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Mental Health > Stress And Trauma > Flashcards

Stress And Trauma Flashcards

1
Q

Immediate reaction to stressor

A

Acute

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2
Q

Ongoing reaction to same or multiple stressor

A

Chronic

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3
Q

Time-Limited

A

Acute

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4
Q

Persistent

A

Chronic

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5
Q

Flight/Fight/Freeze/Fawn

A

Acute

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6
Q

Toxic-Stress

A

Chronic

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7
Q

Physiological

A

Acute
Chronic

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8
Q

Risk for MH Concern

A

Acute
Chronic

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9
Q

PTSD is cause by ?

A

Acute

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10
Q

Sympathetic-Adrenal Medullary (SAM)

A

Acute

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11
Q

Faster Response

A

Acute

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12
Q

Norepinephrine & Epinephrine

A

Acute

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13
Q

Hypothalamic-Pituitary-Adrenal (HPA) Axis

A

Chronic

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14
Q

Slower Response

A

Chronic

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15
Q

Cortisol

A

Chronic

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16
Q

HPA Axis

A

Chronic

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17
Q

SAM

A

Acute

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18
Q

Rasie blood pressure dercrease bowels

A

Acute

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19
Q

Hans Selye General Adaptation Syndrome in order

a. Exhaustion Stage
b. Good Health
c. Breakdown (burnout)
d. Resistance Stage
e. Alarm Stage

A

b.
e.
d.
a.
c.

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20
Q

Same & Steady

A

Homeostasis

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21
Q

Day to day maintenance of bodily functions

A

Homeostasis

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22
Q

Environment is predictable

A

Homeostasis

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23
Q

Standard understanding of bodily regulation

A

Homeostasis

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24
Q

explains the expected ranges for vital signs

A

Homeostasis

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25
Q

Different & Steady

A

Allostasis

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26
Q

Adaptation made in changing environment

A

Allostasis

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27
Q

Changing stressors resulting in changing baseline

A

Allostasis

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28
Q

hronic stress may result in higher baseline blood pressure in anticipation for stressful event

A

Allostasis

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29
Q

Exercise

A

Allostasis

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30
Q

Not inherently a problem or harmful

A

Allostasis

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31
Q

A way to figuratively quantify the amount of stress an individual has accumulated

A

Allostatic Load

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32
Q

Associated biomarkers in research

A

Allostatic Load

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33
Q

Stressor may no longer be present, but physiological effects persist

A

Allostatic Load

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34
Q

Elevated inflammatory response

A

Allostatic Load

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35
Q

Deals with rthritis, arterial disease, diabetes, abdominal fat, IBD

A

Allostatic Load

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36
Q

Loss of bone density

A

Allostatic Load

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37
Q

Hypertension

A

Allostatic Load

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38
Q

hyperlipidemia

A

Allostatic Load

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39
Q

Impacting Factors
Allostatic Load

  1. T
  2. S
  3. P
  4. C
  5. B
A
  1. Type
  2. Support
  3. Perception
  4. Coping
  5. Biology
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40
Q

mpacting Factors
Allostatic Load

Epi/Genetics, SNS sensitivity, HPA activity

  1. Type
  2. Support
  3. Perception
  4. Coping
  5. Biology
A
  1. Biology
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41
Q

Adaptation & Resiliency

Learning – change behavior for future stressor based on this experience

A

Adaptation

42
Q

Adaptation & Resiliency

Social – strengthen bonds with others

A

Adaptation

43
Q

Adaptation & Resiliency

Biology – return to homeostasis with removal of stressor

A

Adaptation

44
Q

Adaptation & Resiliency

Capacity to withstand stress & mobilize healthy coping strategies

A

Resiliency

45
Q

Adaptation & Resiliency

Can increase with time and adequate support

A

Resiliency

46
Q

Behavioral or cognitive process done consciously or unconsciously in response to a stressor

A

Coping Strategies

47
Q

Reaching out to a friend
Avoid stressor
Assuming worst possible outcome
Use of psychoactive substance
Exercising

A

Coping Strategies

48
Q

A model about levels of stress from daily challengles, Moderate stress, and distress. Also talks about a person being calm to terror analysing from resilent to sensititized.

A

Bruce Perry’s Model

49
Q

Trauma informed Care 4 R’s

R
R
R
R

A

Realize
Recognize
Respond
Resist

50
Q

The widespread impact of trauma and understand potential paths for recovery

Realize
Recognize
Respond
Resist

A

Realize

51
Q

The signs and symptoms of trauma in clients

Realize
Recognize
Respond
Resist

A

Recognize

52
Q

Fully integrating knowledge about trauma into practice

Realize
Recognize
Respond
Resist

A

Respond

53
Q

Avoid re-traumatization of patients

Realize
Recognize
Respond
Resist

A

Resist

54
Q

Inconsistent caregiving (Reactive Attachment Disorder)

Criteria ? Stress DSM

A

Criteria A

55
Q

Exposure to actual or threatened death, serious injury, or sexual violence (PTSD, Acute Stress Disorder)

Criteria ? Stress DSM

A

Criteria A

56
Q

“Identifiable stressor” (Adjustment Disorders, Other Specified or Unspecified Trauma- and Stressor Related Disorder)

