Term
Three Criteria for Personality Disorders |
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Definition
Sx present for extended period of time, not caused by EtOH, drugs, or other dz Sx cause distress and negative consequences in pts life Seen in two of the following: Thoughts, Emotions, Interpersonal Functioning, Impulse Control |
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Term
Describe the Paranoid personality. |
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Definition
-distrust others, suspicions of evil motives -trust themselves implicitly -avoid close relationships, seem cold and distant -challenge loyalties and intentions of friends and loved ones |
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Term
Describe the Schizoid personality. |
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Definition
-avoid relationships, prefer to be alone -do not show much emotion, weak social skills -do not show need for attention or acceptance |
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Term
Describe the Schizotypal personality. |
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Definition
-represents mild schizophrenia -characterized by odd forms of thinking and perceiving -seek isolation from others, believe to have superpowers or connect isolated events to relate to themselves -eccentric behavior and difficulty concentrating |
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Term
Describe the Antisocial personality. |
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Definition
-NOT people c poor social skills -characterized by lack of conscience -prone to criminal behavior, lying, stealing -impulsive c money and actions -aggressive, self needs > needs of others |
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Term
Describe the Borderline personality. |
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Definition
-characterized by mood instability and poor self-image -prone to mood swings and bouts of anger -take anger out on themselves, causing injury -suicidal threats and actions common -think in black-white terms, esp c relationships |
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Term
Describe the Histrionic personality. |
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Definition
-constant attention seekers -seek consant praise -exaggerate dress, illness, friendships, relationships, all to gain attention -often manipulative |
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Term
Describe the Cluster A personality, give 3 examples. |
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Definition
odd or eccentric behavior schizoid, paranoid, schizotypal |
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Term
Describe the Cluster B personality, give 3 examples. |
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Definition
Dramatic, emotional, erratic antisocial, borderline, narcissistic |
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Term
Describe the Cluster C personality, give 3 examples. |
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Definition
Anxious fearful behavior avoidant, dependent, obsessive-compulsive (personality) |
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Term
List some etiologies of delirium that could cause it in MINUTES (6). |
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Definition
Hypoxia Stroke/MI Seizure Hypoglycemia Embolism Drug Intoxication |
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Term
List some etiologies of delirium that could cause it in HOURS (5). |
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Definition
CHF/Edema Infection Metabolic Disturbances (Electrolyte Disturb, Hyper/HypoGlycemia) Uremia Drug Withdrawl |
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Term
List some etiologies of delirium that could cause it in DAYS (4). |
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Definition
Infection Metabolic Disturbances (Vit Def, Thyroid) Tumor Hematoma |
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Term
What are RFs for Delirium (5)? |
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Definition
Age (elderly or children) CNS Dz (esp. Dementia) End-organ Failure Substance Use/Abuse Trauma (burns, head trauma, hip fx) |
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Term
What are the criteria for Delirium? |
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Definition
Criterion A (Attention): inability to shift, focus, or sustain attention Criterion B (Brain): speech, language, thought process, memory, and orientation OR perceptual disturbances Criterion C (Course): acute, fluctuating Criterion D (Ddx): underlying causes (minutes, hours, days) Criterion E (Extras Features): sleep/wake reversal, psychomotor agitation, fear, embarrassment |
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Term
What drugs can contribute to or cause Delirium (5)? |
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Definition
EtOH Sedative-hypnotics Anticholinergics Immunosuppressants Opioid Analgesics |
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Term
What is the standard of care for Delirium? |
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Definition
Haldol (haloperidol); 0.5mg po/IV/IM q2h prn agitation (Lose dose benzodiazepine like Lorazepam 0.5-1.0mg, q2-4h, total day dose 4-12 mg, taper by 25% daily, also works) |
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Term
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Definition
Presence of sx that result in impaired reality testing and severe disruption in fxning. |
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Term
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Definition
Major mental disorders, developmental disorders, and learning disabilities |
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Term
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Definition
Underlying pervasive or personality disorders, and mental retardation |
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Term
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Definition
Somatic disorders; any nonpsychiatric medical condition |
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Term
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Definition
Social functioning and impact of symptoms |
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Term
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Definition
Global Assessment of Functioning |
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