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Mental Health - Exam I > Class II > Flashcards

Class II Flashcards

0
Q

seeks instant gratification, no regard for rules, unorganized reservoir of energy

A

ID

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1
Q

allows person to function well, controls action & perception, develop mutually satisfying relationships

A

ego

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2
Q

moral & ethical, follows rules & regulations

A

super ego

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3
Q

what is included in axis 1 of DSM IV

A

major mental disorders

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4
Q

what is included in axis 2 of DSM IV

A

personality/mental disorders

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5
Q

what is included in axis 3 of DSM IV

A

medical conditions/surgeries

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6
Q

what is included in axis 4 of DSM IV

A

psychosocial & environmental stressors

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7
Q

what is included in axis 5 of DSM IV

A

global assessment of functioning (GAF)

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8
Q

who can make a diagnosis using DSM

A

master prepared clinicians

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9
Q

pt says they had an anxiety attack - what is your first question

A

what were you symptoms

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10
Q

what is the purpose of a H&P on admission

A

to r/o non-psych causes for their condition

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11
Q

what electrolyte imbalance may cause a change in mental status

A

hyponatremia

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12
Q

what is a noticeable slowing down of speech, thinking, & movement

A

psychomotor retardation

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13
Q

what is a noticeable speeding up of movement that is usually purposeless, repetitive, & associated w/ an inner tension

A

psychomotor agitation

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14
Q

a behavior where a person gets into your personal space

A

intrusive

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15
Q

a behavior where the person interacts in a bright cheery way that discounts their problems

A

superficial

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16
Q

restriction of speech, shortage of words

A

poverty of speech

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17
Q

speech w/ no ⬇️ in intensity or pace, no pauses, loud w/ a sense of urgency

A

pressured speech

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18
Q

speech w/ repeating the same words or movements

A

perservation of speech

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19
Q

speech where pts use made up words

A

neologisms

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20
Q

thoughts - gives excessive unneeded details before getting to the point

A

circumstantial thinking

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21
Q

thoughts - pt goes off topic

A

tangential thinking

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22
Q

disorganized thoughts moving from topic to topic w/o connection

A

loose associations

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23
Q

nearly continuous flow of speech w/ abrupt & frequent changes in topic that are usually connected

A

flight of ideas

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24
Q

thoughts stopping abruptly for seconds-minutes

A

blocking

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25
Q

person is unable to decipher what is real and what isn’t

A

psychosis

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26
Q

false sensory perceptions that the person is experiencing when there is no real stimuli

A

hallucinations

27
Q

what is a common reason for gustatory or olfactory hallucinations

A

brain tumor, aneurysm

28
Q

fixed false beliefs that the pt believes are true, will not be convinced otherwise

A

delusions

29
Q

delusion - belief that someone is attempting to harm them

A

paranoid/persecutory

30
Q

delusion - belief that they have a special power or abilities - wealth, knowledge, achievements

A

grandiose

31
Q

delusion - belief that the person’s body is diseased, abnormal, or changed

A

somatic

32
Q

person believes that insignificant remarks, statements, or events refer directly to them (tv, paper, magazines)

A

delusion of reference

33
Q

belief that one can bring about an event by thinking about or wishing for it

A

magical thinking

34
Q

a person misinterprets something that is real (usually visual)

A

illusion

35
Q

amount of schooling completed & ability to evaluate ideas & isssues

A

intellectual functioning

36
Q

ability to interpret a situation or statement

A

abstract thinking

37
Q

ability to understand the situation correctly and adapt behavior or decisions to the situation

A

judgement

38
Q

ability to understand a situation and accept personal responsibility for the situation

A

insight

39
Q

what is the priority of the milieu

A

safety

40
Q

team member - perform research, testing, interpret tests, psychotherapy

A

clinical psychologist

41
Q

team member - focus on ways to improve functional ability of pts using creative activities

A

occupational therapist

42
Q

team member - help pts find constructive activities for leisure time

A

recreational therapist

43
Q

team member - assist w/ job seeking/retention, completing educational goals

A

vocational rehab specialist

44
Q

team member - assist w/ d/c planning, community referrals, & psychotherapy

A

social worker

45
Q

team member - review management of med side effects, make sure all meds are compatible

A

pharmacist

46
Q

team member - diagnose psych disorders, prescribe medical treatment

A

psychiatrist

47
Q

involuntary confinement to a room, pt cannot leave

A

seclusion

48
Q

freedome & movement are restricted, even being held

A

restraints

49
Q

what is the purpose of psych drugs

A

relieve symptoms

50
Q

what type of drug ⬇️ anxiety & helps w/ sleep

A

anxiolytics

51
Q

benzo anxiolyts alter the effects of which neurotransmitter

A

GABA

52
Q

non-benzo anxiolytics alter which neurotransmitter

A

serotonin

53
Q

which type of drug is used to treat psychotic symptoms

A

antipsychotics

54
Q

what symptoms do antipsychotics treat

A

hallucinations, delusions, illusions, paranoia, disorganized thinking

55
Q

what conditions do antipsychotics treat

A

schizophrenia, mood disorders, agitation, aggressive behavior

56
Q

what are some non-psych symptoms that antipsychotics treat

A

intractable vomiting
hiccoughs
vertigo

57
Q

what neurotransmitter does antipsychotics affect

A

dopamine (blocks)

58
Q

what type of drug is available in long-acting form

A

typical antipsychotic

59
Q

what additional symptoms do atypical antipsychotics treat

A

blunted affect
apathy
withdrawal

60
Q

which type of antipsychotic is associated w/ less side effects

A

atypical

61
Q

which type of drug is used to treat OCD & phobias

A

antidepressant

62
Q

which type of drug is used to treat expansive emotional states

A

anti-manic

63
Q

what are anticonvulsants used to treat

A

bipolar disorder

64
Q

what type of drug releases dopamine so regions of the brain are stimulated, ⬆️ attention & concentration

A

psychostimulants

65
Q

what are the 2 types of mood stabilizers

A

antimanic

anticonvulsant

66
Q

what type of drug ⬇️ anxiety & insomnia, inducing sleep

A

sedative hypnotics

Mental Health - Exam I (5 decks)

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