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LCCC Nursing > Psych Exam 3 > Flashcards

Psych Exam 3 Flashcards

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0
Q

Cluster B personality disorder

A

Dramatic, emotional, erratic- antisocial, borderline, histrionic, narcissistic

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1
Q

Cluster A personality disorder

A

Odd and eccentric- paranoid, schizoid, schizotypical

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2
Q

Cluster C personality disorders

A

Anxious, fearful- avoidant, dependent, obsessive compulsive

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3
Q

Paranoid personality disorder

A

Cluster A- others are malevolent; condition begins by early adulthood- trusts no one, over sensitive

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4
Q

Schizoid personality disorder

A

Defect in ability to form relationships- want to form relationship, but can’t. Indifferent to others, aloof, inappropriately serious about everything, isolated

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5
Q

Schizotypal personality disorder

A

Cluster A- “latent schizophrenics” odd and eccentric, but not to the level of schizophrenia. Aloof, isolated, bland, apathetic, MAGICAL THINKING

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6
Q

Antisocial personality disorder

A

Cluster B- socially irresponsible, guiltless, disregard for law, manipulative

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7
Q

Borderline personality disorder

A

Cluster B- intense & chaotic relationships, fluctuating and extreme attitudes, impulsive, most common type of personality disorder, lacks sense of identity, borderline because between neurosis and psychosis, inability to be alone, splitting

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8
Q

Histrionic personality disorder

A

Cluster B- “all hangin’ out”, excitable, emotional, seductive, manipulative, exhibitionistic, distracts easy, difficulty forming relationships

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9
Q

Narcissistic personality disorder

A

Cluster B- self centered, grandiosity, relaxed, cheerful, but can easily change because of fragile self esteem

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10
Q

Avoidant personality disorder

A

Cluster C- sensitive to rejection, socially withdrawn, but desires relationship and is fearful of them, express feelings of being unwanted

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11
Q

Dependent personality disorder

A

Cluster C- Excessive need to be taken care of, more common in youngest children, passive

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12
Q

Obsessive-Compulsive personality disorder

A

Cluster C- inflexibility about the way things are done, common in oldest children, polite, rank-conscious, not emotional

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13
Q

Passive-Aggressive personality disorder

A

Negative attitude and passive resistance, frequently changes roles, feel unappreciated, life has been unkind to them

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14
Q

Splitting

A

Primitive ego defense- they view everything is either good or bad.

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15
Q

General intellectual functioning

A

Measured by IQ tests

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16
Q

Mild retardation

A

50-70 IQ- capable of independent living with some assistance

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17
Q

Moderate retardation

A

35-49 IQ- can perform some activities independently

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18
Q

Severe retardation

A

20-34 IQ- may be trained in hygiene skills, but requires complete supervision

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19
Q

Profound retardation

A

Below 20 IQ- no independent functioning

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20
Q

Autism

A

Fantasy world, withdrawn, introverted

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21
Q

Lower IQ requires what type of intervention?

A

Environmental

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22
Q

Higher IQ requires what type of intervention?

A

Cognitive

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23
Q

ADHD

A

Inattention that is more frequent and severe than typically observed

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24
Q

ADHD combined type

A

Can’t sit still and can’t pay attention

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25
Q

ADHD inattentive

A

Can’t pay attention

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26
Q

ADHD hyperactive-impulsive

A

Can’t sit still

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27
Q

Major problems with ADHD

A

Difficulty performing age-appropriate tasks, highly distractible, difficult forming interpersonal relationships, accident prone

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28
Q

Common comorbidity with ADHD

A

Oppositional defiant disorder

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29
Q

CNS stimulant for ADHD

A

Ritalin, Adderall

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30
Q

Alpha Agonist for ADHD

A

Clonidine (Catapres)

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31
Q

Conduct disorder

A

Basic rights of others and major age appropriate societal norms are violated- do not feel remorse

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32
Q

What influences conduct disorder?

A

Peer relationships

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33
Q

Oppositional defiant disorder

A

Negative, defiant, hostile toward authority figures, passive aggressive- feels remorse and does not see self as oppositional, but blame others

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34
Q

Tourette’s disorder

A

Multiple motor or vocal tics, most common is eye blinking

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35
Q

Medication for Tourette’s

A

Atypical antipsychotic

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36
Q

Separation anxiety disorder

A

Anxiety over separation from home or person attached to, mostly mother, refusal to attend school is common in adolescents

37
Q

Delerium

A

Disturbance of consciousness and change rapidly over short period

38
Q

Symptoms of delerium

A

Disorganized thinking, rambling, impairment of recent memory, ILLUSIONS AND HALLUCINATIONS, psychomotor activity fluctuates

39
Q

Dementia

A

Loss of previous levels of cognitive, executive, and memory function in a state of full awareness

