Exam 1 Flashcards
excessive motor (e.g., handwringing, pacing) and cognitive activity may occur with anxiety or mania
psychomotor agitation
thoughts that are associated by the sound of words rather than by their meaning (e.g., through rhyming or assonance)
clanging
the involuntary repetition or imitation of another person’s actions typically seen in pts with Tourette’s syndrome or autism
echopraxia
consciousness characterized by only awakening in response to pain
stuporous
ability to focus and sustain attention over a period of time
concentration
beliefs about another person or force controlling some aspect of one’s behavior
ideas of influence
the invention of new words or phrases or the use of conventional words in idiosyncratic ways
neologism
persistent, irrational, exaggerated, and invariably pathological dread of a specific stimulus or situation, which typically results in a compelling desire to avoid the feared stimulus
phobia
lack of connection in a person’s thoughts, memory or sense of identity
dissociation
intrusive and unwanted ideas which intrude into consciousness despite efforts to suppress them
obsessions
a general slowing of physical and emotional reactions; may signify depression or negative symptoms of schizophrenia
psychomotor retardation
abnormal perceptions in which pt hears, sees, tastes, smells or feels something others cannot.
hallucination
delusional belief that a person’s thoughts can be heard by others, as though they were being broadcast over the air
thought broadcasting
a sudden disruption of thought or a break in the flow of ideas
thought blocking
Ability of patient to understand and acknowledge factors that influence a situation; such as his/her illness
insight
repetitive and ritualized behavior which the person feels compelled to perform
compulsion
a subjective sense that the environment is strange or unreal; a vague sense of unreality in one’s perception of the external world
derealization
type of dissociation
a movement disorder characterized by a feeling of inner restlessness and a compelling need to be in constant motion; common side effect of neuroleptic antipsychotic or other medications; can cause restlessness, pacing, repeated sitting and standing
akithesia
a succession of multiple associations so that thoughts seem to move abruptly from idea to idea; often expressed through rapid, pressured speech
flight of ideas
Speech makes no sense at all. Words joined, but do not convey a message.
incoherence
a severe disturbance of motor function, usually manifested by markedly decreased activity, but may involve hyperactivity, with alternation between these states; in the hypoactive state, the person is immobile and maintains peculiar postures for lengthy periods
catatonia
overinclusion of trivial or irrelevant details that impede the sense of getting to the point
circumstantiality
beliefs that everything refers to pt; person believes that the behavior or events refer specifically to him/her
ideas of reference
non-fluent empty speech, few spontaneous words, very concrete
poverty of speech
difficulty or distortion in performing voluntary movements
dyskinesia
the sense that one is outside of his/herself
depersonalization
type of dissociation
fast and difficult to interrupt/understand; seen in bipolar-mania
pressured speech
False, fixed personal beliefs that are not shared by others (seen in psychotic d/o)
delusions
A breakdown in both the logical connection between ideas and the overall sense of goal-directedness. Words make sentences, but the sentences do not make sense.
derailment
loose associations
In response to a question, the pt gives a reply that is appropriate to the general topic without actually answering the question
tangentiality
involuntary muscle contractions that cause slow repetitive movements or abnormal postures; can be painful; can be drug induced
dystonia
delusional belief that thoughts are being removed from a person’s mind by other people or forces
thought withdrawal
Sudden, repetitive, jerky movements of eyes, vocal organs, face, extremities, or trunk
tics
persistent repetition of specific words or concepts despite the absence or cessation of a stimulus; seen in cognitive d/o and schizophrenia
perseveration
consciousness characterized by slowed response to stimulation
obtunded
belief that someone famous is in love with them
erotomanic
non-fluent empty speech, few spontaneous words, no depth, minimal responses, very concrete
alogia
poverty of thought
delusional belief that thoughts are being implanted in a person’s mind by other people or forces
thought insertion
misperception or misinterpretation of real external sensory stimuli
illusion
ability to focus and direct cognitive processes
attention
fluent empty speech; conveys little information, overly abstract or concrete
poverty of speech
condition of a person who can be molded into a position that is then maintained for a prolonged period of time; seen in catatonic schizophrenia
catalepsy
capacity to conceptualize meanings of words beyond the most literal interpretation
abstract thought
What does ASEPTIC stand for?
appearance/attitude speech emotion (mood & affect) perceptions thought (content & process) insight /judgement cognition
during the course of a discussion, pt changes subject in response to something unrelated in the environment
distractible speech
pt’s prediction of what he/she would do in imaginary situations
test judgement
inert and unmotivated
avolition
inability to experience pleasure
anhedonia
4 common negative sx of schizophrenia
avolition
anhedonia
alogia
affective flattening
3 thought disorders characteristic of mania
tangentiality, derailment, and illogicality
disorganized speech, motor, behavior, and flat affect are symptoms in __________.
schizophrenia
this can result when postsynaptic dopamine receptors develop a supersensitivity to dopamine following prolonged receptor blockade from antipsychotics
tardive dyskinesia
side effects of antipsychotics
acute dystonic reaction (4 days)
akithesia/parkinsoninism (3 weeks)
tardive dyskinesia (long term)
SAD PERSONS
he initials stand for Sex (male gender), Age (older), Depression, Previous (suicide) attempt, Ethanol abuse, Rational thinking loss, Social support lacking, Organized plan, No spouse, Sickness.
