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69 Cards in this Set
- Front
- Back
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when both a living will and power of attorney exist, which supersedes the other?
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power of attorney
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stages of grief
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denial, anger, bargaining, grieving, acceptance
death arrives bringing grave adjustments |
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how do you treat DTs?
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benzodiazapenes
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what are the characteristics of DTs?
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autonomic system hyperactivity (tachycardia, tremors, axiety), psychotic sx (hallucinations, delustions), confusion
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sleep patterns of depressed patients?
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decreased slow-wave sleep, decreased REM latency, early morning awakening
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what is malingering?
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patient conciously fakes or claims to have a disorder in order to attain a specific gain
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what is a facticious disorder?
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conciously creates sx in order to assume 'sick role' and get medical attention - motivation is unconscious
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what is gamophobia?
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fear of marriage
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what is algophobia?
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fear of pain
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what is acrophobia?
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fear of height
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what are the characteristics of an adjustment disorder?
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emotional symptoms (anxiety, depression) causing impairment following an identifiale psychosocial stressor (e.g. divorce, moving), and lasting <6 months
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what do you call a false blief not shared with other members of culture/subculture that is firmly maintained in spite of obvious proof to the contrary?
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delusion
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what the difference between a hallucination and an illusion?
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hallucination - perception in the absence of external stimuli; illusion - misinterpretations of actual stimuli
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when does hypnagogic hallucination occur?
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when GOing to sleep
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tactile hallucinations are common when?
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Dts, cocaine abusers
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when do hypnopompic hallucinations occur?
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while waking from sleep
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how do you treat narcolepsy?
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stimulants, e.g. amphetamines
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what is a schizoaffective disorder?
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a combination of schizophrenia and a mood disorder
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paranoid, schizoid, schizotypal personality disorders fall into what cluster?
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cluster A - weird
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antisocial, borderline, histrionic, narcissistic personality disorders fall into what cluster?
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cluster B - wild
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avoidant, obsessive-compulsive, dependent personality disorders fall into what cluster?
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cluster C - worried
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cluster A personality disorders are characterized by what?
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odd or eccentric, can't develop meaningful social relationships' no psychosis, but genetic association with schizophrenia
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personality disorder characterized by distrust and suspiciousness; projection is main defense mechanism
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paranoid
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personality disorder characterized by voluntary social withdrawal, limited emotional expression
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schiziod
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personality disorder characterized by interpersonal awkwardness, odd beliefs or magical thinking, eccentric appearance
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schizotypal
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characteristics of cluster B personality disorders?
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dramatic, emotional, or erratic; genetic association with mood disorders and substance abuse
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personality disorder characterized by disregard for and violation of rights or others, criminality
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antisocial
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personality disorder characterized by unstable mood and interpersonal relationships, impulsiveness, sense of emptiness
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borderline
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personality disorder characterized by excessive emotionality, attention seeking, sexually provocative
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histrionic
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personality disorder characterized by grandiosity, sense of entitlement; may react to criticism with rage; may demand 'top' physician/best health care
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narcissistic
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personality disorder characterized by sensitivity to rejection, social inhibition, timid, feelings of inadequacy
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avoidant
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what are the characteristics of cluster C personality disorders?
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anxious or fearfull; genetic association with anxiety disorders
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personality disorder characterized by submissive and clinging, excessive need to be taken care or, low self-confidence
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dependent
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personality disorder characterized by preoccupation with order, perfectionism, and control
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obsessive-compulsive
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moro reflex
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can be elicited by any startling event; extension and abduction of the arms, followed by adduction of arms - normally disappears between 3-6 months
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palmar grasp reflex
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infant's hand closing over an object that is placed in palm of hand - normally disappears at 2 months
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tonic neck reflex
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extension of ipsilateral leg and flexion of the contralateral arm when the head is turned - normally disappears between 7-8 months
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what is prosopagnosisa and what causes it?
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inability to recognize faces - usually caused by a bilateral lesion of the visual association cortex
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what is anosagnosia and what causes it?
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deficit in cognition about one's illnes, or the lack of awareness that one is suffering from a certain condition - related to large lesions of hte nondominant parietal lobe, which causes the pateint to be confused and unaware of motor and sensory deficits
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what is confabulation?
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fabrication of stories and events that never happened in order to fill in memory gaps; seen mostly in dementias
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what is conversion disorder?
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characterized by one or more neurologic symptoms (motor, sensory, or changes in consciousness such as pseudoseizures) associated with unresolved psychological conflicts - sx are unconscious and develop as a result of repressed anxiety about the unacceptable impulses
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what is Ganser syndrome?
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dissociative disorder NOS - giving approximate answers instead of exact ones - associated with other sx like amnesia, disorientation, and perceptual disturbances. seen most commonly in prison inmates
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dissociative disorder defined by combination of amnesia plus travel
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psychogenic fugue - patient typically regains awareness after traveling to a different locale but retains no memory of the trip of the decision to go on it
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what is somnambulism?
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sleep walking - disorder of stage 4 sleep
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what is mobius syndrome?
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congenital facial diplegia - face is expressionless, and ocular palsy may be present. frequently accompanied by clubfoot and syndactyly and MR
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what is pseudodementia?
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major depression in an elderly person - all of the symptoms of a depressive disorder without hallmarks of an organic condition
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what is the Tarasoff I decision?
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requires that physicians warn a potential victim if they truly believe the patient will cause harm to that person
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what is the Tarasoff II decision?
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states that even though physicians must warn a potential victim, they must also protect the patient from harm from that person
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the irresistible impulse rule and the McNaughten rule are involved in what?
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insanity defenses
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the combination of an MAOI with what drug produces a severe reaction, including delerium, hyperpyrexia, convulsions, and hypertension
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meperidine
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intelligence scale best for younger children since it doesn't rely exclusively on language
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stanford-binet
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scale used to assess the attainment of developmental milestones in children younger than 2 years
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denver developmental scale
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age group for which WAIS-R is used
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17 and older (think rated R)
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age group for which WISC III is used
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6-16
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age group for which WPPSI is used
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4-6
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person acts out dreams in what sleep disorder?
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REM sleep disorder - normal paralysis of muscles during REM sleep is absent; content of dreams often violent or aggressive
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what sleep disorder encompasses both night terrors and sleepwalking?
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non-REM sleep disorder - people do not act out dreams in either condition
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child's awareness of the conservation of volume occurs between what ages and is what stage?
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7-11 years - concrete operations
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between what ages is the preoperational stage?
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2-7 years
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the sensorimotor stage corresponds to what ages?
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0-2
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learning by reinforcement is what type of conditioning?
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operant
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toilet training is not possible before what age?
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18 months
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stranger anxiety, orientation to voice occurs at approximately what age?
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7-9 months
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when does separation anxiety occur?
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between 10-12 months
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when does the social smile appear?
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2-3 months
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what is the infant mortality rate equal to?
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the number of deaths occuring until the first birthday divided by the total number of live births
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this is a projective test htat uses pictures depicting ambiguous interpersonal situations that the examinee is asked to interpret
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the thematic apperception test
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this is the most popular objective personality test; it uses true and false items
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minnesota multiphasic personality inventory
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a relationship between what neurotransmitter and aggression has been found?
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serotonin
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