Exam 1

Question 1

excessive motor (e.g., handwringing, pacing) and cognitive activity may occur with anxiety or mania

Answer 1

psychomotor agitation

Question 2

thoughts that are associated by the sound of words rather than by their meaning (e.g., through rhyming or assonance)

Answer 2

clanging

Question 3

the involuntary repetition or imitation of another person’s actions typically seen in pts with Tourette’s syndrome or autism

Answer 3

echopraxia

Question 4

consciousness characterized by only awakening in response to pain

Answer 4

stuporous

Question 5

ability to focus and sustain attention over a period of time

Answer 5

concentration

Question 6

beliefs about another person or force controlling some aspect of one’s behavior

Answer 6

ideas of influence

Question 7

the invention of new words or phrases or the use of conventional words in idiosyncratic ways

Answer 7

neologism

Question 8

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

Answer 8

phobia

Question 9

lack of connection in a person’s thoughts, memory or sense of identity

Answer 9

dissociation

Question 10

intrusive and unwanted ideas which intrude into consciousness despite efforts to suppress them

Answer 10

obsessions

Question 11

a general slowing of physical and emotional reactions; may signify depression or negative symptoms of schizophrenia

Answer 11

psychomotor retardation

Question 12

abnormal perceptions in which pt hears, sees, tastes, smells or feels something others cannot.

Answer 12

hallucination

Question 13

delusional belief that a person’s thoughts can be heard by others, as though they were being broadcast over the air

Answer 13

thought broadcasting

Question 14

a sudden disruption of thought or a break in the flow of ideas

Answer 14

thought blocking

Question 15

Ability of patient to understand and acknowledge factors that influence a situation; such as his/her illness

Answer 15

insight

Question 16

repetitive and ritualized behavior which the person feels compelled to perform

Answer 16

compulsion

Question 17

a subjective sense that the environment is strange or unreal; a vague sense of unreality in one’s perception of the external world

Answer 17

derealization

type of dissociation

Question 18

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

Answer 18

akithesia

Question 19

a succession of multiple associations so that thoughts seem to move abruptly from idea to idea; often expressed through rapid, pressured speech

Answer 19

flight of ideas

Question 20

Speech makes no sense at all. Words joined, but do not convey a message.

Answer 20

incoherence

Question 21

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

Answer 21

catatonia

Question 22

overinclusion of trivial or irrelevant details that impede the sense of getting to the point

Answer 22

circumstantiality

Question 23

beliefs that everything refers to pt; person believes that the behavior or events refer specifically to him/her

Answer 23

ideas of reference

Question 24

non-fluent empty speech, few spontaneous words, very concrete

Answer 24

poverty of speech

Question 25

difficulty or distortion in performing voluntary movements

Answer 25

dyskinesia

Question 26

the sense that one is outside of his/herself

Answer 26

depersonalization | type of dissociation

Question 27

fast and difficult to interrupt/understand; seen in bipolar-mania

Answer 27

pressured speech

Question 28

False, fixed personal beliefs that are not shared by others (seen in psychotic d/o)

Answer 28

delusions

Question 29

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.

Answer 29

derailment | loose associations

Question 30

In response to a question, the pt gives a reply that is appropriate to the general topic without actually answering the question

Answer 30

tangentiality

Question 31

involuntary muscle contractions that cause slow repetitive movements or abnormal postures; can be painful; can be drug induced

Answer 31

dystonia

Question 32

delusional belief that thoughts are being removed from a person’s mind by other people or forces

Answer 32

thought withdrawal

Question 33

Sudden, repetitive, jerky movements of eyes, vocal organs, face, extremities, or trunk

Answer 33

tics

Question 34

persistent repetition of specific words or concepts despite the absence or cessation of a stimulus; seen in cognitive d/o and schizophrenia

Answer 34

perseveration

Question 35

consciousness characterized by slowed response to stimulation

Answer 35

obtunded

Question 36

belief that someone famous is in love with them

Answer 36

erotomanic

Question 37

non-fluent empty speech, few spontaneous words, no depth, minimal responses, very concrete

Answer 37

alogia | poverty of thought

Question 38

delusional belief that thoughts are being implanted in a person’s mind by other people or forces

Answer 38

thought insertion

Question 39

misperception or misinterpretation of real external sensory stimuli

Answer 39

illusion

Question 40

ability to focus and direct cognitive processes

Answer 40

attention

Question 41

fluent empty speech; conveys little information, overly abstract or concrete

Answer 41

poverty of speech

Question 42

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

Answer 42

catalepsy

Question 43

capacity to conceptualize meanings of words beyond the most literal interpretation

Answer 43

abstract thought

Question 44

What does ASEPTIC stand for?

Answer 44

``` appearance/attitude speech emotion (mood & affect) perceptions thought (content & process) insight /judgement cognition ```

Question 45

during the course of a discussion, pt changes subject in response to something unrelated in the environment

Answer 45

distractible speech

Question 46

pt’s prediction of what he/she would do in imaginary situations

Answer 46

test judgement

Question 47

inert and unmotivated

Answer 47

avolition

Question 48

inability to experience pleasure

Answer 48

anhedonia

Question 49

4 common negative sx of schizophrenia

Answer 49

avolition anhedonia alogia affective flattening

Question 50

3 thought disorders characteristic of mania

Answer 50

tangentiality, derailment, and illogicality

Question 51

disorganized speech, motor, behavior, and flat affect are symptoms in __________.

Answer 51

schizophrenia

Question 52

this can result when postsynaptic dopamine receptors develop a supersensitivity to dopamine following prolonged receptor blockade from antipsychotics

Answer 52

tardive dyskinesia

Question 53

side effects of antipsychotics

Answer 53

acute dystonic reaction (4 days) akithesia/parkinsoninism (3 weeks) tardive dyskinesia (long term)

Question 54

SAD PERSONS

Answer 54

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.