Mental Health Test 3 Flashcards

Front 1

Haphazard and confused thinking that is manifested in jumbled and illogical speech and reasoning.

Back 1

Associative looseness

Front 2

Thinking that is not bound to reality but reflects the private perceptual world of the individual. Delusions, hallucinations, and neoligisms are examples of this in a person with schizophrenia.

Back 2

Autism

Front 3

Refers to simultaneously holding two opposing emotions, attitudes, ideas, or wishes toward the same person, situation, or object. Normally occurs in all relationships, but in this case it is paralyzing because the person continuously vacillates between opposing positions.

Back 3

Ambivalence

Front 4

Phase of schizophrenia where periods of florid positive symptoms (hallucinations, delusions) as well as negative symptoms (apathy, withdrawal) occur.

Back 4

acute phase

Front 5

phase of schizophrenia when symptoms decrease in severity

Back 5

maintenance phase

Front 6

phase of schizophrenia where symptoms are in remission, though there might be mild persistent symptoms

Back 6

stabilization phase

Front 7

Symptoms include hallucinations, delusions, bizarre behavior, paranoia.

Back 7

positive symptoms

Front 8

False, fixed beliefs that cannot be corrected by reasoning.

Back 8

Delusions

Front 9

Symptoms include flatened affect, alogia, apathy, asociality, and attention deficits

Back 9

negative symptoms

Front 10

Misconstruing trivial events and remarks and giving them personal significance. Belefs that some events have a special meaning.

Back 10

Ideas of Reference (delusion)

Front 11

The false belief that one is being singled out for harm by others; this belief often takes the form of a plot by people in power against the person.

Back 11

Persecution (delusion)

Front 12

The false belief that one is a very powerful and important person

Back 12

grandeur (delusion)

Front 13

The false belief that the body is changing in an unusual way.

Back 13

somatic delusions

Front 14

The false belief that one's mate is unfaithful; may have so-called proof.

Back 14

jealousy (delusion)

Front 15

the belief that one's thoughts can be heard by others

Back 15

thought broadcasting

Front 16

The belief that thoughts of others are being inserted into one's mind

Back 16

thought insertion

Front 17

the belief that thoughts have been removed from one's mind by an outside agency

Back 17

thought withdrawal

Front 18

the belief that one's body or mind is controlled by an outside agency

Back 18

delusion of being controlled

Front 19

an overemphasis on specific details and impairment in the ability to use abstract concepts. Use of literal meaning.

Back 19

concrete thinking

Front 20

words the person makes up that have special meaning to that person. New word made up for psychotic reasons.

Back 20

neoligisms

Front 21

the pathological repeating of another's word by imitation. Often seen in people with catatonia.

Back 21

echolalia

Front 22

the meaningless rhyming of words, often in a forceful manner. Words similar in sound but not in meaning conjur up new thoughts.

Back 22

clang association

Front 23

A jumble of words that is meaningless to the listener and perhaps to the speaker as well. May include neologisms.

Back 23

Word salad

Front 24

sensory perceptions for which no external stimulus exists.

Back 24

hallucinations

Front 25

voices speaking directly to the person that command the person to do something- may command person to hurt self or others

Back 25

command hallucinations

Front 26

A nonspecific feeling that a person has lost his or her identity, that the self is different or unreal. Ex, person may feel like body parts do not belong to them.

Back 26

depersonalization

Front 27

the false perception by a person that the environment has changed. ex. everything seems bigger or smaller

Back 27

derealization

Front 28

excited physical behavior, such as running about, in response to inner and outer stimuli.

Back 28

extreme motor agitation

Front 29

motor patterns that originally had meaning to the person but are now mechanical or lack purpose.

Back 29

stereotyped behaviors

Front 30

the performance by a catatonic client of all simple commands in a robotlike fashion

Back 30

automatic obedience

Front 31

seen in catatonia. Excessive maintenance of posture. Is evidenced by excessive maintenance of posture. Ex: nurse raises client's arm, and client holds this position until nurse lowers it.

Back 31

waxy flexibility

Front 32

a state in which the catatonic client is motionless for long periods and may even appear to be in a coma

Back 32

stupor

Front 33

equivalent to resistance. If active, the client does the opposite of what is told. If passive, the person does not perform activities that are normal- getting out of bed, dressing, eating, etc.

