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48 Cards in this Set

  • Front
  • Back

Severity of intellectual disability levels






chap. 13

-Mild


-majority of ppl w/ this condition


-social comm. skills, little impairment in motor activities


-immature social interactions


-misperceive social cues


-Moderate


-10% of ppl w/ this disability


-impairments in sensorimotor development


-can care for themselves but need reminders


-Severe


-3.5% of pop


-poor motor development. minimal speech, often physical deformities


-remain dependent on others for problem solving and hygiene care, require assistance at all times


-Profound


-extreme deficits in both intellectual and sensorimotor functions

IQ Tests & levels of functioning






chap.13

-between 70 and 85 is considered borderline intellectual functioning


-scores fall between two deviations of 70 and 130


-scores of 65-75 who also show impairment in adaptive functioning meet criteria for intellectual disability


Down syndrome






chap.13

-a condition associated w/ mental retardation caused by trisomy of chromosome 21


-intellectual impairment along w/ physical anomalies: almond shaped eyes, flat nasal bridge, etc.


-three number 21 chromosomes

Recessive gene disorders






chap.13

-Phenylketonuria (PKU)


- rare single-gene recessive metabolic disorder that results in intellectual disability


-Fragile X syndrome


-condition in which the tip of the X chromosome is at risk of separation

FAS




chap.13

-Fetal alcohol syndrome


-mother's drinking during pregnancy causes birth defects

Mainstreaming




chap.13

-an effort to keep a disabled child around normal peers as much as possible

Learning disorder definition




chap.13

-specific learning disorders combine the DSM IV diagnoses of reading disorder, mathematics disorder, disorder of written expression, and learning disorder not otherwise specified.

Stereotypic movement disorder




chap.13

-Motor behavior that is nonfunctional and repetitive


-body rocking, handwaving, head banging (some movements can cause serious physical damage)

Tourette's disorder




chap.13

-multiple motor and vocal tics persist for at least a year


-symptoms must start before age 18


-occur many times a day


-cannot be attributable to a general medical condition or substance


-comorbid w/ ADHD

Autism spectrum disorder




chap.13

-DSM 5's decision to combine 4 developmental disorders into a single spectrum


-include autistic disorder, Asperger's, childhood disintegrative, pervasive developmental disorder


-problems in social interactions, communication, or play

ADHD




chap.13

-symptoms must cause impairment before age 12


-must be present in 2 diff. settings and must interfere w/ occupational, academic, or social settings


-symptoms include inattention, being forgetful,lack of attention to detail, poor school grades


-more common in males


-comorbid w/ learning disorders, oppositional defiant disorder, conduct disorder


-treatment includes medication, behavior therapy,

Anorexia nervosa




chap.14

-first named in 19th cent. by William Gull who reported a girl who almost starved herself to death


-involves three main features:


1.) restricted calorie intake insufficient to maintain normal body weight


2.) intense fear of gaining weight


3.) disturbance in the perception of body size


-two types of eating patterns:


1.) restricting type: individual diets, fasts, or exercises excessively


2.) binge eating/purging: individual consumes food in large quantities, compensates w/ induced vomiting or misuse of laxatives


-medications rarely used for treatment


-unknown cause


-biological and cultural influences

Bulimia nervosa




chap.14

-involves lack of control when eating large quantities and consuming large quantities of food often


-compensation for binge eating involves fasting, excessive exercise, etc.


-fear of gaining weight


-more common than anorexia


-causes stem from child abuse/sexual abuse


-treatment can include antidepressant med, therapy, CBT

Binge eating




chap.14

-eating much larger amounts of food than normal w/in a given time

Avoidant/restrictive food disorder




chap.14

-Do not eat enough food to meet energy or nutritional needs


-significant weight loss, nutritional deficiency, dependence on supplemental feeding, marked interference in normal functioning


-cannot be assoc. w/ lack of available food, gastrointestinal disorders, or other gen medical condition

Pica




chap.14

-involves persistent eating of non-nutritive, nonfood substances such as pebbles, soil, plants, cloth, paint, etc.


-serious medical conditions can develop, such as gastrointestinal problems, infections, etc.


-comorbid w/ intellectual disability

Insomnia




chap.14

-ppl have trouble falling asleep or staying asleep


-causes daytime fatigue


-cannot be due to other medical condition, effects of a substance, or other mental disorder


-must persist 3 months, occur 3x per week


-causes:


-psychological distress


-treatments:


-antidepressants


-regular exercise

Hypersomnolence disorder




chap.14



-excessive sleepiness despite getting at least 7 hrs of sleep during main sleep pd.


-ppl may sleep more than 9 hrs without feeling refreshed


-comorbidity w/ another mental disorder, med. condition, or sleep disorder


-struggle to remain alert; efficiency, concentration, and memory are impaired


-runs in families, causes are not clear


-occurs between ages of 15 and 30, goes between chronic and stable

Obstructive sleep apnea




chap.14

-individual stops breathing, begins to suffocate, wakes up quickly to gasp for breath


-most common form of breathing-related sleep disorders


-repeated obstructions of upper airway, loud snoring


-5 apneas/hour of sleep


-more common in overweight individuals


-ppl w/ large necks (16-17in.) are at greater risk

Restless leg syndrome




chap.14

-2-7% - more in females


-more likely to happen during pregnancy


-increases thru age 60


-persistent urges to move legs, especially during resting to relieve sensations of itching, burning, tingling


-3x/week for 3 mos.

Encopresis




chap.14

-repeated passage of feces by a person over 4 y/o into inappropriate places, such as into clothing or onto floor


-not always involuntary


-must occur for at least 3 mos. and not due to other medical condition or use of laxatives


-often assoc. w/ embarrassment, avoidance of social situations, etc.


