Psych/Behavior Flashcards
birth
red flags
no __ of object
no response to
tracking
loud sounds
6m
red flag
__ when sitting
not __ for objects
no ___
head lag
reaching
vocalizations
9m
red flag
cannot sit w/out __
not indicating __
no ___
support
wants
babbling
12 m
red flag
not standing w __
no response to ___
support
name
2 years
walks exlcusively on __
not ___
toes
combining words
3 yrs
no ___
speech is ___
imaginary play
not understanable
4 yrs
speech not ___
not able to use ___ alone
mostly understandable
toilet
Early adolesence10-14
__ away from home
___ peers of inc importance
__ relations predominate
concrete operational thoughts
no ___
immune to __
___ actions
symbolic movement
same sex
platonic ss
futuristic thoughts
danegr
impulsive
Middle adolescence 15-17
need for __
identify w __ role models
strong reliance on __ for peronsal rules
___ relationships eerge
concrete to formal thought
A
improved __/__
may have ___
independence
non parental
peers
narcissitic sexual
altruism
reason/debate
magical thinking
late adolescence 18-21 yrs
parent child relationship becomes ___
__ defined morally/spirityally
adult ___
formal operational thought
__ reasoning
solve __
__ thought
adult adult
self image
sex relationships
deductive
problems
abstract
Precontemplation examine reason for \_\_\_ raise awareness w \_\_\_ clearly identify \_\_ identify reason for \_\_\_
behavior
empathy
concern
behavior
conteplation
__ the challenge
identify __/__ to changle
identify ___
empathize
benefits/barriers
strategies
determination
__ decision
elecit __ for success
discuss approaches to __
have pt set __
congrat
pt ideas
barrier
goal date
maintenance
celebrate __
negotiate __
review ways to __
identify __
success
goals
avoid relapse
support
relapse
celebrate ___
__ w guilt
identify __
encourage __
success
empathize
barriers
another attempt
physiologic aging
heart rate \_\_ and \_\_ inc stiffening of \_\_ leads to F/S dec in \_\_/\_\_ dec \_\_ of esophagus/stomach/colon dec \_\_\_
slows, SBP chest wall, fatigue/SOB smell/taste motility GA
physologic aging
bone marrow has ___ response
diminisehd __/__ fxn
dec __/__ mass
__/__ less elastic
difficulty w __ tasks
poor short term __
P as lens stiffens
P losing mid range hearing
dec
PMN/T cell
bone/muscle
tendon/ligament
divided attention
recall
presbyopia
presbycusis
Physio aging
dec ___
__ dec, __ more irritable
dec __, longer __
women have __/__/__
skin has dec __, w __
weak ___ jxn
dec __ and ___ sleep
more freq ___
GFR
bladder contraction, detrusor
erections, refractory period
short/thin/atrophy
dermoepidermal
REM/slow wave
nighttime awakening
always __ the pt
__ the pt
question
encourage
reversion to an earlier stage of development
regression
extreme behavior to express thoughts
acting out
unconcious blocking of unacceptable thoughts
repression
redirecting neg thoughts to another person/object
displacement
overemphasis on thinking to avoid probs
intellectualization
channeling unwanted thoughts into more acceptable ones
sublimation
concious blocking of unacceptable thoguhts
suppression
pervasive distrust and suspicion, does not confide in others
__ PD
paranoid
detached, avoids close relationships, indifferent to praise/criticism
___ PD
schizoid
fascinated by unusual ideas, tangential, paranoid
PD
schizotypal
poor job performance, pathologic lying, sexual promiscuity, criminality
PD
antisocial
unstable relationshp, splitting, emotional lability, impulsive
borderline
center of attention, inappropriate behavior, fleeting shallow emotions
histrionic
self importance, exaggerates status, lacks empathy
PD
narcissistic
preoccupied by rejection, feels inferior, fears criticism
actually in workplace
PD
avoidant
difficult w own decisions, needs acceptance
dependant
preoccupied w details/lists/rules, relucant to delegate
OCPD
ASD
less than __
more common in __
poor social ___
repetitive ___
may have ___
3
boys
communication
behaviors
intellectual disability
Conduct disorder
< ___
pervasive __ of others rights
A/D/T
goes from __ to __ t o__
13
violation
aggression, destruction, theft
ODD, conduct, antisocial
intellectual disability
dx at __
deficits in ___/__ fxn
IQ < __ w __ deficit
birth
intellectual/adaptive
70, skill
Rett syndrome
__ to __yrs
___ inheritance
exlcusive in ___
loss of __ and __
mental __, __, __ wringing
sleep disturbed w ___
1-4
XLD
girls
speech, hand control
retard, ataxia, hand
screaming
Tourette syndrome
dx at ___
both __/__ tics
occurs __
tics can __
school age
motor/phonic
daily
evolve
