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27 Cards in this Set
- Front
- Back
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Axis I
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Psychiatric clinical disorder/ substance abuse
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Axis II
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Personality disorder/ mental retardation
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Axis III
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General medical conditions
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Axis IV
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Psychosocial/ environmental problems.
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Axis V
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global assessment of functioning (GAP, 91-100 = superior functioning)
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Axis V
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fabricating or exaggerating the symptoms of mental or physical disorders for a variety of "secondary gain" motives
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Beneficence
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View that all treatments must be for the patient’s good [Producing only good]
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Nonmaleficence
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Above all, care providers must do no harm [No harm]
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Psychosis
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Lose rational thought & the ability to accurately interpret environment
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What schizophrenia is not?
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Lose rational thought & the ability to accurately interpret environment
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Referential delusions
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Lose rational thought & the ability to accurately interpret environment
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Somatic
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Have a terrible illness
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Confabulation –
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The nurse asks Harry what he did for the weekend. “Well, I just came back form California after signing a contract with MGM for a film on the life of Roosevelt. We had the most marvelous tour of the studio… went to lunch with the director…”
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Clang Association –
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“Now about space… Now the Hubble, nubble, bubble, trouble…”
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Concrete Thinking –
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childhood thinking; taking what is said literally
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Echolalia/Echopraxia, Disordered thoughts and Disorganized/Catatonic behavior are examples of what?
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Positive symptoms of schizophrenia.
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Alogia, avolition, anhedonia, anergia, rocking, regression, inability to meet basic needs are examples of what?
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Negative symptoms of schizophrenia.
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Schizophrenia if 2 or more of the positive symptoms or negative symptoms for how long?
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1 month and persist for 6 months (less than 6 mo. could mean schizophreniform esp. if occupation/social is not affected)
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Positive and/or Negative symptoms of Schizophrenia concurrent with a Mood Dx
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Schizoaffective
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Sudden fever, rigidity, tachycardia, HTN, decreased LOC
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Neuroleptic Malignant Syndrome
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Pseudoparkinsons
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Side effect of neuroleptic.
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Schizophrenia if 2 or more of the positive symptoms or negative symptoms for how long?
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First generations
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Antipsychotics teaching?
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avoid antihypertensives and alcohol. Do not stop taking. Takes 4-6 weeks.
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Purpose of anticholinergics?
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Decrease S/E from antipsychotics. Cause decreased GI motility and tachycardia.
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Emergency Hospitalization
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Power of states to detain a person in an emergency situation from further evaluation or until a court hearing. Used only when person harmful to self or others
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Civil Commitment
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Longer period of commitment after 48-72 hours elapsed
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Antitubucular
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Give B6. Report numbness or tingling. Don't give with tyramine: aged cheese, wine, fish, chocolate, avocado, banana.
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