Term
| Opposition or resistance, either covert or overt, to outside suggestions or advice. May be seen in schizophrenia. |
|
Definition
|
|
Term
| Mimicking or imitating the movements of another person. |
|
Definition
|
|
Term
| Inability or difficulty in performing a purposeful organized task. |
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Definition
|
|
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
|
|
Term
|
Definition
|
|
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
|
|
Term
| A pervasive and sustained emotion that colors the perception of the world. |
|
Definition
|
|
Term
| Observable behavior that represents the expression of a subjectively experienced emotion. |
|
Definition
|
|
Term
| Inability to experience pleasure |
|
Definition
|
|
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
|
|
Term
| A sudden obstruction or interruption in spontaneous flow of thinking or speaking, perceived as an absence or deprivation of thought. |
|
Definition
|
|
Term
| Pattern of speech that is indirect and delayed in reaching its goal b/c of excessive or irrelevant detail or parenthetical remarks. |
|
Definition
|
|
Term
| A confused person's tendency to make up a response to a question when he/she cannot remember the answer |
|
Definition
|
|
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
|
|
Term
| Involuntary excessive continuation or repetition of a single response, idea or activity; may apply to speech or movement but most often verbal. |
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Definition
|
|
Term
| A conviction that thinking equates with doing. |
|
Definition
|
|
Term
| Mixture of words and phrases that lack comprehensive meaning or logical coherence; schizophrenics. |
|
Definition
|
|
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
|
|
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
|
|
Term
| A misperception or misinterpretation of a real external stimulus, such as hearing the rustling of leaves as the sound of voices. |
|
Definition
|
|
Term
| Sensory perceptions that occur without external stimulation |
|
Definition
|
|
Term
| Recurrent and persistent thought, impulse or image experienced as intrusive and distressing. |
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Definition
|
|
Term
| Repetitive ritualistic behavior eg handwashing. |
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Definition
|
|
Term
| Preoccupation with certain thoughts |
|
Definition
|
|
Term
| A false belief that is firmly sustained despite what everyone else believes. |
|
Definition
|
|
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
|
|
Term
| A delusion of inflated worth, power, knowledge, identity or special relationship to a deity or a famous person. |
|
Definition
|
|
Term
| Delusion whose content pertains to the appearance or functioning of one's body |
|
Definition
|
|
Term
| A delusion whose theme is that events, objects or other persons in one's immediate environment have a particular and unusual significance. |
|
Definition
|
|
Term
| Delusion of nonexistence of the self or part of the self, or of some object in external reality |
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Definition
|
|
Term
| Delusion that one's thoughts are being broadcast. |
|
Definition
|
|
Term
| The delusion that thoughts are being inserted into the mind. |
|
Definition
|
|
Term
| Patient's ability to understand his or her illness and measures needed to successfully deal with it. |
|
Definition
|
|
Term
|
Definition
General Observation
Sensorium & Intelligence
Thinking & Cognition
Emotional State |
|
|
Term
| Clinical disorders & other conditions that may be a focus of clinical attention |
|
Definition
|
|
Term
| Personality disorders and mental retardation |
|
Definition
|
|
Term
| General medical conditions |
|
Definition
|
|
Term
| Psychosocial and environmental problems |
|
Definition
|
|
Term
| Global assessment of functioning |
|
Definition
|
|
Term
|
Definition
Feedback
Responsibility
Advice
Menu
Empathetic counseling
Self-efficacy |
|
|
Term
| Artist with suspected mental illness that cut off his ear. |
|
Definition
|
|
Term
| A 70s band member that battled and died of anorexia. |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Cut down?
Annoyed?
Guilty?
