Psych Quiz 3

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twntwo
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42070
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Psych Quiz 3
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2010-10-14 23:07:16
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psych quiz 2
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  1. Psychophysiological disease
    • psychological factors contribute to the initiation or the exacerbation of a physical condition
    • e.g. cancer, asthma, coronary artery disease
  2. Amygdala controls...
    emotions
  3. Aphasia
    • difficulty forming words
    • loss of language ability
  4. Delirium
    sudden severe confusion, includes a decreased level of consciousness with intermittent hypervigilance
  5. Hypothalamus controls...
    appetite regulation
  6. Echolalia vs. palilalia
    • echolalia: repeated once
    • palalilalia: continuous repetition
  7. Apraxia
    • loss of ability to carry out learned, purposeful movements
    • no motor or sensory impairment
  8. Perseveration
    persistent adherence to a single idea and verbal repetition of a sentence or phrase
  9. Confabulation
    unconscious attempt to maintain self-esteem, makes up things that you forget
  10. Agnosia
    loss of ability to recognize objects, persons, sounds, shapes or smells
  11. Dementia cognitive deficit areas...
    • memory and:
    • aphasia, apraxia, agnosia, or executive function
  12. Amnesic disorder
    • disturbance in memory due to physiological effects of general medical condition or persisting effects of medication
    • (just memory, not other cognitive deficits)
  13. Psychosomatic
    connection between the mind and body
  14. Hysteria
    • multiple physical complaints with no organic basis
    • proposed by Freud - unexpressed emotions can result in physical symptoms
  15. Somatization
    transference of mental state into body symptom(s)
  16. Somatization disorder
    • multiple physical symptoms
    • combination of pain, GI, sexual, pseudoneurologic symptoms
    • involuntary
  17. Conversion disorder
    • unexplained sensory or motor deficits associated with psychological factors
    • "la belle indifference" - no concerns about deficit
    • involuntary
  18. Pain disorder
    • pain unrelieved by analgesics
    • psychological factors influencing onset, severity, exacerbation, maintenance
    • involuntary
  19. Hypochondriasis
    • disease conviction or disease phobia
    • involuntary
  20. Body dysmorphic disorder
    • Preoccupation with imagined or exaggerated defect in physical appearance
    • involuntary
  21. Malingering
    • intentional false or grossly exaggerated symptoms
    • external incentives as motivation
    • voluntary
  22. Factitious disorder
    (aka Munchausen syndrome)
    • intentional symptoms to gain attention
    • Munchausen syndrom by proxy - intentionally making your child sick
    • voluntary
  23. Schizoaffective disorder
    diagnosed when the client meets psychotic symptoms criteria of schizophrenia and criteria for a major affective or mood disorder
  24. Schizophrenia medications
    • treat with antipsychotics (dopamine or serotonin antagonists)
    • atypical:
    • clozapine (Clozaril)
    • quetiapine (Seroquel)
    • risperidone (Risperdal)
    • zipreasidone (Geodon)
    • olanzapine (Zyprexa)
    • aripiprazole (Abilify)
  25. Schizophrenia
    distorted and bizarre thoughts, perceptions, emotions, movements, behavior
  26. Positive (hard) symptoms of schizophrenia
    • delusions
    • hallucinations
    • grossly disorganized thinking, speech and behavior
    • (decrease in temporal lobe functioning)
  27. 4 As of schizophrenia
    • Affect
    • Associative looseness
    • Autism
    • Ambivalence
  28. Negative (soft) symptoms of schizophrenia
    • flat affect
    • lack of volition (will, choosing, resolving)
    • social withdrawal or discomfort
    • (decrease in frontal lobe functioning)
  29. Paranoid schizophrenia
    • persecutory or grandiose delusions, hallucinations
    • occasionally excessive religiosity or hostile/aggressive behavior
  30. Disorganized schizophrenia
    grossly inappropriate or flat affect, incoherence, loose associations, and extremely disorganized behavior
  31. Catatonic schizophrenia
    • psychomotor disturbance
    • motionless (waxy flexibility) or excessive motor activity (purposeless)
    • extreme negativism, mutism, peculiarities of voluntary movement, echolalia, echopraxia
  32. Undifferentiated schizophrenia
    • schizophrenia symptoms of mixed types
    • disturbed thought, affect, and behavior
  33. Residual schizophrenia
    • a least one previous, past schizophrenic episode
    • social withdrawal
    • flat affect
    • looseness of association
  34. Schizophreniform disorder
    exhibits symptoms of schizophrenia, but for less than the 6 months necessary for the diagnosis of schizophrenia
  35. Delusional disorder
    • one or more nonbizarre delusions - they are believable
    • behavior is not obviously odd or bizarre
  36. Brief psychotic disorder
    • sudden onset of at least one psychotic symptom that lasts from 1 day to 1 month
    • can be delusion, hallucination, disorganized speech, disorganized behavior
  37. Shared psychotic disorder
    (folie a deux)
    • two people share a similar delusion
    • client has a close relationship with someone who has psychotic delusions
  38. Extrapyramidal side effects
    • early-appearing, reversable side effect of antipsychotics
    • acute dystonic reaction: muscle spasms, abnormal posture
    • akathisia: inner restlessness
    • Parkinsonism: shuffling gait, tremor, stiffness, drooling
    • give diphenhydramine (Benadryl) or benztropine (Cogentin)
  39. Tardive dyskinesia
    • late-appearing side effect of antipsychotics
    • abnormal mouth/tongue movements
    • choreiform (jerky) movements of limbs
    • use AIMS scale to evaluate
  40. Neuroleptic malignant syndrome
    • muscle rigidity
    • high fever
    • increased enzymes (creatine phosphokinase)
    • leukocytosis
  41. Adverse side effects of antipsychotics
    • extrapyramidal side effects
    • tardive dyskinesia
    • seizures
    • neuroleptic malignant syndrome
    • agranulocytosis - <WBCs (caused by Clozapine)
    • sunburn, weight gain, orthostatic hypotension
    • anticholinergic symptoms (dry mouth, blurred vision, constipation, urinary retention)
  42. Anhedonia
    inability to experience pleasurable emotion
  43. Personality disorder
    • traits become inflexible and maladaptive
    • cause significant functional impairment or subjective stress
    • long standing, not responsive to psychotherapy or pharmacology
  44. Personality disorders - Cluster A
    Behaviors are odd or eccentric

