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HA LEC > DEVELOPMENTAL THEORY AND MENTAL STATUS EXAM > Flashcards

DEVELOPMENTAL THEORY AND MENTAL STATUS EXAM Flashcards

1
Q

primative part of mind “unconscious” contains sexual/aggressice doings

A

id

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2
Q

DECISION making of the personality

A

ego

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3
Q

works realistically - pleasure/ avoiding pain

A

EGO

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4
Q

satisfy immediate needs/ unrealistic

A

id

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5
Q

Conscience and ideal self (ego ideal) “GUILT”
Satisfy moral needs

A

Super ego

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6
Q

sexual (libido) and aggressive energies

A

internal forces

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7
Q

5 psychological developmental stages

A

oral, anal, phallic, latency, genitals

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8
Q

age for oral stage

A

birth 1-5yrs old

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9
Q

mouth is the focus of stimulation, feeding and weaning are central.

A

Oral

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10
Q

age for anal

A

1.5 yrs old-4yr old

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11
Q

age for Phallic

A

4-6 or 7yrs

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12
Q

Anus- focus of stimulation and interaction elimination and touley training is central.

A

anal

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13
Q

genitals and focus of stimulation: gender role and moral development is central.

A

phallic

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14
Q

boy toddler sees his father as rival towards affection of mother “castration anxiety” -cut of penis

A

Oedipus complex

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15
Q

girl is closer to father (authority)

A

Electra complex

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16
Q

age for latency

A

7-12yrs old

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17
Q

energy shifts to physical intellectual activity
oedipus/ electra are solved. No pleasure zone for oral/ anal

A

latency

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18
Q

age for latency

A

7-12 y/old

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19
Q

this is suppressed because they play outside the house w friends

A

libido

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20
Q

seek relationship w others and balance ID and superego.

A

Genital

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21
Q

age for genital

A

12-adulthood

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22
Q

8 Stages of Psychological Development

A

Erik Erikson

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23
Q

Personality development

A

Sigmund Freud

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24
Q

what is in stage 1 of erik erikson’s psychological development?

A

trust vs mistrust

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25
Q

this is the sense of control; independence

A

Autonomy vs shame and doubt

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26
Q

how many stages does psychological development have?

A

8 stages

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27
Q

what age does initiative vs guilt start? (doing things alone)

A

4-5 yrs old

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28
Q

what stage focuses on the child’s academic advances, right and wrong operating SUPEREGO

A

stage 4: industry vs inferiority

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29
Q

stage where children try to discover themselves

A

stage 4 industry vs inferiority

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30
Q

what stage has opposite attracting conflict: accepted or rejected by ppl around

A

stage 5 identity vs role confusion

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31
Q

pain scale for 3-18 yrs old self rapport

A

Wong Baker Faces Pain Rating Scale

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32
Q

what age does stage 6: intimacy and isolation take place?

A

20-30 yrs old

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33
Q

this is the stage for elderlies when expectation is not met or met “career focus”

A

stage 7: generativity vs stagnation

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34
Q

retirement stage. starts to feel like they have no purpose. “reflective stage

A

stage 8: ego vs integrity vs despair

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35
Q

Stages of cognitive development

A

Jean piaget’s

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36
Q
  • Medical examination as extension of physical exam
  • Involves both objective and subjective data of patient
A

mental status exam

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37
Q

what is the purpose of mental status exam?

A

to aid in diagnostic, prognostic therapeutic thinking
- Should provide pertinent positive/negative information

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38
Q

technique that looks and observes color, size, location, symmetry, movement company

A

inspection

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39
Q

technique with the use of touch

A

palpation

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40
Q

what are 4 things observed when palpating the patient?

A

Texture, Temperature, Mobility, Moisture

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41
Q

other factors observed when palpating a patient

A
  1. finger pads
  2. ulnar/palmar surface
  3. size
  4. shape
  5. degree of tenderness
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42
Q

3 different parts of hand that palpates a patient

A
  1. finger pads
  2. ulnar/palmar surface
  3. dorsal surface
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43
Q

what is being touched for finger pads?