Eye-Opener (Morning beverage) |
|
|
Term
| Thiamine deficiency oculomotor dysfunctions, ataxia & confusion. |
|
Definition
|
|
Term
| Alcohol amnestic disorder, both retrograde and anterograde amnesia w/sparing of intellectual function |
|
Definition
|
|
Term
| Drug class Rx'd to prevent DTs. |
|
Definition
| BDZs (Diazepam, Lorazepam) |
|
|
Term
| Drug Rx'd to reduce seizures in ETOH Detox |
|
Definition
|
|
Term
| Drug Rx'd for ETOH aversion. |
|
Definition
|
|
Term
| Drug Rx'd to reduce ETOH cravings. |
|
Definition
|
|
Term
| Emergency drug used to Tx Opiate OD |
|
Definition
|
|
Term
| Drug used to Tx addiction |
|
Definition
Methadone
LAAM
Naltrexone
Buprenorphine |
|
|
Term
| All suicide-related behaviors and thoughts of completing or attempting suicide |
|
Definition
|
|
Term
| Thinking about & planning one's own death |
|
Definition
|
|
Term
| Voluntary, apparent attempt at suicide in which the aim is not death. |
|
Definition
|
|
Term
| Region w/highest rate of suicide |
|
Definition
|
|
Term
| What can suicides be disguised as? |
|
Definition
| Car accidents & Homicides |
|
|
Term
| Population with highest risk of suicide |
|
Definition
|
|
Term
| What is most commonly used for suicide |
|
Definition
|
|
Term
|
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
|
|
Term
| Gender that more often has affective disorders, anxiety & borderline personality disorder. |
|
Definition
|
|
Term
| Culture bound (Asian Americans) syndrome characterized by fatigue, weakness, poor concentration, memory loss, irritability, aches & pains; sleep disturbances |
|
Definition
|
|
Term
| Automatic psychological processes protecting the patient from unwanted anxiety. |
|
Definition
|
|
Term
| Use of food to avoid intimacy & other fears |
|
Definition
|
|
Term
| in Anorexia Nervosa this gets stronger as others express more concern about disease. |
|
Definition
|
|
Term
| Inability to recognize their feelings |
|
Definition
|
|
Term
| Use of excessive reasoning or logic to deal with situations rather than feeling their emotions |
|
Definition
|
|
Term
| Overestimation of the significance of undesirable events. |
|
Definition
|
|
Term
| Believing in the cause effect relationship of noncontingent events (If I eat a sweet it will instantly turn into stomach fat) |
|
Definition
|
|
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
|
|
Term
| Basing a conclusion on isolated details while ignoring contradictory and more important evidence. |
|
Definition
|
|
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
|
|
Term
| Type of bulimia nervosa similar to AN. |
|
Definition
|
|
Term
| Recurrent episodes of binge eating & compensatory purging type of BN. |
|
Definition
|
|
Term
| Amt of BN episodes required before Dx |
|
Definition
| At least 2x/wk for 3 months |
|
|
Term
|
Definition
|
|
Term
| Which ED begins at a later age? |
|
Definition
|
|
Term
| Drug class Rx'd for eating disorders |
|
Definition
|
|
Term
| Disorder in which consume large amts of calories during binges but do not try to lose weight. |
|
Definition
|
|
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
|
|
Term
| Does schizophrenia occur younger in men or women? |
|
Definition
|
|
Term
| Name of schizophrenia if <6 months |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Schizophrenia Dx'd after 45yo |
|
Definition
|
|
Term
| Short-term memory, the ability to process information and inability to sustain attention are characteristic of what disease? |
|
Definition
|
|
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
|
|
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
|
|
Term
| Should a patient be left alone when hallucinating? |
|
Definition
|
|
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
|
|
Term
| Depressed, bored, apathetic, obsessions, phobias, withdrawal (pt limits external stimulus) phase of relapse |
|
Definition
|
|
Term
| Stage of relapse in which hallucinations and delusions start. |
|
Definition
|
|
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
|
|
Term
| IM Depot Antipsychotic drugs that last 2-4 wks. |
|
Definition
| Fluphenazine & Haloperidol |
|
|
Term
| Long-acting injectable antipsychotic (2 wks) |
|
Definition
|
|
Term
| This atypical antipsychotic does not cause weight gain |
|
Definition
|
|
Term
| These antipsychotics have sexual side effects |
|
Definition
|
|
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
|
|
Term
| What Sx do typical antipsychotics treat? Atypical? |
|
Definition
|
|
Term
| What antipsychotics cause EPS? |
|
Definition
|
|
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
|
Definition
|
|
Term
|
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
|
|
Term
| How long do anticholinergic crises typically last? |
|
Definition
|
|
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
|
Definition
| Hot dry flushed skin, fever, facial flushing |
|
|
Term
|
Definition
| Unreactive dilated pupils, blurred vision, picking, grasping or plucking motions |
|
|
Term
|
Definition
| Confusion, recent memory loss, delusions, paranoia, hallucinations, agitation |
|
|
Term
|
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
|
|
Term
| Drug that has mood stabilizing properties |
|
Definition
|
|
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
