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69 Cards in this Set

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when both a living will and power of attorney exist, which supersedes the other?
power of attorney
stages of grief
denial, anger, bargaining, grieving, acceptance

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