Psych/Behavior Flashcards by Nathan Hansen

birth

red flags
no __ of object
no response to

tracking

loud sounds

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red flag
__ when sitting
not __ for objects
no ___

head lag
reaching
vocalizations

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red flag
cannot sit w/out __
not indicating __
no ___

support
wants
babbling

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12 m

red flag
not standing w __
no response to ___

support

name

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2 years

walks exlcusively on __
not ___

toes

combining words

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3 yrs

no ___
speech is ___

imaginary play

not understanable

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4 yrs

speech not ___
not able to use ___ alone

mostly understandable

toilet

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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

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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

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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

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Precontemplation
examine reason for \_\_\_
raise awareness w \_\_\_
clearly identify \_\_
identify reason for \_\_\_

behavior
empathy
concern
behavior

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conteplation

__ the challenge
identify __/__ to changle
identify ___

empathize
benefits/barriers
strategies

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determination
__ decision
elecit __ for success

discuss approaches to __
have pt set __

congrat
pt ideas

barrier
goal date

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maintenance

celebrate __
negotiate __

review ways to __
identify __

success
goals

avoid relapse
support

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relapse

celebrate ___
__ w guilt
identify __
encourage __

success
empathize
barriers
another attempt

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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

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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

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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

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always __ the pt

__ the pt

question

encourage

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reversion to an earlier stage of development

regression

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extreme behavior to express thoughts

acting out

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unconcious blocking of unacceptable thoughts

repression

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redirecting neg thoughts to another person/object

displacement

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overemphasis on thinking to avoid probs

intellectualization

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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