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Mental Health
Test 2
93
Medical
Undergraduate 3
03/08/2008

Additional Medical Flashcards

 


 

Cards

Term
2 or more of the characteristic symptoms present for a sygnificant portion of time during a 1 month period.
Definition
Diagnostic criteria for schizophrenia?
Term
Nihilistic
Definition
Type of delusion marked by belief that one is dead or a calamity is impending?
Term
Grandiose
Definition
Type of delusion marked by belief that one has special powers?
Term
Persecutory
Definition
Type of delusion marked by one who believes they are being watched watched, ridiculed, harmed, or plotted against?
Term
Somatic
Definition
Type of delusion where one believes about abnormalities in bodily functions or structures?
Term
Risk for self-directed or other-directed violence
Definition
If a client is hallucinating and agitated what may the client do (what is he at risk for?
Term
Positive sign of schizo-neuroanatomical.
Definition
Hyperactivity of mesolimbic tract is a positive of negative sign>?
Term
Negative schizo-neuroanatomical
Definition
Hyperactivity of mesocortical tract of the brain is a sign of positive or negative schizo?
Term
Men 18-25
Women 25-35
Definition
typical onset for schizo?
Term
women
Definition
Do women or men have a better prognosis with schizo?
Term
Alogia-negative symptom
Definition
Reduced fluency and productivity of language and thought.
Term
Avolition-negative symptom
Definition
Withdrawl and inability to initiate goal orientated behavior.
Term
Anhedonia-negative symptom
Definition
Inability to experience pleasure. Asociality.
Term
ambivalence
Definition
Concurrent experience of opposite feelings making it hard to process decisions.
Term
echolalia
Definition
repeating words like a parrot
Term
circumstantiality
Definition
Excessive detail and lengthy discussion about a topic
Term
loose association
Definition
disconnected thoughts, loosely associated.
Term
Tangentiality
Definition
Changing topics entirely. Logical but detoured.
Term
Flight of ideas
Definition
Change topics frequently
Term
neologisms
Definition
made up words
Term
Paranoia
Definition
Suspiciousness
Term
Deferential thinking
Definition
Thinking the TV is talking directly to them
Term
Autistic thinking
Definition
Private logic
Term
Concrete thinking
Definition
Lack of abstract thinking, can't understand metaphors
Term
Verbigeration
Definition
Purposless repetition of words or phrases
Term
Metonymic speech
Definition
Use of words interchangebly with similar meanings.
Term
pressured speech
Definition
Speaking as tho the words are being forced out.
Term
clang association
Definition
Repetition of similar sounding words.
Term
perseveration
Definition
repetition of words or behaviors
Term
Catatonic excitement
Definition
Disorganized behavior: Hyperactivity, purposeless activity
Term
Sterotypy
Definition
Disorganized behavior: Repetitive purposeless mvmnts.
Term
Hypervigilance
Definition
Disorganized behavior: Sustained attention
Term
echopraxia
Definition
Disorganized behavior: Immitation of others movements.
Term
Waxy flexibility
Definition
Disorganized behavior: Posture held in odd position.
Term
Dopamine hyperactivity
Definition
Neurotransmitter associated with schizophrenia?
Term
Paranoid
Definition
What type of schizophrenia?
-preoccupation with delusions or auditory hallucinations
-disorganized speech, disorganized or catatonic behavior, or flat or inappropriate affect is not prominent
Term
Disorganized
Definition
What type of schizophrenia?
-disorganized speech, disorganized behavior, and flat or inappropriate affect.
Term
Catatonic
Definition
What type of schizophrenia?
-motor immobility or stupor
-excessive purposeless motor activity
-extreme negativism
-posturing, stereotyped movements, prominent mannerisms, or prominent grimacing
-echolalia or echopraxia
Term
undifferentiated
Definition
What type of schizophrenia?
-only characteristic symptoms present, but does not meet criteria for other subtypes
Term
Risperadol, Clozaril, Haldol
Definition
Antipsychotic meds for shizophrenia?
Term
Clozapine(Clozaril)
Definition
What drug causes agranulocytosis?
Term
Dystonia- side effect of antipsychotics
Definition
Muscle contractions especially of the neck, mouth and tongue. (Torticollis, oculogric crisis)
Term
Akathesia
Definition
Term for restlessness, pacing?
Term
beta blockers
Definition
Treatment used for akathesia?
Term
Neuroleptic Malignant Syndrome
Definition
Elevated Temp-Medical emergency
Term
Cogentin, Artane
Definition
Anticholingerics used for schizophrenia?
Term
symmetrol(amantadine)
Definition
Dopamine agonist used for schizophrenia?
Term
Cogentin or Benadryl IM STAT
Definition
Tx for acute dystonic or oculogyric crisis?
Term
pysostigmine
Definition
Antidote for anticholingeric crisis?
Term
Side effects of Antipsychotics
Definition
Orthostatic hypotension, wt gain, new onset diabetes, cardiac arrhythmias and prolactinemia.
Term
Side effects of Antipsychotics
Definition
Orthostatic hypotension, wt gain, new onset diabetes, cardiac arrhythmias and prolactinemia.
Term
Mood stabilizer
Definition
what is a thymoleptic?
Term
Anitpsychotics(Haldol) Causes encephalopathy (delerium)
Definition
What should you avoid giving with Lithium? Why?
