KeyTermsExam2 Flashcards
person’s emotional state or feelings expressed in own words
- doc pt description
mood
observed responsiveness of a person’s emotional state
affect
rapid, extreme mood swings
- irritability or sudden outburst of misplaced rage
lability
loss of interest or pleasure
- especially in things that you like
anhedonia
visible slowing of the physical activity such as movement and speech
- mental cause
- associated with severe depression
psychomotor retardation
an inc in activity brought on by mental tension
- associated with agitated depression
psychomotor agitation
180/120 with sx
- occipital ha, palpitations, N/V, sweating, dilated pupils, neck stiffness, photophobia, cardiac disturbances
hypertensive crisis
medical emergency characterized by
- digfast (distractibility, indiscretion, grandiosity, flight of ideas, activity increase, sleep deficit, talkativeness)
mania
similar to mania but lasts for a shorter period of time and slightly more mild
hypomania
four or more manic episodes for at least two weeks
rapid cycling
multiple hypomanic sx but no episodes
- fluctuating hypomania and depressive episodes
cyclothymia
flat or blunted emotion
affective
reduction in circulating granulocytes and dec production with limits ability to fight off infection
agranulocytosis
dry mouth, constipation, hot, sweating, urinary retention, blurred vision, tachycardia, memory impairment
anticholinergic side effect
little emotion
blunting
feeling of inner restlessness that can be manifested as excessive pacing
akathisia
brief and lack of content verbal responses
- not able to elaborate
alogia
presence of two opposing forces, leading to inaction, cant decide and get stuck
ambivalence
inability to realize you are ill
- caused by illness itself
anosognosia
apathy
inability to complete projects, assignments, work
avolition
hyperactivity
fully concious
purposeless activity
waxy flexing
catatonia
extremely detailed and lengthy talk about a topic
eventually gets to the point
circumstantiality
repetition of words that are similar in sound but in no other way
- heard the bell, well hell then i fell
clang associations
auditory hallucinations in the form of commands
- are you hearing voices? what are the voices telling you to do?
command hallucinations
inability to think abstractly
concrete thinking
delusional disorder
erroneous fixed beliefs that cannot be changed by reasonable argument
delusion
repetition of another’s words
- pathological repetition of another’s word
echolalia
involuntary imitation of another’s movement or gesture
echopraxia
pseudoparkinsons
akathisia
acute dystonia
tardive dyskinesia
caused by antipsychotics
extrapyramidal side effects
topic of conversation changes repeatedly and rapidly with only superficial associative connectedness
- buisness –> economy –> government
flight of ideas
perceptual experiences that occur without actual external stimuli that can include all five sense
- auditory, visual, tactile, olfactory, gustatory
hallucinations
sustained attention to external stimuli
- waiting for something to happen
hypervigilance
absence of normal connectedness of thought, ideas, topics
loose associations
made up words that have meaning to the patient only
neologism
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
neuroleptic malignant syndrome
an irrational fear ranging from mild to profound
- suspciousness that is unrealistic
paranoia
sx that should not be there
- hallucinations
- delusions
- disorganized behavior
- disorganized speech
positive 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)
negative sx
state in which ind is experiencing hallucinations, delusions, or disorganized thoughts, speech, behavior
sx of mental illness rather than a mental illness itseld
psychosis
words being forced out
pressured speech
extremely detailed and lengthy talk
never gets to the point
tangentiality
involuntary movement disorder that occurs with long term antipsychotic use (may not be reversible)
- occurs only when patient is awake
- typically orofacial
tardive dyskinesia
spasmodic and painful spasms of muscles
- head pulled to one side
torticollis
repetition of the same word or sound over and over again
verbigeration
posture held in fixed position
waxy flexibility
string of words totally unconnected, jumble of meaningless words
word salad
head and heels arch backward in extreme hyperextension and the body forms a reverse bow
opisthotonos
eyes roll back towards the head
oculogyric crisis
treat as emergency because can progress to more severe
oral facial muscle spasm
spasms of throat impairing breathing and swallowing
laryngospasm
stimulates parkinson but is reversible
- tremors of hands and arms, rigid arms and shoulders, bradykinesia, hypersalivation, shuffling gait
parkinsonian reaction
dry mouth
xerostomia
believe they have exceptional powers, wealth, skills, influence, destiny
grandiose
believe one is dead or a disaster is impending
nihilistic
believe they are being watched, plotted against, ridiculed
persecutory
believe in abnormalities of body function or structure
somatic
special relationship w God or on a mission for him or they are the biggest sinner
religious
believe newspapers, TV shows, or songs are directly specifically towards them
referential
takes a while to begin talking or abruptly stops and is unable to remember what they were saying
thought blocking
believe other people are able to read your mind
thought broadcasting
believes people are stealing your thoughts
- typically government agencies
thought withdrawal
thoughts are being replaced by outsiders, like by satan
thought insertion
conclusion reached that do not follow logically
illogicality
expression of stress though physical sx that are manifestations of pschyological and emotional distress
somatization
multidimensional interplay of biological, psychological and sociocultural needs
holistic approach
primarily relief from emotional conflict and freedom from anxiety
internal relief
primary gain
relief of responsibility
external relief
secondary gain
absence of psychological distress despite having serious medical illness
- commonly associated with conversion disorder
labelle’s indifference
concious fabrication of illness or exaggeration of sx for secondary gain
malingering
preoccupation with an imagined defect of appearance
body dysmorphic disorder
loss of menstrual periods in females after puberty
amenorrhea
eating more than 1500 cals in less than 2 hours
binge eating
gauge used to determine the severity of the eating disorder
body mass index
consistently eating below or above caloric needs to maintain a healthy weight
- occurs without hunger or fails to produce satiety
eating disorder
downy growth of body hair on the face and back
lanugo
ingestion of substances that have no nutritional value
pica
self induced vomiting or the misuse of laxatives, diuretics, enemas
purging
potential complication that results of eating too much too soon resulting in shift in electrolytes
refeeding syndrome
undigested food being returned to the mouth rechewed, reswallowed, or spit out
rumination disorder
callusues and or scars on the knuckles of hands from self induced vomiting
russells sign
comfortable fullness
satiety
