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Mental Health Test I
Schizophrenia, Antipsychotics, Terminology Substance Abuse, EPS, Eating Disorders, Cultural, History
200
Nursing
Undergraduate 4
02/17/2011

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Term
Opposition or resistance, either covert or overt, to outside suggestions or advice. May be seen in schizophrenia.
Definition
Negativistic
Term
Mimicking or imitating the movements of another person.
Definition
Echopraxia
Term
Inability or difficulty in performing a purposeful organized task.
Definition
Apraxia
Term
Speech that is increased in amount, accelerated and difficult or impossible to interrupt. Loud and emphatic. The person talks w/o social stimulation and may continue even though no one is listening.
Definition
Pressured Speech
Term
Word parroting
Definition
Echolalia
Term
Impairment in understanding or transmission of ideas by language in any form (reading, writing, speaking) due to injury or disease of brain centers involved in language.
Definition
Aphasia
Term
A pervasive and sustained emotion that colors the perception of the world.
Definition
Mood
Term
Observable behavior that represents the expression of a subjectively experienced emotion.
Definition
Affect
Term
Inability to experience pleasure
Definition
Anhedonia
Term
Interfered with a person's ability to understand what he or she sees, hears and touches. A person with this has problems knowing how to behave properly and interact with other people.
Definition
Autistic thinking
Term
A sudden obstruction or interruption in spontaneous flow of thinking or speaking, perceived as an absence or deprivation of thought.
Definition
Blocking
Term
Pattern of speech that is indirect and delayed in reaching its goal b/c of excessive or irrelevant detail or parenthetical remarks.
Definition
Circumstantiality
Term
A confused person's tendency to make up a response to a question when he/she cannot remember the answer
Definition
Confabulation
Term
An association disturbance in which a person's thought and speech stray from the original discussion, never return to the central point, and never answer the original question.
Definition
Tangential
Term
Involuntary excessive continuation or repetition of a single response, idea or activity; may apply to speech or movement but most often verbal.
Definition
Perseveration
Term
A conviction that thinking equates with doing.
Definition
Magical thinking
Term
Mixture of words and phrases that lack comprehensive meaning or logical coherence; schizophrenics.
Definition
Word salad
Term
A nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words.
Definition
Flight of ideas
Term
A disturbance of thinking (shown in speech) in which ideas shift from one subject to another. These subjects are unrelated or minimally related.
Definition
Loose associations
Term
A misperception or misinterpretation of a real external stimulus, such as hearing the rustling of leaves as the sound of voices.
Definition
Illusions
Term
Sensory perceptions that occur without external stimulation
Definition
Hallucinations
Term
Recurrent and persistent thought, impulse or image experienced as intrusive and distressing.
Definition
Obsession
Term
Repetitive ritualistic behavior eg handwashing.
Definition
Compulsion
Term
Preoccupation with certain thoughts
Definition
Obsessive rumination
Term
A false belief that is firmly sustained despite what everyone else believes.
Definition
Delusions
Term
A delusion in which the central theme is that one (or someone to whom one is close) is being attacked, harassed, cheated, persecuted or conspired against.
Definition
Delusion of persecution
Term
A delusion of inflated worth, power, knowledge, identity or special relationship to a deity or a famous person.
Definition
Delusion of grandeur
Term
Delusion whose content pertains to the appearance or functioning of one's body
Definition
Somatic delusion
Term
A delusion whose theme is that events, objects or other persons in one's immediate environment have a particular and unusual significance.
Definition
Delusion of reference
Term
Delusion of nonexistence of the self or part of the self, or of some object in external reality
Definition
Nihilistic delusion
Term
Delusion that one's thoughts are being broadcast.
Definition
Thought broadcasting
Term
The delusion that thoughts are being inserted into the mind.
Definition
Thought insertion
Term
Patient's ability to understand his or her illness and measures needed to successfully deal with it.
Definition
Insight
Term
4 Categories of MSE
Definition
General Observation
Sensorium & Intelligence
Thinking & Cognition
Emotional State
Term
Clinical disorders & other conditions that may be a focus of clinical attention
Definition
Axis I
Term
Personality disorders and mental retardation
Definition
Axis II
Term
General medical conditions
Definition
Axis III
Term
Psychosocial and environmental problems
Definition
Axis IV
Term
Global assessment of functioning
Definition
Axis V
Term
FRAMES
Definition
Feedback
Responsibility
Advice
Menu
Empathetic counseling
Self-efficacy
Term
Artist with suspected mental illness that cut off his ear.
