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Mental Health
Ch 18
54
Nursing
Not Applicable
03/15/2011

Additional Nursing Flashcards

 


 

Cards

Term

   Abreaction

Definition
“Remembering with feeling,” bringing into conscious awareness painful events that have been repressed and re-experiencing the emotions that were associated with the events.
Term
Anosmia
Definition

     Inability to smell

Term
Aphonia
Definition

    Inability to speak

Term
Autoimmune
Definition

   “pg. 421 hereditary factors- Related to a dysfunctional immune mechanism and initiated by an infectious process. The antibodies that form as a result of the infection become directed instead against the self in an autoimmune response that results in tissue damage.”

Term
Carcinogen
Definition

  Any substance or agent that produces or increases the risk of developing cancer in humans or lower animals.

Term
Depersonalization
Definition

    An alteration in the perception or experience of the self so that the feeling of one’s own reality is temporarily lost.

Term
Derealization
Definition

     An alteration in the perception or experience of the external world so that it seems strange or unreal.

Term
Fugue
Definition

A sudden unexpected travel away from home or customary work locale with the assumption of a new identity and an inability to recall one’s previous identity; usually occurring in response to severe psychosocial stress.

Term
Hypochondriasis
Definition
The unrealistic preoccupation with fear of having a serious illness.
Term
Integration
Definition
The process used with individuals with dissociative identity disorder in an effort to bring all the personalities together into one; usually achieved through hypnosis.
Term
La belle indifference
Definition
A symptom of conversion disorder in which there is a relative lack of concern that is out of keeping with the severity of the impairment.
Term
Primary gain
Definition

 The receipt of positive reinforcement for somaticizing through added attention, sympathy, and nurturing.

Term
Pseudocyesis
Definition
A condition in which an individual has nearly all the signs and symptoms of pregnancy but is not pregnant; a conversion reaction.
Term
Secondary gain
Definition

The receipt of positive reinforcement for somaticizing by being able to avoid difficult situations because of a physical complaint.

Term
Tertiary gain
Definition
The receipt of positive reinforcement for somaticizing by causing the focus of the family to switch to him or her and away from conflict that may be occurring within the family.
Term
Type A personality
Definition

     Personality characteristics attributed to individuals prone to coronary heart disease, including excessive competitive drive, chronic sense of time urgency, easy anger, aggressiveness, excessive ambition, and inability to enjoy leisure time.

Term
Type B personality
Definition

     Personality characteristics attributed to individuals who are not prone to coronary heart disease, includes characteristics such as ability to perform even under pressure but without the competitive drive and constant sense of time urgency experienced by Type A personality. Type B’s can enjoy their leisure time without feeling guilty, and they are much less impulsive than Type A individuals; that is, they think things through before making decisions.

Term
Type C personality
Definition

  Personality characteristics attributed to the cancer-prone individuals. Includes characteristics such as suppression of anger, calm, passive, puts the needs of others before their own, but holds resentment towards others for perceived “wrongs.”

Term
Type D personality
Definition

    Personality characteristics attributed to individuals who are at increased risk of cardiovascular morbidity and mortality. The characteristics include a combination of negative emotions and social inhibition.

Term
Hysteria
Definition

    A polysymptomatic disorder that usually begins in adolescence (rarely after 20s), chiefly affects women, and is characterized by recurrent multiple somatic complaints that are unexplained by organic pathology. It is thought to be associated with repressed anxiety.

Term
Amnesia
Definition

    Pathologic loss of memory, a phenomenon in which an area of experience becomes inaccessible to conscious recall. The loss in memory may be organic, emotional, dissociative, or of mixed origin, and may be permanent or limited to a sharply circumscribed period of time.

Term
Psychophysiological
Definition

    A condition that is identified as such because psychological factors have been identified as contributing to the initiation or exacerbation of the symptoms

Term
Somatization
Definition

    The process by which psychological needs are expressed in the form of physical symptoms. Somatization is thought to be associated with repressed anxiety.

Term
Dissociation
Definition
The splitting off of clusters of mental contents from conscious awareness, a mechanism central to hysterical conversion and dissociative disorders.
Term
Somatization
Definition
The process by which psychological needs are expressed in the form of physical symptoms. Somatization is thought to be associated with repressed anxiety
Term
Pain Disorder
Definition
severe and prolonged pain that causes clinically significant distress or impairment in social, occupational, or other important areas of functioning
Term
Hypochondriasis
Definition
The unrealistic preoccupation with fear of having a serious illness
Term
Conversion Disorder
Definition
A loss of or change in body function resulting from a psychological conflict, the physical symptoms of which cannot be explained by any known medical disorder or pathophysiological basis
Term
Body Dysmorphic Disorder
Definition

     formally called dysmorphobia, is characterized by the exaggerated belief that the body is deformed or defective in some specific way

Term
Somatoform disorders are characterized by
Definition

Multiple somatic symptoms that cannot be explained medically and are associated with psychosocial distress and long-term seeking of assistance from health-care professionals

Term
Pain disorder may be maintained by
Definition

 

Primary gains:

The receipt of positive reinforcement for somaticizing through added attention, sympathy, and nurturing.

