CHP 29: PSYCH EMERGENCIES Flashcards
overt vs covert behaviors
overt: open and generally understood by surrounding people
covert: hidden meanings or intentions understood only by person displaying the behavior
delusions vs hallucinations
delusions: false beliefs
hallucinations: sensory perceptions not founded on objective reality
behavioral vs psychiatric emergencies
behavioral: person’s behavior is interfering with activities of daily living
psychiatric: behavior threatens person’s health/safety or another person’s health/safety
definition of serious mental illness
diagnosis of psychiatric disorder with serious functional impairment
4 categories of causes for abnormal behavior
- biologic or organic
- person’s environment
- acute injury/illness
- substance-related
2 ways people cope with environmental caused behavior
find ways to alter the situation or alleviate discomfort by escaping from stress
what is affect
outward expression of a person’s inner feelings such as happy, sad, angry
what are stereotyped movements
repetition of movements that do not seem to serve any useful purpose
what are compulsions
repetitive actions that are carried out to relieve the anxiety of obsessive thoughts
what is the pressure of speech
pouring out of words liked water escaping under pressure
what are neologisms
words invented by patients
what is echolalia
patient echoes words they hear
what is mutism
patient does not speak at all
what is flight of ideas
accelerated thinking in which mind skips very rapid from one thought to the next
what is perseveration
repetition of same idea over and over again
what circumstantial thinking
inclusion of many irrelevant details
what is inappropriate affect
emotion out of sync with situation
what is flat affect
absence of emotion
what is confabulation
inventing experiences to fill gaps in memory
what is catatonic
lacking expression or movement, appearing rigid
what is labile
rapidly shifting among different emotional states
what mnemonic is used for mental status exam
COASTMAP - consciousness, orientation, activity, speech, thought, memory, affect and mood, perception
in what patients may scars be found and why
self-mutilation in patients with borderline personality disorder
what is hobble tie
tying feet together