Exam Flashcards
Flashpoints
Social and psychological situations arising out of features of the originating domains, signaling and preceding imminent conflict behaviours
Containment
What staff does to prevent conflict events from occuring; prn meds, medication observation
Restating
Going over the main idea again allowing the patient to clarify and continue building on the thought
Reflecting
Going over information mentioned validating emotion and assisting people to better understand their own thoughts and feelings
Psychosis
Altered cognition, perception and/or impaired ability to determine what is or is not real
Concrete thinking
Inability to thinking abstractly and thus answer questions literally/concretely
Alogia
Poverty of thought
Avolition
Loss of motivation
Thought insertion and thought withdrawal
Believing that another person is putting in or taking out thoughts from your brain
Circumstantiality
Inclusion of unnecessary and tedious details in one’s conversation
Therapeutic pessimism
Telling patient they are always going to be the way they are-
Everyone has the ability to enhance themself
Hope
Ability to look forward, belief that recovery is possible, focus on strengths
Empowerment
-Autonomy (self-confidence)
-Courage (risk taking)
-Ability to assume increased responsibility
Steps of de-escalation
1- delimit- gain control over situation
2- clarify- find the problem
3- resolve- find the solution
Suicide risk acronym
Sex
Age
Depression
Previous attempt
Excessive alcohol or drugs
Rational thinking loss
Separated, divorced
Organized or serious suicide attempt
No social supports
Stated future suicide intent
Data to gather during suicide risk assessment
Current suicide ideation
History of suicide behaviour
Warning signs
Risk factors
Protective factors
Passive suicide ideation
Feeling like you don’t want to be around anymore
-not at the point where you want to kill yourself
Precipitating risk factor
Factors associated with the onset of disease
Perpetuating factors
Factors that maintain the course of the disease
Dsm 5 for scizo
At least two of following (one must be 1,2, or 3)
-must persist for at least 6 months
1- delusions
2- hulucinations
3- disorganized speech
4- disorganized or catatonic behaviour
5- negative symptoms
4 phases of scizo
Prodromal- starts with negative symptoms
Acute
Stabilization
Maintenance
Schizoaffective disorder
Both schizo and major mood episode (MDD, manic, mixed)
Schizophreniform disorder
Same symptoms and dsm criteria for scizo but less than 6 months
Dsm Major depressive episode
5 or more nearly every day over 2 weeks (one of symptoms must be 1 or 2)
1- depressed mood
2- reduction in pleasure in all or almost all activities
Weight change
Insomnia
Psychomotor agitation
Fatigue
Feelings of worthlessness
Reduced ability to concentrate
Suicidal ideation
