Psych Final Flashcards
Somatic Dz (3)
unexplainable symptoms
r/t psychosocial distress and seeking of care
Intervention - distract
Illness Anxiety Dz (2)
exaggerated interpretation of S/S
r/t anxiety/depression and OCD
Conversion Dz (3)
↓ body fx w/out patho. mechanism
Classically: neurological dz
Precipitated by stress
Factitious Dz (2)
Intentional S/S for care
aka. Munchausen Syndrome
Masochism
sexy being hurt
Sadism
sexy hurting others
Exhibitionistic
sexy surprise genitals
Fetishistic
sexy inappropriate objects like feet
Frotteuristic
sexy non-consenting rubbing
Tranvestic
sexy cross-dressing
Voyeuristic
sexy reconnaissance
Is Gender Identity a paraphilia?!
NO, but ↑r/o suicide and depression in adolescents (early as 4 y/o!!!)
Psychological Nanda vs. Psych Social Nanda
imbalanced nutrition vs. disturbed body image
Anorexia (3)
↓ appetite and fear of obesity.
♀ 12 - 30 y/o
S/S disturbed body image and refusal to eat
Bulimia (5)
insatiable appetite followed by binging to rid of calories ↑ parotid gland size >% anorexia onset late adolescent/early adulthood concern over physical appearance
Binging (2)
when stressed, secretly eat till sick
r/in d/comfort, ↓sleep, social interruption, self-induced vomitting
Purging
Excess rid of calories via vomit, laxatives, diuretics, etc.
Eating disorder hospitalization reqs. (3) and monitor (2)
↓ 85% body weight, ↓ temp, ↓ BP
weight and electrolytes
Eating Dz care goals (6)
Ø die hydrate ID stressors ↑ esteem control environment see normal body weight in mirror
ADHD
3 S/S
Primary intevention?
↓ concentration
↓ hyperactive
↓ disruptive
REMOVE AND OCCUPY ELSEWHERE
ADHD Drugs (2)
Adderal and Ritalin (stimulants!)
Autistic Spectrum (3)
↓ empathy
↓ social interaction/language development
↑ ritualistic behavior
Tourrettes (4)
When S/S begin/end?
↑ outbursts
↑ tics
↑ grimaces
↑ animal noises
Begin: early childhood (6-7) early as 2
End: adolescence/adulhood
Antisocial (3)
Conduct
Oppositional Defiant
irresponsible, exploitative, guiltless punks!
for attention!
for anarchy!
Aging r/t metabolism (3)
↓ speed of…
thinking
peristalsis
visual acuity
Old people are @ r/o? (3)
Most successful…?
Benefit best from…?
depression falls suicide Old single alone white dudes with guns. Home health care.
DDD
Depression
Dementia
Delirium
Depression (3)
↓ concentration, ↓ ADLs, S/S worse in MORNING
Dementia (3)
↓ cognition, S/S worse at NIGHT, gradual onset
Delirium (3)
onset?
Hows that MMSE score?
↑ confusion, agitation, could be from UTI/substance.
Sudden onset
crappy
Substance Abuse Dz
Best fix/withdrawal time
Need to overcome substance/accept responsibility
Alcohol withdrawal 4 - 12 hours, peaks 1 - 3 days
S/S alcoholism (3)
S/S withdrawal (3)
pain, burning, acute hepatits
tremors, diaphoresis, anxiety
Alcohol Phases (4)
Prealch - use to relieve stress
Early alch - blackouts!
Crucial - loss of control
Chronic - ↓ emotional/physical integration. Intoxicated more than sober
Alch. Detox goals (4)
Prevent deizures
Correct B12
Benzos (Ativan, Valium)
CIWA protocol - determines benzo admin.
S/S opiate abuse (3)
S/S opiate withdrawal (3)
3 examples
constricted pupils, drowsy, slurred speech
dilated pupils, insomnia, aches/cramps
Heroin, morphine, Dilaudid
S/S amphetaines (3) and 2!!
S/S amphetamine withdrawal (3) and 2!!
3 examples
aggressive, impulsive, ↑ vitals signs
R/o suicide. ALWAYS r/o injury.
dysphoria, fatigue, sleep disturbance
↑ r/o suicide/depression
Cocaine, meth, ecstasy
Hallucinogens and pupils
dilation!!!
Substance assessment (3)
Hx
Amount use
Last time used (to predict withdrawal)
Fetal alcohol syndrome!!! (5)
Hyperactive poor cognition pathophysiological problems (sleep, vision, hearing, ♥, kidneys, and bones. Small head Ab. facial features
Education
Primary
Secondary
Tertiary
prevention
acute tx
long term prevention of relapse