perception of sensation in absence (auditoru/visual/smatic) is ___
false, fixed beliefs about self/other is ___
loose association of words/ideas is ___
hallucinations
delusions
disroganized/tangential speech
Brief psychotic disorder is less than ___
__ or __
sx include
1m
stress/postpartum
H/D/DS
Schizophreniform do
present for ___
early stage ___
sx of
1-6m
schizophrenia
H/D/DS
Schizophrenia
present for ___
chronic __
episodes of ___
includes __
6m
deteriotationg
acute psychosis
H/D/DS
schizoaffective do
llasts ___
__ during psychosis
__/__ at baseline
Sx of ___
2w
stbale mood
MD/BD
H/D/DS
Delusional do
lasts greater than ___
__/__ delusions
no other features of ___
1m
bizarre/non-bizarre
pyschosis
uncontrollable anxiety not related to specific person/event is __
longer than __
GAD
6m
sudden onset fear/apprehension/pain
may have P/D/H
concerned about ___
dx is
lasts ___
palpitations, dizzy, HA
future events
Panic do
1m
recurrent thoughts/urges
__ dec stress
dx is ___
repetitive behaviors
OCD
witness/experience traumatic event
__ sx, avoidance, anxiety
dx is
lasts less than __
dissociative
Acute stress do
1m
direct exposure to death/violence/trauma
reexperience __, avoid ___
inc __ and neg __/__
persists more than __
dx is
event, stimuli
arousal, mood/behavior
1m
PTSD
emotional sx w/in 3 mnts of stressor
depressed/anxiety/distrubed mood
lasts less than __
dx
6m
adjustment disorder
concious faking sx for secondary gain
sx end once gain achieved
dx is
malingering
concious creation of sx for primary gain/attention
dx is
factitious disorder
sudden loss of sensory/motor fxn such as __/__
pt is aware but ___
dx is
paralysis/blidnness
indifferent
fxnal neuro sx disorder
preoccupation w serious do
few sx
evalutation provides little reassurance
dx is
illness anxiety disorder
distressing sx for 6m
excessive thought/feeling toward that sx
dx is
somatic sx disorder
__ persists 2 yrs
has depressed mood and 2 addtl features
dsythmia
__ persists at least 2 wks
episodes last __
need 5 of folllowing D S A G E C A P S
major depression
6m-1yr
depressed mood sleep disturb anhedonia guilt/worthless lost energy lost concentration appetite/w changes psychomotor changes suicidal ideation
__ persists 1 yr
reccurent episodes of /
cyclothymia
dysthmia/hypomania
__ has +1 manic episode
__ bw episoes
Manic episode is 3 of following
D I G F P Dec need for T
BD
nomral mood
distractability irresponsible gradniosity flight of ideas psychomotr agitation sleep talkative
Anti-depressants
A/M/N considered togethter
main SE (3)
amitryptaline, mirtazapine, nortriptyline
gain weight
anticholingeric
sedation
Antidepressants
V/C/F/S/P
main SE are
venlafaxine, citalopram, fluoxetine, sertraline
GE/sexual
__ is anti-depressant w no sexual SE
___ is anti-depressant w major sedation
buproprion
trazadone
Antipsychotics
H/T
inc risk for ___ SE
presents like ___
haloperidol
thioridazine
parkinsons
Atypical antipsychotics
C/O/Q/R
main risk is ___ and inc __
stimulates ___
Clozapine/Olanzapine/Thioridazine main SE
cloazpine, olanzapine, quetiapine, risperidone
diabetes, cholesterol
serotonin
anticholinergic
Sympathomimetic toxicity
M H/H T/T T S D
mydriasis hyperTN/thermia tachycardia/pnea trmor seizure diaphoresis
anticholingergic toxicities
A M D U I
ataxia myoclonic jerks dry urinary retention ileus
hallucinogen toxicity
A
D
H
ataxia
diaphoretic
hallucinations
alcohol withdrawal sx
S H D A D
seizure hallucinations diaphoretic anxiety delirium
opioid withdrawal
temp is ___
normo__
R
D
__ like sx w out fever
normal
tensive
rhinorrhea
diarrhea
flu
Opioid toxicity
D
M
B
Dec ____
depressed
miosis
bradypnea
bowel sounds
Benzo toxicity
D__
might have __/___
depressed
ataxia/slurred speech
cholingergic tox
M B B D D S
miosis bradycardia bradypnea diaphoresis diarrhea salivation
alcohol intox
H
T
A
S
hypothermia
tachycardia
ataxia
slurred speech
Serotonin syndrome
time < \_\_\_ reflexes show \_\_\_ temp is \_\_\_ tone is \_\_\_ appears \_\_\_
Drugs include S/M/T/M
antidote C
12hrs clonus high hyper agitated
SSRI, MAOI, TCA, Meperidine
cyrpoheptadine
Anticholinergic tox
temp is \_\_ D tone is \_\_\_ D S
seen w A/T
Tx
normal to high dry normal delirium stupor
antihistamines/TCA
supportive
Neuroleptic malignant syndrome
time ___
D
S
tone is ___
Drugs: H/T
tx
1-3 days
delirium
stupor
rigid
haloperidol/thioridazine
supportive
malignant hyperthermia occurs w ___
time is ___
temp is ____
reflexes are ___
Drugs A/S
Antidote ___
surgery/critical ill/paralysis
minutes
very high
dec
anesthesia/succinylcholine
dantrolene