Exam 5 Mental Health Flashcards
1
Q
Pleasure Principle
A
Id
2
Q
Reality Principle
A
Ego
3
Q
Opposite of the id
A
Superego
4
Q
Moral component
A
Superego
5
Q
Rational Self
A
Ego
6
Q
Munchausen Syndrome
A
most severe form of fictitious disorder
7
Q
7 Somatoform Disorders
A
Factitious Disorder Somatization Disorder Pain Disorder Conversion Disorder Malingering Hypochondriasis Body dysmorphic disorder
8
Q
Conversion Disorder Most Frequently Affects
A
Women
9
Q
Sudden deficit in voluntary or sensory motor function w/o organic cause
A
Conversion disorder
10
Q
La Belle Indifference
A
Relative lack of concern due to medical problem/ condition–> Conversion disorder
11
Q
Examples of physical expressions of conversion disorder
A
Paralysis, aphonia (can’t talk), seizures, anosmia (inability to smell), pseudocyesis (false pregnancy)
12
Q
pseudocyesis
A
false pregnancy
13
Q
exaggerated believe that body/ (body part) is deformed/ defective
Hx includes numerous plastic surgeries/ dermatologist
A
Body Dysmorphic Disorder
14
Q
Body Dysmorphic Disorder most commonly focuses on
A
the face (esp for females)- shape of nose, excessive facial hair, ears, eye, mouth, lips, teeth) Men (body build & genitalia)
15
Q
Body Dysmorphic Disorder Co-morbidities
A
Depression & OCD
16
Q
3 clusters of personality disorders
A
Cluster A: odd/ eccentric
Cluster B: dramatic, emotional, or erratic
Cluster C: anxious or fearful
17
Q
Cluster A (odd/ eccentric) personality disorders
A
Paranoid
Schizoid
Schizotypal
18
Q
4 Cluster B personality disorders
A
Antisocial
Borderline
Histrionic
Narcissistic
19
Q
3 Cluster C personality disorders
A
Avoidant
Dependent
Obsessive-compulsive
20
Q
distrust & suspiciousness of others; Other’s are spiteful
begins in early adulthood.
A
Paranoid Personality- Cluster A
21
Q
Song for Narcissistic Personality Disorder
A
Popular-Kristin Chenowth (Wicked)
22
Q
Song for Paranoid Personality
A
Somebody’s Watching Me (Mr. Rockwell)
23
Q
Song for Antisocial Personality
A
The Wanderer
24
Q
Family influences (eating disorders)
A
Controlling High expectations (achievement) Chaotic (dramatic, arguments, tension) Enmeshed Passive father, domineering mom Dependent child High parental criticism
25
High mortality rate (10%)
Borderline Personality
26
1* gain
enable the individual to avoid difficult situations/ unpleasant activities about which anxious
27
2* gain
attention/ support not otherwise forthcoming
28
NDx somatization disorder
Ineffective Coping
| Deficient Knowledge
29
NDx Pain Disorder
Chronic pain
| Social Isolation
30
NDx Conversion Disorder
Disturbed sensory perception
31
NDx Hypochondrias
Chronic Low Self-esteem
32
grandiose sense of personal achievements
Narcissistic Personality
33
Interventions for Somatic Disorders
1. Accept Physical Complaint as Real
2. ID gains
3. Initially fulfill most urgent needs, slowly w/d
4. Explain new s/s will be referred to MD
5. Allow to Verb. fears
6. Spend Time W/ Pt
7. ****Shift focus from somatic complaints to feelings/ neutral topic****
8. *****Do not push awareness/ insight*****
34
```
Characterized by:
Terror of weight gain
(⬇️85% expected wt)
Preoccupied with food
View self as fat when emancipated
Peculiar handling of food
```
Anorexia nervous
35
Critera for hospitalization (anorexia)
Wt loss of 30% over 6 mo
Hypothermia
K<3meq/ L
EKG changes
36
Referring syndrome
Demands of replenished circulatory system overwhelm capacity of nutritionally depleted heart➡️cardiovascular collapse
37
Panic Attacks are the Key Feature
Panic Disorder
38
Mysophobia
Fear of dirt, germs, contamination
39
Algophobia
Fear of pain
40
Anthropophobia
Fear of People
41
Aviatophobia
fear of flying
42
Common SSRIs
- Prozac
- Paxil
- Zoloft
Start out on low dose -- initially cause more anxiety
43
SSRI info
-Start out on low dose -- initially cause more anxiety
-~ 4-6 wks --> full benefit
Do not stop abruptly/ use with ETOH
44
Common- SSNRIs
Serotonin, norepinephrine reuptake inhibitors
- Cymbalta
- Effecor
45
Aviatophobia
fear of flying
46
Buspirone
does not suppress CNS
effective in 60-80% of pt w/ generalized anxiety
10-14d to work
47
Tx anxiety symptoms, disorders, acute alcohol w/d
| HUGE potential for dependence
benzodiazepines
48
benzodiazepines (DO NOT LIST)
```
DO NOT
• Increase dose or frequency
• Drink ETOH
• Breast feed/ Take if pregnant
• Drink caffeine beverages
• Stop abruptly
```
49
blocks beta-adrenergic receptors in the sympathetic nervous system causing a relaxation response
Beta-Blockers
| GAD and Panic disorder
50
Buspirone
does not suppress CNS
| effective in 60-80% of pt w/ generalized anxiety
51
Side Effects of BuSpar
→ HA, dizziness, light-headedness, nausea, insomnia
52
Eustress
good stresses
53
occurs w/in 1 mo after exposure; must display 3 dissociative symptoms either during or after the traumatic event; resolves w/in 4 wks
Acute Stress Disorder:
54
1* method that ego uses to control/ manage anxiety
Defense Mechanisms
55
1* inhibitory transmitter;
| elevates w/ anxiety (w/ disorders, this doesn’t happen)
GABA
56
enduring patterns of perceiving r/t and thinking about the environment
personality
57
pervasive, persistent, and inappropriate mistrust of others;
suspicious of other's motives
paranoid personality disorder
more men than women
58
personality disorder-->profound defect in the ability to form personal relationships or to respond to others in any meaningful, emotional way.
