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116 Cards in this Set
- Front
- Back
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the process of modifying one's behavior in changed circumstances or an altered environment in order to fulfill psych, physio and social needs
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adjustment
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adjustment disorders are categorized... these 5 categories are...
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adjustment disorder with ...
anxiety depressed mood disturbance of conduct mixed disturbance of emotions and conduct unspecified |
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the urge or inclination to act without consideration to the possible consequences of one's behavior
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impulsive
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essential features of impulse control are... 3
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1. failure to resist an impulse that is harmful to others
2. an increased sense of tension before committing the act 3. an experience of pleasure in committing the act, followed by regret or guilt. |
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types of impulse control disorders
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Intermittend explosive disorder
Kleptomania Pathological Gambling Pyromania Trichotillomania |
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failure to resist aggressive impulses resulting in serious assaultive acts or destruction of property
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Intermittent explosive disorder
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clients with IED have what histories in childhood?
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learning disabilities
hyperkinesis accident-prone |
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parents of children with IED
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assaultive parental figures
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the recurrent failure to resist stealing items that might not even be needed
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kleptomania
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brain imaging studies of kleptomaniacs reveal....
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cortical atrophy in frontal lobe
lateral ventricle enlargement |
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why do kleptos steal?
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"as a response to some personal crisis - unfair, personally devastating loss, or illness/death of a loved one"
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a recurrent maladaptive gambling behavior
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Pathological Gambling
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winning among gamblers brings feelings of ...
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special status
power omnipotence |
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may be predisposing factors to gambling
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loss of a parent
separation/divorce desertion of parent inappropriate parental discipline exposure to gambling family emphasis on material symbols lack of family emphasis on saving, planning and budgeting |
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inability to resist impulse to set fires
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pyromania
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primary motivation for pyromania
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self-gratification
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trichotillomania children most likely had...
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hx of child abuse
emotional neglect |
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most common treatment for adjustment disorder
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individual psychotherapy
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more useful treatment for IED
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group therapy
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common drug for kleptomania
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naltrexone
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why is treatment to pyromania difficult?
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lack of motivation to change
denial of problems |
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treatment modalities to trich?
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covert desensitization
habit-reversal practices |
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common med to treat trich?
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pimozide with SSRIs
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two types of stressors that predispose individuals to adjustment and impulse disorders
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sudden-shock
continuous |
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Deficits in general intellectual functioning and adaptive functioning
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mental retardation
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5 major predisposing factors of mental retardation
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hereditary factors
early alterations in embryonic development pregnancy and perinatal factors General Medical Conditions Environmental Influences |
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degree of severity of mental retardation is identified by client's _______
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IQ level
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four levels of mental retardation
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mild
moderate severe profound |
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no capacity for independent functioning
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profound mental retardation
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can perform some activities independently . requires supervision
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moderate mental retardation
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may be trained in elementary hygiene skills
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severe mental retardation
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Capable of independent living with assistance in times of stress
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Mild mental retardation
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is characterized by a withdrawal of the child into self and into a fantasy world of his own creation
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autistic disorder
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a group of disorders that are characterized by impairment in several areas of development
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pervasive developmental disorders
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activities are restricted and somewhat bizarre
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autism
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common age for autism onset
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prior to age 3
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area of the brain commonly affected by autism
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amygdala
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perinatal influences to autism
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asthma
allergies |
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clinical manifestations of autism
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impairment in social interaction
impairement in communication and imaginative activity restricted activities and interests |
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primary nsg diagnosis on autism
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risk of self mutilation
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excessive psychomotor activity that may be purposeful or aimless, accompanied by physical movements and verbal utterances
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ADHD
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ADHD subtypes
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ADHD, combined type
ADHD , predominantly inattentive type ADHD, predominantly hyperactive-impulsive type |
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at least six symptoms of inattention for at least six months
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ADHD predominantly inattentive type
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at least six symptoms of hyperactivity - impulsivity for at least 6 months
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ADHD Hyperactive Impulsive Type
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the trait of acting without reflection and without thought to the consequences of the behavior
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impulsiveness
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perinatal factors to ADHD
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maternal smoking
fetal alcohol prolonged labor, asphyxia low Apgar score epilepsy |
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possible linked substances to ADHD
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lead
sugar |
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perpetual motion machines
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ADHD kids
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common meds for ADHD
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Dexedrine
Ritalin Cylert Stratteria Wellbutrin Imipramine |
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a disturbance of conduct severe enought to produce significant impairment in functioning: from oppositional defiant to moderate and severe conduct disturbances
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Disruptive Behavior Disorders
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is a repetitive and persistent behavior in which the basic rights of others are violated
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Conduct Disorder
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two subtypes of conduct disorder
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childhood onset < age 10
adolescent onset > age 10 |
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personality characteristics that define an individual's mood and behavioral tendencies
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Temperament
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was found to be the principal cause of peer rejection, thus contributing to a cycle of maladaptive behavior
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aggression
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a pattern of negativistic, defiant, disobedient, hostility towards authority figures
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ODD
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the presence of motor and vocal tics
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Tourette's syndrome
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med's for tourette's syndrome
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haldol
Orap (Pimozide) Catapres (Clonidine) Atypicals |
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excessive anxiety concerning separation from the home or from those to whom the person is attached
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separation anxiety
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effective therapy concepts for disruptive behavior disorders
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classical conditioning &
operative conditioning |
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what works best with psychoeducational groups w/ regards to disruptive behavior disorders?
