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150 Cards in this Set
- Front
- Back
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A stressor that forces an individual to respond and or adapt in some way
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Crisis
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Situational
Maturational Cultural Community are all types of what? |
Crisis
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An event or situation that causes a challenge to a person is a _______ crisis
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Situational
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Moving into a new state of life: ex; mid-life crisis
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Maturational Crisis
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Moves to another culture and returns to their own culture is a ________ crisis
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Cultural
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Affects whole community is a type of _________ crisis
ex: 9-11, Katrina |
Community
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Threat
Increased Anxiety Escalating Anxiety and Panic are the _____ of a crisis |
Stages
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A crisi is managed with _________ mechanisms
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Coping
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If the crisis is handled in the 1st stadge than it _____ move into the 2nd
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Does not
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In the increased anxiety stage, the level of coping is _______
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Lowered
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Nursing Interventions for Crisis are:
Setting _____ goals Listening Sincerity __________ Acceptance Understanding the subjective experience Assisting client to reconize themes and meaning of crisi event |
Mutual
Unconditional |
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When anxiety is high, you have to be very ______; then wait till the anxiety is lower to use theraputic measures
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Direct
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The person who can up with the predictability of General Adaption Stages including:
Stage Alarm Resisitance Exhaustion |
Ponche Salye
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Stimulus one percieves as harmful or challenging is ______
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Stress
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_______ requires adaptation or adjustment
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Crisis
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These are different responses to stress:
______/______ biological response which is energized and the ____________ state which is the withdrawl state |
Fight or Flight
Conservative |
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These are symptoms of ______:
Emotional Lability Physical Illness Inability to concentrate |
Stress
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Somatizing is when you turn your stress into an __________
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Ailment
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Objective syptoms of anxiety include?
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Increased BP
Dilated pupils Increased pulse |
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Subjective symptoms of anxiety are:
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Difficulty concentrating
irritability Shaking nausea |
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These are _________ patterns to cope with anxiety:
Acting out Paralysis or retreating Somatizing Avoidnance Constructive action |
Behavior Patterns
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What are the stages of anxiety?
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Mild
Moderate Severe Panic |
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Day to Day tension-get adrenling going, could be a good thing, keeps you alert
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Mild Stage
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This stage has greatly reduced perception
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Severe
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This stage has a loss of control and no personality
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Panic
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Excessive anxiety with common daily life experiences:
difficulty controlling things |
General Anxiety Disorder
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S&S od GAD include
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Restlessness and fatigue
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GAD is a _________ disorder and lasts _____ term
***TEST Question*** |
Chronic
Long! |
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Treatment for GAD include:
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Therapy
Medication Relaxation Techniques |
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Nursing Interventions for someone with GAD include:
En-courage patient to ______ stressors Teach that ______ is a normal part of life Teach them Normal _____ mechanisms |
Re-Think
Anxiety Coping |
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Typical medications for GAD inlcude:
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Anti-anxiety
Benziodiapines |
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Most generic forms of Anti-anxiety medications have either ____ or ____ in the name
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AZE
AZ |
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Panic disorder cause _______
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Phobias
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Panic disorders are ____ attacks that are violent and last ____ term
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Acute
Short |
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S&S of panic disorders include:
Hopelessness, SI, despair, pouding _____, chest pains, lightheadness, SOB, flushing |
Heart
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Treatment during a panic attack include
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Remain calm and stay with patient
Short clear sentences Reassurance |
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After attack is when you
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explore cause of attack
Teach S&S of anxiety episodes |
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Medications are panic attacks are
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SSRI
Benziopines |
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The fear of leaving a persons home
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Agoraphobia
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1/3 of people with _____ disorder have agoraphobia
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Panic
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Desensitization is
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Therapy where you expose the person to their fear in baby steps
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You can give people with phovias anxiolytics which are
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Anti-Anxiety meds
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Fear of being in a social setting due to embarrashment
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Social Phobia
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______ phobias are treated with cognitive behavioral therapy, antidepressants, beta-blockers
and anti-anxiety meds |
Social
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Beta-Blockers helps phobias because it calms the ____, lowers BP, and stops physiologival factors
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Pulse
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OCD affects mostly ____
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men
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OCD is
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repitative thoughts that are senseless, but they cannot stop doing it. They know they are senseless thoughts
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OCD is a _____ disorder and affects females between the age of 20-25 and males between 6-15
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Genetic
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Treatment for OCD is _____ therapy, _______ and thought stopping
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Group
SSRI |
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When you get the thought you say "stop" or "get away"
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Thought stopping
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You _______ stop someone in the middle of a compulsion, You always wait till the _____
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Never
End |
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Expourser to trauma or terrifying attack
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PTSD
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PTSD usually occurs ___ months post incident
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3
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S&S of PTSD are
________ (flashbacks, nightmares) _______ (don't talk about, socially withdrawn) __________ (irritable, bad sleeping, guilt) |
Re-experienceing
Avoidance Hyperarousal |
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Treatment for PTSD includes group _____, _________ and cognitive behavioral therapy
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Therapy
Antidepressants |
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Conditions in which there are PHYSICAL SYMPTOMS with NO known organic cause
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Somatoform Disorder
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Somatoform disorders are psychological based and caused by __________ fears
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uncounscious
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To dx a somatiform disorder you have to have ____ out of 35 possible symptoms including:
4 pain symptoms in different parts of the body 2 GI symtpoms 1 reproductive problem (sexual) ! blindness, deafness |
13
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A _________ disorder is when the level of pain is way to much for physical symptom. Occurs more in adolescents
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Pain
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Pre-Occupational body defect that a person has an extraordinary response to.
