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PSYCH Ch ,29-32
Ch29(brief) 31-32
Question | Answer |
---|---|
What does a psychopath present as? | one with a gross disturbance in social behavior with no impairment in mental state |
What is paranoia? | suspicious system of thinking that includes delusions of persecutions and grandeur |
What is an antisocial personality? | pervasive pattern of disregard for and violation of the rights of others |
What do psychopaths often rely on to get their way? | deceit and manipulation |
What is deceit? | lying |
What is manipulation? | controlling of others for one's own purpose by influencing them in unfair or false ways |
Where are antisocial personality disorders rooted? | in childhood |
What is a histrionic? | pattern o f excessive emotional expression acoompanied by attention seeking behaviors |
What a narcissist? | one who has a pattern of grandiosity and the need to be admired |
What do narcissists believe? | that they are special, unique, or extra important |
What is a dependent personality? | associated with separation and abandonment , refusal to be responsible for their ownactions |
Men with schizophrenia in general are what? | less likely to respond well to treatment, have higher relapse rates, and spend more time inpatient |
As a person with schizophrenia gets older what happens to the delusions and hallucinations? | they decrease or disappear |
What happens with persons with shizophrenia as they get older? | their hallucinations tend to disappear but they in turn become more withdrawn or paranoid |
What did Hans Bleuler define schizophrenia as? | splitting of the mind |
What % of people that are homeless have schizophrenia? | 10-15% |
What % of schizophrenics commit suicide? | 10% |
What are the 5 subtypes of schizophrenia? | catatonic, disorganized, paranoid, undifferentiated, residual |
What is the physical appearance of a schizophrenic? | unkempt |
What are hallucinations? | false snesory inputs with no external stimuli |
What are illusions | false perceptions of real stimuli |
whar are delusions? | fixed false ideas that rae not based in reality |
What are ideas of reference? | the idea that people or the media are talking about oneself |
what is derealization? | loss of ego boundaries with inability to tell where one's body ends and the environment begins |
What is perseveration? | repeating of the same idea in response to different questions |
What is poverty of thought? | lack of ability to produce new thoughts of follow a train of thought |
What is alexithymia? | difficulty in indentifying and describing emotions |
What is apathy? | lack of concern interest or feelings |
What is anhedonia? | inability to experience pleasure in ones life |
What are the 4 stages of shizophrenia? | prodromal, prepsychotic, acute and residual |
At what phase are schizophrenics usually quiet, passive and obendient preferring to be alone? | prepsychotic phase |
What is EPSE? | extrapyramidal side effects |
How do you describe EPSE? | abnormal involuntary movement disorders |
Why do EPSEs develop? | because there is an imbalance of 2 major neurotransmitters (dopamine and acetylcholine) |
What types of EPSEs are there? | akaththisia, akinesia, dyskinesia, dystonia, drug induced parkinsonianism |
What is akathisia? | inability to sit still |
What is akinesia? | absence of movement physically and mentally |
What is bradykinesia? | slowing of body movement |
What is dyskinesia? | involuntary abnormal muscle movements |
What is dystonia? | impaired muscle tone |
What is an oculogyric crisis? | when eyes roll back into the head involuntarily |
What is torticollis? | cervical muscle contraction forcing the neck to twist |
What is laryngeal pharyngeal dystonia? | muscles of the throat become rigid , causing gag, choke and cyanosis |
What does NMS stand for? | neuroleptic malignant syndrome |
What is NMS? | potentially fatal EPS of antipsychotics characterized by high body temp and rapid decline in condition |
What is TD? | tardive dyskinesia |
_______________ is a serious irreversible side effect of long term treatment with antipsychotics | tardive dyskinesia |
When are symptoms of TD most severe? | young men |
What do the signs and symptoms of TD usually involve first? | facial muscles |
TD is irreversible except in what stage? | early |
What is an exacerbation? | period of dysfunction accompained by an increase in signs and symptoms |
What is a remission | partial or complete disappearance of symptoms |
Chronic mental illness is the presence of one or more recurring psychiatric disorders that results in significantly impaired _____________________ abilitites | functional |
What is a chemical restraint? | a med that reduces or eliminates psychotic symptoms and quiets behavior |
Where are the CMI now housed (mostly) | in jails and prisons |
CMIs struggle with _____________and expectations of others | labels |
Poverty and illness go ___________ in ______________ | hand in hand |
What is the revolving door syndrome? | repeated shot hospital admissions and discharges |
What are the psychological characteristics of a CMI? | altered thought processes, chronic low self esteem, depression, loneliness, starved for social interactions, hopelessness |
What are the behavioral characteristics of a CMI? | lack knowledge regarding hygiene, manners etc, assaultive behaviors, sexual behaviors, violence |
What is co-morbidity? | presence of 2 or more mental health disorders |
What is dual-diagnosis? | suffering from 2 mental health disorders one usually substance related |
What is homelessness? | without permanent residence |
What is competency? | making a choice, understanding important information, appreciating one's situation and applying reasoning |
How many individuals with mental illness are deemed competent (%) | 50% |
What are the obligations of a client? | truthful, responsible for own behaviors, cooperate with treatment, |
What are the obligations of care providers? | acceptance, respect, empowerment, educations |