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NUR 329 > Key Terms Exam 2 > Flashcards

Key Terms Exam 2 Flashcards

1
Q

mood

A

person’s emotional state or feelings expressed in own words
- doc pt description

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2
Q

affect

A

observed responsiveness of a person’s emotional state

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3
Q

lability

A

rapid, extreme mood swings
- irritability or sudden outburst of misplaced rage

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4
Q

anhedonia

A

loss of interest or pleasure
- especially in things that you like

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5
Q

psychomotor retardation

A

visible slowing of the physical activity such as movement and speech
- mental cause
- associated with severe depression

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6
Q

psychomotor agitation

A

an inc in activity brought on by mental tension
- associated with agitated depression

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7
Q

hypertensive crisis

A

180/120 with sx
- occipital ha, palpitations, N/V, sweating, dilated pupils, neck stiffness, photophobia, cardiac disturbances

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8
Q

mania

A

medical emergency characterized by
- digfast (distractibility, indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness)

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9
Q

hypomania

A

similar to mania but lasts for a shorter period of time and slightly more mild

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10
Q

rapid cycling

A

four or more manic episodes for at least two weeks

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11
Q

cyclothymia

A

multiple hypomanic sx but no episodes
- fluctuating hypomania and depressive episodes

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12
Q

affective

A

flat or blunted emotion

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13
Q

agranulocytosis

A

reduction in circulating granulocytes and dec production with limits ability to fight off infection

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14
Q

anticholinergic side effect

A

dry mouth, constipation, hot, sweating, urinary retention, blurred vision, tachycardia, memory impairment

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15
Q

blunting

A

little emotion

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16
Q

akathisia

A

feeling of inner restlessness that can be manifested as excessive pacing

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17
Q

alogia

A

brief and lack of content verbal responses
- not able to elaborate

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18
Q

ambivalence

A

presence of two opposing forces, leading to inaction, cant decide and get stuck

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19
Q

anosognosia

A

inability to realize you are ill
- caused by illness itself

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20
Q

apathy

A
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21
Q

avolition

A

inability to complete projects, assignments, work

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22
Q

catatonia

A

hyperactivity
fully concious
purposeless activity
waxy flexing

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23
Q

circumstantiality

A

extremely detailed and lengthy talk about a topic
eventually gets to the point

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24
Q

clang associations

A

repetition of words that are similar in sound but in no other way
- heard the bell, well hell then i fell

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25
command hallucinations
auditory hallucinations in the form of commands - are you hearing voices? what are the voices telling you to do?
26
concrete thinking
inability to think abstractly
27
delusional disorder
28
delusion
erroneous fixed beliefs that cannot be changed by reasonable argument
29
echolalia
repetition of another's words - pathological repetition of another's word
30
echopraxia
involuntary imitation of another's movement or gesture
31
extrapyramidal side effects
pseudoparkinsons akathisia acute dystonia tardive dyskinesia *caused by antipsychotics*
32
flight of ideas
topic of conversation changes repeatedly and rapidly with only superficial associative connectedness - buisness --> economy --> government
33
hallucinations
perceptual experiences that occur without actual external stimuli that can include all five sense - auditory, visual, tactile, olfactory, gustatory
34
hypervigilance
sustained attention to external stimuli - waiting for something to happen
35
loose associations
absence of normal connectedness of thought, ideas, topics
36
neologism
made up words that have meaning to the patient only
37
neuroleptic malignant syndrome
serious and potentially fatal reaction to antipsycotics - dehydration and warm climate can lead to it - fever (103-105), sweating, muscle rigidity, liable BP, tachycardia/pnea
38
paranoia
an irrational fear ranging from mild to profound - suspciousness that is unrealistic
39
positive sx
sx that should not be there - hallucinations - delusions - disorganized behavior - disorganized speech
40
negative sx
sx that should be there but arent - affective flattening or blunting, ambivalence, alogia, avolition, anhedonia, asociality (dec desire for or comfort during social interactions)
41
psychosis
state in which ind is experiencing hallucinations, delusions, or disorganized thoughts, speech, behavior *sx of mental illness rather than a mental illness itseld*
42
pressured speech
words being forced out
43
tangentiality
extremely detailed and lengthy talk *never gets to the point*
44
tardive dyskinesia
involuntary movement disorder that occurs with long term antipsychotic use (may not be reversible) - occurs only when patient is awake - typically orofacial
45
torticollis
spasmodic and painful spasms of muscles - head pulled to one side
46
verbigeration
repetition of the same word or sound over and over again
47
waxy flexibility
posture held in fixed position
48
word salad
string of words totally unconnected, jumble of meaningless words
49
opisthotonos
head and heels arch backward in extreme hyperextension and the body forms a reverse bow
50
oculogyric crisis
eyes roll back towards the head
51
oral facial muscle spasm
treat as emergency because can progress to more severe
52
laryngospasm
spasms of throat impairing breathing and swallowing
53
parkinsonian reaction
stimulates parkinson but is reversible - tremors of hands and arms, rigid arms and shoulders, bradykinesia, hypersalivation, shuffling gait
54
xerostomia
dry mouth
55
grandiose
believe they have exceptional powers, wealth, skills, influence, destiny
56
nihilistic
believe one is dead or a disaster is impending
57
persecutory
believe they are being watched, plotted against, ridiculed
58
somatic
believe in abnormalities of body function or structure
59
religious
special relationship w God or on a mission for him or they are the biggest sinner
60
referential
believe newspapers, TV shows, or songs are directly specifically towards them
61
thought blocking
takes a while to begin talking or abruptly stops and is unable to remember what they were saying
62
thought broadcasting
believe other people are able to read your mind
63
thought withdrawal
believes people are stealing your thoughts - typically government agencies
64
thought insertion
thoughts are being replaced by outsiders, like by satan
65
illogicality
conclusion reached that do not follow logically
66
somatization
expression of stress though physical sx that are manifestations of pschyological and emotional distress
67
holistic approach
multidimensional interplay of biological, psychological and sociocultural needs
68
primary gain
primarily relief from emotional conflict and freedom from anxiety *internal relief*
69
secondary gain
relief of responsibility *external relief*
70
labelle's indifference
absence of psychological distress despite having serious medical illness - commonly associated with conversion disorder
71
malingering
concious fabrication of illness or exaggeration of sx for secondary gain
72
body dysmorphic disorder
preoccupation with an imagined defect of appearance
73
amenorrhea
loss of menstrual periods in females after puberty
74
binge eating
eating more than 1500 cals in less than 2 hours
75
body mass index
gauge used to determine the severity of the eating disorder
76
eating disorder
consistently eating below or above caloric needs to maintain a healthy weight - occurs without hunger or fails to produce satiety
77
lanugo
downy growth of body hair on the face and back
78
pica
ingestion of substances that have no nutritional value
79
purging
self induced vomiting or the misuse of laxatives, diuretics, enemas
80
refeeding syndrome
potential complication that results of eating too much too soon resulting in shift in electrolytes
81
rumination disorder
undigested food being returned to the mouth rechewed, reswallowed, or spit out
82
russells sign
callusues and or scars on the knuckles of hands from self induced vomiting
83
satiety
comfortable fullness

NUR 329 (3 decks)

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