T2 - Blueprint (Josh) Flashcards

1
Q

— are the mental skills that are coordinated in the brain’s frontal lobe.

A

Executive Functions

  • lost with NCD
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2
Q

Types of Crisis

A
  • Dispositional
  • Anticipated Life
  • Traumatic Stress
  • Reflecting Psychopathology
  • Developmental
  • Psychiatric Emergencies
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3
Q

In family therapy, — is a three person emotional configuration that is considered a basic building block of the family system.

A

Triangulation

  • reliance on different members of family instead of an equal continuation
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4
Q

Noncompliance is common with —

A

Oppositional Defiant Disorder

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5
Q

Husband comes home with dirty shoes. Instead of being mad, the wife reorients her thinking to be thankful and view it as a sign of love b/c he works hard for the family.

A

Reframing

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6
Q

Complication from ETOH Abuse:

a syndrome of confusion, loss or recent memory, and confabulation in alcoholics.

A

Korsakoff’s Psychosis

  • often seen in those recovering from Wernicke’s Enephalopathy
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7
Q

— is a primary NCD

— is a secondary NCD

A

Alzheimer’s (or any organic brain disease)

any caused by another disease such as HIV, depression, etc

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8
Q

Complication from ETOH Abuse:

A condition in which an excessive amount of serous fluid accumulates in the abdominal cavity

Occurs in response to portal hypertension

A

Ascites

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9
Q

— is a persistent pattern of angry mood and defiant behavior.

A

Oppositional Defiant Disorder

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10
Q

— is creating imaginary events to fill memory gaps to cover up/deny that memory problem exists.

A

Confabulation

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11
Q

NCD or Depression:

Oriented to time and place

A

Depression

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12
Q

— is the inability to carry out motor activities and eventually unable to care for self.

A

Apraxia

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13
Q

Lack of equal partnership b/t spouses.

A

Marital Skew

  • ex: wife domineers husband and puts him down in front of kids
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14
Q

— is serious because is t a precursor to Antisocial Personality Disorder.

A

Conduct Disorder

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15
Q

— is NOT treatable.

A

Cardiomyopahty

  • needs a heart transplat
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16
Q

According to ATI, alcohol intoxication occurs at BAC of —

According to the text, it occurs at —

A

0.08% (80 g/dl)

100-200 mg/dl

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17
Q

Meds for NCD:

A
  • Antipsychotics
  • Benzos
  • SSRI
  • Tricyclic Antidepressants

more in book

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18
Q

Peripheral Neuropathy and Wernicke’s Encephalopathy are the results of a deficiency in –

A

B Vitamins (Thiamine)

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19
Q

NCD or Depression:

Forgetful and confabulates

A

NCD

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20
Q

Complication from ETOH Abuse:

inflammation and pain in the esophagus. Occurs b/c of the toxic effects of alcohol on the esophageal mucosa.

A

Esophagitis

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21
Q

Labs to test for Alcoholic Cardiomyopathy.

A
  • CPK elevation
  • AST elevation
  • ALT elevation
  • LDH elevation
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22
Q

— is another term for depression.

A

Pseudodementia

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23
Q

When caring for client’s with NCD, — is foremost.

A

safety

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24
Q

Types of Crisis:

— normal life-cycle transitions that may be anticipated but over which the individual may feel a lack of control

A

Anticipated Life

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25
Q

Alcohol screening using CAGE:

A
  • have you CUT down on your drinking?
  • have people ANNOYED you by criticizing your drinking?
  • have you felt GUILTY about your drinking?
  • have you needed a drink first thing in the am as an EYE-OPENER?
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26
Q

NCD or Depression:

Wanders in search of familiar things.

A

NCD

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27
Q

— is the inablity to speak or express what they want to.

May forget meanings of words and names of things.

A

Aphasia

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28
Q

Enmeshment occurs in response to — —-

A

diffuse boundaries in which there is overinvestment, overinvolvement, and lack of differentiation b/t individuals

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29
Q

— is the inability to recognize familiar objects.

A

Agnosia

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30
Q

Types of Crisis:

— caused by situations that trigger emotions related to unresolved conflicts in one’s life

A

Developmental

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31
Q

Drugs of choice to manage Tourette’s Syndrome:

A
  • Haloperidol (only severe symptoms)
  • Pimozide (not younger than 12)
  • Atypical Antipshychotics
  • Alpha Agonists
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32
Q

Types of meds to manage ADHD

A
  • Antidepressants
  • CNS Stimulants
  • Atomoxetine
  • Buproprion
  • Centrally Acting Alpha Agonists
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33
Q

Need to do:

A
10f
11b
12a,b,e
14a,b,i
15
34
Q

Hallucinations and Illusions are common w/ —

A

Delirium

35
Q

Death could result from BAC levels of —

A

greater than 0.35% (300 g/dl)

36
Q

Complication from ETOH Abuse:

Veins in the esophagus become distended b/c of excessive pressure from defective blood flow through the cirrhotic liver

A

Esophageal Varices

37
Q

NCD or Depression:

Better as day progresses.

A

Depression

38
Q

In — —, there is a persistent patter of behavior in which basic rights of others are violated.

A

Conduct Disorder

39
Q

— are common in alcohol withdrawal.

A

D.T.’s (Delirium Tremens)

40
Q

Types of Crisis:

– general function has been severely impaired and the individual rendered incompetent or unable to assume personal responsibility

A

Psychiatric Emergencies

41
Q

How many positive symptoms of schizophrenia must one have?

Examples?

