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45 Cards in this Set
- Front
- Back
- 3rd side (hint)
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How old are adolescents?
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11-24 yrs old in US
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What is adolescence?
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Period of transition with major physical cognitive, and psychosocial changes
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Why must we study adolescents?
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They are 20% of population but commit 80% of major crimes and have major mental issues
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What are the leading causes of deaths in adolescents?
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ASHes ASHes we all fall down:
Accidents Suicides Homicides |
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What are the 4 tasks of adolescent development?
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Biological/sexual growth, personal ID, sexual relationship development, independence
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What are the stages of development categorized by?
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Changes in:
Cognition Physical Emotional Social Behaviora CPESB |
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What ages are early, middle, and late development for girls and boys adolescences?
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GIRLS: 11-13, 14-16, 17+
BOYS: 13-15, 16-17, 18+ |
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What stage of adolescent development:
concern w body image |
early
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What stage of adolescent development:
increased sexual interest |
middle
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What stage of adolescent development:
capacity for realistic risk assessment |
late
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What happens to initiate puberty?
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1 yr before visible changes, hypothalamus becomes un-inhibited
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What are tanner's stages of puberty?
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1-5 how far you are in pubes
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What regulates sexual behavior?
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Not hormones but culture; hormonal changes are over before most "adolescent behavior" occurs.
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What does J. Money say?
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sexual id occurs before age 3 (homo or hetero or BI!)
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What stage of Piaget is formal-operational?
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12 and up; more insight and forsee problems
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What stressor most contributes to early menses? How does this evolutionarily make sense?
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dad MIA;
The more stress, the more need you have to make sure you pass on genes. |
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Most common STD in girls?
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HPV
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What phase of adolescence does an eating disorder not allow to develop?
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Independence and autonomy
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What is Ferberizing?
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put kid into crib and slowly extend time of crying
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how do you get a kid to sleep?
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enforce bed time and ritual
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Best treatment for somnambulism?
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hypnotics
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What does adolescent insomnia mean?
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either anxiety/depression or wrong timing of circadian rhythm with delayed sleep phase syndrome
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What controls sleep cycle?
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suprachiasmatic nucleus
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What is cataplexy and what does it indicate?
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Sudden loss of muscle tone in response to emotion, sensory afferent stimulus INDICATIVE OF NARCOLEPSY!
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What is the treatment for narcoleptics?
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naps, stimulants, Xyrem which is date rape drug
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What are symptoms of intermittent severe EDS?
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recurrent hypersomnia, hyperphagia and hypersexuality
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What tests for worst sleepiness?
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multiple sleep latency test - full rest then see how long it takes for you to fall asleep
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Whats the most prevalent sleep disorder?
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insomnia
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What are the 3 P's of the Spielman model?
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predisposing factors, precipitating, perpetuating factors
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factors of insomnia
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What must you remember when diagnosing someone with insomnia and depression?
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Depression might have come before insomnia - pt insists that insomnia came first because of stigma
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What are signs of adjustment insomnia?
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Acute onset, less than 3 mo in duration (like when I moved); this type of insomnia has highest prevalence
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What kind of insomnia does someone who sleep better in another environment?
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psychophysiological insomnia ; conditioned learned insomnia, more common in women
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What is paradoxical insomnia
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people who report little or no sleep but their polysomnograph says otherwise
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Whats idiopathic insomnia?
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lifelong insomnia from birth
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What is comorbid insomnia treatment?
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treating the disease that causes insomnia secondarily like COPY, depression, anxiety
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What is the difference between obstructive sleep and central sleep apnea?
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Obstructive sleep apnea is airway resistance while sleeping; central is episodic cessation of respiration!
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What are the main causes of obstructive sleep apnea below and above age 7?
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below: tonsillar/adenoid hypertrophy; above 7 is obesity esp with necks over 16" or 17" in males
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How is hypopnea clinically defined?
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a reduction in airflow with 4% drop in O2 saturation
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What might restless leg syndrome be secondary to?
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preggers, anemia, NEUROPATHY
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What is PLMD?
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periodic limb movement disorder; muscle twitches whilst alseep that cause arousal
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How is RLS or PLMD treated?
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iron supplement or anticonvulsants; NO ANTIDEPRESSANTS
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What is REM sleep behavior disorder?
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failure of REM atonia so your muscles move as in your dream
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What does REM sleep behavior precede?
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parkinsons by about 10 years
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What is the treatment for REM sleep behavior disorder?
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hypnotics and avoiding alcohol (REM rebound as in post drinking)
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What is circadian rhythm sleep disorder?
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sleep really early and wake up early typically secondary to depression, bad sleep hygiene
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