Definition
Vincent Van Gogh
Term
A 70s band member that battled and died of anorexia.
Definition
Karen Carpenter
Term
Depressed president
Definition
Abraham Lincoln
Term
CAGE
Definition
Cut down?
Annoyed?
Guilty?
Eye-Opener (Morning beverage)
Term
Thiamine deficiency oculomotor dysfunctions, ataxia & confusion.
Definition
Wernicke's syndrome
Term
Alcohol amnestic disorder, both retrograde and anterograde amnesia w/sparing of intellectual function
Definition
Korsakoff's psychosis
Term
Drug class Rx'd to prevent DTs.
Definition
BDZs (Diazepam, Lorazepam)
Term
Drug Rx'd to reduce seizures in ETOH Detox
Definition
MgSO4
Term
Drug Rx'd for ETOH aversion.
Definition
Disulfiram (Antabuse)
Term
Drug Rx'd to reduce ETOH cravings.
Definition
Naltrexone
Term
Emergency drug used to Tx Opiate OD
Definition
Naloxone
Term
Drug used to Tx addiction
Definition
Methadone
LAAM
Naltrexone
Buprenorphine
Term
All suicide-related behaviors and thoughts of completing or attempting suicide
Definition
Suicidality
Term
Thinking about & planning one's own death
Definition
Suicidal ideation
Term
Voluntary, apparent attempt at suicide in which the aim is not death.
Definition
Parasuicide
Term
Region w/highest rate of suicide
Definition
Mountain regions
Term
What can suicides be disguised as?
Definition
Car accidents & Homicides
Term
Population with highest risk of suicide
Definition
Older, white, male
Term
What is most commonly used for suicide
Definition
Guns
Term
ISPATHWARM?
Definition
Ideation
Substance Abuse
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawal
Anger
Recklessness
Mood change
Term
Gender that more often has chemical dependency, suicide & antisocial personality disorder.
Definition
Males
Term
Gender that more often has affective disorders, anxiety & borderline personality disorder.
Definition
Females
Term
Culture bound (Asian Americans) syndrome characterized by fatigue, weakness, poor concentration, memory loss, irritability, aches & pains; sleep disturbances
Definition
Neurasthenia "Hwa-byung"
Term
Automatic psychological processes protecting the patient from unwanted anxiety.
Definition
Defense Mechanisms
Term
Use of food to avoid intimacy & other fears
Definition
Avoidance
Term
in Anorexia Nervosa this gets stronger as others express more concern about disease.
Definition
Denial
Term
Inability to recognize their feelings
Definition
Isolation of affect
Term
Use of excessive reasoning or logic to deal with situations rather than feeling their emotions
Definition
Intellectualization
Term
Overestimation of the significance of undesirable events.
Definition
Magnification
Term
Believing in the cause effect relationship of noncontingent events (If I eat a sweet it will instantly turn into stomach fat)
Definition
Superstitious thinking
Term
Thinking in extreme or absolute terms.
Definition
Dichotomous or all-or-none thinking
Term
Extracting a rule on the basis of one event and applying it to other dissimilar situations.
Definition
Overgeneralization
Term
Basing a conclusion on isolated details while ignoring contradictory and more important evidence.
Definition
Selective abstraction
Term
Egocentric interpretations of impersonal events or over-interpretation of events related to the self.
Definition
Personalization and self-reference
Term
Present as overwhelmed and overly committed individuals who have difficulty setting limits & establishing boundaries. Social butterflies.
Definition
Bulimia nervosa
Term
Type of bulimia nervosa similar to AN.
Definition
Restricting type
Term
Recurrent episodes of binge eating & compensatory purging type of BN.
Definition
Purging type
Term
Amt of BN episodes required before Dx
Definition
At least 2x/wk for 3 months
Term
Prevalence rate BN
Definition
3-8%
Term
Which ED begins at a later age?
Definition
BN
Term
Drug class Rx'd for eating disorders
Definition
SSRIs
Term
Disorder in which consume large amts of calories during binges but do not try to lose weight.
Definition
Binge Eating disorder
Term
Awake usually 2x/night and consume food, then not hungry in AM & depressed in the evening. Present in 1.5% of pop, 8.3% in overwt., 27% of severely obese. Not binges
Definition
Night eating syndrome
Term
Does schizophrenia occur younger in men or women?
