ENUM PSYCH FINALS Flashcards
Etiology of CHILDHOOD AND ADOLESCENT DISORDERS
BEG
Environmental toxins
Biologic Factor
Genetic Factor
Genetic Factors of CHILDHOOD AND ADOLESCENT DISORDERS
a. Autism Spectrum Disorder
b. Attention-deficit/Hyperactivity Disorder
Behaviors Common with ASD
a. Not responding to own name by 1 year (e.g., appears not to hear)
b. Doesn’t show interest by pointing to objects or people by 14 months of age
c. Doesn’t play pretend games by 18 months of age
d. Avoids eye contact
e. Prefers to be alone
f. Delayed speech and language skills
g. Obsessive interests (e.g., gets stuck on an idea)
h. Upset by minor changes in routine
i. Repeats words or phrases over and over
j. Flaps hands, or rocks or spins in a circle; answers are unrelated to questions
k. Unusual reactions to sounds, smells, or other sensory experiences
Pharmacological treatment of autism spectrum disorder
HAR
haloperidol (Haldol), risperidone (Risperdal), aripiprazole (Abilify)
Behaviors with ADHD
a. Short attention span
b. High level of distractibility
c. Labile moods
d. Low frustration tolerance
e. Inability to complete tasks
f. Inability to sit still or fidgeting
g. Excessive talking
h. Inability to follow directions
Pharmacological treatment of ADHD
Methylphenidate
Dextroamphetamine
pemoline
Related Disorders of CHILDHOOD AND ADOLESCENT DISORDERS
CLTTME
Tic Disorders
Tourette disorder
Learning Disorders
Motor Skills Disorder
Communication Disorders
Elimination Disorders
Pharmacological tx of tic disorder
risperidone or olanzapine
Complex vocal tics include
PEC
coprolalia
palilalia
echolalia
2 Communication Disorders
Speech sound disorder
Social communication disorder
2 elimination disorders
Encopresis
Enuresis
Characteristics of violent families are the following:
- Social Isolation
- Abuse of power and control
- Alcohol and other drug abuse
- Intergenerational Transmission Process
cycle of abuse and violence
violent episode
honeymoon phase
tension-building phase
Types of child abuse are the following:
- Sexual Abuse
- Neglect
Common compulsions include the following:
COPEWHC
a. Checking rituals
b. Counting rituals
c. Washing and scrubbing until the skin is raw
d. Praying or chanting * Touching, rubbing, or tapping
e. Ordering
f. Exhibiting rigid performance
g. Having aggressive urges
Related Disorder ocd
DTBHOKOB
a. dermatillomania
b. Trichotillomania
c. Body Dysmorphic
d. Hoarding disorder
e. Onychophagia
f. Kleptomania
g. Oniomania
h. Body identity integrity disorder (BIID)
Types of Losses
PSLLL
a. Physiologic loss
b. Safety loss
c. Loss of security and a sense of belonging
d. Loss of self-esteem
e. Loss related to self-actualization
a. Kubler-Ross’s Stages of Grieving
Denial
Anger
Bargaining
Depression
Acceptance
Types of Substance
ASS CO HI
a. Alcohol
b. Sedatives, Hypnotics, and Anxiolytics
c. Stimulants
d. Cannabis
e. Opioids
f. Hallucinogens
g. Inhalants
alcohol intoxication
SUL
slurred speech, unsteady gait, lack of coordination,
and impaired attention, concentration, memory, and judgment.
Physiological Effects of Long-Term Alcohol Use
a. Cardiac myopathy
b. Wernicke encephalopathy
c. Korsakoff psychosis
d. Pancreatitis
e. Esophagitis
f. Hepatitis
g. Cirrhosis
h. Leukopenia
i. Thrombocytopenia
j. Ascites
alcohol withdrawal
coarse hand tremors, sweating, elevated pulse and blood pressure, insomnia, anxiety, and nausea or vomiting
Severe or untreated alcohol withdrawal
hallucinations, seizures, or delirium
Sedatives, Hypnotics, and Anxiolytics includes:
barbiturates, nonbarbiturate hypnotics, and anxiolytics
Sedatives, Hypnotics, and Anxiolytics withdrawal
autonomic hyperactivity (increased pulse, blood pressure, respirations, and temperature), hand tremor, insomnia, anxiety, nausea, and psychomotor agitation
Stimulants samples
Amphetamines
Cocaine
Methamphetamine
Intoxication from stimulants
high or euphoric feeling, hyperactivity, hypervigilance, talkativeness, anxiety, grandiosity, hallucinations, stereotypic or repetitive behavior, anger, fighting, and impaired judgment. Physiological effects include tachycardia, elevated blood pressure, dilated pupils, perspiration or chills, nausea, chest pain, confusion, and cardiac dysrhythmias
Withdrawal from stimulants
fatigue, vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite, and psychomotor retardation or agitation
Symptoms of intoxication Cannabis
impaired motor coordination, inappropriate laughter, impaired judgment and short-term memory, and distortions of time and perception, dry mouth, hypotension, and tachycardia.