Criteria ? Stress DSM

A

Criteria A

57
Q

Death of loved one (Prolonged Grief Disorder)

Criteria ? Stress DSM

A

Criteria A

58
Q

Recurrent intrusive memories and distressing dreams
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

a. Intrusion

59
Q

Dissociative reaction when pt has flashbacks
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

a. Intrusion

60
Q

Psychological distress & Physiological reaction when reminded of event.
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

a. Intrusion

61
Q

? of thoughts and feeling resembling event
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

b. Avoidance

62
Q

? Of reminders (ppl, places, activities, situation) resembling event
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

b. Avoidance

63
Q

Can not remember event details
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

c. Negative Cognition & Mood Changes

64
Q

Persistent negative beliefs of oneself
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

c. Negative Cognition & Mood Changes

65
Q

Self blame about causing event
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

c. Negative Cognition & Mood Changes

66
Q

Persistant negative emotional state - anger, fear
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

c. Negative Cognition & Mood Changes

67
Q

Detachment from other
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

c. Negative Cognition & Mood Changes

68
Q

Hard to experience positive emotions
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

c. Negative Cognition & Mood Changes

69
Q

Irritable and Angry outburst
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

d. Altered Arousal & Reactivity

70
Q

Recklessness and Hypervigilance
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

d. Altered Arousal & Reactivity

71
Q

Starlie Response
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

d. Altered Arousal & Reactivity

72
Q

is an involuntary, rapid reflex reaction triggered by a sudden, unexpected stimulus, causing muscle contraction, increased heart rate, and activation of the body’s “fight or flight” response.

A

Starle Response

73
Q

Concentration Difficulties
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

d. Altered Arousal & Reactivity

74
Q

Sleep Distrubances
a. Intrusion
b. Avoidance
c. Negative Cognition & Mood Changes
d. Altered Arousal & Reactivity

A

d. Altered Arousal & Reactivity

75
Q

Post-Traumatic Stress Disorder:
Diagnostic Criteria

Duration ? month

A

> 1
Greater

76
Q

Post-Traumatic Stress Disorder:
Diagnostic Criteria

Significant ? impairment

A

Distress or functional

77
Q

Post-Traumatic Stress Disorder:
Diagnostic Criteria

Not due to ?

A

substance or medical condition

78
Q

Intrusions into awareness and behavior preventing one from accessing information or controlling mental functioning

a. Acute Stress Disorder
b. Dissociative Disorders

A

b. Dissociative Disorders

79
Q

A disconnection between patient’s perceptual experience and reality
a. Acute Stress Disorder
b. Dissociative Disorders

A

b. Dissociative Disorders

80
Q

Often present with PTSD (but does not have to be)
a. Acute Stress Disorder
b. Dissociative Disorders

A

b. Dissociative Disorders

81
Q

Depersonalization
Derealization
a. Acute Stress Disorder
b. Dissociative Disorders

A

b. Dissociative Disorders

82
Q

Sensation of being detached or outside of one’s body or thinking
a. Depersonalization
b. Derealization

A

a. Depersonalization

83
Q

Sensation that surroundings are not real, distant, dreaming
a. Depersonalization
b. Derealization

A

b. Derealization

84
Q

IPV/SA
Interpersonal Violence
Organized Violence
Participation in crime
Interpersonal Trauma

is associated with which disorder

A

PTSD

85
Q

PTSD risk factors

3 of trauma
Violence/Trauma that is interpersonal in nature and intentional
Familial dysfunction/disturbance
Poor ?

A

Extent, duration, intensity
social support

86
Q

PTSD risk factors

History of trauma in childhood
? of the trauma
Pre-existing ?
Concurrent ?

A

Perception
mental illness
TBI

87
Q

Just read over several times

Psychosocial Interventions
Trauma-Focused CBT

Exposure Response Therapy

Acceptance and Commitment

Eye Movement Desensitization and Reprocessing

Trauma Resiliency Model (CRM sister)

Family therapies

Support Groups

Psychoeducation & stress management

A

Read

88
Q

Psychopharm
FDA Approved Medications
? & ?

A

Sertraline & Paroxetine

89
Q

Sertraline

A

Zoloft

90
Q

Paroxetine

A

Paxil

91
Q

Psychopharm
? for nightmares

A

Prazosin

92
Q

Treats PTSD but off label and help with nightmares

A

Prazosin

93
Q

Duration between 3 days-1month

A

Acute Stress Disorder

94
Q

Acute Stress Disorder
Duration between ?

A

3 days-1month

95
Q

Duration of symptoms greater than a month?

A

PTSD

96
Q

Significant Distress or functional impairment
Not due to substance or medical condition

A

PTSD and ASD

97
Q

This disorder does not have criteria a for stress d/o

A

Dissociative Disorders

98
Q

Commonly have etiological trauma
(the cause or causes of a disease)

A

Dissociative Disorders

99
Q

Formerly called multiple personality disorder

A

Dissociative Disorders

100
Q

At least two distinct personality or identity states

A

Dissociative Disorders

101
Q

Inability to recall

A

Dissociative amnesia

102
Q

Being detached from one’s body or reality

A

Depersonalization/derealization disorder

Mental Health (16 decks)

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