional responses, extreme motor behavior

42
Q

what are neurotic disorders

A

collection of psychiatric disorders without psychotic symptoms and lacking intense psychopathology of other mood disorders

43
Q

how is generalized anxiety disorder diagnosed

A

symptoms present more days than not for at least 6 months and hard to control

44
Q

what is a simple phobia

A

focuses all anxieties on one class of objects or situations like spiders or heights

45
Q

what is agoraphobia

A

fear of going into public places

46
Q

S/S of panic disorders

A

palpitations, sweating, chest discomfort, paresthesia, hyperventilation

47
Q

substance use, intoxication, use disorder, dependence

A

use: moderate amounts (social drinker)

intoxication: use of substance that results in impaired thinking and motor function

use disorder: disrupts activities of daily living

dependence: addiction to a substance

48
Q

side effects of eating disorders

A

electrolyte imbalances, cardiac conditions, seizures, renal failure, erosion of dental enamel, salivary gland enlargement

49
Q

what is a somatoform disorder

A

people overly concerned with their physical health and appearance to where it dominates their life

50
Q

what is hypochondriasis

A

patients have extreme fear that they may have serious disease

51
Q

what is another name for factitious disorder and what is it

A

Munchausen syndrome - person intentionally produces or feigns physical/psychological S/S. pt wishes to be sick to gain attention or avoid legal responsibilities

52
Q

what is Munchausen syndrome by proxy

A

parent or caregiver intentionally makes child sick to get attention or pity

53
Q

what are impulse control disorders

A

lack ability to resist temptation or can’t avoid acting on a drive - pyromania, pathologic gambling, kleptomania

54
Q

what are personality disorders

A

way of thinking/behaving that deviates from cultural expectations causing distress or problems functioning - usually another psych illness is also present

55
Q

how do antidepressants work

A

alter levels of neurotransmitters (serotonin, norepi, dopamine) in autonomic nervous system

56
Q

what is an acute dystonic reaction and what is the treatment

A

side effect from antipsychotic agents causing muscle spasms of neck, face, and back - IV Benadryl 25-50mg

57
Q

antipsychotic meds can have effects similar to what drug like what

A

atropine-like (anticholinergic)
dry mouth, blurred vision, urinary retention, cardiac dysrhythmias

58
Q

when are amphetamines prescribed

A

attention-deficit disorder with hyperactivity

59
Q

3 main effects post war

A

musculoskeletal ailments, mental disorders, illnesses

60
Q

4 categories of symptoms of PTSD

A

intrusive thoughts, avoiding reminders, negative thoughts/feelings, arousal/reactive symptoms

61
Q
A

paramedic school (74 decks)

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