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Mental Health
| Question | Answer |
|---|---|
| Affect | Emotional tone, feeling, or the outward manifestation of subjective emotions; also called affectivity. |
| Akathisia | Complete or partial loss of muscle control. |
| Anhedonia | Markedly diminished or lost interest or pleasure in all of most activities. |
| Anxiety | Apprehensive uneasiness or dread (may be marked by physiologic signs; such as sweating, tension, or increased pulse). |
| Assaultive | Threatening to hurt others or actually striking someone. |
| Athetoid | Involuntary writhing movements of fingers, toes or extremities. |
| Benzodiazepine | Class of common anti-anxiety medication. |
| Bipolar disorder | Severe disorder in which behavior alternates between over-activity and depression. |
| Catalepsy | State in which a person maintains the body position in which he or she is placed. |
| Catatonia | Stupor and muscle rigidity common in schizophrenia. |
| Cogwheeling (Movement) | Abnormal muscular rigor that manifests as jerky movements when the muscle is passively stretched; can be a side effect of psychotropic medications. |
| Compulsion | A repetitive behavior or mental act that a person feels driven to perform, sometimes constantly. |
| Cyclothymic | Mild form of bipolar disorder(ie. characterized by less extreme periods of over-activity & depression. |
| Decanoate/depot (medications) | Injectable long lasting psychotropic medications |
| Delusion | A false belief that cannot be corrected by reason. |
| Dual Diagnosis | Two separate chronic conditions at the same time; has commonly come to mean mental illness, combined with chemical dependency. |
| Dyskinesia | Involuntary, coordinated rhythmic movements. |
| Dysthymia | Depressive disorder, chronic clinical depression over a long period. |
| Dystonia | Difficulty in speaking |
| Echolalia | Automatic repeating of what has been said |
| Echopraxia | Involuntary imitation of the movements of other people |
| Entitlement | Psychological condition in which an individual feels that everyone should wait on him or her and often makes other unreasonable demands |
| Euthymia | Normal mood |
| Factitious | Physical or mental disorder that is artificial or made up with no organic basis |
| Forensic | Pertaining to legal matters |
| Functional disorder | Type of mental illness that has no organic causes |
| Grandiosity | Having delusions of grandeur |
| Hallucination | Seeing, hearing, smelling, tasting or feeling something that has no objective stimulus |
| Hypersomnia | Excessive sleep |
| Hypervigilance | A state of increased watchfulness |
| Hypomania | Hyperactive individual who has not reached the level of mania; does not require hospitalization |
| Intrusive | In Psychiatry, a client who interrupts or constantly interferes with others or who invades their personal space |
| Lability | Unstable fluctuating as a libile fever. In psychiatry; rapid mood swings and marked behavior changes. |
| Malingering | Faling illness to stay in the hospital or otherwise receive desired attention |
| Mania | Disordered mental state of extreme excitement; extreme and exaggerated hyperactivity as a phase of bi-polar disorder; expansiveness, increased speed of speech and thoughts, grandiosity. |
| Milieu/Milieu Therapy | Environment, surroundings, therapy in a comfortable, therapeutic environment |
| Mutism | Refusal or inability to speak |
| Neologism | New word created by an individual that is not actually a word |
| Neuroleptic | An agent that modifies psychotic behavior |
| Obsession | A recurrent, persistent, intrusive thought or belief that the person cannot ignore |
| Oculogyric Crisis | Involuntary backward rolling of the eyes |
| Opisthotonos | A spasm in which the head and heels are close and the body is bowed forward |
| Organic Disorder | Mental illness that is caused by an actual physical disorder |
| Paranoia | Mental disorder in which one has delusions of persecution or thinks others will harm him/her. |
| Perseverate | To dwell on one subject |
| Phobia | A persistent, abnormal fear or dread. (claustrophobia is fear of small, enclosed places) |
| Polydipsia | Excessive thirst |
| Psychiatrist | A physician who specializes in the treatment of mental disorders |
| Psychometric | Type of testing for mental disorders that includes an in-depth interview and various other tests; also called neuropsychiatric testing. |
| Psychosis | A mental disturbance in which personality disintegrates and the person escapes into unreality (more serious than neurosis) |
| Psychotropic | Types of medications that modify moods |
| Rapport | A state of harmony or good relationship between two individuals, particularly emphasized in mental health. |
| Regression | Return to a former state, as a child regresses when ill. Regression of a disease process refers to its relief or subsiding. |
| Schizophrenia | Psychological condition in which the person loses contact with reality. |
| Tardive Dyskinesia | A condition that results from long-term use of neuroleptics. A common symptom is obvious mouth and tongue movements. |
| Vulnerable Adult | An adult who is intellectually impaired, mentally ill, or otherwise unable to protect himself or herself. |
| 72 degrees | |
| AH | Auditory Hallucination |
| AIMS | Abnormal involuntary movement scale |
