Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
21 Cards in this Set
- Front
- Back
|
Psych induced loss of memory/consciousness/identity/perception of env. where consciousness is not fully integrated |
Dissociation |
|
|
What past experience and medication are most strongly linked to dissociation? |
Childhood trauma & Benzo's |
|
|
Dissociation in general is mos common in ____. DID and Amnesia are more common in _____. Fugue is more common in _____. |
kids females males |
|
|
Inability to recall important autobiographical info where the pt is aware of the memory loss but indifferent. Usually last a few days and resolve on their own. |
Dissociative Amnesia |
|
|
What defense mechanisms are utilized in dissociative disorders? |
Repression, Denial, Dissociation |
|
|
Amnesia and purposeful travel/wandering that lasts day-months where individuals become agitated when you ask them about their personal history |
Dissociative Fugue |
|
|
What are Dissociative Identity Disorder (DID) pts at a particular risk of? |
depression and suicide |
|
|
What is the treatment approach to Dissociative Identity Disorder (DID)? |
Extended psychotherapy where you attempt to 1) integrate alters, 2) seek harmony b/w alters, 3) focus on adaption, 4) trx other symptoms |
|
|
A pt feigning DID to maintain the sick role has _____. A pt feigning DID for secondary gain or avoid responsibilities has _____. |
Factitious D/O Malingering |
|
|
Episodes lasting hrs-wks of out-of-body experiences and/or dettachment from one's surroundings with reality still intact |
Depersonalization/Derealization D/O |
|
|
What is best predictor of violence? What is the best behavior predictor? |
history of violence motor control (ie pacing) |
|
|
What 4 PD most commonly present w/ violence? |
Antisocial, Borderline, Paranoid, Narcissitic |
|
|
What 5 psych conditions are most at risk for violence? |
Bipolar, Dementia, Psychosis, Intermittant Explosive D/O, ODD/Conduct D/O |
|
|
What are the requirements for the use of physical restraints or seclusion? |
emergency use only when all else has failed, Dr must order, 1:1 staffing, document time limits and ongoing need |
|
|
What are the requirements for the use of chemical restraints to control unruly pts? |
You can NOT use chem restraints!! - can only be used to trx symptoms |
|
|
Legal defense for insanity = pt did not know the nature or quality of the act they committed and thus did not know that it was wrong |
M'Naughten Rule |
|
|
Added to the "irresistible impulse" clause to insanity defense |
American Law Institute |
|
|
Dr. has a duty to warn and protect 3rd parties that their pt has threatened regardless of HIPPA |
Tarasoff Rulings |
|
|
allows state to intervene and care for pts |
Parens Patriae |
|
|
involuntary hold on pt until the police arrives. Must be evaluated by mental health professional w/in 36 hrs |
Emergency Protective Custody |
|
|
ability to commit pt if they are a danger to themselves/others/gravely disabled that must be renewed every 180 days |
Civil Commitment |
