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PSYCH

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Question
Answer
What does a psychopath present as?   one with a gross disturbance in social behavior with no impairment in mental state  
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What is paranoia?   suspicious system of thinking that includes delusions of persecutions and grandeur  
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What is an antisocial personality?   pervasive pattern of disregard for and violation of the rights of others  
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What do psychopaths often rely on to get their way?   deceit and manipulation  
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What is deceit?   lying  
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What is manipulation?   controlling of others for one's own purpose by influencing them in unfair or false ways  
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Where are antisocial personality disorders rooted?   in childhood  
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What is a histrionic?   pattern o f excessive emotional expression acoompanied by attention seeking behaviors  
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What a narcissist?   one who has a pattern of grandiosity and the need to be admired  
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What do narcissists believe?   that they are special, unique, or extra important  
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What is a dependent personality?   associated with separation and abandonment , refusal to be responsible for their ownactions  
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Men with schizophrenia in general are what?   less likely to respond well to treatment, have higher relapse rates, and spend more time inpatient  
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As a person with schizophrenia gets older what happens to the delusions and hallucinations?   they decrease or disappear  
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What happens with persons with shizophrenia as they get older?   their hallucinations tend to disappear but they in turn become more withdrawn or paranoid  
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What did Hans Bleuler define schizophrenia as?   splitting of the mind  
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What % of people that are homeless have schizophrenia?   10-15%  
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What % of schizophrenics commit suicide?   10%  
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What are the 5 subtypes of schizophrenia?   catatonic, disorganized, paranoid, undifferentiated, residual  
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What is the physical appearance of a schizophrenic?   unkempt  
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What are hallucinations?   false snesory inputs with no external stimuli  
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What are illusions   false perceptions of real stimuli  
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whar are delusions?   fixed false ideas that rae not based in reality  
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What are ideas of reference?   the idea that people or the media are talking about oneself  
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what is derealization?   loss of ego boundaries with inability to tell where one's body ends and the environment begins  
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What is perseveration?   repeating of the same idea in response to different questions  
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What is poverty of thought?   lack of ability to produce new thoughts of follow a train of thought  
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What is alexithymia?   difficulty in indentifying and describing emotions  
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What is apathy?   lack of concern interest or feelings  
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What is anhedonia?   inability to experience pleasure in ones life  
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What are the 4 stages of shizophrenia?   prodromal, prepsychotic, acute and residual  
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At what phase are schizophrenics usually quiet, passive and obendient preferring to be alone?   prepsychotic phase  
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What is EPSE?   extrapyramidal side effects  
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How do you describe EPSE?   abnormal involuntary movement disorders  
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Why do EPSEs develop?   because there is an imbalance of 2 major neurotransmitters (dopamine and acetylcholine)  
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What types of EPSEs are there?   akaththisia, akinesia, dyskinesia, dystonia, drug induced parkinsonianism  
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What is akathisia?   inability to sit still  
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What is akinesia?   absence of movement physically and mentally  
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What is bradykinesia?   slowing of body movement  
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What is dyskinesia?   involuntary abnormal muscle movements  
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What is dystonia?   impaired muscle tone  
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What is an oculogyric crisis?   when eyes roll back into the head involuntarily  
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What is torticollis?   cervical muscle contraction forcing the neck to twist  
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What is laryngeal pharyngeal dystonia?   muscles of the throat become rigid , causing gag, choke and cyanosis  
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What does NMS stand for?   neuroleptic malignant syndrome  
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What is NMS?   potentially fatal EPS of antipsychotics characterized by high body temp and rapid decline in condition  
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What is TD?   tardive dyskinesia  
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_______________ is a serious irreversible side effect of long term treatment with antipsychotics   tardive dyskinesia  
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When are symptoms of TD most severe?   young men  
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What do the signs and symptoms of TD usually involve first?   facial muscles  
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TD is irreversible except in what stage?   early  
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What is an exacerbation?   period of dysfunction accompained by an increase in signs and symptoms  
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What is a remission   partial or complete disappearance of symptoms  
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Chronic mental illness is the presence of one or more recurring psychiatric disorders that results in significantly impaired _____________________ abilitites   functional  
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What is a chemical restraint?   a med that reduces or eliminates psychotic symptoms and quiets behavior  
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Where are the CMI now housed (mostly)   in jails and prisons  
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CMIs struggle with _____________and expectations of others   labels  
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Poverty and illness go ___________ in ______________   hand in hand  
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What is the revolving door syndrome?   repeated shot hospital admissions and discharges  
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What are the psychological characteristics of a CMI?   altered thought processes, chronic low self esteem, depression, loneliness, starved for social interactions, hopelessness  
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What are the behavioral characteristics of a CMI?   lack knowledge regarding hygiene, manners etc, assaultive behaviors, sexual behaviors, violence  
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What is co-morbidity?   presence of 2 or more mental health disorders  
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What is dual-diagnosis?   suffering from 2 mental health disorders one usually substance related  
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What is homelessness?   without permanent residence  
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What is competency?   making a choice, understanding important information, appreciating one's situation and applying reasoning  
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How many individuals with mental illness are deemed competent (%)   50%  
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What are the obligations of a client?   truthful, responsible for own behaviors, cooperate with treatment,  
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What are the obligations of care providers?   acceptance, respect, empowerment, educations  
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