Class II Flashcards
seeks instant gratification, no regard for rules, unorganized reservoir of energy
ID
allows person to function well, controls action & perception, develop mutually satisfying relationships
ego
moral & ethical, follows rules & regulations
super ego
what is included in axis 1 of DSM IV
major mental disorders
what is included in axis 2 of DSM IV
personality/mental disorders
what is included in axis 3 of DSM IV
medical conditions/surgeries
what is included in axis 4 of DSM IV
psychosocial & environmental stressors
what is included in axis 5 of DSM IV
global assessment of functioning (GAF)
who can make a diagnosis using DSM
master prepared clinicians
pt says they had an anxiety attack - what is your first question
what were you symptoms
what is the purpose of a H&P on admission
to r/o non-psych causes for their condition
what electrolyte imbalance may cause a change in mental status
hyponatremia
what is a noticeable slowing down of speech, thinking, & movement
psychomotor retardation
what is a noticeable speeding up of movement that is usually purposeless, repetitive, & associated w/ an inner tension
psychomotor agitation
a behavior where a person gets into your personal space
intrusive
a behavior where the person interacts in a bright cheery way that discounts their problems
superficial
restriction of speech, shortage of words
poverty of speech
speech w/ no ⬇️ in intensity or pace, no pauses, loud w/ a sense of urgency
pressured speech
speech w/ repeating the same words or movements
perservation of speech
speech where pts use made up words
neologisms
thoughts - gives excessive unneeded details before getting to the point
circumstantial thinking
thoughts - pt goes off topic
tangential thinking
disorganized thoughts moving from topic to topic w/o connection
loose associations
nearly continuous flow of speech w/ abrupt & frequent changes in topic that are usually connected
flight of ideas
thoughts stopping abruptly for seconds-minutes
blocking
person is unable to decipher what is real and what isn’t
psychosis
false sensory perceptions that the person is experiencing when there is no real stimuli
hallucinations
what is a common reason for gustatory or olfactory hallucinations
brain tumor, aneurysm
fixed false beliefs that the pt believes are true, will not be convinced otherwise
delusions
delusion - belief that someone is attempting to harm them
paranoid/persecutory
delusion - belief that they have a special power or abilities - wealth, knowledge, achievements
grandiose
delusion - belief that the person’s body is diseased, abnormal, or changed
somatic
person believes that insignificant remarks, statements, or events refer directly to them (tv, paper, magazines)
delusion of reference
belief that one can bring about an event by thinking about or wishing for it
magical thinking
a person misinterprets something that is real (usually visual)
illusion
amount of schooling completed & ability to evaluate ideas & isssues
intellectual functioning
ability to interpret a situation or statement
abstract thinking
ability to understand the situation correctly and adapt behavior or decisions to the situation
judgement
ability to understand a situation and accept personal responsibility for the situation
insight
what is the priority of the milieu
safety
team member - perform research, testing, interpret tests, psychotherapy
clinical psychologist
team member - focus on ways to improve functional ability of pts using creative activities
occupational therapist
team member - help pts find constructive activities for leisure time
recreational therapist
team member - assist w/ job seeking/retention, completing educational goals
vocational rehab specialist
team member - assist w/ d/c planning, community referrals, & psychotherapy
social worker
team member - review management of med side effects, make sure all meds are compatible
pharmacist
team member - diagnose psych disorders, prescribe medical treatment
psychiatrist
involuntary confinement to a room, pt cannot leave
seclusion
freedome & movement are restricted, even being held
restraints
what is the purpose of psych drugs
relieve symptoms
what type of drug ⬇️ anxiety & helps w/ sleep
anxiolytics
benzo anxiolyts alter the effects of which neurotransmitter
GABA
non-benzo anxiolytics alter which neurotransmitter
serotonin
which type of drug is used to treat psychotic symptoms
antipsychotics
what symptoms do antipsychotics treat
hallucinations, delusions, illusions, paranoia, disorganized thinking
what conditions do antipsychotics treat
schizophrenia, mood disorders, agitation, aggressive behavior
what are some non-psych symptoms that antipsychotics treat
intractable vomiting
hiccoughs
vertigo
what neurotransmitter does antipsychotics affect
dopamine (blocks)
what type of drug is available in long-acting form
typical antipsychotic
what additional symptoms do atypical antipsychotics treat
blunted affect
apathy
withdrawal
which type of antipsychotic is associated w/ less side effects
atypical
which type of drug is used to treat OCD & phobias
antidepressant
which type of drug is used to treat expansive emotional states
anti-manic
what are anticonvulsants used to treat
bipolar disorder
what type of drug releases dopamine so regions of the brain are stimulated, ⬆️ attention & concentration
psychostimulants
what are the 2 types of mood stabilizers
antimanic
anticonvulsant
what type of drug ⬇️ anxiety & insomnia, inducing sleep
sedative hypnotics
