psych exam 1 Flashcards
what is token economy
reward system
explain the difference between biologic, psychological, and social assessments
biologic- all about the person and their hx and physical wellbeing
psychological- abt mental health and mental status
social- influences on social forces like friends and fam and status of life
what are 4 steps of the nursing process
Assessment
Diagnosis
Intervention
Evaluation
suicide definition
voluntary act of killing oneself, a fatal, self-inflicted destructive act
suicidality definition
all suicide-related behaviors and thoughts of completing or attempting
suicidal ideation definition
thinking about or planning ones death
suicidal attempts definition
nonfatal self-inflicted destructive act
parasuicide definition
attempt but with the real intention to not be death
lethality definition
probability of success of completed suicide
what are some short term goals for the patient
maintain pt safety & use pt resources
what are some long term goals for the patient
maintaining pt psychiatric treatment and widening the pts support system
what is psychobiology
the study of the biological foundations of cognitive, emotional, and behavioral processes
frontal lobe functions
cognitive functioning
working memory
personality
temporal lobe functions
hearing, language, emotional responses
parietal lobe functions
feeling and spacial awareness
occipital lobe functions
vision and voluntary movements- basal ganglia (bundle of nerves)
“gyroscope balancer”
cerebellum
“pleasure center”
limbic system
limbic system functions
basic emotions
needs and drives
instinct
“relay station”
thalamus
“homeostasis regulator”
hypothalamus
“emotional brain”
amygdala
personality disorders come from the disregulation of what
amygdala
“memory center”
hippocampus
neuroplasticity
ability of the brain to change
what are the primary neurotransmitters for the sympathetic nervous system
norepinephrine and epinephrine
what are the primary neurotransmitters for the parasympathetic nervous system
acetylcholine
what are the 4 neurotransmitters
cholinergic
biogenic amines (monoamines)
amino acids
neuropeptides
psychoeducation
an evidence-based therapeutic intervention for patients and their loved ones that provides information and support to better understand and cope with illness
typical antipsychotic main side effect
EPS
atypical antipsychotic main side effect
weight gain
main side effects of antipsychotics
cardio- othro hypo & prolonged QT interval
anticholinergic- dry mouth, constipation, blurred vision
weight gain & EPS
what EPS movement disorders are acute
pseudoparkinsonism
akathisia
dystonia
pseudoparkinsonism
shuffle gait
stooped posture
tremors and rest
akathisia
constant motion of feet
restless
trouble standing still
dystonia
facial grimacing
involuntary eye movement
muscle spasms
what is Tardive dyskinesia
a chronic (permanent) EPS movement disorder
doesn’t go away even after stop taking antipsychotics
- protrusion and rolling of tongue
- sucking and smacking lip movements
- involuntary movements of body
what are the mood stabilizers
anticonvulsants
lithium
calcium channel blockers
adrenergic blocking agents
atypical antipsychotics
what is the gold standard treatment for mood stabilizers
lithium
what is lamotrigine (lamictal)
anticonvulsant mood stabilizer - watch for rash
what to watch for when taking lithium
blood toxicity
renal and thyroid functions
creatine concentration
CBC every 6 months
what is carbamazepine
calcium channel blocker mood stabilizer