Final review Flashcards

1
Q

add

A
apparent at 7
difficulty concentrating 
be patient 
don't blame parents
communicate
don't sweat it
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2
Q

ADD 3 primary characteristics

A

inattention
hyperactivity
impulsivity

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3
Q

autism disorder

A

1/68 children

on schedule
anything not on routine can be scary

consider guardian

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4
Q

anorexia nervousa

A

mental and biological

can also be from irregular hormone function

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5
Q

bulimia nervosa

A

binge/purge

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6
Q

phycological assessment

A

call law if needed

rule out factors for behaviour (BGL/SPO2/OD)

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7
Q

tips with disorganized patients

A

explain what you are doing
keep orientating the patient to place/time and people in the environment
identify yourself multiple times if needed

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8
Q

1 in _ adults experience a form of anxiety any given year

A

5

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9
Q

GAD

A

generalized anxiety disorder

must experience anxiety most days for 6 months before diagnosing

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10
Q

treating phobias

A

offer O2

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11
Q

panic disorders

A

rapid onset of overwhelming unexpected feelings of fear

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12
Q

how to treat someone with panic disorder

A

separate them from bystanders and put them in a calm environment

be understanding and reassure

address patients symptoms and help them regain control

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13
Q

best way to manage hyperventilating

A

help them slow down their breathing

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14
Q

its a good idea to use a paper bag when hyperventilating t/f?

A

F! it can make other conditions worse!

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15
Q

PTSD

A

type of anxiety that comes from traumatic events

ex. MVC, terrorist attacks etc.

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16
Q

PTSD symptoms

A

flashbacks
survivor guilt
depression

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17
Q

most prevalent psychiatric disorders

A

mood disorders

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18
Q

whats more common unipolar mania or depression

A

DEPRESSION

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19
Q

what gender does depression affect more

A

women

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20
Q

diagnostic features of depression

A

GAS PIPES

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21
Q

GAS PIPES of depression

A

guilt
appetite
sleep disturbance

paying attention
interest
psychomotor abnormalities
energy
suicide
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22
Q

common meds prescribed for anxiety and depression

A

SSRIs

selective serotonin reuptake inhibitors

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23
Q

suicide attempts are more common in _____ and more successful in _____

A

women

men

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24
Q

hallmark of mania

A

affect

patient seems to be one a high

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25
Q

people with personality disorders

A

have a harder time managing depression

may not be afraid to hurt if agitated

be calm and professional

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26
Q

what is personality disorder

A

a mental disorder in which an unhealthy pattern of thinking, functioning and behaving develops

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27
Q

personality disorder clusters

A

odd behaviour

emotional behaviour

anxious or fearful behaviour

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28
Q

somatofrom disorders

A

think there is something wrong with them when there is not

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29
Q

dissociative disorder

A

feeling of being detached from themselves as if they were dreaming

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30
Q

depersonalization experience

A

feels like a dream ex. if they were in a car accident and it feels like time has stopped

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31
Q

derealization

A

objects appear to change size / people may seem dead and act like robots

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32
Q

what gender is more affected by eating disorders

A

women

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33
Q

impulse control disorders

A

lack the ability to resist temptation commonly found in patients with other mental illnesses

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34
Q

urge to steal

A

kleptomania

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35
Q

urge to start fires

A

pyromania

36
Q

substance users

A

social drinkers

37
Q

substance intoxication

A

drunk drivers use the substance until thinking is impaired

38
Q

substance abuse

A

drinks to try and solve problems or forget

39
Q

substance dependence

A

addiction

40
Q

tips when dealing with blind patients

A

take equipment that helps them function

put anything you moved out of place back

communicate with them

41
Q

hemiplegia

A

paralysis on one side of the body

42
Q

paraplegia

A

paralysis on the lower part of the body

43
Q

quadriplegia

A

paralysis of all 4 extremities

44
Q

bariatric

A

fatties

45
Q

pickwickian syndrome

A

hypoxemia
hypercapnia
polycythemia (to many RBC’s)

usually found in very obese patients

46
Q

t/f bariatrics breathe easier supine?