Back 33

negativism

Front 34

SEvere reduction in the expression and range and intensity of affect occurs

Back 34

affective blunting

Front 35

no facial expression of emotion is present

Back 35

flat affect

Front 36

lack of energy: passivity, lack of persistence at work or school

Back 36

anergia

Front 37

inability to experience any pleasure in activities that usually produce pleasurable feelings; result of emotional barrenness

Back 37

anhedonia

Front 38

lack of motivation: inability to initiate tasks, such as social contacts, grooming, and other aspects of ADLs

Back 38

avolition

Front 39

speech that is adequate in amount but conveys little information b/c of vagueness, empty repetitions, or use of stereotypes or obscure phrases

Back 39

poverty of content of speech

Front 40

restriction in the amount of speech- answers range from brief to monosyllabic one-word answers

Back 40

poverty of speech

Front 41

may be signaled when a client stops talking in the middle of a sentence and remains silent. The client may believe "something took my thoughts away"

Back 41

thought blocking

Front 42

Symptoms involves difficulty with attention, memory, and executive functions (ex. decision making and problem solving) and is evident when the client is unable to manage his or her own helath care, hold a job, initiate or maintain social support system, or live alone

Back 42

cognitive symptoms

Front 43

misinterpretation of a sensory input

Back 43

illusions

Front 44

Low potency antipsychotics have ___sedation, ___anticholinergic side effects, and ___EPS

Back 44

high

high

low

Front 45

High potency antipsychotics have ____ sedation, ____ anticholinergic effects, and ____ EPS.

Back 45

low

low

high

Front 46

List some anticholinergic side effects of traditional antipsychotics

Back 46

dry mouth
urinary retention/hesitancy
constipation
blurred vision
photosensitivity
dry eyes
inhibition of ejaculation/ impotence

Front 47

List some extrapyramidal side effects of traditional antipsychotics

Back 47

pseudoparkisonism
acute dystonic reactions
opisthotonos
oculogyric crisis
akathisia
tardive dyskinesia

Front 48

Hypotension (and orthostatic hypotension) and tachycardia are some cardiovascular effects of what kind of antipsychotics?

Back 48

traditional

Front 49

masklike facies, stiff and stooped posture, shuffling gait, drooling, tremor,

Back 49

pseudoparkisonism

*alert med staff. use an anticholinergic agent.

Front 50

acute contractions of tongue, face, neck, and back (tongue and jaw first)

Back 50

acute dystonic reactions

*use benadryl for relief. prevent further reaction with anticholinergent agents.

Front 51

Type of acute dystonic reaction- tetanic heightening of entire body, head and belly up

Back 51

opisthotonos

Front 52

type of acute dystonic reaction- eyes lock upward

Back 52

oculogyric crisis

Front 53

motor innerdriven restlessness (ex tapping foot incessantly, rocking forward and backward in chair, shifting weight from side to side)

Back 53

akathisia

*change antipsychotic agent or give antiparkisonian agent.

Front 54

protruding and rolling tongue, blowing, smacking, licking, spastic facial distortion, smacking movements

Back 54

facial tardive dyskinesia

*no known tx. screen for this q3months

Front 55

rapid, purposeless, and irregular movements of the limbs

Back 55

choreic tardive dyskinesia

Front 56

slow, complex, and serpentine movements of the limbs

Back 56

athetoid tardive dyskinesia

Front 57

neck and shoulder movements, dramatic hip jerks and rocking, twisting pelvic thrusts

Back 57

trunk tardive dyskinesia

Front 58

s/s: sore throat, fever, malaise, mouth sores. Rare toxic effect of traditional antipsychotics.

Back 58

agranulocytosis

*prevent- blood work q week x 6m.

Front 59

rare toxic effect of traditional antipsychotic. rare, reversible and usually benign. s/s: fever, malaise, nausea, abd pain, jaundice.

Back 59

cholestatic jaundice

*d/c drug. bedrest, high protein & carb diet. liver fct tests q6m

Front 60

Somewhat rare, potentially fatal toxic effect of traditional antipsychotic medication. Severe extrapyramidal reactions, hyperpyrexia, and autonomic dysfunction can occur.

Back 60

neuroleptic malignant syndroms

*stop med. give parlodel, dantrium, fluids, electrolytes, heparin.