40
Q

Primary dementia

A

Organic brain disease, not related to any other illness (Alzheimer’s)

41
Q

Secondary dementia

A

Caused by or related to another disease (HIV)

42
Q

Symptoms of dementia

A

Impairment in abstract thinking, judgment, and impulse control, personality change is common, progressive, irreversible course

43
Q

Reversible dementia

A

Function of underlying pathological condition and of the availability and timely application of effective treatment

44
Q

Stage 1 of Alzheimer’s

A

No apparent symptoms

45
Q

Stage 2 of Alzheimer’s

A

Forgetfulness

46
Q

Stage 3 of Alzheimer’s

A

Mild cognitive decline

47
Q

Stage 4 of Alzheimer’s

A

Mild to moderate cognitive decline, confusion

48
Q

Stage 5 of Alzheimer’s

A

Moderate cognitive decline, early dementia

49
Q

Stage 6 of Alzheimer’s

A

Moderate to severe cognitive decline, middle dementia

50
Q

Stage 7 of Alzheimer’s

A

Severe cognitive decline, late dementia

51
Q

Dementia of Alzheimer’s

A

Onset is slow and insidious, early = before 65 years of age, late = after 65 year of age, plaques and tangles in brain are most common

52
Q

Vascular dementia

A

Due to cerebrovascular disease, stroke victim, hypertension

53
Q

Dementia due to Lewy body disease

A

Similar to Alzheimer’s but progresses more rapidly, 25% of all dementia cases

54
Q

Dementia due to Parkinson’s

A

60% of clients with Parkinson’s get dementia, resembles Alzheimer’s

55
Q

Dementia due to pick’s disease

A

Etiology is unknown, results in atrophy in frontal and temporal lobes

56
Q

Dementia due to Creutzfeldt-Jakob disease

A

Course is extremely rapid, deterioration and death in less than two years

57
Q

Amnestic disorders

A

Inability to learn new info and recall previously learned info

58
Q

Systems of amnestic disorders

A

Disorientation to place and time, confabulation, may know problem exists, but with lack of concern, onset is fast or slow

59
Q

Amnestic disorder due to a general medical condition

A

Cerebral neoplastic disease (tumor), herpes simplex encephalitis, poorly controlled diabetes

61
Q

Diagnostic evaluation for amnesia

A

CT scan

62
Q

treatment for delirium

A

room with low stimulus and benzodiazepines when etiology is substance withdrawal

63
Q

Aricept

A

dementia medication

64
Q

Exelon

A

dementia medication

65
Q

Namenda

A

dementia medication

66
Q

Why should you not use benzodiazepines for long term use with dementia?

A

lowers BMR, lowers cognitive, which increases fall risk

67
Q

phase one of battering

A

tension building phase and then trigger

68
Q

phase two of battering

A

acute battering incident

69
Q

phase three of battering

A

honeymoon stage

70
Q

expressed response pattern

A

normal response to traumatic experience

71
Q

controlled response pattern

A

very bland, bleak response, no emotion

72
Q

compounded response pattern

A

over reaction to traumatic experience

73
Q

silent rape reaction

A

tells no one of the assault

74
Q

Stages of grief

A

DABDA (denial, anger, bargaining, depression, acceptance)

75
Q

acute grief

A

lasts about 6 to 8 weeks, after is considered chronic

76
Q

delayed/inhibited grief

A

remains fixed in the denial stage, grief may be triggered much later

77
Q

distorted grief

A

exaggerated, fixed in the anger stage

78
Q

chronic grief

A

prolonged, behaviors aimed at keeping the lost loved one alive

79
Q

birth to age 2 understanding of death

A

unable to understand death

80
Q

ages 3 to 5 understanding of death

A

difficulty distinguishing between fantasy and reality

81
Q

ages 6 to 9 understanding of death

A

beginning to understand that death is finale and normal grieving begins

82
Q

ages 10 to 12 understanding of death

A

understand that death is final and eventually effects everyone

83
Q

adolescents understanding of death

A

views death like you and me, have difficulty perceiving their own death

84
Q

African americans and death

A

expressed openly and publicly

85
Q

Chinese-americans and death

A

ancestor worship, avoid references to death

86
Q

Japanese-americans and death

A

Buddhism, body is prepared by close family members, cremation

87
Q

Vietnamese-americans and death

A

Buddhism, cremation, 1 year anniversary death is celebrated

88
Q

Filipino-americans and death

A

week long wake, wear dark clothing for 1 year

89
Q

native americans and death

A

cleansing ceremony, dead are buried with shoes on wrong feet and rings on index fingers, reluctant to touch the dead body

90
Q

living will/durable power of attorney

A

someone else makes medical decisions for you if you are unable to

LCCC Nursing (15 decks)

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