Psych M1.4 Flashcards

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
basal nuclei
concentrations of cell bodies that are closely involved with motor functions and association
26
Monoamines
Dopamine Norepinephrine Serotonin Histamine
27
Amino Acids
Glutamine | Gamma-Aminobutyric Acid (GABA)
28
Cholinergics
Acetylcholine
29
Neuropeptides
``` Substance P Somatostatin Neurotensin CRH Endorphin ```
30
Dopamine increase
Schizophrenia
31
Serotonin decrease
depression
32
Norepinephrine decrease
depression
33
GABA decrease
anxiety disorder
34
acetylcholine decrease
alzheimer's
35
Computerized Tomography CT detects
a. lesions, infarct(tissue death), aneurysms | b. schizophrenia: cotrical atrophy, third ventricle enlargement, cognitive disorders
36
Magneti Resonance Imaging (MRI) detects
a. brain edema, ischemia, infection, neoplasm and trauma | b. schizophrenia: enlarged ventricles, reduction in temporal and frontal lobes
37
Positron-emission tomography (PET) detects
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
38
Single photon emission computed tomography (SPECT) detects
a. similar to PET, also measures brain function and provides images of multiple layers of the CNS
39
the limbic system
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
Amygdala
part of the limbic system, modulates emotional states | regulates affective responses to events
41
Thalamus
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
Hypothalmus
of the limbic system, regulates basic human functions such as sleep-rest patterns, body temp, and the physical drives for hunger and sex
43
Hippocampus
of the limbic system, controls learning and the recall of an event with its associated memory
44
lobes of the cerebrum
frontal parietal temporal occipital
45
structures of the limbic system
amygdala thalmus hypothalamus hippocampus
46
synapse
space between neurons
47
receptor
binding site
48
neuron
cells that conduct electrical impulses
49
neurotransmitters
chemical messengers
50
Who can petition?
Anyone over 18 who has witnessed the behavior
51
An involuntary admit has what rights?
right to atty and right to refuse tx until judicially committed
52
PET scan shows
blood flow and glucose metabolism
53
Which disorder is related to depression
parkinsonism
54
Serotonin is linked to which illness
depression
55
motor function and memory are found in which lobe
temporal
56
which lobe is executive function
frontal
57
where in the temporal lobe is memory found?
hippocampus
58
a voluntary admit wants to leave, what must they do?
sign and wait 3 buisness days
59
you have an alzheimers patient, what medicine is best
one that increass acetylcholine or stops the decrease of acetylcholine
60
What must happen for an involuntary admit?
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
Your patient is going for an MRI what should you as a nurse tell doctor?
patient has knee replacement, has claustrophobia
62
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"
reply is to get a shrink and handle your shit
63
Client says "I was really hard on my kids growing up" nurse says "you were strict?" what is this?
paraphrasing or RESTATING
64
What is done during orientation?
Explaining confidentiality and the working contract
65
A woman brings a child into ER, has bite marks and x-ray shows a healing fracture, what do you do?
Talk to parent more, or call CPS.
66
your client is suicidal what is their GAF score?
10
67
Basal ganglia
motor function
68
I want, I can, I will
establishing an internal locus of control
69
talking to a new patient about their rights, what else should you do?
give them the booklet about rights in writing
70
GABA
anxiety
71
Know facilitators and blockers
Resistance Transference Counter transference Boundary violations
72
in a mental health assessment what do you assess?
mood and affect, judgement, appearance, attitude and speech
73
What are the criteria for involuntary treatment?
danger to self or others, and cannot provide for one's basic needs
74
CT =
gross anatomy, one dimensional
75
MRI =
layers and structures, 3D
76
PET =
blood flow, oxygen, and glucose metabolism
77
SPECT =
vascular
78
If a nurse becomes close to a patient and the start discussing their mutual things in common why is this a problem?
Boundary violations, no longer a therapeutic relationship
79
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?
Wholly, 10
80
A patient states when he is released he intends to kill his wife and her lover, what do you do?
Document and tell the doctor
81
The definition of mental health nursing is
prevention of mental disorders , the treatment of disorders and the restoration of health
82
What makes the DSM IV special?
it classifies and gives statistical info
83
If your client had stroke on the left side what should you as a nurse expect to find?
client struggles to hold spoon with the right hand
84
What is the job of the neurotransmitter?
the electrical impulse
85
How would a nurse assess a clients judgement?
Ask what they would do if their house was on fire
86
What is necessary for a properly written DX
the NANDA dx, the etiology, and supportive info
87
Which is a properly written outcome statement?
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
What type of therapeutic communication is this " can you give me an example of that?
clarifying
89
Pharmacodynamics
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
Pharmakinetics
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
pharmacogenetics
genetic differences in metabolic pathways which can affect individual responses to drugs, both in terms of therapeutic effect as well as adverse effects.
92
Axis I
Clinical mental disorder
93
Axis II
Personality Disorder or Mental Retardation
94
Axis III
General Medical Diagnosis
95
Axis IV
Psychosocial and Environment
96
Axis V
Global Assessment of Functioning