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Chapter 28
Paramedic: Psychiatric Emergencies
79
Other
Not Applicable
02/19/2013

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Cards

Term
What is how a person functions or acts in response to his or her environment?
Definition
Behavior 1369
Term
What is behavior that is open and generally understood by those around the person?
Definition
Overt Behavior 1369
Term
What are behaviors that have hidden meaning or intentions that only the person understands?
Definition
Covert Behavior 1369
Term
What are situations in which the patient's presenting problem is some disorder of mood, thought, or behavior that interferes with his or her activities of daily living (ADLs)?
Definition
Behavioral Emergencies 1369
Term
What are normal, everyday activities such as getting dressed and taking out the garbage?
Definition
Activities of Daily Living (ADLs) 1369
Term
What exists when the abnormal behavior threatens a person's health and safety or the health and safety of another person?
Definition
Psychiatric Emergency 1369
Term
What are false beliefs?
Definition
Delusions 1369
Term
What are illusions (errors in perception) that result in loss of contact with reality?
Definition
Hallucinations 1369
Term
What are temporary or permanent dysfunctions of the brain, caused by a disturbance in the physical or physiologic functioning of brain tissue?
Definition
Organic Brain Syndrome 1371
Term
What is a severe form of anxiety that stems from a traumatic experience and is characterized by the individual reliving the stress of the original situation?
Definition
Posttraumatic Stress Disorder (PTSD) 1371
Term
What is repetition of movements that do not seem to serve any useful purpose?
Definition
Stereotyped Movements 1373
Term
What are repetitive actions that are carried out to relieve the anxiety of obsessive thoughts?
Definition
Compulsions 1373
Term
What is the pouring out of words like water escaping under pressure?
Definition
Pressure of Speech 1373
Term
What is words the patient invents?
Definition
Neologisms 1373
Term
What is it when the patient echoes words he or she hears?
Definition
Echolalia 1373
Term
What is it when the patient does not speak at all?
Definition
Mutism 1373
Term
What is accelerated thinking in which the mind skips very rapidly from one thought to the next?
Definition
Flight of Ideas 1373
Term
What is repetition of the same idea over and over again?
Definition
Perseveration 1373
Term
What are obsessive, irrational fears of specific things or situations, such as fear of heights, fear of open places, fear of confined spaces, or fear of certain animals?
Definition
Phobias 1373
Term
What is emotion that is out of synch with the situation; for example, wearing a waxy smile while discussing a parent's death?
Definition
Inappropriate Affect 1373
Term
What is the absence of emotion; appearing to feel no emotion at all?
Definition
Flat Affect 1373
Term
What is inventing experiences to fill gaps in memory?
Definition
Confabulation 1373
Term
What is lacking expression or movement, or appearing rigid?
Definition
Catatonic 1375
Term
What is a way of measuring the mental vital signs in a disturbed patient?
Definition
Mental Status Examination (MSE) 1375
Term
What is a useful mnemonic for evaluating the MSE in a patient?
Definition
COASTMAP 1375
Term
What is creating memories to take the place of things they cannot recall?
Definition
Confabulation 1376
Term
What is rapidly shifting among different emotional states?
Definition
Labile 1376
Term
What is a disorder characterized by disordered images of self, impulsive and unpredictable behavior, marked shifts in mood, and instability in relationships with others?
Definition
Borderline Personality Disorder 1376
Term
What is a technique of encouraging the patient to communicate by using gestures or noncommittal words?
Definition
Facilitation 1377
Term
What refers to pointing out something of interest in the patient's conversation, thereby directing the patient's attention to something he or she may have been unaware of?
Definition
Confrontation 1377
Term
What is a state of delusion in which a person is out of touch with reality?
Definition
Psychosis 1382
Term
What one of the most common causes of psychosis?
Definition
Use of Mind-Altering Substances 1382
Term
What is a condition in which a person is characterized by uncontrolled and disconnected thought, is usually incoherent or rambling in speech, and may or may not be oriented to person and place?
Definition
Disorganization 1382
Term
What is a condition in which a person may be confused about his or her identity, the location, and the time of day?
Definition
Disorientation 1382
Term
What is a situation in which the logical connection between one idea and the next becomes obscure, at least to the listener?
Definition
Loosening of Associations 1383
Term
What is the belief that thoughts are being broadcast aloud and can be heard by others?
Definition
Thought Broadcasting 1383
Term
What is the belief that thoughts are being thrust into his or her mind by another person?
Definition
Thought Insertion 1383
Term
What is the belief that thoughts are being removed?
Definition
Thought Withdrawal 1383
Term
What is a state of global cognitive impairment that is acute in onset and associated with fluctuations in mental status and behavior, inattention, disorganized thinking, and an altered level of consciousness?
Definition
Delirium 1383
Term
What is usually caused by toxic and metabolic problems or infections?
Definition
Delirium 1383
Term
What is a more chronic process that produces severe deficits in memory, abstract thinking, and judgment?