Secondary gains:

The receipt of positive reinforcement for somaticizing by being able to avoid difficult situations because of a physical complaint

Term
Define Hypochondriasis
Definition
The unrealistic preoccupation with fear of having a serious illness
Term
Classic conversion disorder symptoms
Definition

Paralysis, Aphonia, Seizures, Coordination disturbance, Difficulty swallowing, Urinary retention, Akinesia, Blindness, Deafness

Double vision, Anosmia, Loss of pain sensation, Hallucinations,

Pseudocyesis (false pregnancy)

Term
Body Dysmorphic disorder is characterized by
Definition

The exaggerated belief that the body is deformed or defective in some specific way

Term
5 types of disturbance in recall
Definition

Localized amnesia

 

Selective Amnesia

Continuous amnesia

Generalized amnesia

Systemized amnesia

Term
  Define 5 types of disturbance in recall
Definition

Localized amnesia: the inability to recall all incidents associated with the traumatic event for a specific time period following the event (usually a few hrs.-days

Selective Amnesia: The inability to recall only certain incidents associated with a traumatic event for a specific period after events

Continuous amnesia: The inability to recall events occurring after a specific time up to and including the present

Generalized amnesia: The rare phenomenon of not being able to recall anything that has happened during the individual’s entire lifetime, including his or her personal identity

Systemized amnesia: This type of amnesia, the individual cannot remember events that relate to a specific category of information (one’s family) or to one particular person

Term
Dissociate fugue
Definition

A sudden unexpected travel away from home or customary place of daily activities, with the inability to recall some or all of one’s past

Term
Dissociative Identity Disorder
Definition

Formerly called multiple personality disorders; the existence of two or more personalities in a single individual

Term
Depersonalization disorder is characterized by persistent feelings of
Definition

By a feeling of detachment or estrangement from one’s self

Term
Depersonalization symptoms are often accompanied by
Definition

Anxiety, Depression, Fear of going insane, Obsessive thoughts, Somatic complaints, Disturbance on subjective sense of time

Term
Etiology of Depersonalization
Definition

 Genetics-More common with first-degree relatives

 Neurobiological-Possible correlation between neurological alterations; Areas of the brain associated with memory includ the Hippocampus, Amydala, Fornix, Mammillary bodies, Thalamus, Frontal cortex  

 

Psychodynamic Theory  Freud; occurred when individuals repressed distressing mental contents from conscious awareness 

 Psychological Trauma: Traumatic experiences that overwhelms the individual’s capacity to cope by any means other than dissociation, Experiences take form of severe physical, sexual, or psychological abuse by a parent or significant other in child’s life Most widely accepted explanation is a survival strategy that serves to help children cope with horrifying sexual, physical, or psychological abuse

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term

Etiology of Depersonalization

 

Genetics

 

Definition

 More common with first-degree relatives 

 

 

Term

Etiology of Depersonalization

 

Neurobiological

Definition

Possible correlation between neurological alterations

Areas of the brain associated with memory include:

Hippocampus

Amydala

Fornix

Mammillary bodies

Thalamus

Frontal cortex

Term

Etiology of Depersonalization

 

Psychodynamic Theory

Definition

  Freud; occurred when individuals repressed distressing mental contents from conscious awareness

Term

Etiology of Depersonalization

 

Psychological Trauma

Definition

Traumatic experiences that overwhelms the individual’s capacity to cope by any means other than dissociation

 

Experiences take form of severe physical, sexual, or psychological abuse by a parent or significant other in child’s life

 

Most widely accepted explanation is a survival strategy that serves to help children cope with horrifying sexual, physical, or psychological abuse

Term

Psychophysiological disorders & psychosocial profiles

 

Asthma

Definition
Unfulfilled dependency needs; anxiety and depression are common; fearful and emotionally labile.  
Term

Psychophysiological disorders & psychosocial profiles

 

Cancer

Definition
“The nice guy;” suppresses anger; low self-esteem; depression is common; feelings of hopelessness.
Term

Psychophysiological disorders & psychosocial profiles

 

Coronary heart disease

Definition
Competitive; aggressive; ambitious; no time for leisure; never satisfied with accomplishments; easily aroused hostility
Term

Psychophysiological disorders & psychosocial profiles

 

Peptic ulcer disease

Definition
Unfulfilled dependency needs; suppressed anxiety; resentment and frustration resulting in increased gastric secretion
Term

Psychophysiological disorders & psychosocial profiles

 

Essential hypertension

Definition
Suppressed anger; may stem from not being able to express anger as a child.
Term

Psychophysiological disorders & psychosocial profiles

 

Migraine headache

Definition
Perfectionist; somewhat rigid; compulsive; sets unrealistic expectations; suppresses or represses anger
Term

Psychophysiological disorders & psychosocial profiles

 

Rheumatoid arthritis

Definition
Self-sacrificing; inhibited; perfectionist; repressed anger; depression is common.
Term

Psychophysiological disorders & psychosocial profiles

 

Ulcerative colitis

Definition
Obsessive-compulsive by nature; anxious; rigid; excessively neat; repressed anger; depression is common.
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