Mod#4 Key Terms

Front 1

Nurses who work in this specialty provide holistic psychiatric nursing care on a visiting basis to people needing and qualifying for assistance.

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Psychiatric Home Care Nursing

Front 2

A group that has at least one commonality among its members.

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Aggregate Group

Front 3

The ways in which families and groups in a given environment contribute to, or intensify interactions among people along the mental health-illness continuum.

Back 3

Aggregate Mental Health

Front 4

A person who would coordinate the many functions that address the various needs of clients with mental illness living in the community.

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Case Manager

Front 5

An interdisciplinary model in which professionals collaborate with the client and his or her family to improve and maximize function within the client's normal daily environment. Models focus on strengths, skills, and community supports, rather than diseases. Programs purposely are informal and age- and culture-appropriate. Their focus is empowerment so that people with serious and persistent mental illness (SPMI)become contributing members of the community within a supportive setting.

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Psychosocial Rehabilitation

Front 6

To stop mental disorders from occurring and to reduce identified cases of psychiatric disorders and disabilities within a population.

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Primary Prevention

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Interventions that identify mental health problems early and reduce the duration and prevalence of mental illness. It includes early diagnosis, prompt treatment, and limitation of any disabilities.

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Secondary Prevention

Front 8

The final level of prevention thats focus is rehabilitation and ways to minimize residual effects for people who have encountered mental health problems.

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Tertiary prevention

Front 9

A network of people committed to helping a vulnerable population meet its needs and reach its potentials without unnecessary isolation or exclusion.

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Community Support System

Front 10

A service delivery model that provides comprehensive, locally based treatment to people with SPMI. It is a direct provider of highly indivdualized consumer services. Recipients have access to multidisciplinary, around-the-clock staffing from a psychiatric unit in the comfort of their own homes.

Back 10

Assertive Community Treatment (ACT)

Front 11

These comprehensive spectrums of mental health and other necessary services are organized into coordinated networks.

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Systems of Care

Front 12

Part of a comprehensive continuous healthcare system. It aims to provide an array of health-related services to clients and families in their places of residence, which include residential care facilities, group homes, and private homes.

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Home Care

Front 13

This holds that the multiple causes of violence require multiple solutions addressing each level of the problem. Interventions must include community-based efforts to identify sources, data collection on risk and protective factors within a population, and community-based interventions that reduce risk and enhance protective factors.

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Public Health Approach

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Current or former spouses or nonmarital partners (dating or same-sex partners). Violent acts include physical and sexual violence, as well as threats and psychological-emotional abuse.

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Intimate Partner Violence

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Behavior toward another person that is (1) outside the norms of conduct and (2) involves a significant risk of physical or emotional harm.

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Maltreatment

Front 16

Types of Elder Abuse

Intentional infliction of bodily harm.

Back 16

Types of Elder Abuse

Physical Abuse

Hint 16

Types of Elder Abuse

Manifestations
Bruises, burns, lacerations, dislocations, sprains, or fractures.
Frequent visits to emergency departments with unexplained traumatic injuries.
Unreasonable descriptions of how injuries happened.
Depressed, anxious, withdrawn, or confused behavior.
Passivity or anxious behavior to please healthcare providers.

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Types of Elder Abuse

Intended or unintended failure by a caregiver to meet the older adult's basic needs.

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Types of Elder Abuse

Physical neglect

Hint 17

Types of Elder Abuse

Manifestations
Malnourishment, dehydration, poor hygiene, pressure ulcers, contractures, perineal excoriation, fecal impaction, signs of overmedication or undermedication, and untreated health problems.
Reports from clients that caregivers leave them in unsafe situations or that they cannot obtain medical care or medications.
Substandard housing in disrepair with poor housekeeping.
Depression, poor self-esteem, and apathy.

Front 18

Types of Elder Abuse

Sexual activity without consent or the ability to provide consent.

Back 18

Types of Elder Abuse

Sexual abuse

Hint 18

Types of Elder Abuse

Manifestations
Reddened or traumatized genitals, genital pain, sexually transmitted infectioins, bruises, scratches, or abrasions.

Front 19

Types of Elder Abuse

Infliction of mental anguish by yelling, verbally assaulting, or threatenting, humiliating, and intimidating the person.

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Types of Elder Abuse

Psychological abuse

Hint 19

Types of Elder Abuse

Manifestations
Restlessness, insomnia, hand tremors, or worsening in chronic health conditions.

Front 20

Types of Elder Abuse

Failure of the caregiver to meet the older adult's emotional needs.

Back 20

Types of Elder Abuse

Psychological neglect

Hint 20

Types of Elder Abuse

Manifestations
Isolating the elder from contact with other people or not providing a stimulating environment, socially and cognitively.

