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psych quiz 2/21
| Question | Answer |
|---|---|
| Depersonalization | feeling that person is unreal |
| Derealization | feeling that environment has changed |
| Positive symptoms | Hallucinations,Tactile,Delusions, Extreme motor agitation Stereotyped behaviors Automatic obedience Waxy flexibility Stupor Negativism |
| Neologisms: | made-up words |
| Clang association: | meaningless rhyming or words |
| Word salad: | jumble of words together |
| Echolalia | repeating of words |
| echopraxia | move the arm and it will stay in that position until you move it. |
| Negative symptoms | Changes in affect Apathy Poor social functioning Poverty of thought ( few thoughts) |
| Anhedonia: | lack of feeling pleasure in anything in life |
| First atypical introduced: Problem: | clozapine (Clozaril) causes agranulocytosis (up to 1% of patients) |
| Advantage of atypicals | Alleviate positive and negative symptoms Produce minimal extrapyramidal symptoms Help improve cognitive deficits and decrease anxiety and depression |
| Disadvantage of atypicals | Tend to cause weight gain associated with additional metabolic side effects increasing risk for diabetes, cardiovascular disease, and hypertension More expensive than conventional antipsychotics |
| MAOIs can cause what possible crisis | if taken with tyramine then HTN crisis can occur. |
| Bipolar I | At least one episode of mania alternating with major depression Psychosis may accompany manic episode |
| Bipolar II | Hypomanic episode(s) alternating with major depression Not accompanied by psychosis |
| Cyclothymia | Hypomanic episodes alternating with minor depressive episodes (not enough to get to hospital) |
| Mania | Episode associated with marked impairment in function Hospitalization necessary |
| Lithium | risks include hypothyroidism and kidney impairment Continue drug therapy to prevent relapse Maintenance of normal diet with normal salt and fluid intake (1500-3000 mL/day) |
| Stop taking lithium and call physician iF | symptoms of dehydration develop from sweating and/or NVD |
| when starting SSRI | implications for suicidal ideation. |
| SSRI: | can cause you to have a “burst of energy”, |
| neurotransmitters (NT) may be involved in depression | serotonin, noradrenaline |
| SAD Persons Scale | S: Male sex A: Older age D: Depression P: Previous attempt E: Ethanol abuse R: Rational thinking loss S: Social supports lacking O: Organized plan N: No spouse S: Sickness |
| SIGECAPS | Sleep changes: I nterest (loss): G uilt (worthless): E nergy (lack): C ognition/Concentration: A ppetite (wt. loss); P sychomotor: S uicide/death |