    • Paranoid Personality Disorder
    • Schizoid Personality Disorder
    • Schizotypal Personality Disorder
  45. Personality disorders - Cluster B
    Behaviors are dramatic, emotional, or erratic

    • Antisocial Personality Disorder
    • Borderline Personality Disorder
    • Histrionic Personality Disorder
    • Narcissistic Personality Disorder
  46. Personality disorders - Cluster C
    Behaviors are anxious or fearful

    • Avoidant Personality Disorder
    • Dependent Personality Disorder
    • Obsessive-compulsive Personality Disorder
    • Passive-aggressive Disorder
  47. Paranoid personality disorder
    • mistrust and suspicion of others
    • others' motives are interpreted as malevolent
    • hypervigilent, tense, oversensitive, irritable, can become violent, guarded, restricted affect
    • Cluster A
  48. Schizoid personality disorder
    • detached from social relationships
    • cognitive or perceptual distortions and eccentricities of behavior
    • cold, aloof, indifferent, serious, shy, anxious, restricted affect, involved with things more than people
    • Cluster A
  49. Schizotypal personality disorder
    • behavior is odd, eccentric, discomfort in relationships
    • cognitive or perceptual distortions
    • does not decompensate to the level of schizophrenia
    • aloof, isolated, bland, apathetic, magical thinking, bizarre speech pattern, short-term psychosis under stress
    • Cluster A
  50. Antisocial personality disorder
    • pattern of disregard for and violation of the rights of others, rules, and laws
    • aggression, destruction, callous, irresponsible
    • Cluster B
  51. Borderline personality disorder
    • unstable relationships, self-image, affect, and marked impulsivity
    • unstable affect, identity disturbance, unstable relationships, splitting, manipulation, SIB, impulsive
    • Cluster B
  52. Histrionic personality disorder
    • excessive emotionality and attention seeking
    • dramatic, extroverted, excitable, emotional, require constant affirmation and acceptance, gregarious, seductive, manipulative, exhibitionist, distractable
    • Cluster B
  53. Narcissistic personality disorder
    • grandiose, need for admiration, lack of empathy
    • hypersensitive to evaluation by others, entitled, exploits others, carefree
    • Cluster B
  54. Avoidant personality disorder
    • social inhibitions, feelings of inadequacy, hypersensitive to negative evaluation
    • views self as socially inept
    • extreme shyness, awkward, uncomfortable, lonely, depressed
    • Cluster C
  55. Dependent personality disorder
    • submissive, clings to others
    • lacks self-confidence, passive, avoids responsiblity, excessive need to be taken care of
    • Cluster C
  56. Obsessive-compulsive personality disorder
    • orderliness, rigidity, perfectionism, control
    • not many obsessions and compulstions
    • inflexibly, lacks spontaneity, polite, formal
    • Cluster C
  57. Religiosity
    an excessive demonstration of or obsession with religious ideas and behavior
  58. Echopraxia
    purposely imitating movements made by others

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