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77 Cards in this Set
- Front
- Back
objective data in mental health the mental status exam is considered _____________ data; includes mood
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affect
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GAF an assessment of present and past year functioning; rates the client's level of functioning in the areas of work performance
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social abilities
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stress a state produced by a change in the environment that is perceived as challenging
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threatening
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anxiety a feeling of apprehension
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uneasiness
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healthy defense mechanisms altruism
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sublimation
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intermediate defense mechanisms repression
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displacement
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immature defense mechanisms passive aggression
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acting out behaviors
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moderate anxiety slightly reduced perception and processing of information occurs and selective inattention may occur; ability to think clearly is hampered but learning and problem solving may still occur; concentration difficulties
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tiredness
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severe anxiety perceptual field is greatly reduced with distorted perceptions; learning and problem solving are not possible; confusion
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feeling of impending doom
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panic level anxiety characterized by markedly disturbed behavior; client is not able to process what is occurring in the environment and may lose touch with reality; extreme fright and horror; dysfunction in speech
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inability to sleep
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modeling therapist or others serve as role models for the client
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who learns improved behavior by imitation; used to improve interpersonal skills
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physical exercies causes release of endorphins that lowers anxiety
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promotes relaxation
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uses for ECT severe depression
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certain types of schizophrenia
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Serotonin syndrome mental confusion
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agitation
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anticholinergic effects dry mouth
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blurred vision
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hypertensive crisis severe hypertension as a result of intensive vasoconstriction and stimulation of the heart that results in headache
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nausea
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tyramine rich foods ripe avocados or figs
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fermented or smoke meats
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positive symptoms symptoms of schizophrenia that are related to behavior
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thought
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negative symptoms symptoms of schizophrenia that include blunted or flat affect
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poverty of thought or speech
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Neuroleptic malignant syndrome an uncommon effect that is potentially fatal when it occurs; sudden high-grade fever
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blood pressure fluctuations
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Panic disorder client experiences recurrent panic attacks that typically last 15 to 30 minutes; patient may experience palpitations
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SOB
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social phobia client has a fear of embarrassment
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is unable to perform in front of others
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specific phobias client has a fear of specific objects such as spiders
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snakes
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Generalized anxiety disorder (GAD) more than 6 months of uncontrollable excessive worry that causes significant impairment in one or more areas of functioning; the patient may experience fatigue
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restlessness
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acute stress disorder exposure to a traumatic event causes numbing
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detachment
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Post traumatic stress disorder (PTSD) exposure to a traumatic event causes intense fear
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horror
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Conversion disorder a sudden loss of neurological function
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usually at a time of severe stress
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pain disorder disorder in which pain in one or more anatomic sites is exclusively or predominantly caused by psychological factors
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is the main focus of the client's attention
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Body dysmorphic disorder preoccupation with a defect in appearance causing significant distress or interfering with social
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occupational
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dissociative disorders a failure to integrate one's memories
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perceptions
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Dissociative amnesia an inability to recall important personal information
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usually of a traumatic or stressful nature
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Dissociative fugue amnesia in which the inability to recall some of all of one's past
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along with loss of one's identity or the formation of a new identity
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Personality disorders an enduring pattern of inner experience and behavior that deviates markedly from the expectation of one's culture; is pervasive
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maladaptive and inflexible; has an onset in adolescent or early adulthood; is stable over time; leads to distress or impairment
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Cluster A described as odd or eccentric; such as paranoid
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schizoid
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Cluster B described as dramatic
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emotional
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Cluster C described as anxious or fearful traits
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insecurity and inadequacy; avoidant
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Paranoid personality characterized by distrust and suspiciousness toward others based on unfounded beliefs that others want to harm
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exploit
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Schizoid personality characterized by emotional detachment
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disinterest in close relationships
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Schizotypal personality characterized by odd beliefs leading to interpersonal difficulties
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an eccentric appearance
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Antisocial personality characterized by disregard for others with exploitation
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repeated unlawful actions
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Borderline personality characterized by instability of affect
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identity
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histrionic personality characterized by emotional attention seeking behavior
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in which the person needs to be the center of attention; often seductive and flirtatious
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Narcissistic personality characterized by arrogance
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grandiose views of self-importance
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avoidant personality characterized by social inhibition and avoidance of all situations that require interpersonal contact
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despite wanting close relationships
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Anorexia nervosa characterized by preoccupation with food and the rituals of eating
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along with a voluntary refusal to eat; a morbid fear of obesity and a refusal to maintain minimally normal body weight in the absence of a physical cause
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Major depressive disorder single episode or recurrent episodes of unipolar depression resulting in a significant change in the client's normal functioning accompanied by at least five specific symptoms; symptoms include depressed mood
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difficulty sleeping or excessive sleeping
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postpartum depression begins within 4 weeks of childbirth and may include delusions
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putting the newborn infant at high risk of being harmed by the mother
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manic symptoms euphoria
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agitation
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depressive symptoms flat
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blunted and labile affect
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schizophrenia group of psychotic disorders that affect thinking
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behavior
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psychosis refers to the presence of hallucinations
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delusions
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paranoid schizophrenia characterized by suspicion towards others; patients experience hallucinations
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other self directed violence may occur
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disorganized schizophrenia characterized by withdrawal from society and very inappropriate behaviors
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such as poor hygiene or muttering constantly to oneself
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catatonic schizophrenia characterized by abnormal motor movements; there are two stages withdrawn stage (psychomotor retardation
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waxy flexibility
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Residual schizophrenia active symptoms are no longer present but the client has two or more of the following symptoms: anergia
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anhedonia
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Schizoaffective disorder client's disorder meets both the criteria for schizophrenia and oen of the affective disorders such as depression
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mania
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ideas of reference misconstrues trivial events and attaches personal significance to them
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such as believing others who are discussing the next meal are talking about him
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cognitive disorders group of conditions characterized by the disruption of thinking
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memory
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delirium rapid onset of impairments in memory
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judgment
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dementia gradual deterioration of function that results in impairments in memory
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judgment
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amnestic disorder there is no personality change or impairment in abstract thinking but clients may have decreased awareness of surrounding
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inability to learn new information despite normal attention
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autism abnormal brain function affecting language
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logic
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asperger's disorder occurs later in childhood
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usually when the child enters school; later onset than autism with less cognitive or language delay; difficulty developing and maintaining peer relationships; restricted areas of interest
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ADHD key symptoms include inattention (difficulty paying attention
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does not appear to listen
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oppositional defiant disorder recurrent pattern of antisocial behaviors such as negativity
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disobedience
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conduct disorder like ODD but is usually directed at any authority figure not just known authority figures; patient has lack of remorse or care for the feelings of others
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bullies
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alcohol withdrawal symptoms abdominal cramping
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nausea
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delirium tremens (DTs) more serious symptoms of alcohol withdrawal that are less common; symptoms include severe disorientation
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psychotic symptoms like hallucination
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nicotine withdrawal symptoms irritability
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craving
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opioids such heroin and morphine; can be injected
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smoked
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opioid withdrawal symptoms sweating and rhinorrhea progressing to piloerection
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tremors
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barbiturate withdrawal symptoms nausea
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anxiety
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benzodiazepine withdrawal symptoms anxiety
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insomnia
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amphetamine withdrawal symptoms craving
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depression
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cocaine withdrawal symptoms depression
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fatigue
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inhalants anesthetics such as nitrous oxide
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volatile nitrates
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psychedelics LSD
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peyote
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