Definition
Dementia 1383
Term
What is any willful act designed to end one's own life?
Definition
Suicide 1384
Term
What is developing a nose for danger?
Definition
Survival Awareness 1385
Term
What is the safety zone in a potentially violent patient?
Definition
2 Arm Lengths 1386
Term
What is a group of disorders in which the disturbance of mood is accompanied by full or partial manic or depressive syndrome?
Definition
Mood Disorder 1386
Term
What is formally known as affective disorders and are among the most prevalent psychiatric disorders?
Definition
Mood Disorders 1386
Term
What is a bipolar disorder in which mood fluctuates between depression and mania?
Definition
Manic-Depressive Illness 1386
Term
What is a mental health disorder characterized by a persistent mood of sadness, despair, and discouragement?
Definition
Depression 1386
Term
What is a patient who alternates between mania and depression (both poles of the continuum)?
Definition
Bipolar Mood Disorder 1386
Term
What is a mental disorder characterized by abnormally exaggerated happiness, joy, or euphoria with hyperactivity, insomnia, and grandiose ideas?
Definition
Mania 1387
Term
What is leaving the current topic mid-conversation to talk about something else, inhibiting interpersonal communication?
Definition
Tangential Thinking 1387
Term
What is the leading cause of disability in people ages 15 and 44 years?
Definition
Depression 1387
Term
What is a person who experiences signs and symptoms of depression for more days than not for a period of at least 2 years and may be experiencing a chronic form of depression?
Definition
Dysthymic Disorder 1387
Term
What are characteristic features of depression?
Definition
Guilt and Self-Reproach 1387
Term
What is a complex, difficult-to-identify mental disorder whose typical onset is during early adulthood with dysfunctional symptoms becoming more prominent over time?
Definition
Schizophrenia 1387
Term
What is a collection of psychiatric disorders without psychotic symptoms and lacking the intense psychopathology of other mood disorders; includes anxiety disorders, phobias, and panic disorder?
Definition
Neurotic Disorders 1388
Term
What are mental disorders in which the dominant moods are fear and apprehension?
Definition
Anxiety Disorders 1388
Term
What is it when a person worries about everything for no particular reason, or if that worrying is unproductive and the person cannot decide what to do about an upcoming situation?
Definition
Generalized Anxiety Disorder (GAD) 1388
Term
What involves an unreasonable fear, apprehension, or dread of a specific situation or thing?
Definition
Phobic Disorders 1388
Term
What patient focuses all his or her anxieties onto one class of objects or situations?
Definition
Simple Phobia 1388
Term
What is characterized by sudden, usually unexpected, and overwhelming feelings of fear and dread, accompanied by a variety of other symptoms produced by a massive activation of the autonomic nervous system?
Definition
Panic Disorder 1388
Term
What is the fear of going into public places?
Definition
Agoraphobia 1388
Term
What is use of moderate amounts of a substance without seriously affecting ADL?
Definition
Substance Use 1389
Term
What is use of a substance that disrupts ADL?
Definition
Substance Abuse 1389
Term
What is use of a substance that results in impaired thinking and motor function?
Definition
Substance Intoxication 1389
Term
What is use of a substance that results in addiction and physiologic dependence on the substance?
Definition
Substance Dependence 1389
Term
What are the 2 major types of eating disorders?
Definition
Bulimia Nervosa and Anorexia Nervosa 1389
Term
What is an eating disorder characterized by consumption of large amounts of food, and for which the patient then sometimes compensates by using purging techniques?
Definition
Bulimia Nervosa 1389
Term
What is an eating disorder in which a person diets by exerting extraordinary control over his or her eating, and loses weight to the point of jeopardizing his or her health and life?
Definition
Anorexia Nervosa 1389
Term
What is a person who is overly concerned with their physical health and appearance?
Definition
Somatoform Disorder 1390
Term
What is the classic example of a somatoform disorder?
Definition
Hypochondriac 1390
Term
What is a disorder in which a person wishes to be sick and intentionally produces or feigns physical or psychological signs or symptoms and are under voluntary control, with no obvious physiologic reason?
Definition
Factitious Disorder 1390
Term
Who lacks the ability to resist a temptation or cannot avoid acting on a drive?
Definition
Impulse Control Disorders 1390
Term
What is the condition a person has when he or she behaves or thinks in a way that is dysfunctional or causes distress to other people?
Definition
Personality Disorder 1391
Term
What are drugs that affect mood, thought, or behavior?
Definition
Psychotropic Drugs 1391
Term
What is the most commonly prescribed antidepressant in the United States?
Definition
Fluoxetine (Prozac) 1391
Term
What is it when the patient develops muscle spasms of the neck, face, and back within a few days of starting treatment with an antipsychotic drug?
Definition
Acute Dystonic Reaction 1393
Term
What are powerful central nervous system and parasympathetic nervous system stimulants similar to other sympathomimetic drugs?
Definition
Amphetamines 1393
Term
What is discrimination against older people because of their age?
Definition
Ageism 1394
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