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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
Q

command hallucinations

A

auditory hallucinations in the form of commands
- are you hearing voices? what are the voices telling you to do?

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26
Q

concrete thinking

A

inability to think abstractly

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27
Q

delusional disorder

A
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28
Q

delusion

A

erroneous fixed beliefs that cannot be changed by reasonable argument

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29
Q

echolalia

A

repetition of another’s words
- pathological repetition of another’s word

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30
Q

echopraxia

A

involuntary imitation of another’s movement or gesture

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31
Q

extrapyramidal side effects

A

pseudoparkinsons
akathisia
acute dystonia
tardive dyskinesia
caused by antipsychotics

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32
Q

flight of ideas

A

topic of conversation changes repeatedly and rapidly with only superficial associative connectedness
- buisness –> economy –> government

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33
Q

hallucinations

A

perceptual experiences that occur without actual external stimuli that can include all five sense
- auditory, visual, tactile, olfactory, gustatory

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34
Q

hypervigilance

A

sustained attention to external stimuli
- waiting for something to happen

35
Q

loose associations

A

absence of normal connectedness of thought, ideas, topics

36
Q

neologism

A

made up words that have meaning to the patient only

37
Q

neuroleptic malignant syndrome

A

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
Q

paranoia

A

an irrational fear ranging from mild to profound
- suspciousness that is unrealistic

39
Q

positive sx

A

sx that should not be there
- hallucinations
- delusions
- disorganized behavior
- disorganized speech

40
Q

negative sx

A

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
Q

psychosis

A

state in which ind is experiencing hallucinations, delusions, or disorganized thoughts, speech, behavior
sx of mental illness rather than a mental illness itseld

42
Q

pressured speech

A

words being forced out

43
Q

tangentiality

A

extremely detailed and lengthy talk
never gets to the point

44
Q

tardive dyskinesia

A

involuntary movement disorder that occurs with long term antipsychotic use (may not be reversible)
- occurs only when patient is awake
- typically orofacial

45
Q

torticollis

A

spasmodic and painful spasms of muscles
- head pulled to one side

46
Q

verbigeration

A

repetition of the same word or sound over and over again

47
Q

waxy flexibility

A

posture held in fixed position

48
Q

word salad

A

string of words totally unconnected, jumble of meaningless words

49
Q

opisthotonos

A

head and heels arch backward in extreme hyperextension and the body forms a reverse bow

50
Q

oculogyric crisis

A

eyes roll back towards the head

51
Q

oral facial muscle spasm

A

treat as emergency because can progress to more severe

52
Q

laryngospasm

A

spasms of throat impairing breathing and swallowing

53
Q

parkinsonian reaction

A

stimulates parkinson but is reversible
- tremors of hands and arms, rigid arms and shoulders, bradykinesia, hypersalivation, shuffling gait

54
Q

xerostomia

A

dry mouth

55
Q

grandiose

A

believe they have exceptional powers, wealth, skills, influence, destiny

56
Q

nihilistic

A

believe one is dead or a disaster is impending

57
Q

persecutory

A

believe they are being watched, plotted against, ridiculed

58
Q

somatic

A

believe in abnormalities of body function or structure

59
Q

religious

A

special relationship w God or on a mission for him or they are the biggest sinner

60
Q

referential

A

believe newspapers, TV shows, or songs are directly specifically towards them

61
Q

thought blocking

A

takes a while to begin talking or abruptly stops and is unable to remember what they were saying

62
Q

thought broadcasting

A

believe other people are able to read your mind

63
Q

thought withdrawal

A

believes people are stealing your thoughts
- typically government agencies

64
Q

thought insertion

A

thoughts are being replaced by outsiders, like by satan

65
Q

illogicality

A

conclusion reached that do not follow logically

66
Q

somatization

A

expression of stress though physical sx that are manifestations of pschyological and emotional distress

67
Q

holistic approach

A

multidimensional interplay of biological, psychological and sociocultural needs

68
Q

primary gain

A

primarily relief from emotional conflict and freedom from anxiety
internal relief

69
Q

secondary gain

A

relief of responsibility
external relief

70
Q

labelle’s indifference

A

absence of psychological distress despite having serious medical illness
- commonly associated with conversion disorder

71
Q

malingering

A

concious fabrication of illness or exaggeration of sx for secondary gain

72
Q

body dysmorphic disorder

A

preoccupation with an imagined defect of appearance

73
Q

amenorrhea

A

loss of menstrual periods in females after puberty

74
Q

binge eating

A

eating more than 1500 cals in less than 2 hours

75
Q

body mass index

A

gauge used to determine the severity of the eating disorder

76
Q

eating disorder

A

consistently eating below or above caloric needs to maintain a healthy weight
- occurs without hunger or fails to produce satiety

77
Q

lanugo

A

downy growth of body hair on the face and back

78
Q

pica

A

ingestion of substances that have no nutritional value

79
Q

purging

A

self induced vomiting or the misuse of laxatives, diuretics, enemas

80
Q

refeeding syndrome

A

potential complication that results of eating too much too soon resulting in shift in electrolytes

81
Q

rumination disorder

A

undigested food being returned to the mouth rechewed, reswallowed, or spit out

82
Q

russells sign

A

callusues and or scars on the knuckles of hands from self induced vomiting

83
Q

satiety

A

comfortable fullness

NUR 329 (3 decks)

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