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Body Dysmorphic Disorder
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They believe the pain disorder and body dysmorphic disorder have a possible ________ componenet and goes along with depression and OCD
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Hormonal
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Conversionof an anxiety into a physical symptom
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Conversion Disorder
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Conversional disorders result of _____ of coping mechanism
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Overuse
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"La Belle Indifference" means
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they don't mind being blind because it reduces anxiety
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Conversion disorder is all ___________ response
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Uncounsises
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People with conversion disorder are _____ faking the illness because there is no organic cause!
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Not
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Pre-occupation with the idea that one is seriously ill and cannot be helped.
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Hypochondriasis
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Treatment for hypochondriasis includes treating the _______________ with hyponosis and relaxtion techniques.
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Symptoms
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You can also treat hypochondriasis with ____ and anti-anxiety meds
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SSRI
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Person intentionally makes up symptoms to get attention
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Munchausens Syndrome
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Munchausen syndrome by proxy is _______ ________ because it is when a caregiver gives a child a disease or illness that is false for attention
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Child abuse
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People with Munchanesens syndrome usually has other mental illnesses or a _____ against the medical position
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Grudge
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Disorder in amount, quality or timing of sleep
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Dysomnia
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abnormal events during sleep
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Parasomnias
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a sleep disorder can be when the 5 stages of sleep are passed in __ to ___ hours
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1-2
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Examples of ____ ______:
Bubble bath, dark room, no tv, warm milk, glass of wine |
Sleep hygeine
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The treatment for narcolepsy is ________
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Stimulants
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Nightmares, sleep terror and sleepwalking all occur mostly in children with ____________
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parasomnias
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Treamtent for sleeping disorders are reassurance, sleep pattern assessment and proper sleep __________
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hygeine
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Eating disorder in which the person experiences hunger but refuses to eat because of a distorted body image
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Anorexia
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15% of people with anorexia die due to _______ imbalance and low potassium valves
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Electrolyte
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S&S of anorexia
Ameroherria @00-400 calories a day weak usually trys to be a perfect student _____________ on belly |
Fine Hair
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People with anorexia see themselves as ________
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Fat
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Eating disorder characterized by uncontrollable binge eating alternating with vomiting or dieting
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Bulima
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Bulimea is ________ to dx than anorexia, because people are of average weight
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Harder
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Electrolyte imbalance
Cardiac Irregularities Edema Dehydration GI problems |
Complications to eating disorders
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A person with an eating disorder needs ___ to ___ nurse-patient relationship
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1-1
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Nursing interventions include:
Monitor calorie intake Weigh _______ Nutrition education Monitor ______ and _______ levels Promote self-concept and coping skills Discourage pt from focusing on food |
Daily
Electrolytes and potassium |
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Care for eating disorders include:
Anti-Depressants and Anxiolytics Therapy- __________ Prioritize Care |
cognitive-behavioral
Group Family Individual! |
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In the case of someone who has an eating disorder...the 1st thing to worry about is their physiological stability, so you always give ___________ first priority
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Nutrition
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a persons mental processes vs. thought, memory & identity break off from the main stream of personality
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Dissociation
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Dissocative disorders are ___________ rather than organic
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Psychogenic
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Inability to recall info as a result of physical or psychological trama
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Psychogenic amnesia
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person takes on a new identity of a new person and travels or takes a trip
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Psychogenic fugue
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perceptions of reality has changed, feels like you are floating or having an out of body experience. HUGE RISK FOR SUICIDE!