|
|
Term
| 1-2% side effect of clozapine |
|
Definition
|
|
Term
| If someone is on clozapine what must be monitored weekly? |
|
Definition
|
|
Term
|
Definition
clozapine
risperidone
olanzipine
quetiapine
ziprasidone
paliperidone |
|
|
Term
| Atypical antipsychotic eliminated through kidney |
|
Definition
|
|
Term
| Atypical antipsychotic c side FX of HoTN and photosensitivity. BUT no wt gain or cholesterol problems. |
|
Definition
|
|
Term
| Atypical antipsychotic with no anticholinergic effects. Effective for negative Sx schizophrenia |
|
Definition
|
|
Term
| This drug class blocks dopamine from receptors |
|
Definition
|
|
Term
| Drug class that enhances the effects of GABA |
|
Definition
|
|
Term
| A rapid decrease in drug effects that may develop in a few minutes of exposure to a drug. |
|
Definition
|
|
Term
|
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
|
|
Term
|
Definition
|
|
Term
| Is dystonia all the time or off and on? |
|
Definition
|
|
Term
| This scale is used for EPS assessment |
|
Definition
|
|
Term
|
Definition
| Abnormal Involuntary Movement Scale |
|
|
Term
| What commonly prescribed drugs may dystonia be a side effect of? |
|
Definition
|
|
Term
| Rx acute severe dystonia (3)? |
|
Definition
diphenhydramine
benztropine
diazepam |
|
|
Term
| Severe form of restlessness associated with compulsion to move. |
|
Definition
|
|
Term
| Pacing, constant movement, body restlessness - legs & abdomen most common & can be measured on AIMS. |
|
Definition
|
|
Term
| Internal experience of severe restlessness without external signs. |
|
Definition
|
|
Term
| In patients experiencing akathisia as a side effect from an antipsychotic drug, which is worse, akathisia or the psychotic disease? |
|
Definition
|
|
Term
| Suicidality, violence, agitation, seclusion episodes, orcompulsive sexual behavior following Rx new antipsychotic or increased dose may be what? |
|
Definition
|
|
Term
|
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
|
|
Term
| When does psuedo-parkinsonism usually happen? |
|
Definition
|
|
Term
| Who is at greatest risk for pseudo-parkinsonism |
|
Definition
|
|
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
|
|
Term
| Joints move in a ratchet like way |
|
Definition
|
|
Term
| Leaning forward, shuffling, tending to go faster downhill and may get out of control and fall. |
|
Definition
|
|
Term
|
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
|
|
Term
|
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
|
|
Term
| What % of elderly on typical antipsychotics does tardive dyskinesia affect? |
|
Definition
|
|
Term
| This can be prevented by using atypical antipsychotics, lowest possible dosage, minimize PRN use, closely monitoring high risk individuals |
|
Definition
|
|
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
|
|
Term
| First American psychiatric nurse; improved nursing care in state mental hospitals. |
|
Definition
|
|
Term
| Compulsive swallowing is seen with this personality disorder. |
|
Definition
|
|
Term
| This woman developed the first graduate nursing program at Rutgers; in Psych nsg. |
|
Definition
|
|
Term
| What year was the Community Mental Health Centers Construction Act passed? Which was the first? |
|
Definition
|
|
Term
| What percent of homeless people have mental illness? |
|
Definition
|
|
Term
| Writer of first nursing textbook w/o physician co-author. |
|
Definition
|
|
Term
| Effective but v. dangerous somatic therapy |
|
Definition
|
|
Term
| What was the first psychotic drug to be discovered? When? |
|
Definition
|
|
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
|
|
Term
| FSH program for higher functionality |
|
Definition
|
|
Term
| Diagnosable mental disorder that has multiple causes & may represent several different disease states |
|
Definition
|
|
Term
| Health conditions characterized by alterations in thinking, mood or behavior. |
|
Definition
|
|
Term
| Rate that includes only new cases that have occurred within a defined time period. |
|
Definition
|
|
Term
| Study of patterns of disease distribution |
|
Definition
|
|
Term
| Total number of people who have a disorder within a given population at a specified time |
|
Definition
|
|
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
|
|
Term
| Cultural group that has extended family support, respects the elders and endures double stigma with mental illness. |
|
Definition
|
|
Term
| Cultural group that tends to use other resources before seeking help from MH professionals. |
|
Definition
|
|
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
|
|
Term
| EPS occurs at lower doses for this cultural group. |
|
Definition
|
|
Term
| This ethnic group has lower effective dosage levels & lower side effect thresholds for antidepressants |
|
Definition
|
|
Term
| This group requires lower doses of TCAs, BDZs and some antipsychotic meds. |
|
Definition
|
|
Term
| This electrolyte deficiency is common in bulimia, can be life threatening. Produces weakness, fatigue, ECG changes, paralytic ileus & muscle paresis. |
|
Definition
|
|
Term
| These electrolyte imbalances are caused by binge-purging behavior. |
|
Definition
|
|
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 |
|
|
