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Psych Assessment Flashcards

1
Q

You are the captain of your own ship

A

Self efficacy

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2
Q

You are able to resist becoming I’ll in hard times

A

Hardiness

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3
Q

You bounce back quickly after a set back

A

Resilience

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4
Q

Including a lot of extra details that are not important when answering a question

A

Circumstantial

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5
Q

Can not comprehend they have an illness ( not the same as denial)

A

Anosognosia

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6
Q

Including a lot of extra details in answering a question - going on a tangent

A

Tangential

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7
Q

I am going to grumbulTe a conforum
Example of what altered speech pattern

A

Neologism

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8
Q

Altered perception and experience something that is not present

A

Hallucinations

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9
Q

Alexithymia

A

Difficulty expressing and identifying feelings

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10
Q

When you ask a client who has delirium a question their response will be

A

They will not understand the question

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11
Q

Asking a person with dementia a question , their response will look like

A

Answer , may sound reasonable to start but then start to wonder
- get different answer each time

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12
Q

Asking a depressed person a question their answer will look like

A

Short and may not be interested in convo

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13
Q

How is immediate / recall memory tested

A

3 objects recalled after several minutes

Red apple queen

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14
Q

How is recent memory tested?

A

Ask about memory - yesterday
Ex) how did you get to the hospital

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15
Q

How is remote/long term memory tested?

A

Ask about past memories

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16
Q

Akathisia

A

Motor restlessness

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17
Q

Isolative

A

Physically remove self from situations
- stays in bedroom

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18
Q

Withdrawn

A

Around others but does not engage
- not participating in group

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19
Q

Mood

A

Client states how they feel

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20
Q

Affect

A

How the patient appears to be feeling
- how nurse interprets

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21
Q

Labeled mood or affect

A

Swings or abrupt changes

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22
Q

Judgement

A

Can they act reasonably in urgent situations

  • someone yells fire in a movie theater, what do you do?
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23
Q

Hypnagogic hallucinations

A

Happens when you are just about to fall asleep

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24
Q

Hypnopompic hallucinations

A

Happens when waking up

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25
Delusion
Believing something that is not real
26
Impaired insight
Diminished ability to understand the objective reality of a situation - do you think you do you think you need to be in hospital? I do not need to be here! I am not suicidal!
27
Impaired judgement
Diminished ability to understand a situation correctly and act appropriately - I can look after myself, I do not need money , I can live off the land ( has no home or resources)
28
Immediate recall loss
Patient cannot remember three things they were asked to remember 10 min ago
29
Suicidal ideation
Patient thinking about suicide most of time
30
Flat affect
No emotional expression
31
Blunted affect
Showing bits of emotion
32
Restricted affect
Showing one type of emotion
33
Labile affect
Going from one emotion expression to another, quickly and sometimes not matching the appropriateness of sitting
34
Somatic signs and symptoms
Observing facial grimacing and lip movements
35
Word salad
Incoherent mixture of words/ phrases
36
Thought blocking
Client starts answer then suddenly stops talking
37
Loose associations
Client makes a statement, expands on one word in the next while going in a different direction
38
Anti cholinergic toxicity
Increased hr , not able to void, no paristalsis , hot/ dry
39
Neuroleptic malignant syndrome (NMS)
Temp over 103, diaphoresis and rigid muscles
40
Physiological needs
Breathing food , water, sex, homeostasis, excretion
41
Safety needs
Security of body, employment, resources, family health
42
Love and belonging
Friends, family, sexual intensity
43
Self actualization needs
Morality, creativity, spontaneity, problem solving, lack of prejudice, acceptance of facts
44
Stage 1 : infancy - trust vs mistrust
Others will be reliable
45
Stage 2 : early childhood- autonomy vs shame and doubt
I can do things myself
46
Stage 3: preschool- initiative vs guilt
I can do things and I am a good person
47
Stage 4: school age - industry vs inferior
I am good at what I do
48
Stage 5: adolescence- identify vs confusion
A am a unique person, I belong
49
Stage six : early adult : intimacy vs isolation
I can be loved and love
50
Stage 7: middle age - generativity vs stagnation
I can contribute to the well being of others/ community, I have a purpose
51
Mini mental status exam (mmsu)
Considered psychiatric equivalent to physical exam - count backward from 100 by 7s Spell world backwards Recall 3 words Follow instructions for closing eyes / copy a drawing
52
Montreal cognitive assessment (MoCA)
More sensitive tool to assess orientation & memory - connect dots in sequence 1-a 2-b.. Recall 5 words Name animals
53
MSe or moca score for a Dementia patient
Be high - goes up with progression of illness
54
MSe - appearance
Appreciate/ well kept vs bizarre Self care Clothing , last shower? Oral hygiene
55
MSE: level of consciousness
Alert and oriented vs not Comatose, lethargic, delirious
56
MSe: orientation & memory
Oriented or disoriented, memory intact vs not Time, date, place, self, situation Immediate recall Recent memory Remote/ long term memory
57
MSe: perception and thought content
Reality based vs altered - delusions, hallucinations, responding t internal stimuli
58
MSe: speech and thought process
Linear vs not liner Organized / disorganized Circumstantial, tangential, loose associations, flight of ideas, word salad….
59
Psychosis
Spit from reality - common in schizophrenia, schizoaffective disorder, bipolar 1/2 , dementia, intoxication
60
Goals : day, stay, away
Goal for the day Goal for hospital stay Goal for discharge
61
Risk for violence to self or others - 5 things to look out for
Ideation Behavior Palms Intent Psychosis
62
Strong predictors for suicide
Pervasive hopelessness High intent Recent attempts
63
Strong predictors for aggressive behavior
Current/ past violent behavior directed to hcp Low frustration tolerance
64
Abnormal involuntary movement scale
Assessment tool for epse side effects of tar dive dyskinesia related to antipsychotic meds - not reversible
65
Aims test for tar dive dyskinesia
Ask client to concentrate on movements such as finger tapping while observing other body parts for “activated movements”
66
Dto
Danger to others
67
Dts
Danger to self

Nursing (11 decks)

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