A

pulse, texture, size, shape

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44
Q

what is being palpated for ulnar/palmar surface?

A

vibration/thrill (vibratory sensations )

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45
Q

what is being palpated for dorsal surface?

A

temperature

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46
Q

what are the 4 types of palpation and how it is done?

A
  1. light - less than 1cm, little to no depression
  2. moderate- 1-2cm depression
  3. deep- 1-2 inches depression
  4. bimanual- use of 2 hands for holding
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47
Q

this technique involves tapping to produce sound waves, assess underlying structure or pain

A

persussion

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48
Q

types of percussion

A
  1. direct- fingertips
  2. blunt
  3. indirect- middle finger
49
Q

technique used to identify intensity, pitch

A

auscultation

50
Q

pain assessment toll for 8 yrs older

A

Visual Analog Scale (VAS)

51
Q

Each category (FACE, legs, etc.) is scored on a 0-2 scale, which results in a total pain score between 0 and 10. The child should be observed briefly and then scored each category based on the description supplied.

A

FLACC scale

52
Q

Useful assessment tool for cognitively impaired and critically ill children.

A

FLACC scale

53
Q

assessment tool:
no pain, mild pain, moderate pain, severe pain, very severe pain, worst possible pain

A

Simple Descriptive Intensity Scale

54
Q

what are the 4 classification of fever

A
  1. Intermittent fever:
  2. Remittent fever:
  3. Relapsing fever
  4. Sustained/ Constant fever:
55
Q

low grade fever

A

37.1C- 38.2 C

56
Q

High grade fever

A

38.2-40.5 C

57
Q

40.5C

A

Hyperpyrexia

58
Q

what is the scoring for newborn babies?

59
Q

assessment tool for pregnany

60
Q

This assesses first day of last menstrual period

61
Q

Meaning of GP-TAL

A

Gravida, para, term gestation, abortion, living

62
Q

the distance between your pubic bone and the top of your uterus during pregnancy.

A

fundal height

63
Q

a systematic method of abdominal palpation used to assess fetal position, presentation, and engagement in the third trimester of pregnancy.

A

The Leopold maneuvers

64
Q

this is an adult functional assessment that records what a patient does

A

Barthel Index

65
Q

establish a degree of independence from any help, physical or verbal

A

barthel index

66
Q

what does 0-20 indicate in barthel index?

A

total dependency

67
Q

21-60 indicate in barthel index?

A

severe dependecy

68
Q

61-90 indicate in barthel indexx

A

moderate dependency

69
Q

10 elements of mental status examination

A

appearance
behavior
speech
mood
affect
emotional of a person
thought process
thought content
cognitive
insight/judgment

70
Q

regular intervals between periods of fever and periods of normal temperature within 24 hours

A

intermittent fever

71
Q

fever spikes and falls without a return to normal temp in 24 hours

A

remittent fever

72
Q

short febrile fever periods of a few days are interpersed with w periods of 1-2 days of normal temperature

A

relapsing fever

73
Q

fever fluctuates minimally above 38 degree C and demonstrates little fluctutation but always remain above normal

A

sustained/constant fever

74
Q

expanded sigmund freud’s psychosexual theory

A

erik eikson

75
Q

in this stage and developmental level, they develop a sense of moral responsibility and assertiveness influence others. they fear disapproval of own powers

A

stage 3, preschooler: initiative vs guilt

76
Q

in this stage and developmental level, this is having control without loss of self-esteem they doubt abilities, feels ashamed for not trying

A

stage 2: toddler, autonomy vs shame vs doubt (toilet training)

77
Q

in this stage and developmental level, they are academically advanced and may feel a sense of failure.