Front 61

Emotional conflucts and stressors are dealt with by meeting needs of others.

Back 61

altruism

Front 62

an unconscious process of substituting constructive and socially acceptable activity for strong impulses that are not acceptable in their original form. Ex. a man with hostile feelings may play rough contact sports.

Back 62

sublimation (always is constructive)

Front 63

an individual may deal with emotional conflicts by emphasizing hte amusing or ironic aspects through _____

Back 63

humor

Front 64

the conscious denial of a disturbing situation or feeling. Ex. student says "I can't worry about paying my rent until after my exam tomorrow"

Back 64

suppression

Front 65

the exclusion of unpleasant or unwanted experiences, emotions, orideas from conscious awareness

Back 65

repression

Front 66

transfer of emotions associated with a particular person, object, or situation to another person, object, or situation that is nontrheatening. Ex. client criticizes nurs after family fails to visit.

Back 66

displacement

Front 67

unacceptable feelings or behaviors are kept out of awareness by developing opposite behavior or emotion. Ex. a person who harbors hostility toward children becomes a boy scout leader

Back 67

reaction formation

Front 68

transforming anxiety on an unconscious level into a physical symptoms that has no organic cause.

Back 68

somatization

Front 69

makes up for an act or communication (ex giving a gift to undo an argument)

Back 69

undoing

Front 70

consists of justifying illogical or unreasonable ideas, actions, or feelings by developing acceptable explanations that satisfy the teller as well as the listener. Ex. "I didn't get the raise b/c the boss doesn't like me"

Back 70

rationalization

Front 71

Person deals with emotional conflict by indirectely expressing aggression towards others. Expressed through procrastination, failure, inefficiency, passivity, and illnesses that affect others more than oneself.

Back 71

passive aggression

Front 72

an individual deals with emotional conflicts or stressors by actions rather than reflections or feelings. Ex. person may lash out in anger verbally or physically.

Back 72

acting-out behaviors

Front 73

A disruption in the usually integrated functions of the consciousness, memory, identity, or perception of the environment. Ex. To protect herself from unbearable situation, a woman splits off the threatening event from awareness until she could begin to deal with her feelings of devastation.

Back 73

dissociation

Front 74

occurs when emotional conflicts or stressors are dealt with by attributing negative qualities to self or others. Ex. A jealous woman says "she won the award.. those awards don't mean anything anyway, and I wonder what she had to do to be chosen"

Back 74

devaluation

Front 75

emotional conflicts or stressors are dealt with by attributing exaggerated positive qualities to others. Ex. mary met the most "perfect" man. When he failed to live up to expectations, she started saying that he was like all men, a brute.

Back 75

idealization

Front 76

the inability to integrate the positive and negative qualities of oneself or others into a cohesive image. Aspects of the self and of others alternate between opposite poles. Ex. a patient views therapist as "wonderful", but when therapist will not write prescription for valium, pt shouts therapist is "stupid and uncaring"

Back 76

splitting

Front 77

A person unconsciously rejects emotionally unacceptable personal features and attributes them to other people, objects, or situations. "blaming" others.

Back 77

projection

Front 78

involves escaping unpleasant realities by ignoring their existance. Ex. a man believes that physical limitations reflect negatively on one's manhood, so he denies chest pains even though heart attacks run in his family.

Back 78

denial

Front 79

Four-year old boy w/ new baby brother starts sucking his thumb and wanting a bottle

man who loses a promotion starts complaining to others, hands in sloppy work, misses appointments, and comes in late for meetings

Back 79

regression

Front 80

Short man becomes assertively verbal and excels in business

individual drinks alcohol when self-esteem is low to diffuse discomfort temporarily

Back 80

compensation

Front 81

student is unable to take a final examination because of a terrible headache

man becomes blind after seeing his wife flirt with other men

Back 81

conversion

Front 82

five-year-old girl dresses in her mother's shoes and dress and meets her father at the door

young boy thinks a neighborhood pimp with money and drugs is someone to look upto

Back 82

identification

Front 83

after his wife's death, husband has transient complaints of chest pains and difficulty breathing- the symptoms his wife had before she died

young child whose parents were overcritical and belittling grows up thinking she is not any good. she has taken on her parents' evaluation of her as part of her self image

Back 83

introjection