Definition
Men
Term
Name of schizophrenia if <6 months
Definition
Schizophreniform
Term
Schizophrenia + mood Sx
Definition
Schizoaffective
Term
Schizophrenia Dx'd after 45yo
Definition
Late-onset schizophrenia
Term
Short-term memory, the ability to process information and inability to sustain attention are characteristic of what disease?
Definition
Schizophrenia
Term
Common co-morbidiities of schizophrenia. 50% have a medical co-morbidity
Definition
Metabolic Syndrome
Substance Abuse
Depression
Diabetes mellitus
Disordered water balance
Term
Presence of three or more of these factors: abdominal obesity, atherogenic dyslipidemia, triglycerides, hypertension, diabetes mellitus, prothrombonic state, and proinflammatory state are characteristic of what?
Definition
Metabolic Syndrome
Term
How much shorter is a schizophrenics life span? Why?
Definition
25 yrs. Poor medical Tx, Higher rates of CVD.
Term
What types of hallucinations are most common?
Definition
Auditory
Term
Should a patient be left alone when hallucinating?
Definition
No
Term
What substances dramatically decrease the effectiveness of antipsychotic drugs?
Definition
250 mg caffeine & 10-20 cigarettes/day
Term
5 Stages of Relapse (Schizophrenia)
Definition
Overextension
Restricted Consciousness
Disinhibition
Psychotic Disorganization
Psychotic Resolution
Term
Overwhelmed, anxious, distracted stage of relapse
Definition
Overextension
Term
Depressed, bored, apathetic, obsessions, phobias, withdrawal (pt limits external stimulus) phase of relapse
Definition
Restricted Consciousness
Term
Stage of relapse in which hallucinations and delusions start.
Definition
Disinhibition
Term
Stage of relapse where pt. doesn't recognize familiar people & places, loses personal identity, loss of control & may need to be committed.
Definition
Psychotic disorganization
Term
On meds, dazed and compliant stage of relapse.
Definition
Psychotic resolution
Term
IM Depot Antipsychotic drugs that last 2-4 wks.
Definition
Fluphenazine & Haloperidol
Term
Long-acting injectable antipsychotic (2 wks)
Definition
Risperidone
Term
This atypical antipsychotic does not cause weight gain
Definition
ziprasidone (Geodon)
Term
These antipsychotics have sexual side effects
Definition
Typicals & risperidone
Term
Major problems associated with taking Antipsychotics
Definition
Metabolic Syndrome
Neuroleptic Malignant Syndrome
Photosensitivity
Orthostatic HoTN
Term
This antipsychotic medication causes blood dyscrasia: Agranulocytosis
Definition
clozapine
Term
What Sx do typical antipsychotics treat? Atypical?
Definition
+; -
Term
What antipsychotics cause EPS?
Definition
Typical antipsychotics
Term
This syndrome is characterized by muscle rigidity, hyperpyrexia, diaphoresis, AMS (catatonia), rapid or irregular HR & RR, labile BP, cardiac dysrhythmia, leukocytosis, elevated CPK
Definition
Neuroleptic Malignant Syndrome
Term
Priority for NMS
Definition
DC neuroleptic asap
Term
Symptomatic Tx NMS
Definition
dantrolene (skel muscle relaxant)
amantadine (dopamine agonist) or bromocriptine

Antipyretic, cooling blanket, IVs
Term
High potency typical antipsychotics
Definition
Haloperidol
fluphenazine
thiothixene
prochlorperazine
perphenazine
triflouperazine
Term
Low potency typical antipsychotics
Definition
chlorpromazine
loxapine
thiorizadine
mesorizadine
Term
What increases with lower potency antipsychotics?
Definition
Sedation, anticholinergic side effects & HoTN
Term
Acute psychotic reaction that resembles schizophrenia
Definition
Anticholinergic crisis
Term
How long do anticholinergic crises typically last?
Definition
3 days
Term
What can anticholinergic crisis lead to if untreated?
Definition
Coma/death r/t brains stem depression & hyperpyrexia
Term
What 3 med classes contribute to anticholinergic crisis?
