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KN JD NPTE: OTHER SYSTEMS > OTH: Psychiatric > Flashcards

OTH: Psychiatric Flashcards

1
Q

Excessive anxiety not associated with realistically threatening specific situations

A

Anxiety disorder (anxiety neurosis) - generalized

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2
Q

Acute, intense anxiety or terror; may be uncontrollable, accompanied by sympathetic signs, loss of mental control, sense of impending death

A

Panic attack

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3
Q

Excessive and unreasonable fear leads to avoidance behaviors

A

Phobia

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4
Q

Persistent anxiety manifested by repetitive, stereotypic acts; behaviors interfere with social functioning

A

Obsessive-compulsive behavior

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5
Q

Exposure to traumatic event that produces variety of symptoms

A

PTSD

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6
Q

PTSD sx:

  1. ___ the traumatic event
  2. Psychiatric numbing with __ responsiveness
  3. __ from external world; __ guilt
  4. Exaggerated __ arousal, ___alertness
  5. Disturbed __
  6. Ongoing __
  7. Impaired __ and __
A
  1. Re-experiencing
  2. Reduced
  3. Detachment; survivor’s
  4. Autonomic, hyperalertness
  5. Sleep
  6. Irritability
  7. Memory, concentration
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7
Q

Physical signs or diseases that are related to emotional causes

A

Psychosomatic disorders (somatoform disorders)

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8
Q

3 characteristics of psychosomatic disorders

A
  1. Cannot be explained by identifiable pathology/process
  2. Not under voluntary control
  3. Patient frequently indifferent to symptoms
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9
Q

Pt experiences neurological symptoms (weakness, paralysis, sensory symptoms) without evidence of specific neurological disease or other medical condition

A

Functional neurological symptom disorder (FNsD)

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10
Q

With functional neurological symptom disorder, pts symptoms are real and cause significant loss of function/emotional distress. Symptoms can vary in __ and __or be __. Cause is __. Tx involves PT or OT for ___ and __ symptoms, and ___ tx.

A 
Severity
Fluctuate, be persistent
Unknown
Functional and movement
Psychiatric
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11
Q

Tx for FNsD

A
  1. Physical symptoms are real- tx patient as you would any other pt with same presentation
  2. Provide supportive environment
  3. ID primary gain (internal conflicts); assist pt to use new alternative methods of stress mgmt
  4. ID secondary gains (additional advantages)- do not reinforce attention/sympathy
  5. Provide encouragement/support for total person
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12
Q

Group of disorders characterized by disruptions in thought patterns of unknown etiology; biochemical imbalance in brain

A

Schizophrenia

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13
Q

Schizophrenia sx:

  1. Disordered __
  2. Disordered __
  3. Disordered __
  4. ___ of affect
  5. ___disturbances
  6. Little __ into problems/behavior
A
  1. Thinking
  2. Speech
  3. Perception
  4. Inappropriateness
  5. Functional
  6. Insight
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14
Q

Schizophrenia:

What is disordered thinking?

A

Fragmented thoughts, errors of logic, delusions, poor judgment, memory

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15
Q

Schizophrenia:

What is disordered speech?

A

May be coherent, but unintelligible, incoherent, or mute

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16
Q

Schizophrenia:

What is disordered perception?

A

Hallucinations and delusions

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17
Q

Schizophrenia:

What is inappropriateness of affect?

A

Withdrawal of interest from other people and from outside world; loss of self-identity, self-direction; disordered interpersonal relations

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18
Q

Schizophrenia:

What are functional disturbances?

A

Inability to function in daily life, work

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19
Q

Type of schizophrenic disorder characterized by feelings of extreme suspiciousness, persecution, grandiosity (feelings of power/great wealth), or jealousy; withdrawal of all emotional contact with others

A

Paranoia

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20
Q

Type of schizophrenic disorder characterized by mutism or stupor; unresponsiveness; catatonic posturing

A

Catatonia

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21
Q

What is catatonic posturing?

A

Remains fixed, unable to move or talk for extended periods

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22
Q

Disorder characterized by mood swings from depression to mania; biochemical dysfunction

A

Bipolar disorder (manic-depressive illness)

23
Q

Bipolar disorder: often intense ___, high energy and activity, excessive ___, decreased need for __, unrealistic beliefs, distractibility, poor judgment, denial… followed by extreme ___

A

Outbursts, euphoria, sleep

Depression

24
Q

Characteristics of grief process?

A

Somatic symptoms: fatigue, sighing, hyperventilation, anorexia, insomnia
Psychological symptoms: sorrow, discomfort, regret, guilt, anger

25
Q

Stages of grief process?

A
  1. Shock and disbelief; inability to comprehend loss
  2. Increased awareness and anguish; crying/anger common
  3. Mourning
  4. Resolution of loss
  5. Idealization of lost person or function
26
Q

How do you help manage the grief process?