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Depersonalization disorder
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2 or more separte alternating disorder. Combines primary personality and alternating personality
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Multiple personality disorder
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These are symptoms of ________:
Weird movements or blinking, different clothing, different ages, speak with different voices, periods of amnesia, disossicatioon, can't remember events, found in weird places |
MPD
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Treatment for MPD include:
______therapy Medications including: SSRI Hypnosis |
Psychotherpay
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In MPD, the primary personality ________ know that the other personalities exist but the alternating personalities are aware of all other perrsonalities
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Does not know
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90% of MPD is cause by _______ at childhood, because another personality develops to deal with it.
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Abuse
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In MPD, each personality serves a coping ________
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purpose
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_______ therapy is good for all ANXIETY disorders
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Group
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The difference between adult OCD and children OCD is that children think what they are doing is ____________, while adults know it is not
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Rational
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Seperation anxiety is ______ in children while social anxiety is where they are intensilly worried about being judged
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Normal
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A set of patterns or traits that hinder a persons ability to maintain significant relationships
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personality disorder
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A social response becomes ___________ when manipulation, impulsivity, and narcissism happen on a regular basis
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Maladaptive
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Trust, Needs are met
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Infancy stage
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seperation and individualization stage
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Preschool age
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Empathy and morality formed
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Childhood age
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same sex friendships
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pre-adolscence age
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heterosexual friendships
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adolescence age
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self-sufficent, adult relationships
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young adulthood
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parent, adult friendships, foster independence in others
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middle adulthood
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increased dependence on others
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late adulthood
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a person with a personality disorder has a continous behavior (not ________) and is very pervasice
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Episodic
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These are a type ____ cluster
Paranoid Schzizoid Schizotypical |
A
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Defensive, suspicous, use projection, don't give or take
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Paranoid
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detached, no joy or sadness, cold and indifferent, and don't enjoy close relationships
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Schzoid
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Interpersonal deficites, perceptions distoreded, difficult feeling understood and accepted "Travel on spaceship"
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Schizotypal
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This cluster is based on overemotional, dramatic erratic and impulsive behavior including
Antisocial Borderline Histrionic Narcisstic |
CLuter B
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Usually grows out of by age 45, lie, exploite, large % prision population, very manipulative and demanding, irresponsible and deviantent
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Antisocial
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Spasmotic, regressive, uncertain, hypersensitive, profound mood shifts,unstable and have intense relationships
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Borderline
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Hysterical, seek attention, superficial, stormy relationships, cannot form deep bonds
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Histronic
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arrogent, no empathy, very seductive, socially exploted "Give an inch, take a mile!"
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Narcissitic
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This cluster is anxious and fearful
Avoidant Dependent Obsessive-Compulsive |
CLuster C
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socially inhibited, w/drawn w/ interpersonal contact, feel inadquite to hold relationship and is hypersensitive
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Avoidant
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low self esteem, dependent on relationship, need someone after break up immediately
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Dependent
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unable to express affection, perfectionisim, superior attiutde
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obessive complusive
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This is the other cateogory including:
_______-agressive and depressive |
Passice
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negative attitude, complain about being unappreciated
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Passive Aggressive
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Gloomy, pessimistic, dysthmic and unhappy
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Depressive
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people with personality disorders have pre-disposing factors:
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Biological
Developmental Sociocultural |
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Maybe inherited biological
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Biological
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Early seperation and or disturbed parental involvement
***ABUSE BY CARETAKER*** |
developmental
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Involuntary social isolation- frequent moving, chronic illness, disfiguring appearence
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Sociocultural
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_________ of family is a sociocultural stressor
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Instability
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These are __________ stressors
idelaization disppointment when unrealistic goals are not met rationalization and devaulation Rejection of other persons |
Psychological
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When you assess a stressor yyou have to evaluate how the patient ____ the stressor, and any family losses
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See
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These are usual ______ mechanisms for people with personality disorders:
Projection Splitting Projective idenification |
Coping
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Project parts of themselves on someone else, usually negative things, see others as objects to be used
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Projective identification
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Medical diagnosis has to have these 2 factors
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Chronic and Long-Standing
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When in the planning stage you have to do constant observation to promote _______
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safety
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Milieu Therapy
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show by modeling what is expected
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To have a __________ relationship you must use these things:
physically present psychological accessiblilty Family involvement Mileu therapy Limit setting and structure Focus on STRENGTHS |
Theraputic
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To correctly use _________ strategies, you must use:
Social skills training Anger management Dialectical behavioral therapy- psych education, mood exercises, cognitive therapy |
Behavioral
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Medications (________) are used to relieve symtpoms (anxiety, mood swings, impulsivity_
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SSRI
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An example of a Atypical Antipsychotic is...
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Clozipine, Aprexa
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An example of a typical antipsychotic is
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Thorazine
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These are _________:
Tricyclics SSRIS MAOI ECT |
Anti-depressant
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These are examples of _____ ____:
Lithium Anti-convulsants |
Mood stabilizers
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