Definition
TCAs, anticholinergics & antipsychotics
Term
Hot as a hare
Definition
Hot dry flushed skin, fever, facial flushing
Term
Blind as a bat
Definition
Unreactive dilated pupils, blurred vision, picking, grasping or plucking motions
Term
Mad as a hatter
Definition
Confusion, recent memory loss, delusions, paranoia, hallucinations, agitation
Term
Dry as a bone
Definition
Dry mucous membranes, difficulty swallowing, n/v, urinary retention, tachycardia
Term
Anticholinergic crisis mnemonic
Definition
Hot as a hare, blind as a bat, mad as a hatter, dry as a bone
Term
Anticholinergic crisis antidote
Definition
Physostigmine 1-2 mg IV/5 min
Term
How long does physostigmine provide relief from anticholinergic crisis for?
Definition
2-3 hrs
Term
Drug that has mood stabilizing properties
Definition
thymoleptic
Term
Benefits of atypical antipsychotics
Definition
Treat +/- Sx, less side FX, thymoleptic
Term
This drug has a high success rate with treatment resistant, chronic schizophrenia
Definition
clozapine (Clozaril)
Term
1-2% side effect of clozapine
Definition
Agranulocytosis
Term
If someone is on clozapine what must be monitored weekly?
Definition
WBCs
Term
Atypical antipsychotics
Definition
clozapine
risperidone
olanzipine
quetiapine
ziprasidone
paliperidone
Term
Atypical antipsychotic eliminated through kidney
Definition
Paliperidone ER (Invega)
Term
Atypical antipsychotic c side FX of HoTN and photosensitivity. BUT no wt gain or cholesterol problems.
Definition
ziprasidone
Term
Atypical antipsychotic with no anticholinergic effects. Effective for negative Sx schizophrenia
Definition
quetiapine
Term
This drug class blocks dopamine from receptors
Definition
Antipsychotics
Term
Drug class that enhances the effects of GABA
Definition
BDZs
Term
A rapid decrease in drug effects that may develop in a few minutes of exposure to a drug.
Definition
Desensitization
Term
oculogyric crisis
Definition
Eyes roll up and cannot see; seen in dystonia
Term
Spasms or muscle stiffness, may be painful. Usually occurs within a few days of starting meds.
Definition
Dystonia
Term
Head & neck twisting
Definition
Torticollis
Term
Is dystonia all the time or off and on?
Definition
It can wax & wane
Term
This scale is used for EPS assessment
Definition
AIMS
Term
AIMS
Definition
Abnormal Involuntary Movement Scale
Term
What commonly prescribed drugs may dystonia be a side effect of?
Definition
compazine & reglan
Term
Rx acute severe dystonia (3)?
Definition
diphenhydramine
benztropine
diazepam
Term
Severe form of restlessness associated with compulsion to move.
Definition
Akathisia
Term
Pacing, constant movement, body restlessness - legs & abdomen most common & can be measured on AIMS.
Definition
Objective akasthisia
Term
Internal experience of severe restlessness without external signs.
Definition
Subjective akasthisia
Term
In patients experiencing akathisia as a side effect from an antipsychotic drug, which is worse, akathisia or the psychotic disease?
Definition
Akathisia
Term
Suicidality, violence, agitation, seclusion episodes, orcompulsive sexual behavior following Rx new antipsychotic or increased dose may be what?
Definition
Akithisia
Term
Rx akathisia
Definition
B blockers (inderal, propanolol)
Term
In cases of suicide in pt's c akathisia, what was common?
Definition
Undiagnosed, severe, provider increased antipsychotics instead of treating the akathisia
Term
A drug induced movement disorder which mimics (or reveals) the signs and symptoms of idiopathic Parkinson's disease.
Definition
Psuedo-Parkinsonism
Term
When does psuedo-parkinsonism usually happen?
Definition
Around 30 days
Term
Who is at greatest risk for pseudo-parkinsonism
Definition
Elderly
Term
Slow movements with less amplitude, mask face, change in walking pattern, stooped posture, rigid, medicated w/o full range of emotions, thighs & fingers may shake, may be gradual. Pill rolling tremors, drooling mask like faces.
Definition
Bradykinesia
Term
Joints move in a ratchet like way
Definition
Cogwheeling
Term
Leaning forward, shuffling, tending to go faster downhill and may get out of control and fall.
Definition
Petit pas gait
Term
Tx pseudo-parkinsonism
Definition
Switch to clozapine or quetiapine. If can't do that use anticholinergic or amantadine.
Term
Antiparkinsonian drugs used to treat EPS, dystonias & pseudo-parkinsonism.
