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NBS Boards 2 Associated Clinical Science > Mental health > Flashcards

Mental health Flashcards

1
Q

Pre 1960

A
  • isolation, lobotomies, electroconvulsive shock therapy
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2
Q

Post 1960

A
  • drugs, therapy, de-institutionalization
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3
Q

1955

A
  • Spear’s chiropractic hospital very successful with mental disease
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4
Q

Theory of reasoned action

A

perception + family/friends + beliefs = action

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5
Q

Communication is based on

A

speech, eye contact, body language, body contact, and language

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6
Q

Funneling is

A

combination of open ended and direct questions

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7
Q

Hostility has a strong connection to

A

chronic heart disease

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8
Q

Non-reversible deterioration of cognition and behavior

A

Dementia

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9
Q

Often reversible acute confusion that may fluctuate

A

Delirium

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10
Q

Euthymic =

A

good/normal

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11
Q

Bipolar disease

A

Mania (necessary) and melancholia mood swings

  • usually appears at 20 years of age
  • potato chip disease = elevated obesity, HTN, DM, hyperlipidemia
  • Tx: lithium, drug stabilizers, mood charting
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12
Q

Cyclothymic

A
  • causes hypomanic & mild depressive episodes
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13
Q

Unipolar disease

A
  • most common affect disorder (mood disorder)
  • 50% are misdiagnosed/unrecognized, self inflicted injureis
  • high incidence of: alzheimers, DM, parkinsons, heart, stroke, cancer, HIV, fibromyalgia, and chronic pain
  • medications contribute: blood pressure, hormones, and anti-biotics
  • more prominent in females, reoccurence is common
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14
Q

Major depression is _ weeks of at least _ of the following symptoms:

A
  • 2 weeks of 4 symptoms from the following list:
  • – loss of appetite
  • – insomnia
  • – agitation
  • – worthlessness
  • – suicidal
  • – poor concentration
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15
Q

Dysthymia

A
  • similar to depression

- diagnosis is 2 years of at least 3 symptoms from the list of depression symptoms

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16
Q

Treatment for both depression and dysthymia:

A
  • personal therapy
  • drugs
  • ECT
  • nutrition
  • B6 = metabolizes tryptophan to serotonin
  • magnesium
  • vitamin D
  • calcium
  • omega 3
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17
Q

Seasonal Affect Disorder

A

Tx: light, exercise, comfort foods

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18
Q

Psychotic

A
  • schizophrenia: young adults are more commonly affected
  • reality is altered, episodic, perception is altered, hallucinations
  • alogia: poverty of speech
  • avolition: lack of purposeful action or motivation
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19
Q

Schizophrenic type: disorganized

A
  • older term was hebephrenic

- unpredictable mood shifts

20
Q

Schizophrenic type: catatonic

A
  • rigid posture
  • expressions flat affect (no expression for emotions)
  • masked facies
21
Q

Schizophrenic type: paranoid

A
  • delusions of persecution
22
Q

Schizophrenic type: schizophreniform

A
  • adolescent/young adult onset
  • contradictory messages
  • short event (6 months)
23
Q

Schizophrenic type: paraphrenia

A
  • geriatric
24
Q

Psychopath

A
  • old term
  • no regard for self or others
  • abnormal lack of empathy
  • verbal therapy not effective**
  • strong amoral conduct masked by an ability to appear outwardly normal
25
Q

Sociopath/ antisocial

A
  • believes they are superior,
  • grandiose (imposing)
  • lack remorse
  • shallow emotions
  • need stimulation
  • pathological liar
26
Q

Dissociative

A
  • multiple personalities
  • childhood trauma
  • can be a short term event
27
Q

Somatoform disorder

A
  • physical complaint with no organic pathology

- entirely unconscious process

28
Q

Dysmorphic disorder

A
  • convinced of a body flaw and preoccupied with it
29
Q

Food disorders (3)

A
  • anorexia nervosa: fear of fat
  • Bulimia: binge and purge (Barrett’s)
  • pica
30
Q

Conversion disorder

A

psychic conflict causing physical symptoms

- single physical impairment caused by emotional event

31
Q

Hypochondriac

A
  • preoccupation with personal health or contracting illness
32
Q

Somatization disorder

A
  • aka Briquet’s syndrome
  • females under 30 (starts in adolescence)
  • multiple systems
  • confusing
33
Q

Somatoform pain disorder

A
  • underlying emotional process

- pain often allows escape from responsibility

34
Q

Morgellon’s disease

A

Delusional parasitosis

- believes they are invaded by insects, parasites, hair, etc.

35
Q

Munchausen Syndrome

A
  • individual exaggerates personal complaints
36
Q

Munchausen by proxy

A
  • caregiver inflicts harm on individual they are caring for
37
Q

General anxiety disorder

A
  • constant excessive fear, hypervigilant
  • sx include: twitching, sweating, dry mouth, headache. stomach ache, urinary frequency
  • condition causes: heart failure, head injury, hormone imbalance, endocrine disease, pneumonia, COPD
  • drug causes: cannabis, analgesics, caffeine, amphetamines
38
Q

Panic attacks

A
  • occur with GAD, phobias, OCD, PTSD
39
Q

Two types of phobias:

A
  • social: provoked by people or performance issues

- specific: provoked by object or situation

40
Q

Repetitive thoughts

A

obsession

41
Q

Repetitive actions

A

compulsion

42
Q

PTSD

A
  • fear and anxiety following an emotional event
  • flashbakcs, sleep disorders common
  • fibromyalgia, MFS, restless leg syndrome
43
Q

Neurosis

A

in reality most of the time, hard on themselves

  • low self esteem
  • defense mechanisms work overtime
  • TX: support and enlighten
44
Q

Masochist

A

likes abuse

45
Q

Sadist

A

inflicts abuse

46
Q

Voyeur

A

enjoys watching

47
Q

Exhibitionist

A

enjoys showing

NBS Boards 2 Associated Clinical Science (17 decks)

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