Front 21

Types of Elder Abuse

Use of, or taking the possessions of, an older adult for personal or monetary gain without consent or through unwarranted power.

Back 21

Types of Elder Abuse

Financial abuse or material exploitation

Hint 21

Types of Elder Abuse

Manifestations
Theft, mismanagement of funds, improper financial advice, or use of the older adult's money for personal benefit.

Front 22

Types of Elder Abuse

Taking unlawful advatage of the older adult's rights.

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Types of Elder Abuse

Violation of personal rights

Hint 22

Types of Elder Abuse

Manifestations
Loss of privacy.
Not being given opportunities to be involved in decision making.

Front 23

Forced or coerced sexual penetration (oral, anal, or vaginal) or a nonconsenting person.

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Rape

Front 24

Forced or coerced sexual acts on a nonconsenting person.

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Sexual Assault

Front 25

Rape of a minor (age varies among states).

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Statuatory rape

Front 26

Refers to sexual expression "characterized by a disturbance in the processes that charcterize the sexual response cycle or by pain associated with sexual intercoarse". In other words, it is a disruption of any of the phases of human sexual response.

Back 26

Sexual dysfunction

Front 27

Persistent or recurrent onset of orgasm and ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the client wishes it.

Back 27

Premature ejaculation

Front 28

Characterized by genital pain associated with sexual intercourse (men or women). Although most common during intercoarse, it also may occur before or after. Intensity of symptoms can range from mild discomfort to sharp pain.

Back 28

Dyspareunia

Front 29

Characterized by recurrent or persistent involuntary spasms of the musculature of the outer third of the vagina that interferes with sexual intercourse.

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Vaginismus

Front 30

Sexual expressions characterized by "recurrent, intense sexually arousing fantasies, sexual urges or behaviors generally involving (1) nonhuman objects, (2) suffering or humiliation of oneself or one's partner, or (3) children or other nonconsenting persons, that occur over a period of at least 6 months"

Back 30

Paraphilias

Front 31

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors that involve exposing his or her gentals to an unsuspecting stranger.
Client has acted on these urges, or they cause marked distress ro interpersonal difficulty.

Back 31

Paraphilias

Exhibitionism

Front 32

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors that involve non-living objects (e.g. shoes).
Client has marked distress or impaired social, occupational, or other functioning because of the fantasies, urges, or behaviors.
The object is not an article of clothing that the client uses in cross-dressing or designed specifically for tactile genital stimulation (e.g. vibrator).

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Paraphilias

Fetishism

Front 33

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors involving touching and rubbing against a nonconsenting person.
Client has acted on these sexual urges, or they cause marked distress or difficulty.

Back 33

Paraphilias

Frotteurism

Front 34

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors involving sexual activity with children (generally age 13 years or younger).
Client has acted on these sexual urges, or they cause maked distress or difficulty.
Client is at least age 16 years and at least 5 years older than the children who are the focus of the fantasies, behaviors, or urges. (The criteria would not apply to a late-adolescent client [eg, 17 years] involved in an ongoing sexual relationship with a 12- or 13-year-old.)

Back 34

Paraphilias

Pedophilia

Front 35

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors involving being made to suffer (eg, being beaten, bound, abused).
Client has marked distress or impaired social, occupational, or other functioning because of the fantasies, urges, or behaviors.

Back 35

Paraphilias

Sexual Masochism

Front 36

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors involving the psychological or physical suffering (including humiliation) of others.
Client has acted on such urges with a nonconsenting person, or the urges cause marked distress or difficulty.

Back 36

Paraphilias

Sexual Sadism

Front 37

Paraphilias

For at least 6 months, client has recurrent, intense sexually arousing fantasies, urges, or behaviors involve watching an unsuspecting person who is naked, disrobing, or engaging in sexual activity.
Client has acted on these sexual urges, or they cause marked distress or difficulty.

Back 37

Paraphilias

Voyeurism

Front 38

Paraphilias

For at least 6 months, a heterosexual man has recurrent, intense sexually arousing fantasies, urges, or behaviors involving cross-dressing.
Client has marked distress or impaired social, occupational, or other functioning because of the fantasies, urges, or behaviors.

Back 38

Paraphilias

Transvestic Fetishism

Front 39

Paraphilias

Obscene phone calls.
Sexual activity with corpses.
Exclusive focus on part of a body.
Sexual activity with animals.
Feces.
Enemas.
Urine.

Back 39

Paraphilias Not Otherwise Specified

Telephone Scatologia
Necrophilia
Partialism
Zoophilia
Coprophilia
Klismaphilia
Urophilia

Front 40

People who identify with and live as if they are of the opposite sex.

