Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Adult Mental Health > Exam 3 ch 24 > Flashcards

Exam 3 ch 24 Flashcards

1
Q

mild IQ

A

50-70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

moderate IQ

A

35-49

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

severe IQ

A

20-34

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

profound IQ

A

19 or lower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

IDD IQ is less than

A

70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

characterized by a w/d of the child in the self and into a fantasy world of his or her own creation

A

autism spectrum d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

abnormal or impaired development in the ability to communicate and interact with others

A

autism spectrum d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

physical presentations of rocking, whole body swing, repetitive phrases, extensive use of hand gestures

A

autism spectrum d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

causes include tuberous sclerosis, fragile X syndrome, maternal rubella, maternal asthma or allergies

A

autism spectrum d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

minor changes can be HUGE in the life of these kids. Try to keep consistent with one care-provider

A

autism spectrum d/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

neurodevelopmental d/o’s

A

IDD, ASD, ADHD, Tourette’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

prevalence is 1 in 88 children
occurs more often in boys than girls
onset occurs early in childhood
often runs a chronic course

A

ASD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

impairment in social interaction
impairment in communication and imaginative activity
restricted activities and interests

A

ASD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

risperdal ages 5-16 and abilify ages 6-17

A

for ASD symptoms of aggression, deliberate self injury, temper tantrums, quickly changing moods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

drowsiness, mild to mod increase in appetite, nasal congestion, fatigue, constipation, drooling, dizziness, and weight gain
NMS, tardive dyskinesia, hyperglycemia, and diabetes

A

SE of Risperdal (15-45kg get 2.5, over 45 kg get 3.5 mg per day)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

no self harm, trust in at least one staff member

A

ASD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

sedation, fatigue, weight fain, vomiting, sonmolence, and tremor, EPS

A

abilify SE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

2 mg /day-15 mg/day (with 5mg increases each week)

A

abilify dosage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

decreased dopamine, NE, and possibly serotonin

A

Neurotransmitters possibly involved in ADHD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

plays a role in ability to perform executive functions, such as analysis and reasoning, and in the cognitive alertness essential for processing stimuli and sustaining attention and thought

A

NE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

plays a role in sensory filtering, memory, concentration, controlling emotions, locomotor activity, and reasoning

A

dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

r/t disinhibition and impulsivity

A

decreased serotonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

maintaining attention, organization, and executive function

modulate behavior inhibition, with serotonin as the predominant central inhibiting neurotransmitter

A

prefrontal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

caudate nucleus and globus pallidus esp: regulates high level mvmts, may also be important to cognition. interruptions in these circuits may result in inattention or impulsivity

A

basal ganglia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

learning and memory

A

hippocampus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

regulation of emotions

A

limbic system

27
Q

arousal and motivation and crucial for maintaining state of consciousness

A

RAS

28
Q 
amphetamines: releases more NE
methylphenidate (Ritalin): blocks reuptake of NE
Atomoxetine (Strattera)
Bupropion
alpha agonists
A

meds for ADHD

29
Q

environmental lead

A

environmental cause of ADHD

30
Q

smoking moms, premature, signs of fetal distress, low birth-weight, prolonged labor, any agnostia, CP, epilepsy, other CNS abnormality

A

causes of ADHD

31
Q

disorganized or chaotic family environment
maternal mental d/o or paternal criminality
low socioeconomic status
unstable foster care

A

psychosocial influences to ADHD

32
Q

prolonged use may stunt growth and development; monitor cardiovascular status** sudden death may occur!!