-more common among males, 1% of 5 y/o

Enuresis




chap.14

-repeated voiding of urine into beds or clothes, during day or night, in children ages 5 or older


-not due to med. condition and must occur 2x/week for 3 mos.


-nocturnal (night), diurnal (day), or both


-treatment could include the pad and bell method, when someone starts to pee on pad, a bell rings to wake them up out of sleep


-10% 5 y/o, 2.5% 10 y/o, 1% adult

Non-24hr-sleep-wake type of circadian rhythm disorder




chap.14

-sleep phase gradually increases and drifts out of 24 hr alignment so that sleep time moves into daytime hours


-common in blind or visually handicapped ppl

Delirium




chap.15

-rapidly developing change in consciousness and reduced attention


-can involve disorientation, hallucinations, memory impairment,


-changes in emotion such as fear, anger, frustration, etc.


-can occur in all ages


-occur from exposure to toxins


-treatment can include antipsychotic medication

Neglect syndrome




chap.15

-a spatial disorder involving inattention to the left visual field due to damage to the right parietal lobe of the brain

Wernicke' area and Broca's area




chap.15

-Wernicke's area:


-Wernicke's aphasia involves fluent speech that conveys little meaning as well as a profound deficit in speech comprehension


-Broca's area:


- effortful, slow articulation w/ lil info included



Polypharmacy




chap.15

-the simultaneous use of multiple drugs to treat a single ailment or condition

Agnosia




chap.15

-Failure to recognize familiar objects or ppl

Dementia




chap.15

-of the Alzheimer's type


-most common form of dementia


-Alzheimer's accounts for 60% of all dementia cases


-diagnosis of this type is made by exclusion,ruling out other possible causes of dementia - stroke, brain tumor, etc.

Perceptual motor activities




chap.15

-require using the brain and body to accomplish tasks, such as walking on a balance beam while reciting the alphabet

Executive function




chap. 15

-set of mental skills that help you get things done


-skills are controlled by an area of the brain called the frontal lobe


- helps you: Manage time. Pay attention

Alzheimer's disease




chap.15

-leading cause of dementia


-irreversible


-conditions get worse as time goes on, can be slow or get bad rather quickly


-leads to loss of cognitive functioning coupled w/ social impairment


-underlying cause is gradual and deterioration of cholinergic neurons

Alzheimer's disease: brain lesions




chap.15

-brain lesions may help predict alzheimer's disease very early

Alzheimer's disease: typical course

-mild, moderate, and severe parts of the course


-early stage, ppl can usually compensate for dysfunctions that involve difficulties in at least 2 areas, being memory, executive functioning, perceptual motor skills, or language


-as it progresses, more parts of brain are impacted; brain ventricles enlarge, cortex shows signs of atrophy


-brain activity reduces as course continues

Substance abuse amnestic disorder




chap.15

-amnestic disorder is the ability to learn and recall new info is impaired w/put impaired consciousness or cognitive deficits


-symptoms typically preceded by long history of drug/medication abuse


-symptoms depend on substance

Vascular neurocognitive disorder




chap.15

-caused by brain damage from cardiovascular disease


-caused by stroke leading to an area of dead tissue


-symptoms include headache, confusion, memory lapses, etc.


-person usually recovers well after first occurrence, but smaller strokes can follow causing dementia and weakness, etc.


-more common in males than females

Parkinson's disease




chap.15

-second most common progressive dementia


-physical signs include resting motor tremor, slower movement, posture instability


-psychological symptoms include cognitive slowing, memory impairment, etc.

Nurse practitioners




chap.16

-completed training leading to MSN (masters of science in nursing)


-qualified to treat and diagnose mental disorders and may prescribe medication under periodic supervision of MD

Competency




chap.16

-the mental ability to handle one's own legal affairs and to understand and assist in legal proceedings

Jackson vs. Indiana (1972)




chap.16

-intellectually deficient defendant, deaf and mute and unable to read or write, was ruled incompetent and held over for 3.5 yrs on treat until competent


-if he would have been found competent and convicted of robbery (crime originally charged), he would have served 60 days in prison


-court ruled length of pretrial confinement time should be limited

David Berkowitz case




chap.16

-Son of Sam


-charged w/ killing six ppl and wounding seven others


-demons speaking w/ voices of barking dogs told him to do it


-believed he was incompetent to stand trial

Sanity




chap.16

-mental ability to distinguish right from wrong, and to form the intent to commit an act such as a crime

Involuntary commitment




chap.16

-legal process through which an individual who is deemed by a qualified agent to have symptoms of severe mental disorder is court-ordered into treatment in a psychiatric hospital (inpatient) or in the community (outpatient).

Civil commitment




chap.16

-under a state's mental health code allows the state, under certain circumstances, to provide protection and and treatment to unwilling persons


-usually concerns the degree to which the disordered person is dangerous to self and/or others


-involuntary commitment to provide protection for unwilling individuals


-protection of civil liberties

Rights of those involuntarily committed




chap.16

-right to treatment


-right to refuse treatment


-least restrictive environment



Psychologist's ethical principles




chap.16

-confidentiality and privileged communication


-duty to warn:


-if client makes a threat against another person, you have to inform the other person

Tarasoff




chap.16

-student became romantically obsessed w/ a girl, and she denied him many times


-student seen by psychologist, psychiatrist and put on medication


-student mentioned killing Tarasoff to psychologist and they told campus security and they held him for a while bc he seemed rational


-after she returned from vacation, he stabbed her to death

Confidentiality




chap.16

-ethical obligation on part of the therapist not to reveal sensitive information to others