Back 40

Transsexuals

Front 41

People who cross-dress for sexual arousal. Not usually having persistent desire for sex reassignment.

Back 41

Transvestites

Front 42

The strong emotional bond that develops between infant and caregiver, providing babies with emotional security.

Back 42

Attachment

Front 43

A comprehensive spectrum of mental health and other necessary services organized into a coordinated network that changes with the needs of children and families.

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Systems of care

Front 44

Characterized by inattention, impulsivity, and hyperactivity.

Back 44

ADHD

Front 45

Marked by clinically or behaviorally significant symptoms within 3 months of the onset of an identifiable stressor.

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Adjustment disorder

Front 46

Characterized by recurrent intrusive thoughts and repetitive behaviors that the client recognizes as senseless but feels must be performed.

Back 46

Obsessive-compulsive disorder (OCD)

Front 47

Morbid, irrational, and persistent fears.

Back 47

Phobias

Front 48

A child or adolescent experiences severe anxiety to the point of panic when apart from a parent or attachment figure.

Back 48

Separation anxiety disorder

Front 49

A mild form of depression, lasts 1 year or more in a child or teen.

Back 49

Dysthymia

Front 50

When dysthymia and major depression occur together.

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Double depression

Front 51

Loss of pleasure in hobbies or activities of interest.

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Anhedonia

Front 52

A sudden repetitive movement, gesture, or utterance.

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Tic

Front 53

The most severe tic disorder characterized by multiple motor tics and one or more vocal tics many times throughout the day for 1 year or more.

Back 53

Tourette syndrome

Front 54

Clients have an irresistible urge to pull out their hair.

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Trichotillomania

Front 55

Psychosocial - Parent management, cognitive-behavioral therapy (CBT)

Pharmacologic - Methylphenidate (MPH)

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ADHD

Front 56

Psychosocial - CBT, stress management, family therapy, group therapy.

Back 56

Adjustment disorders

Front 57

Psychosocial - Nutritional rehabilitation, family psychotherapy, inpatient behavioral programs

Pharmacologic - SSRIs

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Anorexia Nervosa

Front 58

Psychosocial - CBT, modeling, CBT and family component, CBT and group component, systematic desensitization.

Pharmacologic - SSRIs

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Anxiety disorders

Front 59

Goals and strategies are similar to those for bulimia, except clients with this disorder have difficulties associated with being overweight rather than malnourished.

Back 59

Binge eating disorder

Front 60

Some evidence supports use of lithium in the acute phase; there is no current evidence for or against ECT

Back 60

Bipolar disorders

Front 61

Psychosocial - CBT, combined treatments, group therapy.

Pharmacologic - SSRIs

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Bulimia nervosa

Front 62

Psychosocial - CBT, fire safety education.

Back 62

Fire setting

Front 63

Psychosocial - CBT, family systemic therapy, interpersonal therapy, combined treatments, group therapy.

Pharmacologic - SSRIs

Back 63

Major depressive disorder and dysthymia

Front 64

Psychosocial - Individual therapy, family therapy, social skills training, cognitive therapy.

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Mental retardation

Front 65

Psychosocial - Parent training based on living with children, videotape modeling, parent training, multisystem therapy, anger coping therapy, assertiveness training, delinquency prevention program, rational emotive therapy.

Pharmacologic - Stimulants, mood stabilizers

Back 65

Oppositional-defiant and conduct disorders

Front 66

Behavior Interventions - Educational and communication focused interventions, treatment and education of autistic and related communication-handicapped children (TEACCH) approach, natural language methods, picture exchange communication system, behavior intervention.

Pharmacologic - Antipsychotics, psychostimulants

Back 66

Pervasive developmental disorders (autism, Asperger's syndrome)

Front 67

Psychosocial - Psychoeducational therapy for the child and family, family intervention programs.

Pharmacologic - Antipsychotics

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Schizophrenia

Front 68

Psychosocial - CBT, behavior modification, addictions model.

Pharmacologic - SSRIs

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Self-injury

Front 69

Multisystemic therapy
Residential therapy

Back 69

Sex offending

Front 70

Psychosocial - CBT, Group therapy, Behavioral therapies, Skills development, Family therapy, Multisystemic therapy, Individual psychotherapy, Medical detoxification.

Back 70

Substance abuse

Front 71

Psychosocial - Training of emergency professionals for follow-up and treatment.

Pharmacologic - Lithium, Clozapine, SSRIs (co-morbid disorders)

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Suicide prevention

Front 72

Psychosocial - Habit covariance, Habit reversal.

Pharmacologic - Neuroleptics

Back 72

Tourette's syndrome