Provide ____ and ___ of grief process. Encourage expression of __, __. Respect ___, cultural or ___ customs.

A

Support, understanding
Feelings, memory
Privacy, religious

27
Q

Stages of death/dying: (6)

A
  1. Denial
  2. Anger/resentment
  3. Bargaining
  4. Depression
  5. Acceptance
28
Q

Death/dying:
Denial- allow denial. Protective compensatory mechanism necessary until such time as pt is ready to face his/her illness. Provide opportunities for what?

A

Pt to question, confront illness and impending death

29
Q

Death/dying:
Anger, resentment: patients may become ___ and __ others. Be __, allow pt to express anger, frustration, resentment. Encourage focus on ___ strategies.

A

Disruptive, blame
Supportive
Coping

30
Q

Death/dying:
Bargaining- pts bargain for time to complete life tasks; turn to religion or others, make promises in return for function. What can you do?

A

Provide accurate information, truthful and honest answers

31
Q

Death/dying:
Depression- pts acknowledge impending death, withdraw from life; demonstrate overwhelming sense of loss and have __ __. Observe closely for ___. Allay fears and anxieties, especially loneliness and ___. Assist in providing comfort.

A

Low motivation
Suicidal ideas
Isolation

32
Q

Death/dying:

Acceptance and preparation- acceptance of their condition, relate more to __ make plans for future.

A

Family

33
Q

PT interventions
Motivate pts, manage human side of rehab. Establish boundaries of professional relationship: identify problems, ___, ___, roles and ____.

A

Expectations, purpose, responsibilities

34
Q

PT interventions

Provide empathetic understanding: capacity o understand what pt is experiencing from __ __

A

Patient’s perspective

35
Q

PT interventions

Recognize losses; allow opportunity to mourn “old self.” Ask ____ questions that reflect what pt is feeling

A

Open-need

36
Q

PT interventions

___ is not helpful or therapeutic; caregiver is closely affected by pt’s behavior (ex: therapist cries when pt cries)

A

Sympathy

37
Q

PT interventions

Set realistic, meaningful goals; how?

A

Involve the pt and family

Self-determination is important

38
Q

PT interventions

Set realistic time frames for rehab program; including what?

A

Recognize symptoms, stages of grief process or death and ying and adjust accordingly

39
Q

PT interventions

Recognize and reinforce healthy, positive, socially appropriate behaviors: allow pt to do what?

A

Experience success

40
Q

PT interventions

Recognize secondary gains, unacceptable behaviors- PT should do what with this?

A

Do not encourage or reinforce (ex: malingering behaviors such as avoidance of work)

41
Q

PT interventions
Provide environment conductive to pt’s emotional state, learning, optimal fxn.
1. Provide message of hope tempered with realism
2. Keep pts ___
3. Lay adequate groundwork or preparation for ___
4. Help establish personal __ and __; acknowledge whole person

A

Informed
Expected changes/discharge
Dignity, self-worth

42
Q

PT interventions
Help pts identify feelings, successful coping strategies, recognize successful conflict resolution and rehab gains. Stress ability to ___, stress that recovery is unique and ___

A

Overcome major obstacles

Highly individual

43
Q

Red flags for depression: (just a few of them)

  1. Sleep habits?
  2. Psychomotor imbalance: ?
  3. Feelings of ?
A

Insomnia, hypersomnia, decreased energy
Agitation or excess fatigue/irritability
Worthlessness, helplessness, guilt

44
Q

med tx for depression

A

Tricyclic antidepressant drugs

45
Q

Red flags: tricyclic antidepressant drugs-

May exhibit disturbed ___, postural ___, falls and __, increased __, dysrhythmias, ___ mvmt, seizures

A 
Balance
Hypotension
Fx
HR
Ataxic
46
Q

Covering up weakness by stressing desirable or strong trait

A

Compensation

47
Q

Refusal to recognize reality

A

Denial

48
Q

Refusal or inability to recall undesirable past thoughts/events

A

Repression

49
Q

Transferring of emotion to a less dangerous substitute

A

Displacement

50
Q

Defensive reaction in which behavior is exactly opposite what is expected

A

Reaction formation

51
Q

Attributing of your own undesirable behavior to another

A

Projection

52
Q

Justification of behaviors using reasons other than real reason

A

Rationalization

53
Q

Resorting to earlier more immature pattern of functioning

A

Regression

54
Q
  1. Total body coping/adaptation to catastrophic event
  2. Alarm stage fight or flight (sympathetic response)
  3. Sustained resistance
  4. Chronic resistance, exhaustion leading to stress-related illnesses
A

General adaptation syndrome (GAS)

KN JD NPTE: OTHER SYSTEMS (12 decks)

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