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