HESI Flashcards
Denial
Unconscious failure to acknowledge and event, thought, or feeling that is too painful for conscious awareness
Displacement
transference of feelings to another person or object
Intellectualization
using reason to avoid emotional conflicts
Introjection
incorporation of values or qualities of an admired person or group not one’s own ego structure
Isolation
separation of an unacceptable feeling, idea, or impulse from one’s thought process
Passive-agression
indirectly expressing aggression toward others; a facade of overt compliance masks overt resentment
Projection
attributing one’s own thought or impulses to another person
rationalization
offering an acceptable, logical explanation to make unacceptable feelings and behavior acceptable
Reaction formation
development of conscious attitudes and behaviors that re the opposite of what is really felt
regression
reverting to an earlier level of development when anxious or highly stressed
repression
the involuntary exclusion of a painful thought or memory from awareness
sublimation
substitution of an unacceptable feeling by a more socially acceptable one
suppression
the intentional exclusion of feelings or ideas
undoing
communication or behavior done to negate a previously unacceptable act
What is somatization disorder?
recurrent somatic complaints for which frequent medical attention is sought but no medical pathology is present
What is hypochondriasis?
belief in and fear of having a disease, including the misinterpretation of physical signs and :proof” of the presence of the disease
What is conversion disorder?
transferring a mental conflict into a physical symptom for which there is no organic cause
Tricyclics
end in -ptyline, -pramine
has anticholinergic effects
can be lethal in overdose
What are anticholinergic effects?
- dry mouth
- blurred vision
- constipation
- urinary retention
MAOIs
Isocarboxazid (Marplan), Nardil, Parnate
- Hypertensive Crisis
- Canot have foods with high thymine levels
What is hypertensive crisis?
- severe hypertension
- severe HA
- chest pain
- fever
- sweating
- nausea and vomiting
SSRIS
Fluoxetine (Prozac), Paroxetine (Paxil), Sertraline (Zoloft), Citralopram (Celexa)
- drowsiness
- dizziness, light-headedness
- HA
- insomnia
- depressed appetitie
Escitalopram (Lexapro)
Vilazodone (Vibrryd)
SSRIs
- serotonin syndrome
- sexual dysfunction
- weight gain
What are the signs of serotonin syndrome?
- rapid onset of altered mental states
- agitation
- involuntary twitching of a muscle
- hyperreflexia
- fever
- shivering, diaphoresis
- ataxia
- diarrhea
Atypical Antidepressants
Trazodone
- nausea
- dry mouth
- insomnia
- HA
- fatigue
- depressed appetite
S/NRIs
Duloxetine (Cymbalta), Venlafaxine (Effexor), Desvenlafaxine (Pristique)
- nausea
- dry mouth
- insomnia
- HA
- fatigue
- depressed appetite
- increased sweating
NDRIs
Bupropion (Wellbutrin, Zyban) and Mirtazapine (Remeron)
- insomnia, tremor, anorexia, weight loss, and dry mouth
- sleep disturbances, poor appetite, sexual dysfunction, and sedation
Lowers seizure threshold
acrophobia
fear of heights
agoraphobia
fear of crowds or open places
claustrophobia
fear of closed-in places
hydrophobia
fear of water
nyctophobia
fear of the dark
thanatophobia
fear of death
obsessive-compulsivePD
orderly, rigid
antisocial PD
unable to conform to social noms
borderline PD
needy, always in a crisis, self-mutilating, unable to sustain relationships, splitting behavior
dependent PD
unable to make decisions for self, allows others to assume responsibility for their life
narcissistic PD
feelings of self-importance and entitlement; may exploit others to get own needs met
histrionic PD
dramatic, flamboyant, needs to be the center of attention
paranoid PD
suspicious, mistrusts others, is watchful and secretive
Schizoid PD
isolated and introverted, no close friends
Maladaptive PD
nothing he or she does is wrong
