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