Schizoid Personality
59
Cold, aloof, & indifferent to others; Prefer to work in isolation & are unsociable; Invest energy in intellectual pursuits
Schizoid Personality
60
Isolate/ lonely-->Exist on periphery of society; Avoid relationships; Spend time daydreaming
* Appear indifferent to praise or criticism*
* Form attachments to animals*
Schizoid Personality
61
once describe as "latent schizophrenic"
Schizotypal Personality Disorder (Cluster A)
62
personality disorder-->profound defect in the ability to form personal relationships or to respond to others in any meaningful, emotional way.
Schizoid Personality
63
Trans. Feeling to another that is LESS threatening
| or neutral
Displacement
64
Attributing feelings/ impulses unacceptable to 1’s
| Self to another person.
Projection
65
once describe as "latent schizophrenic"
Schizotypal Personality Disorder (Cluster A)
66
Covering up real/ perceived weakness by
| Emphasizing a trait 1 considers more desirable
Compensation
67
Trans. Feeling to another that is LESS threatening
| or neutral
Displacement
68
Attributing feelings/ impulses unacceptable to 1’s
| Self to another person.
Projection
69
emotional brain
| regulates emotion and memory
Limbic System
70
Parts of the Limbic System
1. Thalamus
2. Hypothalamus
3. Cingulate
4. Amygdala
5. Hippocampus
6. Basal Ganglia
71
Asc. w/ visual processing
Occipital Lobe
72
Asc w/ perception and recognition of auditory stimuli, memory, and speech
Temporal Lobe
73
- controls autonomic nervous system center for emotional response and behavior
- regulates body temperature, food intake, water balance and thirst, ---controls endocrine system
Hypothalamus
74
Parts of the Limbic System
1. Thalamus
2. Hypothalamus
3. Cingulate
4. Amygdala
5. Hippocampus
6. Basal Ganglia
75
Serves as a conduit of messages to and from the inner Limbic System
Cingulate
76
Plays a role in planning and coordinating motor movements and posture
Basal Ganglia
77
- controls autonomic nervous system center for emotional response and behavior
- regulates body temperature, food intake, water balance and thirst, ---controls endocrine system
Hypothalamus
78
All sensory inputs travel through it to the higher levels of the brain
Thalamus
79
neurotransmitter involved in voluntary movement, learning, memory, and sleep
Acetylcholine
80
Too much has been associated with schizophrenia (neurotransmitters)
Dopamine
| Norepinephrine
81
Too much Acetylcholine
associated w/ depression
82
Too little Acetylcholine (in the hippocampus):
associated with dementia.
83
correlated with movement, attention, and learning (neurotransmitter)
Dopamine
84
Neurotransmitter involved in energy, and glucose metabolism;
| Low amts associated w/ depression.
Epinephrine
85
- plays a role in mood, sleep, appetite, and impulsive and aggressive behavior
- too little-asc w/ depression & anxiety, esp OCD
Serotonin
86
associated with eating, alertness
| neurotransmitter
Norepinephrine
| Too little norepinephrine has been associated with depression
87
Too little GABA
asc w/ anxiety/ anxiety disorders
88
established framework for the interpersonal development of the nurse w/ the pt.
Hildegard E. Peplau (RN)
89
Separating a thought/ memory from the feeling tone or emo asc. w/it
w/o showing emo, a young woman describes being attacked and rape
Isolation
90
GABA
(Gamma-Amino Butyric Acid)
| inhibits excitation and anxiety
91
****Involuntary*****blocking of unpleasant feelings &
| Experiences from 1’s awareness
Repression
92
established framework for the interpersonal development of the nurse w/ the pt.
Hildegard E. Peplau (RN)
93
Attempt to increase self-worth by acquiring certain attributes & characteristics of an individual 1 admires
Ex: 8 yo playing teacher
Identification
94
***Always constructive***
| Rechanneling of drives/ impulses that are personally/ socially unacceptable into activities that are constructive
Sublimation
95
Right Brain
Unconcious Mind (Id)→ imagery, creativity, synthess, dreams, symbols, emotions
96
a tx intervention in which a trained leader establishes a group for the purpose of treating patients with psychiatric disorders. (led by psychiatrist or psychologist NOT RN)
Group Psychotherapy
97
Attempt to increase self-worth by acquiring certain
Attributes & characteristics of an individual 1
Admires
Ex: 8 yo playing teacher
Identification
98
Left Brain:
Concious Mind (Ego)→ Logic, reason, math, reading, writing, analysis
99
Right Brain
Unconcious Mind (Id)→ imagery, creativity, synthess, dreams, symbols, emotions
100
a tx intervention in which a trained leader establishes a group for the purpose of treating patients with psychiatric disorders. (led by psychiatrist or psychologist NOT RN)
Group Psychotherapy
101
express both positive and negative feelings → relief
Catharsis
