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85 Cards in this Set

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  • Back
The continuum of neurobiological responses range from ________ responses to __________
Adaptive
Maladaptive
Logical thought, accurate perceptions, emotions consistant with experience, apprioriate behaviors, social relatedness
Adaptive responses
Thought disorder/delusions, halucinations, difficulty processing emotions, disorganized behavior, social isolation
Maladaptive Responses
You can or cannot have halluicnations even though you are not sczhorphernic?
Can
Separate identities, split occured between cognitive and emotional aspects of personality
Schizophernia
Eaggerated behaviors
Positive symptoms
Loss of behaviors
negative symptoms
Psychotic disorders of thinking, delusions, hallicinations, disorganization of speech, positive formal thought disorder and bizarre behavior
RESPONSIVE TO ANTIPSYCHOTIC DRUGS
Positive Symptoms`
diminution or loss of normal function, problems of emotion, affective flattening, impaired decision making, alogia, apathy, attention impairment
RESPONSIVE TO ATYPICAL DRUGS
Negative Symptoms
Restricted thought and speech
Alogia
Inability to mentally focus and sustain attention
Attentional Impairment
Attention, memory. execute functions including abstraction, concept formation, problem solving, decision making
Cognitive Symptoms
Dysphoria, suiciality, and hopelessness
Mood Symptoms
Forgetful, problems w/learning, and disorganization
Memory
Once a persons ______is lost, it takes a long time to come back; cannot complete things, but can start and become distracted
Attention
The form and ________ of speech problems include: language, tone, body language, eye contact, distractable speech
Organization
A patient has problems with ______ thinking when they cannot make choices and follows a pathway
Abstract
Genetics, imaging studies, neurotransmitter studies, neurodevelopment and viral theories are all __________ factors.
Pre-disposing
2 other factors may be ________ and sociocultural and environmental causes
Psychological
Sczh. happen in men in their _____ and women between ages ___ to ____
teens to 20's, and 20-30's
A normal brain working together is when everything including (4 choices ) are together
Thought Content
Attention
Problem Solving
Perceptions
Important in response to stress, connections to limbic system
Dopamine
Mediates many brain functions and modulates dopamine
Serotonin
Major excitatory neurotransmittor and if it is firing to fast, you cannot process what is going on
Glutamate
Symptom Triggers are: _______ related to helath, environment, attitudes and behaviors
Stressors
_________ stressor cause interference in brain feedback loop causing inability to properly filter visual and audio information and infomration overload occur
Biological
Coping skills are learned from ______, and sczho. need to be taught effective coping skills due to difficulty internalizing from observation
Parents/Family
Coping mechanisms are self ________
protective
Take larger amount of energy and cause you to be anxious
Regression
Blame things on others
Projection
Difficulty with trust
withdrawl
In denial of problem
Denial
Distortion of normal function; false belief outside of their cultural norm
Delusions
Thought disorder, disorganizied speec, bizarre behavior and inappropriate affect are all _______ symptoms
Positive
All A's are negative symptoms
Affect (flattening)
Alogia
apathy
anhedonia
attention deficit
Not able to get excited about anything
Anhedonia
Aquired and happens in more than one span of your life; ex: Alzhemiers
Dementia
Acute, comes on rapidly
Delirium
_______ is the inability to think straight, no continuity of thought, cannot think straight and are very disorganized
Sczophernia
paranoid, disorganizied, catatonic, undifferentiated and residual types are all DSM IV diagnosis of ______
Schizophrenia
Schizophreniform Disorder
Lasts at least 1 month and no longer than 6 months
Goes along with another illness like bipolar or manic
Schizoaffective Disorder
Non-Bizzare delusion...if you cannot prove things are flase, how can they be false
Delusional Disorder
Becomes chemically induced
Brief Psychotic Disorder
1 person has a delusion and person who has a close relatrion to them sees it too
Shared Psychotic Disorder
Treatment for these disorders include
psychopharmacolgical
Cognitive Behavioral Therapy
These medications treats both + and - side effects; but may cause agramular psychosis
Atypical Antipsychotics
Antipsychotics are also known as major ________
Tranquilizers
These things can interfer with the antipsychotic meds:
Caffeine
Nicotine
Sudafed
Psychophamcology meds are used for _______
EX: Valium, Xanax, Librium, Serax and Ativan
Anxiety
Buspirone (Buspar) and Propranolol (inderal) are ___________ agents
Anti-Anxiety
Treatment for OCD are _____
SSRIS
Pseudoparkinsonism, akinesia, akathisia, dystonia, tardum dyskinesia and oculogyric crisis are all _____________ symptoms affecting cranial nerves
Extrampydramidal
Temor, shuffling gait, drooling and rigity
Pseudoparkinsonism
Muscluar weakness; neurolepic
Akinesia
Continous restlessness and figeting
Akathisia
Involuntary muscle movements, spasms of face, arms legs and neck
Dystonia
Dystonia that is permanent
Tardum Dyskinesia
Uncontrolled rolling back of eyes ****EMERGENCY***
Oculgyric Crisis
Tricyclic antidepressants, SSRI, MAOI's all treat _______
Depression
Amyltriptiline (Elavil and Nortiptyline (Pamelor) are all ___________ antidepressants
Tricyclic
Fluxitine (Prozac) and Sertraline (Zoloft) are _____ and cause decreased sleep
SSRI's
The main MAOI's is _______ which interacts with everything....wine, nuts, other meds
Phenylzine (Nardil)
If a person has trouble sleeping you give them _________
Trazadone (Desyrel)
To treat bipolar disorders, you give ____ _____ drugs
Mood stabilizing drugs
Lithium, Tegretol (carbamezepine), depakote (valproic acid), Lamictal (lamitriginie), Neurontin (gabapentin) and Topamax (topriamate) are all ex of what drugs
Mood Stabilizing Drugs
An example of a Benzodiazapines is ________; which is habit forming, and also is a sedative
Zolpidem (Ambien)
You can give a pt _________ if they cannot sleep
Antihysitimes
Diphenhydramine (Bendryl)
An ex: of a barbiturate is _______ which is a sedative also
Secobarbital (Seconal)
ECT is given for _________ not responsive to medication
Depression
SSRI's are given for ______ disorders and OCD
Panic
Anticholinergics are for treatment of _______
ex: benztropine (Cogentin)
EPS
Ex: of __________ drugs
Disulfiram (Antabuse)
Naltrexone (ReVia)
Methadone
Clondine
Buprenorphine
Abstinence Drugs
If you drink while taking ________ you will get extremely sick and or die
Antabuse
Revia treatment for ____ withdrawl
Opium
This medication prevents symptoms of withdrawals and also treats hypertension
Clonidine
This med prevents withdrawal symptoms without an addiction compenent
Subutex
Constipation, dry mouth, urinary retention, orthostatic hypotension and tachycardia are all ________ effects to medications
Anti-cholinergic
3 phases of nursing assessment are the:
Acute phase
Maintance
Stable
During the _______ phases, hallicuniations, deulsions, apathy and withdrawal happen
Acute
Decrease in symptoms happen at this phase
Maintance
During this phase remission happens
Stable
planning for rehab to recovery includes:
Achieving Some ________, encouraging self-care, and if hospitlized, plan for discharge
Independence
Some nursing interventions would be:
Safety
Establish Trust
Support
Manage delusions and hallucinations
Distractions
During the ______ phase, we assess how the pt is doing, assess medication effectiveness and side effects, supports systems, social interactions, self-care, and independence
Evaluation