A

F! sit them up

47
Q

tips with bariatrics

A

communicate

make the receiving facility aware you are coming

48
Q

developmental disability

A

person develops more slowly and differently then the average person

49
Q

risk factors of down syndrome

A

family history

maternal age of more than 35

50
Q

t/f down syndrome patients have small tongues

A

F! they tend to have larger tongues which can make it difficult to intubate

51
Q

antisocial

A

occurs around the age of 15 but is diagnosed around 18

52
Q

anti social clinical features

A

disregard the rights of others
criminal behaviour
fighting

53
Q

difference between an antisocial person and someone with autism

A

people with an antisocial disorder don’t care about others and are unethical on purpose

they also only care about themselves and are good at mimicking emotions

54
Q

t/f treating anti social patients can be quite difficult

A

T! never hesitate to call law enforcement

55
Q

prehospital treatment for antisocial patients

A

rule out reversible causes like BGL and O2

remain calm and don’t be manipulated

56
Q

med for agitated patients and dose

A

lorazepam!

1-2 mg PO repeat 30 minutes if needed

57
Q

delusional disorder

A

can be aware of their behaviour but unable to alter it

58
Q

delusional types

A

erotomatic/erotic - stalking behaviour

grandiose - thinks they have a special power/relationship with a power figure

persecutory - patient is being threatened or maltreated

somatic - having an illness/defect

59
Q

t/f delusional disorders are very common?

A

F! they are rare

usually a symptom of another disorder like schizophrenia

60
Q

what is schizophrenia

A

brain disorder affecting the ability to differentiate between real and false reality

61
Q

when do most people get schizophrenia

A

early in adulthood

genetic?

62
Q

schizophrenia clinical features

A

hard time thinking
hallucinations
delusions
change in mood

63
Q

1 in _ people will experience depression

A

6

more common in women

64
Q

persistent depressive disorder

A

more chronic and not as severe as other forms

depressed most of the time for over 2 years

includes 2 of the following symptoms

65
Q

depressive seasonal affective disorder

A

related to seasons

can be based on sunlight

same symptoms as major depression but also include binging in winter and poor appetite in spring

can lead to other conditions like substance abuse/suicide

66
Q

1 in _ depressed patients will succeed in suicide

A

6

75% will give a clear warning of their attempt

67
Q

tips when dealing with suicides/suicidal patients

A

let them talk about it

  • don’t leave them alone *

bring pills

don’t argue with them

68
Q

bipolar disorder

A

depression symptoms mixed with mania symptoms

usually have a period of wellness between episodes

don’t consider themselves ill

69
Q

how to assess manic patients

COAST MAP

A
consciousness
orientation
activity
speech
thought
memory 
affect 
perception
70
Q

ADHD is a _________ disorder

A

neurodevelopmental

71
Q

ADHD symptoms

A

onset of ages 3-6

inattention
hyperactivity
impulsivity

72
Q

ADHD meds

A

stimulants increase dopamine levels

73
Q

obesity is being over __% of the ideal body weight

A

20%-30%

74
Q

morbidly obese is being __% over the ideal body weight

A

40%

75
Q

intertrigo

A

rash due to moisture trapping

76
Q

t/f its harder to ventilate fatties

A

T!

77
Q

people calling due to panic attacks should stay back from the hospital T/F

A

F!

78
Q

depression age of onset

A

32

79
Q

chronic depression

A

2+ years

80
Q

possible suicide tips

A

dont leave the patient alone
collect implements
acknowledge the patients feelings
encourage transport

81
Q

mania drugs

A

lithium drugs for first line therapy (bad adverse effects)

anti epileptic drugs

82
Q

mental status examination for mania

A

COAST MAP

83
Q

3 types of personality disorders

A

odd behaviour
emotional behaviour
fearful behaviour

84
Q

munchausen syndrome

A

making someone sick for attention

85
Q

stretcher for fatties

A

pneumatic