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it should be close ended
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is the constitution and life of an individual relative to characteristics regarding intimacy
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sexuality
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age when children know what gender they are
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2 or 2.5 yrs.
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age when children engage in heterosexual play
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age 4 or 5
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age when masturbation begins
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15 to 19 months
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age for group masturbation, exhibition and homosexual play
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ages 10 to 12
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sexual activity that hinvolve use of nonhuman objects, sex with suffering or humiliation or nonconsenting partners
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paraphilia
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most paraphiliac acts are ...
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pedophilia
exhibitionism voyeurism |
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paraphiliac behaviors peak at ages ____
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15 to 25
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exposure of genitals to a stranger
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exhibitionism
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sexual urges that involve nonliving objects
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fetishism
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cross dressing is called>>>
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transvestic fetishism
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rubbing and touching against a nonconsenting person
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frotteurism
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sexual urges with a prepubescent child
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pedophilia
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the act of being humiliated, beaten, bound and made to suffer
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masochism
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sexual urges to inflict psychological and physical suffering on a victim
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sadism
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peeping
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voyeurism
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biological factors to paraphilias
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brain abnormalities
abnormal androgen levels |
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psychoanalytic theory to paraphilias
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failure to resolve Oedipal crisis
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biological treatment to paraphilias
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blocking androgens
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behavior therapy to paraphilia
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aversion therapy (noxious stimuli)
covert sensitization and satiation |
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nurse's role in paraphiliac behaviors
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primary prevention
evaluation of developmental components development of adaptive coping strategies |
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sexual response cycle
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desire
excitement orgasm resolution |
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an impairment or disturbance in any of the phases of the sexual response cycle
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sexual dysfunction
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lack of desire for sex
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hypoactive sexual desire disorder
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aversion to sex; fear or disgust in sexual situations
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sexual aversion disorder
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a recurrent inability to attain or to maintain sexual excitement
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female sexual arousal disorder
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sexual arousal disorder on men
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male erectile disorder
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absence of orgasm following a normal sexual excitement phase
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anorgasmia
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pain with sexual intercourse
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dyspareunia
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involuntary constriction of the outer one third of the vagina
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vaginismus
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common cause of male erectile disorder
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arteriosclerosis
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the condition of either being male or female
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gender
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the individual believes he/she is trapped in another gender's body
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transsexualism
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primary nsg responsiblity of the nurse regarding STDs
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education/prevention measures
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prolonged loss of appetite
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anorexia
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a subjective concept of one's physical appearance based on the personal perceptions of self and the reactions of others
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Body Image
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common age for anorexia
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12 to 30 years
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excess, insatiable appetite
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bulimia
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BMI of 30 or greater
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Obesity
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BMI of 40 or greater
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morbid obesity
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compulsive behaviors such as hand washing may also be present
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anorexia
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self induced vomiting
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purging
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bulimics usually have a body type that is _____
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normal
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elevated CSF cortisol levels and impairment in dopaminergic regulation
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anorexia
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a passive father, domineering mother, an overly dependent child =
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anorexia
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immediate aim of treatment in eating disorders
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to restore the client's nutritional status
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not the therapy of choice for eating disorders
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Individual psychotherapy
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meds for eating disorders
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prozac
clomipramine chlorpromazine olanzapine |
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effective dosage for promoting weight loss (fluoxetine)
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60 mg/day
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med for obesity
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Meridia (sibutramine)
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________ is thought to involve: unmet dependency needs and a way to gain attention
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The Binging Episode
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psychoanalytically, the theory of obesity relates to the individual's unconscoius equation of food with:
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Nurturance and caring
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suppression of appetite via amphetamine use leads to what common side effect?
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Tolerance
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most common cause of obesity from a physiological point of view
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more calories consumed than expended
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what is the most appropriate response by the psych nurse to an anorexic patient who refuses to eat?
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If you continue to refuse to take food, you will be fed through a NG tube
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common med for anorexia
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Prozac
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