Opioid compounds include both potent prescription analgesics such as
morphine, meperidine (Demerol), codeine, hydromorphone, oxycodone, methadone, oxymorphone, hydrocodone, and propoxyphene, heroin, fentanyl
Opioid intoxication
apathy, lethargy, listlessness, impaired judgment, psychomotor retardation or agitation, constricted pupils, drowsiness, slurred speech, and impaired attention and memory
Opioid withdrawal
anxiety, restlessness, aching back and legs,
nausea, vomiting, dysphoria, lacrimation, rhinorrhea, sweating, diarrhea, yawning, fever, and insomnia.
Hallucinogen intoxication
anxiety, depression, paranoid ideation, ideas of reference, fear of losing one’s mind, and potentially dangerous behaviors
sweating, tachycardia, palpitations, blurred vision, tremors, and lack of coordination.
Inhalant intoxication
dizziness, nystagmus, lack of coordination, slurred speech, unsteady gait, tremor, muscle weakness, and blurred vision
The three central features of somatic symptom illnesses are as follows:
a. Physical complaints suggest major medical illness but have no demonstrable organic basis.
b. Psychological factors and conflicts seem important in initiating, exacerbating, and maintaining the symptoms.
c. Symptoms or magnified health concerns are not under the client’s conscious control.
Related Disorder SOMATIC SYMPTOM ILLNESSES
Malingering
Factitious disorder, imposed on self,
Interdisciplinary Team Primary Roles
Pharmacist
Psychiatrist
Psychologist
Psychiatric nurse
Psychiatric social worker
Occupational therapist
Recreation therapist
Vocational rehabilitation specialist
Continuing Professional Development Program Objectives
- Keep up to date with new concepts and development in the health field.
- To increase their knowledge and skills and develop positive attitudes.
- Develop an ability to analyze problems and to work with others.
- Meet the challenge of changes in technology.
- Maintain standards of health care at an acceptable level.
- Help in setting standards of performance.
- Motivate staff for better patient care.
- Meet the new needs of the community.
- To assist the nursing educator in increasing the teaching effectiveness.
- To develop leadership potential in nurses
Sources for Continuing Professional Development
- Work-based learning
- Professional Activity
- Formal education
DOH Health Advocacy Program Components
- Wellness of Daily Living
- Extreme Life Experience
- Mental Disorder
- Neurologic Disorders
- Substance Abuse and other Forms of Addiction
The following are sample type of information included in the assessment and these are:
f. Demographic data
g. Admission data
h. Reason for admission
i. Previous psychiatric history
j. Current medical problems and medications
k. Drug and alcohol use or abuse
l. Disturbances in patterns of daily living
m. Culture and spirituality
n. Support systems
General Observations
- Appearance
- Speech
- Behavior
- Cooperativeness
- Thinking
- Thought Process
- Thought Content
- Perceptions
- Emotion
- Mood
- Affect
- Cognition
- Orientation/Attention
- Memory
- Insight
- Judgment
NOC Format
- Label name
- Definition
- Measurement scale(s)
- Indicators
- References
Theories of Illness
Mystical Causes
Personalistic Causes
Naturalistic Causes
Common Filipino Cultural Beliefs about Mental Disorders
a. Namamana
b. Pasma
c. Sumpa and gaba
d. Namaligno
e. Kaloob ng Diyos
Coping styles common among Filipino’s in times of illness or crisis include:
a. Patience and Endurance (Tiyaga
b. Flexibility (Lakas ng Loob):
c. Humor (Tatawanan ang problema):
d. Fatalistic Resignation (Bahala Na):
e. Conceding to the wishes of the collective (Pakikisama
Responses to Mental Illness
a. Devastating shame (Hiya)
b. Sensitivity to criticism (Amor Propio)