| ALC | Acute lethal catatonia |
| AMSIT | Appearance, mood, sensorium, intelligence, thought process |
| ANAD | |
| AP | Apical pulse or anteroposterior; anterior-posterior (repair); assault (attack) precautions |
| APE | Acute psychotic episode |
| AWOL | Absent without leave |
| BPD/BPAD | Bipolar disorder/bipolar affective disorder |
| BPRS | Brief Psychiatric Rating Scale |
| CHI | Closed head injury |
| CHT | Closed head trauma |
| CMHC | Community mental health center |
| CPMI | Chronic and persistent mental illness |
| DISCUS | Dyskinesia Identification System - Condensed User Scale |
| DSM | Diagnostic and Statistical Manual of Mental Disorders |
| ECT | Electroconvulsive therapy |
| EP | Escape (elopement) precautions |
| EPSE | Extrapyramidal side effects |
| ETOH,EtOH | Alcohol withdrawal |
| FOI | Flight of ideas |
| GP | General (suicide) precautions |
| HI | Homicidal ideation |
| Li+ | Lithium |
| LQR/LSR | Locked quiet room/Locked seclusion room |
| MDD | Major depressive disorder |
| MI/CD | Mentally ill and chemically dependent |
| MI | Myocardial infarction; mental illness |
| MMPI | Minnesota Multiphasic Personality Inventory |
| MMSE | Mini mental status exam |
| NMS | Neuroleptic malignant syndrome |
| NOS | Not otherwise specified |
| OCD | Obsessive-compulsive disorder |
| OD | Overdose; right eye (oculus dexter) (not recommended for use) |
| ODT | Orally disintegrating tablet |
| PADS | Preventive aggression device system |
| PD | Provisional discharge |
| PPS | Prospective payment system |
| Y | |
| PTSD | Post-traumatic stress disorder |
| REBT | Rational emotive behavioral therapy |
| SI/SA | Suicidal ideation/Status asthmaticus |
| SIB/SIW | Self injurious behavior/Self inflicted wound |
| SP | Suprapubic (catheter) |
| TA | Transactional analysis; temporal artery (forehead) |
| TD/TDK | Tardive dyskinesia; transdermal/ |
| TR | Therapeutic recreation |
| U-ToX | Urine toxicology screen (for drugs) |
| VH | Visual hallucinations |
| W/D | Withdrawal |
| Patients with chronic or progressive illness are more prone to | Suicide/depression |
| REBT therapy states that people are accepted | Unconditionally |
| Reality Therapy | Enforces that we can't change the past and need to develop socially acceptable behavior |
| The major concern for psychiatric patients is | Safety |
| ____ & ____ and having flash backs are common in PTSD | Hyper vigilance and being easily startled |
| Agoraphobia | The phobia of open spaces |
| Borderline Personality | Disorder is frequently associated with self-injury |
| Patients with Narcissistic personality | Disorder lack empathy, have a need for admiration and have a sense of entitlement. |
| Those with Schizoid personality | Disorder lack social relationships and a range of emotions |
| Mania could include forced speech and | Racing thoughts |
| The patient with dysthymia must display depressed mood for | 2 years for diagnosis |
| Patients with disturbed sleep, depressed mood and thoughts of death may be suffering from | Major depressive episode |
| Axis I: Clinical | Psychiatric syndromes |
| Axis II: Personality | Disorders and mental retardation |
| Axis III: General | Medical conditions |
| Axis IV: Psychosocial | And environmental problems |
| Axis V: Global | Assessment of functioning |
| A patient refusing to discuss an issue is using | Repression as a defense mechanism |
| Patients taking neuroleptics may develop ticks such as lip smacking. This is know as | Tardive dyskinesia |
| A paranoid patient need the nurse to | Explain procedures before intervening |
| A patient with Histrionic | Personality disorder engages in attention seeking behaviors |
| A patient with Borderline | Personality disorder has a history of unstable relationships |
| Schizoid personality disorders characterized by | discomfort with interpersonal relationships |
| A patient with social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation may be diagnosed with | Avoidant personality disorder |
| Compulsions are ritualistic or repetitive behaviors | that a person carries out continuously |
| Munchousens by proxy | occurs when a person inflicts illness or injury on someone else to gain attention |
| Manic patients may benefit from a reduction of environmental | stumuli |
| NMS (neuroleptic malignant syndrome) | is a life threatening reaction to neuroleptic medication,exhibited by rigidity, fever, diaphoresis, and sudden altered LOC |
| Reaction formation involves using | opposite behavior from what would be expected for a a given situation |
| Clients suffering from mental illness have a higher incidence of | Substance abuse and the nurse should watch for withdrawal symptoms upon addmission |
| Tweaking | Rapid eye movement |
| Formication | Crawling skin - bugs, snakes |
| Hallucinations | seeing, hearing, smelling, tasting or feeling something that has no objective stimulus |
| Delirium tremens | symptoms that appear in the third |
| Enablers | usually family or spouse, may have difficulty accepting that the disease of abuse is bad but not the addict, himself, is bad |
| Tremors are part of the autonomic | Hyperactivity process during withdrawl |
| 0.08 | is the legal limit for alcohol blood level |
| Always position patients on their side | due to possible n/v associated with withdrawal |
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