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35 Cards in this Set
- Front
- Back
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What does MMPI stand for?
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Minnesota Multiphasic Personality Inventory
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What is the MMPI used for?
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1. objective personality inventory for diagnostic classification and treatment planning
2. used to detect acute psychiatric (Axis I) issues 3. used to identify psychopathological patterns not explicitly apparent to patient or clinician 4. consists of 567 self-descriptive statements |
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Define disorientation.
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loss of sense of familiarity with surroundings (time, place, person)
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Define stupor.
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impaired consciousness
marked decreased reactivity to environmental stimuli only aroused via repeated vigorous stimuli |
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Define coma.
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impaired consciousness
unarousable |
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What are the 5 stages of grief (AKA Kubler-Ross model)?
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1. denial
2. anger 3. bargaining 4. depression 5. acceptance |
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Define alogia.
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"poverty of speech"
general lack of additional unprompted content seen in normal speech see in schizophrenia |
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Define anhedonia.
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diminished or absent ability to experience pleasure
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Define folie a deux.
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symptoms of a delusional belief are transmitted from one individual to another
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Define twilight state.
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disturbance of consciousness in which actions may be performed without conscious volition and without remembrance afterward
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Define somnolence.
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drowsiness
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Define labile, blunted, and flat affect.
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labile (type or intensity shifts suddenly, rapidly)
blunted (few emotions expressed, low intensity) flat (affect is even less intense than blunted; patient may appear inanimate) |
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Define expansive mood.
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behaving unusually outgoing, grandiose, lavish
seen in bipolar II during mania |
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Define catatonia.
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syndrome of psychomotor disturbances characterized by
1. physical ridigity 2. negativism 3. stupor seen in schizophrenia, mood disorders, |
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Define cataplexy.
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sudden loss of muscle tone
may be triggered by strong emotion seen in narcolepsy |
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Define automatisms.
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brief unconscious behaviors
may include simple gestures (lip smacking, chewing, swallowing, etc) or complex actions (sleepwalking) often seen in seizure disorders |
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Define akathisia.
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inner sensation of restless that manifests as inability to sit or stay motionless
often seen as side effect of antipsychotics |
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Define hypokinesis.
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diminished or abnormally slow movement
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Define echolalia.
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automatic repetition of vocalizations made by another person
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Define coprolalia.
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involuntary expression of obsence words or phrases
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Define erotomania.
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delusion where the affected person believes that another person, usually a stranger or famous person, is in love with them
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Define motor aphasia.
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deficit in speech or writing production
patient aware of impairment |
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Define sensory aphasia.
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deficit in comprehension of speech or writing
fluent grammatical speech patient unaware of impairment |
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Define global aphasia.
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all aspects of speech and written language severely impaired in expression and comprehension
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Define anosognosia.
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person affected by disability or illness is unaware of the disability or illness.
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Define glossolalia.
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fabricated nonmeaningful speech
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Define word salad.
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mixture of words that have no signficance
though person saying them thinks they do seen in schizophrenia |
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What are the DSM-IV criteria for schizophrenia?
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A. CHARACTERISTIC SYMPTOMS: 2 or more of the following, present for a significant portion of a 1-month period
1. delusions 2. hallucinations 3. disorganized speech (frequent derailment or incoherence) 4. grossly disorganized or catatonic behavior 5. negative symptoms (flat affect, alogia, avolition) *only one criterion A symptom required if delusions are bizarre or hallucinations include voice(s) B. social/occupation dysfunction C. duration: continuous signs for ≥6 months D. R/O schizoaffective disorder and mood disorder with psychotic features E. R/O substance abuse and general medical conditions F. delusions or hallucinations for ≥1 month if pre-existing autistic or pervasive developmental disorder |
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What is schizoaffective disorder?
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mental disorder characterized by mood symptoms (depression or mania) occuring during the course of a chronic psychotic disorder
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What is the DSM-IV criteria for schizoaffective disorder?
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Criteria A for schizophrenia
B. psychotic symptoms for 2 weeks in absence of mood symptoms |
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What is the duration required for diagnosis of brief reactive pyschosis, schizophreniform disorder, and schizophrenia?
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brief reactive psychosis <1 month
schizophreniform disorder 1-<6 months schizophrenia ≥6 months |
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What is sleep hygiene?
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sleep practices necessary to have normal quality nighttime sleep and daytime alertness
1. go to sleep and wake up same time everyday 2. sleep appropriate amount of hours 3. avoid napping 4. avoid meals close to bedtime 4. avoid stimulants close to bedtime (chocolate, caffeine, cigarettes, alcohol) 5. exercise 6. get adequate exposure to natural light 7. establish a relaxing bedtime routine and sleep in a bed in a comfortable environment |
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How is alcohol both cause sleepiness and wakefulness?
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alcohol speeds up onset of sleep but causes alertness when it begins to be metabolized during 2nd half of sleep
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What are the CAGE questions.
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1. Have you ever felt you should CUT down on your drinking?
2. Have you felt annoyed when people criticize your drinking? 3. Have you ever felt GUILTY about your drinking? 4. Have you ever had a drink in the morning to steady your nerves or relieve a hangover? |
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What is BUP?
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buprenorphine (AKA suboxone); semi-synthetic opioid; used to treat opioid addiction or provide pain relief
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