A

stage 4, school aged child: industry vs inferiority

78
Q

in this stage and developmental level, trusting self, others and environment

A

stage 1: infant, trust vs mistrust (feeding)

79
Q

in this stage and developmental level, they commit to intimate realtionships or work connections. they may have exp loneliness, poor relationships

A

stage 6 young adult, intimacy versus isolation

80
Q

what are the four stages of the cognitive development theory?

A
  1. sensorimotor
  2. preoperational
  3. concrete operational
  4. formal operations
81
Q

age range for sensorimotor?

A

birth to nearly 2 years

82
Q

experiencing the world through senses and actions (looking, touching, mouthing and grasping)

A

sensorimotor

83
Q

what is the developmental phenomena for sensorimotor?

A
  • object permanence
  • stranger anxiety
84
Q

age range for preoperational?

A

2-7 years old

85
Q

representing thngs with words and images; use intuitive rather than logical reasoning

A

preoperational

86
Q

developmental phenomena for preoperational

A

-pretend play
- egocentrism
- language development

87
Q

age range for concrete operational?

A

7-11 yrs old

88
Q

thinking logically about concrete events; grasping concrete analogies and performing arithmetical operations

A

concrete operational

89
Q

developmental phenomena for concrete operational

A
  • conservation
  • mathematical transformations
90
Q

age range for formal operational

A

12 to adulthood

91
Q

abstract reasoning

A

formal operational

92
Q

developmental phenomena for formal operational

A
  • abstract logic
  • potential for mature moral reasoning
93
Q

3 parts/ stages of lawrence kohlberg’s theory on Moral Development

A
  1. post conventional
  2. conventional
  3. pre conventional
94
Q

Theory on Moral Developmet

A

Lawrence Kohlberg’s

95
Q

Theory on Moral Developmet: moral reasoning, based on PERSONAL ethics

A

Post conventional (adulthood)

96
Q

2 stages on post conventional

A

social contract,
principle

97
Q

2 stages on conventional

A

good boy attitude,
law and order morality

98
Q

Theory on Moral Developmet: moral reasoning based on EXTERNAL ETHICS

A

conventional

99
Q

Theory on Moral Developmet: moral reasoning based on REWARD AND PUNISHMENT

A

PRE-conventional

100
Q

2 stages for pre conventional

A

avoiding punishment
self-interest

101
Q

age for conventional

A

8-13 yrs old

102
Q

age for post conventional

103
Q

age for pre conventional

A

3-7 yrs old

104
Q

an image of the moral stages:
stage 1

A

avoiding punishment

105
Q

an image of the moral stages:, stage 2

A

aiming at a reward

106
Q

an image of the moral stages: stage 3

A

good boy and good girl attitude

107
Q

an image of the moral stages: stage 4

A

loyalty to law and order

108
Q

an image of the moral stages: stage 5

A

justice and the spirit of the law

109
Q

an image of the moral stages: stage 6

A

universal principles of ethics

110
Q

what level is stage 1 and 2 as an image of the moral stage?

A

preconventional level

111
Q

what level is stage 3 and 4 as an image of the moral stage?

A

conventional level

112
Q

vwhat level is stage 5 and 6 as an image of the moral stage?

A

post conventional level

113
Q

a level of images of the moral stage where: an individual follows rules to avoid punishment. blind obedience to authority for its own sake

A

level 1 preconventional

114
Q

a level of images of the moral stage where: an individual lives up to expectations of others. fulfills duties and obligations of social system. upholds law

A

level 2: conventional

115
Q

a level of images of the moral stage where: an individual follows internalised universal principles of justice and right. Balances concern for self with concern for others and the common good. acts in an independent and ethical manner regardless of expectations of others

A

level 3: post conventional (principled)

116
Q

refers to a client’s level of cognitive functioning and emotional functioning

A

mental status exam

117
Q

most persistent conditions affect mental health

A

substance abuse

118
Q

harmful or hazardous use of psychoactive substances, including alcohol and illicit drugs

A

substance abuse

HA LEC (9 decks)

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