Term
Implosive therapy
Definition
Therapy that uses anxiety provoking imagery.
Term
Acute stress disorder
Definition
Occurs within 4 wks of trauma. Lasts 2 days to 1 month.
Term
Dissociative disorder
Definition
Type of disorder where client fails to integrate identity, memory and conciousness.
Term
depersonalization disorder
Definition
type of dissociative disorder: client experiences detachment from own body.
Term
dissociative fugue
Definition
type of dissociative disorder: Showing up places w/o knowing how you got there.
Term
Clomipramine (Anafranil) (Boyd p419)
Definition
Which TCA is used for OCD?
Term
Benzos
Definition
They are short-acting, with rebound anxiety. Withdrawl symptoms could include seizures, if the dose if too high and the ______is stopped abruptly. Not intended for use longer than 3 months due to dependence and tolerance
Term
Eldrly particularly susceptible to incontinence, memory disturbances, dizziness and increased risk for falls when using benzo. (Boyd p 124)
Definition
) What are dangers of prescribing benzodiazepines in the elderly?
Term
Rebound insomnia or increased anxiety
Definition
b) What are the most dangerous side effects of benzodiazepines if they are withdrawn abruptly?
Term
seizure
Definition
c) What if abuse of Benzodiazepines occurs, what is the life threatening side effect of physical withdrawal?
Term
Buspirone (Buspar) and Zolpidem (Ambien)
Definition
Non Benzodiazepines:
Term
Not PRN, must be taken for 2-4 weeks continually for symptom relief to occur (Boyd p125)
Definition
How long does it take for Buspar to be effective?
Term
Buspar has no effect on the benzodiazepine-GABA complex, but instead appears to control anxiety by blocking the serotonin subtype at pre and post synaptic receptor sites. It has no sedative, muscle relaxant or anticonvulsant effects. No potential for abuse.
Definition
What is the difference between Buspirone and a benzodiazepine?
Term
Short term insomnia treatment. Suppress neurons and induce relaxation.
Definition
d) What is Zolpidem (Ambien) used for?
Term
• La Belle Indifference
Definition
term used for when the client has a lack of concern regarding his/her physical symptom.
Term
• Conversion Disorder
Definition
the client develops an unusual physical symptom in order to avoid anxiety and deal with an inner psychic conflict. Repressed (unconscious) emotional conflicts are changed into sensory, motor, or visceral symptoms with no underlying organic cause. Conversion symptoms include: sensory symptoms such as numbness, blindness, or deafness, motor symptoms such as paralysis, tremors or mutism, visceral symptoms such as urinary retention, headaches, or difficulty breathing. Usually treated with psychotherapy. Client may exhibit La Belle Indifference.
Term
• Secondary gain
Definition
an indirect benefit gained through the illness experience/treatmrent (i.e. personal attention, release from unpleasant roles, responsibilities or situations, monetary and disability benefits)
Term
• Primary gain
Definition
a direct benefit, generally relief from emotional conflict and freedom from anxiety, attained through the use of a defense mechanism or some other psychologic process.
Term
introvert
Definition
Choose from the following:
introvert (I) /extrovert (E); judging (J) /perceiving (P); sensation (S) /intuition (N) and thinking (T) and feeling (F).
reserved, energized by solitary activities
Term
• Thinking
Definition
govern with head. Choices are impersonal, objective, “tough minded”
Term
• Judging
Definition
concluding tasks. Accomplish closure. Meets deadlines. Need final decisions.
Term
• Perceiving
Definition
of tasks. Keep things open/fluid. Avoids making final decisions
Term
quadrant 1
Definition
“the arena.” Want this area the biggest. Transparent communication.
Term
2
Definition
“the blind spot” what quadrant?
Term
Quadrant 3
Definition
what is known only to the self? “façade”- what quadrant?
Term
Quadrant 4
Definition
what is known neither to the self nor others? “Unknown. Want to be the smallest in psych. what quadrant?
Term
Cns depressants, oTC, alcohol
Definition
What meds are contraindicated with benzos?
Term
haldol
Definition
Which medication produces akathisia(feeling like your gonna jump out of your skin)
Term
Haldol
Definition
Medication for acute aggressive behavior?
Term
Proranolol
Definition
what med relieves akasthesia?
Term
amantadine
Definition
Med used for pseudoparkinsonianism?
Term
Risperadol
Definition
Causes blood dyscrasias?
Term
Clozaril
Definition
Causes agranulocytosis?
Term
Cogentin or Benadryl IM STAT
Definition
Give this med for acute dystonia
Term
Risperadol, Colzapine, Haldol
Definition
Antipsychotic meds for schizo?
Term
Cogentin, Artane
Definition
Anticholinergics used for schizo?
Term
atypical antipsychotics, thymoleptics(mood stabilizers) antidepressants
Definition
Drugs used for schizoaffective d/o?
Term
Benzos(Xanax, Ativan) PRN for attack
SSRI, SNRIs - take 4-6 weeks to work
Definition
Anxiety D/O meds?
Term
SSRIs at low dose to avoid aggitation
TCA=Clomipramine (anaframil)
Definition
OCD meds?
Term
SSRI(Paxil)
SNRI(Effexor)
TCA(tofranil)
Buspar-takes 10 days to work
Definition
Meds for GAD?
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