A

3

  • Hallucinations
  • Disorganized Thinking/Speech
  • Disorganized Behavior
42
Q

— have to do with the 5 sense.

A

Hallucinations

  • Visual
  • Auditory
  • Tactile
  • Gustatory
  • Olfactory
43
Q

When a family member is the target of projection.

A

Scapegoating

44
Q

Complication from ETOH Abuse:

Can be acute or chronic and affects the pancreas

A

Pancreatitis

45
Q

If Delirium is caused by substance withdrawal, which med do we use?

A

Benzodiazepine

46
Q

Syndrome of chronic and possibly progressive intellectual and functional impairment involving memory, language, emotion, cognition, and changes in personality.

A

Neurocognitive Disorder (NCD)

47
Q

Complication from ETOH Abuse:

Occurs in response to the inability of the diseased liver to convert ammonia to urea for excretion

The continued rise in serum ammonia, if allowed to progress, leads to coma and eventual death

A

Hepatic Encephalopathy

48
Q

Types of Crisis:

— precipitated by an unexpected external stressor over which the individual has little/no control and as a result of which he/she feels overwhelmed and defeated

A

Traumatic Stress

49
Q

Complication from ETOH Abuse:

Characterized by peripheral nerve damage that results in pain, burning, tingling, or prickly sensations of the extremities

A

Peripheral Neuropathy

50
Q

Complication from ETOH Abuse:

Paralysis of the ocular muscles, diplopia, ataxia, somnolence, stupor

A

Wernicke’s Encephalopathy

  • death will result of thiamine replacement therapy isn’t started quickly
51
Q

Seeing what’s not there is —

Seeing what’ there and confusing it with something else is –

A

Hallucination

Illusion

52
Q

— is exagerated correctness among family members during family therapy.

A

Enmeshment

53
Q

— are fixed false beliefs.

A

Delusions

54
Q

Which cognitive test is used to assess for NCD?

A

Mental Status Exam (p. 342)

55
Q

Complication from ETOH Abuse:

alcohol negatively affects the heart by lipid accumulation in the myocardial cells, resulting in enlargement and a weakened condition. (Generally relate to CHF or arrhythmia)

A

Alcoholic Cardiomyopathy

56
Q

The most serious result of thiamine deficiency in alcoholics is —

A

Wernicke’s Encephalopathy

57
Q
Which meds are given to offset the 
- agitation
- aggression
- hallucinations
- illusions 
common w/ Delirium?
A

Neuroleptics (antipsychotics)

58
Q

— is an acute, time-limited event during which a client experiences an emotional response that cannot be managed w/ the client’s normal comping mechanisms.

A

Crisis

59
Q

— are misinterpretations / misconceptions of the environement

A

Illusions

60
Q

Examples of Negative symptoms of Schizo?

A
  • Affective flattening
  • Alogia
  • Avolition/Apathy
  • Anhedonia
  • Social Isolation
61
Q

A state of severe chronic disequilibrium and discord w/ recurrent threats of separation.

A

Marital Schism

62
Q

Types of Crisis:

— preexisting psychopathology has been instrumental in precipitating the crisis or it significantly impairs or complicates adaptive resolution

A

Reflecting Psychopathology

63
Q

Types of Crisis:

— is an acute response to an external situation.

A

Dispositional

64
Q

NCD or Depression:

Rapid Onset

A

Depression

65
Q

Complication from ETOH Abuse:

Caused by overworking the liver trying to assimilate large amounts of alcohol
Formation of nodules, or lumps, of regenerating liver cells. Liver cells replaced with connective tissue (fibrosis).

A

Cirrhosis of the Liver

66
Q

CNS stimulants for ADHD

A
  • troamphetamine
  • methylphenidate
  • pemoline
  • dextroamphetamine/amphetamine
67
Q

Complication from ETOH Abuse:

he effects of alcohol on the stomach (inflammation of the stomach lining characterized by epigastric distress, nausea, vomiting, and distention.

A

Gastritis

68
Q

Detoxification occurs when?

A

4-12 hrs of cessation or reduction if it’s really heavy useage

69
Q

— is when symptoms of NCD worsen at sunset/evening.

A

Sundowning

70
Q

NCD or Depression:

No change in concentration.

A

Depression

71
Q

NCD or Depression:

Consistently poor performance instead of variable performance.

A

NCD

72
Q

When client’s with a coexisting substance disorder along with a mental disorder.

A

Dual Diagnosis

73
Q

— is persistently repeating the same word or idea in response to different questions.

A

Perseveration

74
Q

In — —, there is fat globules in the stool (Steatorrhea)

A

Acute Pancreatitis

75
Q

The main defense mechanism of substance abusers is —

A

denial

76
Q

Complication from ETOH Abuse:

Elevation of BP through the portal circulation results from defective blood flow through cirrhotic liver

A

Portal HTN

77
Q

— is the most popular screening tool for alcohol abuse.

A

CAGE questionnaire

78
Q

Centrally Acting Alpha Agonists for ADHD.

A
  • Clonidine

- Guafacine

79
Q

An acute and rapid onset of disturbance in attention, awareness, and cognition.

A

Delirium

80
Q

— includes presence of multiple motor tics and one or more vocal tics.

A

Tourette’s Syndrome

81
Q

NCD or Depression:

Unchanged appetite instead of worsening appetite.

A

NCD

does not remember to eat, but appetite isn’t changed

82
Q

In — —, the Interdisciplinary Team (IDT) works together to orchestrate a therapeutic environment.

A

Milieu Therapy