A

Methylphenidate (Ritalin) for ADHD

33
Q

parents should report insomnia and weight loss (tachycardia)

A

Ritalin

34
Q

blackbox warning for increased risk of suicide (first month especially) cardiovascular* and liver fxn tests**

A

Atomoxatine (Strattera) for ADHD

35
Q

palpitations, tachycardia
anorexia, weight loss
n/v/c
severe liver damage*

A

Atomoxatine (Strattera), Bupropion (Wellbutrin)

36
Q

individuals with hx of seizures or eating d/o should not take this med

A

Wellbutrin for ADHD

37
Q

REBOUND SYNDROME, palpitations, tachycardia or bradycardia, constipation, dry mouth, sedation

A

alpha agonists for ADHD (Clonidine-Catapres, Guanfacine-Tenex, Intunix

38
Q

presence of multiple motor tics and one or more vocal tics
onset may be as early as 2 years, but occurs most commonly around age 6 or 7
more common in boys than in girls

A

Tourette’s disorder

39
Q

symptoms go into remission, decrease or disappear with age

A

Tourette’s d/o

40
Q

more manic or psychotic symptoms may occur

A

while taking CNS stimulants and Strattera for ADHD-monitor mental status

41
Q

eye blinking, neck jerking, shoulder shrugging, and facial grimacing

A

simple tics

42
Q

squatting, hopping, skipping, tapping and retracing steps

A

complex motor tics

43
Q

squeaks, grunts, barks, sniffs, snorts, coughs, and uttering obscenities, Palilaia (repeating one syllable sounds), Echolalia (parrot)

A

Vocal itcs

44
Q

tics decrease with

A

SLEEP!!

45
Q

should be used only with children who have severe symptoms or symptoms that impede functioning

A

haloperidol for tourettes

46
Q

behavioral therapy
individual counseling or psychotherapy
family therapy

A

tourettes tx

47
Q

used only with severe cases of tourettes

not recommended for children younger than 12 yo

A

pimozide for tourettes

48
Q

atypical antipsychotics for tourettes
Risperdal
Zyprexa
Geodon* prolongs QT interval

A

weight gain, hyperglycemia

cardiac arrythmias for Geodon (Ziprasidone)

49
Q

may be used as first choice for tourettes due to favorable side effect profile
often effective for comorbid symptoms of ADHD, anxiety, and insomnia
NOT PRESCRIBED IF PREEXISTING CARDIAC OR VASCULAR DISEASE
do not DC abruptly

A

alpha agonists: Clonidine (catapres) Guanfacine (Tenex, intuniv) for tourettes

50
Q

progressies into conduct disorder

A

Oppositional defiant d/o

51
Q

persistent pattern of angry mood and defiant behavior that occurs more frequently and interferes with social, educational, or vocational activities

A

oppositional defiant d/o

52
Q

progresses into antisocial pdo

A

conduct d/o

53
Q

lacks the aggressive nature (violence towards others) of conduct d/o

A

oppositional do

54
Q

if power and control are issues for parents, or if they exercise authority for their own needs, a power struggle can be established between the parents and the child, which sets the stage for the development of ______

A

oppositional do

55
Q

begins around age 8- early adolescence
2-12%
equal distribution between boys and girls after puberty
ADHD, anxiety, mood d/o are common comorbidities

A

oppositional d/o

56
Q

characterized by passive-aggressive behaviors

A

oppositional d/o

57
Q

hypertensive crisis may occur with CNS stimulants combined with

A

MAOIs

58
Q

increased risk of serotonin syndrome if CNS stimulants are combined with

A

SSRIs

59
Q

dont use with albuterol or vasopressors

A

Straterra

60
Q

persistent pattern of behavior in which the basic rights of others and major age-appropriate societal norms or rules are violated

A

Conduct disorder

61
Q

prior to age 10, lacks remorse

A

childhood onset type of conduct d/o

62
Q

parental rejection, inconsistent mgmt with harsh discipline, early institutional living, frequent shifting of parental figures, large family size, absent father, parents have antisocial d/o or abuse alcohol, marital conflict and divorce, inadequate communication patterns, parental permissiveness

A

family influences of conduct d/o

63
Q

difficult temperament by age three may develop into

A

conduct d/o

64
Q

use projection as a defense mechanism

A

conduct d/o

Adult Mental Health (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions