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Psych Test 1 > Psych M1.4 > Flashcards

Psych M1.4 Flashcards

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1
Q

Frontal lobe

A

thought processes, motor functions, insight and judgement/abstraction and decision making (executive functions)

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2
Q

Frontal lobe is

A

the largest most well developed lobe

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3
Q

Parietal Lobe

A

sensory and motor, interprets sensory information, right and left orientation

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4
Q

temporal lobe

A

auditory, connects with limbic system/ allows expression of emotional/sexual, aggresion
motivation, memory

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5
Q

occipital love

A

vision, interprets visual images

involved in language formation

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6
Q

basal nuclei (ganglia)

A

associated with complex motor functions

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7
Q

Limbic system

A

instincts, drives, fear, aggression (emotional brain)

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8
Q

Cerebellum

A

motor coordination and balance -cognition

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9
Q

Hypothalmus (part of the limbic system)

A

basic funcitons sleep-rest, temperature, thirst, hunger, sex

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10
Q

brainstem

A

regulator of respiration and heart rate

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11
Q

Increased Dopamine

A

Schizophrenia

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12
Q

Decreased Serotonin

A

Depression

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13
Q

Decreased Norepinephrine

A

Depression

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14
Q

Decreased y-Amniobutyric Acid

A

Anxiety Disorders

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15
Q

Decreased Acetylcholine

A

Alzheimer’s Disease

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16
Q

action potentials

A

when neurons are capable of detecting, processing, generating, and conducting electrical signals

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17
Q

neurotransmitters

A

chemical substance that is released by stimulated presynaptic cells that functions to activate post synaptic cells and this cause them to act as messengers in the central nervous system. Common neurotransmitters are acetylcholine, dopamine, norepinephrine, serotonin, and y-amniobutyric acid

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18
Q

function of the receptor

A

neurotransmitters either stimulates or inhibits the other cell
it is the interaction between the neurotransmitter and the receptor that allows the activity of one neuron to influence the activity of other neurons

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19
Q 
Changes in affect, such as flattening 
Alteration in language production
Alteration in motor functioning
Impulse Behavior
Impaired decision making
Concrete thinking
A

Frontal

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20
Q

Altered sensory perceptions, such as decresed consciousness of pain sentation
Difficulty with time concepts, such as an inability to keep appointment times
Alteration in personal hygiene
Alteration in ability to calculate numbers
Inability to adequately perform common motor actions of writing
Mixing up the right and left
Poor attention span

A

Parietal

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21
Q 
Auditory hallucinations 
Increased sexual focus
Decreased motivation 
Alterations in memory 
Altered emotional responses 
Sensory Aphasia
A

Temporal

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22
Q

Visual Halluciantions

A

Occipital

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23
Q

Broca’s area

A

located in the left frontal lobe, the speech area

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24
Q

Wernicke’s area

A

specialized area of the temporal lobe and is responsible for organizing words so that they will be recognized and express the correct emotional content

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25
Q

basal nuclei

A

concentrations of cell bodies that are closely involved with motor functions and association

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26
Q

Monoamines

A

Dopamine
Norepinephrine
Serotonin
Histamine

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27
Q

Amino Acids

A

Glutamine

Gamma-Aminobutyric Acid (GABA)

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28
Q

Cholinergics

A

Acetylcholine

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29
Q

Neuropeptides

A 
Substance P
Somatostatin
Neurotensin
CRH
Endorphin
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30
Q

Dopamine increase

A

Schizophrenia

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31
Q

Serotonin decrease

A

depression

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32
Q

Norepinephrine decrease

A

depression

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33
Q

GABA decrease

A

anxiety disorder

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34
Q

acetylcholine decrease

A

alzheimer’s

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35
Q

Computerized Tomography CT detects

A

a. lesions, infarct(tissue death), aneurysms

b. schizophrenia: cotrical atrophy, third ventricle enlargement, cognitive disorders

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36
Q

Magneti Resonance Imaging (MRI) detects

A

a. brain edema, ischemia, infection, neoplasm and trauma

b. schizophrenia: enlarged ventricles, reduction in temporal and frontal lobes

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37
Q

Positron-emission tomography (PET) detects

A

a. oxygen use, glucose metabolism, blood flow, some neurotransmitter interactions
b. schizophrenia: increased dopamine receptors, abnormalities in limbic system mood disorder; abnormalities in temporal lobe
c. adult ADHD: decreased utilization of glucose

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38
Q

Single photon emission computed tomography (SPECT) detects

A

a. similar to PET, also measures brain function and provides images of multiple layers of the CNS

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39
Q

the limbic system

A

is a complex set of brain structures that lies on both sides of the thalamus, right under the cerebrum.[1] It is not a separate system, but a collection of structures from the telencephalon, diencephalon, and mesencephalon.[2]
The limbic system includes the hippocampus, amygdala, anterior thalamic nuclei, septum, habenula, limbic cortex and fornix.
It supports a variety of functions, including emotion, behavior, motivation, long-term memory, and olfaction.[3] It appears to be primarily responsible for our emotional life, and has a great deal to do with the formation of memories.

40
Q

Amygdala

A

part of the limbic system, modulates emotional states

regulates affective responses to events

41
Q

Thalamus

A

of the limbic system, relays all sensory information except smell
filters incoming information regarding emotions, mood, and memory to prevent the cortex from becoming overloaded

42
Q

Hypothalmus

A

of the limbic system, regulates basic human functions such as sleep-rest patterns, body temp, and the physical drives for hunger and sex

43
Q

Hippocampus

A

of the limbic system, controls learning and the recall of an event with its associated memory

44
Q

lobes of the cerebrum

A

frontal
parietal
temporal
occipital

45
Q

structures of the limbic system

A

amygdala
thalmus
hypothalamus
hippocampus

46
Q

synapse

A

space between neurons

47
Q

receptor

A

binding site

48
Q

neuron

A

cells that conduct electrical impulses

49
Q

neurotransmitters

A

chemical messengers

50
Q

Who can petition?

A

Anyone over 18 who has witnessed the behavior

51
Q

An involuntary admit has what rights?

A

right to atty and right to refuse tx until judicially committed

52
Q

PET scan shows

A

blood flow and glucose metabolism

53
Q

Which disorder is related to depression

A

parkinsonism

54
Q

Serotonin is linked to which illness

A

depression

55
Q

motor function and memory are found in which lobe

A

temporal

56
Q

which lobe is executive function

A

frontal

57
Q

where in the temporal lobe is memory found?

A

hippocampus

58
Q

a voluntary admit wants to leave, what must they do?

A

sign and wait 3 buisness days

59
Q

you have an alzheimers patient, what medicine is best

A

one that increass acetylcholine or stops the decrease of acetylcholine

60
Q

What must happen for an involuntary admit?

A

witnes behavior over 18, first cert. doc must be called within one hour and see patient within 24 hours, second cert, court notified within 3 bus days and seen by a psychiatrist

61
Q

Your patient is going for an MRI what should you as a nurse tell doctor?

A

patient has knee replacement, has claustrophobia

62
Q

A nurse talks to the charge nurse “why should i not feel sympathy for that family, they lost their child the same way i lost mine”

A

reply is to get a shrink and handle your shit

63
Q

Client says “I was really hard on my kids growing up” nurse says “you were strict?” what is this?

A

paraphrasing or RESTATING

64
Q

What is done during orientation?

A

Explaining confidentiality and the working contract

65
Q

A woman brings a child into ER, has bite marks and x-ray shows a healing fracture, what do you do?

A

Talk to parent more, or call CPS.

66
Q

your client is suicidal what is their GAF score?

A

10

67
Q

Basal ganglia

A

motor function

68
Q

I want, I can, I will

A

establishing an internal locus of control

69
Q

talking to a new patient about their rights, what else should you do?

A

give them the booklet about rights in writing

70
Q

GABA

A

anxiety

71
Q

Know facilitators and blockers

A

Resistance
Transference
Counter transference
Boundary violations

72
Q

in a mental health assessment what do you assess?

A

mood and affect, judgement, appearance, attitude and speech

73
Q

What are the criteria for involuntary treatment?

A

danger to self or others, and cannot provide for one’s basic needs

74
Q

CT =

A

gross anatomy, one dimensional

75
Q

MRI =

A

layers and structures, 3D

76
Q

PET =

A

blood flow, oxygen, and glucose metabolism

77
Q

SPECT =

A

vascular

78
Q

If a nurse becomes close to a patient and the start discussing their mutual things in common why is this a problem?

A

Boundary violations, no longer a therapeutic relationship

79
Q

You have a client who is mute, and the family states that he hasnt bathed or eaten in 5 days, is she wholly, partially or supportive compensatory? GAF score?

A

Wholly, 10

80
Q

A patient states when he is released he intends to kill his wife and her lover, what do you do?

A

Document and tell the doctor

81
Q

The definition of mental health nursing is

A

prevention of mental disorders , the treatment of disorders and the restoration of health

82
Q

What makes the DSM IV special?

A

it classifies and gives statistical info

83
Q

If your client had stroke on the left side what should you as a nurse expect to find?

A

client struggles to hold spoon with the right hand

84
Q

What is the job of the neurotransmitter?

A

the electrical impulse

85
Q

How would a nurse assess a clients judgement?

A

Ask what they would do if their house was on fire

86
Q

What is necessary for a properly written DX

A

the NANDA dx, the etiology, and supportive info

87
Q

Which is a properly written outcome statement?

A

client will attend one group session by the end of the day
also
client will report a reduction in anxiety from severe to moderate by the end of the day

88
Q

What type of therapeutic communication is this “ can you give me an example of that?

A

clarifying

89
Q

Pharmacodynamics

A

the study of the biochemical and physiological effects of drugs on the body or on microorganisms or parasites within or on the body and the mechanisms of drug action and the relationship between drug concentration and effect.

90
Q

Pharmakinetics

A

is a branch of pharmacology dedicated to the determination of the fate of substances administered externally to a living organism. The substances of interest include pharmaceutical agents, hormones, nutrients, and toxins. It attempts to discover the fate of a drug from the moment that it is administered up to the point at which it is completely eliminated from the body.

91
Q

pharmacogenetics

A

genetic differences in metabolic pathways which can affect individual responses to drugs, both in terms of therapeutic effect as well as adverse effects.

92
Q

Axis I

A

Clinical mental disorder

93
Q

Axis II

A

Personality Disorder or Mental Retardation

94
Q

Axis III

A

General Medical Diagnosis

95
Q

Axis IV

A

Psychosocial and Environment

96
Q

Axis V

A

Global Assessment of Functioning

Psych Test 1 (1 decks)

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