Psyc Test final

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sja876
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15860
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Psyc Test final
Updated:
2010-04-23 16:33:10
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psyc test
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psyc test 3
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  1. Elevated CPK
    Elevated Temperature
    Hypertension
    Diaphoresis
    Muscle Rigidity
    Stop Medication and Treat Symptoms
    Neuroleptic Malignant Syndrome
  2. Schizophrenia Nursing Interventions
    • Distract Patient from hallucinations
    • Use validation to facilitate communication
    • Provide safe, structured environment and titrate stimuli in environment to patient
  3. Schizophrenia Nursing Interventions
    • Protect patient from harming self/others
    • Do not challenge delusional thinking
    • Provide reality based activities to help patient understand what is real/not
    • Monitor medications
  4. Etiology of Delirium
    • Encephalopathies
    • Sepsis and Toxic metabolic events
    • Exposure to heavy metals, toxins, intoxicants, inhalants, and volatile solvents
    • Overdose and SE of meds
    • Malabsorption and dietary probs
    • Seizures
  5. Dementia Criterion
    • Multiple Cognitive deficits such as memory impairment, aphasia, apraxia, agnosia, executive functioning
    • Significant Impairment
    • Gradual onset and progressive decline
    • Not exclusively during delirium
  6. Delirium Criterion
    • Acute Onset/Sudden
    • Fluctuating Impairment
    • Disorientation
    • Visual or tactile hallucinations
    • Usually reversible with treatment
  7. Delirium Criterion Continued
    • Disturbances of consciousness
    • Change in cognition
    • Disturbance develops over short time
    • Direct physiological consequence of general medical condition
  8. Delirium Assessment
    • Alertness--alert, vigilant, lethargic, stupor, coma
    • Attention--follow conversation
    • Orientation--Person, place, time
    • Memory--recent and remote events, Thinking, Perceptions
    • Psychomotor behavior--hypo/hyperkinetic, unusual or inappropriate (undressing)
  9. Dementia Criterion
    • Chronic Onset, slow/progressive course, progressive disorientation, progressive cognitive impairment
    • Problems naming objects
    • Progressive apraxia and agnosia
  10. Mental Status Exam
    • Orientation: person, place, time
    • Evaluate mood and affect
    • Evaluate speech and language
    • Cognitive Testing: General Information, recall, recent and remote memory, attention, reading and simple calculations, visual-spatial ability
    • Presence/absence of hallucinations
    • Suicidal/homicidal ideation and intent
    • Insight and Judgement
  11. Depression with Cognitive Disorders
    • Chronic Onset
    • Inconsistent Impairment
    • Orientation Intact
    • Patchy Cognitive Impairment
    • Language Intact
    • Can have auditory hallucinations usually mood congruent
    • normal CT and EEG
  12. Amnestic Disorders
    due to a general medical condition--specified as transient or chronic--memory disturbance that does not occur during the course of a delirium or dementia
  13. Transient global amnesia
    Typically associated with cerebrovascular disease
  14. Anterograde amnesia
    problems learning new things
  15. Retrograde Amnesia
    Problem recalling previously learned material
  16. Korsokoff's Syndrome (Amnesia)
    Associated with prolonged ETOH intake
  17. Dementia/Delirium/Amnesia (Cognitive Disorder Interventions)
    • Reorient the patient
    • Restructure the environment
    • Restore normal functioning and health
    • Re-motivate and involve patient
    • Reminiscence
    • Regulate dysfunctional psychiatric symptoms
  18. Dissociative Disorders
    Disruption in the usually integrated functions of consciousness, memory, identity, or perceptions of the environment

    • (amnesia is the most common symptom)
    • ex. DID, depersonalization symptoms, somatoform disorders
  19. Somatization Disorder
    • Chronic
    • Anxiety, depression, suicidal ideations are frequently manifested
    • Drug abuse/dependence is common

    • Personality Traits (heightened emotionality, strong dependency, preoccupation with
    • self/symptoms)
  20. Pain Disorder Primary/Secondary/Teritiary Gains
    Primary Gains: Symptoms allow avoidance of unpleasant activity

    Secondary Gains: Symptom promotes emotional support/attention

    Tertiary Gains: In dysfunctional family the symptom might distract from a real issue that is unresolved
  21. Conversion Disorder
    • A loss of or change in body function resulting from a psychological conflict, the physical symptoms cannot be explained by any pathophysiology/medical disorder
    • Most obvious symptoms suggest a neurological disease and occur following a situation that produces extreme psychological stress
    • Client may express a lack of concern of impairment (clue problem is psychological)
  22. Body dysmorphic disorder
    • exaggerated belief that the body is deformed/defective in some specific way
    • symptoms of depression and traits associated with o-c-d personality are common
  23. Dissociative Amnesia
    • inability to recall important personal data that is too extensive to be explained by ordinary forgetfulness
    • not due to substance/medical condition
    • follow psychological stress
  24. Depersonalization Disorder
    Depersonalization is a disturbance is the perception of oneself

    Derealization is an alteration in the perception of the external enviornment

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