Definition
benztropine
amantadine
trihexyphenidyl
diphenhydramine
Term
A collective term for a set of late onset and sometimes irreversible movement disorders which can include involuntary, rhythmic movements of tongue, face, jaw, mouth, extremities, rotation of hips, rapid blinking, finger movements.
Definition
Tardive dyskinesia
Term
Tx tardive dyskinesia
Definition
No known Tx but Vit E & Lecithin may help
Term
When does tardive dyskinesia occur?
Definition
After 6 months, as antipsychotics are withdrawn
Term
How can you suppress acute tardive dyskinesia?
Definition
Increase neuroleptic temporarily
Term
What % of young patients will get better from tardive dyskinesia if antipsychotics can be DCd?
Definition
50%
Term
What % of elderly on typical antipsychotics does tardive dyskinesia affect?
Definition
50-70%
Term
This can be prevented by using atypical antipsychotics, lowest possible dosage, minimize PRN use, closely monitoring high risk individuals
Definition
Tardive dyskinesia
Term
What is the outcome of tardive dyskinesia if un-Txd?
Definition
May progress slowly if at all
Term
When does care for mentally ill decrease?
Definition
Unstable time periods, eg economically
Term
Woman responsible for mental health care reform.
Definition
Dorothea Dix
Term
First American psychiatric nurse; improved nursing care in state mental hospitals.
Definition
Linda Richards
Term
Compulsive swallowing is seen with this personality disorder.
Definition
Borderline
Term
This woman developed the first graduate nursing program at Rutgers; in Psych nsg.
Definition
Hildegard Peplau
Term
What year was the Community Mental Health Centers Construction Act passed? Which was the first?
Definition
1963 - MUPC
Term
What percent of homeless people have mental illness?
Definition
35%
Term
Writer of first nursing textbook w/o physician co-author.
Definition
Hildegard Peplau
Term
Effective but v. dangerous somatic therapy
Definition
ECT
Term
What was the first psychotic drug to be discovered? When?
Definition
Thorazine - 1955
Term
What important researching institution was founded in 1985?
Definition
NIMH (National Institute of Mental Health)
Term
What two mental health problems does healthy people 2010 aim to reduce?
Definition
Suicide
Homelessness c mental illness
Term
low functioning schizophrenics FSH program
Definition
Social learning
Term
FSH program for higher functionality
Definition
Psychosocial rehab
Term
Diagnosable mental disorder that has multiple causes & may represent several different disease states
Definition
Mental Illness
Term
Health conditions characterized by alterations in thinking, mood or behavior.
Definition
Mental disorder
Term
Rate that includes only new cases that have occurred within a defined time period.
Definition
Incidence
Term
Study of patterns of disease distribution
Definition
Epidemiology
Term
Total number of people who have a disorder within a given population at a specified time
Definition
Prevalence
Term
5 mechanisms causing decrease in medication effects
Definition
Change in receptors
Loss of receptors
Exhaustion of NT supply
Inc. drug metabolism
Physiological adaptation
Term
Extreme form of intensity in family interactions seen in ED
Definition
Enmeshment
Term
Cultural group that has extended family support, respects the elders and endures double stigma with mental illness.
Definition
African American
Term
Cultural group that tends to use other resources before seeking help from MH professionals.
Definition
Latino
Term
Culture that denies or disguises mental illness. Women over 65 in this group have the highest suicide rate of all older women in the US.
Definition
Asian Americans, Polynesians & Pacific Islanders
Term
What group has a high risk of depression r/t juggling multiple roles?
Definition
Women
Term
EPS occurs at lower doses for this cultural group.
Definition
Asians
Term
This ethnic group has lower effective dosage levels & lower side effect thresholds for antidepressants
Definition
Hispanics
Term
This group requires lower doses of TCAs, BDZs and some antipsychotic meds.
Definition
Women
Term
This electrolyte deficiency is common in bulimia, can be life threatening. Produces weakness, fatigue, ECG changes, paralytic ileus & muscle paresis.
Definition
Hypokalemia
Term
These electrolyte imbalances are caused by binge-purging behavior.
Definition
Hypochloremia, ^ Bicarb
Term
3 Components of self-concept
Definition
Body Image
Self Esteem
Personal Identity
Term
3 Components of suicidal episode assessment
Definition
Intent to die
Severity of ideation
Degree of planning
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