Term
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Definition
| deficits in general intellectual functioning and adaptive functioning. |
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Term
| An emotional problem existis if the behavioral manifestations are present (3 of them) |
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Definition
1) behavior is not age appropiate
2) Deviate from cultural norms
3) Create deficits or impariments in adaptive functioning |
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Term
| The degree of Mental retardation is defined by what? |
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Definition
|
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Term
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Definition
| Characterized by a withdrawl of the child into the self and into a fantasy world of his or her own creation |
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Term
| Pervasive Developmental disorders |
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Definition
| A group of disorders that are charcterized by impairment in several areas of development, including social interaction skills and interpersonal communication. Included are autisitic disorder, Retts disorder, childhood disintigrative disorder and Aspergers disorder. |
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Term
| In general it is accepted that autism is caused by what? |
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Definition
| abnormalities in brain structures or functions. |
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Term
| What neurotransmitter alteration has been observed in people with autisum |
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Definition
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Term
| 3 symptomaltology present in children with autisum |
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Definition
1. Impairment insocial interaction
2. impairment in communication and imaginative activity
3. restricted activites and interests |
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Term
| Sterotypic behavior of autistic children |
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Definition
repetivitive rocking
hand clapping
insistence on sameness
self-injurious behavior |
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Term
| Which sex is more prominent for autistic disorder? |
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Definition
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Term
| 1/2 of people with autistic disorder also have what? |
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Definition
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Term
| 1/4 of people with autistic disorder also have what other disorder? |
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Definition
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Term
| Severe and sustained impairment in social interaction and restricted, repetitive patterns |
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Definition
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Term
| Normal intelligence, good verbal skills, low performance |
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Definition
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Term
–inappropriate initiation of social interactions
–inability to respond to social cue
–concrete in interpretation of language
–stereotypic behavior |
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Definition
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Term
| repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated. phyiscal aggresion is common. |
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Definition
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Term
| Similiar to anitsocial personality in adults. |
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Definition
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Term
This subtype is defined by the onset of at least one criterion charcteristic of conduct disorder before the age of 10.
-are usually boys,
-frequently display physical aggression
-have disturbed relationships
-are likely to develop antisocial personality as an adult. |
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Definition
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Term
This subtype is defined by the absence of any criteria charcteristic of conduct disorder before the age of 10.
-less likely to display aggressive behaviors
-tend to have more normal peer relationships than those of childhood-onset type
-are less likely to have persistent conduct disorder or develop antisocial personalitly.
-the ratio of boys to girls is lower than childhood-onset |
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Definition
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Term
| Personality characterisitics that define an individuals mood and behavioral tendencies. the sum of physical, emotional, and intellectual components that affect or determine a person's actions and reactions. |
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Definition
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Term
| Refers to personality traits that become ecident very early in life and may be present at birth. It is a predisposing factor of conduct disorder. |
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Definition
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Term
These family infulences have been implicated in what disorder?
-parental rejection
-inconsistent management with harsh displine
-early institutional living
-frequent shifting of parental figures
-large family size
-absent father
-parents with antisocial personality disorder and/or alcohol dependence
-association with a delinquent subgroup
-marital conflict or divorce
-inadequate communication patterns
-parental permissiveness |
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Definition
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Term
| The child lacks feelings of guilt or remorse |
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Definition
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Term
Projection is a common defense mechanism with this disorder.
(Projection- the individual "passes the blame" for undesirable feelings or impulses the another, thereby providing relief from the anxiety associated with them) |
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Definition
|
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Term
What disorder?
-aggression to people or animals
-destruction of property
-deceitfulness or theft
-serious violations of rules |
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Definition
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|
Term
What disorder?
-Risk for other-directed violence r/t characterstics of temperament, peer rejection, negative parental rold models, dysfunctinoal family dynamics. |
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Definition
|
|
Term
what disorder?
-Impaired social interaction r/t negative parental role models, impaired peer relationskips leading to inappropriate social behaviors. |
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Definition
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Term
What disorder?
-Defensive coping r/t low self-esteem and dysfuntional family system. |
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Definition
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|
Term
What disorder?
-Low self esteem r/t lack of positive feedback and unsatisfactory parent-child relationship
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Definition
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|
Term
What disorder?
- Impaired verbal communication r/t withdrawl into the self; inadequate sensory stimulation; neurological alterations |
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Definition
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Term
| Impaired social interaction r/t inability to trust; neurological alterations |
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Definition
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Term
What disorder?
-risk for self mutilation r/t neurological alterations |
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Definition
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Term
A patterns of negativistic, defiant, disobedient, and hostile behavior toward authority figures that occurs more frequently than is typically observed in individual of comparable age and developmental level, and interferes with social, academic, or occupational functioning.
–trouble making friends
–Disobedient, argumentative |
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Definition
| Oppositional defiant disorder |
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Term
| This disorder typically begins before the age of 8 and typically no later than adolescents. After puberty the rates are more closley related in boys and girls |
|
Definition
| Oppositional Defiant Disorder |
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Term
| Attitude is more exagerrated |
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Definition
|
|
Term
What disorder?
•Passive aggressive behavior
•Procrastination/dawdling
•Resistant to authority
•Disobedience
•Carelessness
•Violation of minor rules
•Negativism |
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Definition
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|
Term
| Group therapy is more preferred with this disorder. |
|
Definition
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Term
What disorder?
-Noncompliance with therapy r/t negative temperament, denail of problems, underlying hostility. |
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Definition
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Term
| Impaired social interaction r/t negative temperament, underlying hostility, manipulation of others. |
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Definition
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|
Term
What Disorder?
-Defensive coping r/t retarded ego development, low self-esteem, unsatisfactory parent-child relationship. |
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Definition
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Term
| Characterized by a disturbance of consciousness and a change in cognition that develop rapidly over a short period |
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Definition
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Term
| Level of consciousness is often affected, with a disturbance in the sleep wake cycle. |
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Definition
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Term
| Mental state characterized by a disturbance of cognition, which is manifested by confusion, excitement, disorientation, and a clouding of consciousness. hallucinations and illusions are common. |
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Definition
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Term
| The symptoms of usually being quite abruptly (usually following a head injury or seziure.) |
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Definition
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Term
| The onset if more common if the underlying cause is systemic illness or metabolic imbalance. |
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Definition
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Term
| The duration is usually breif. |
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Definition
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Term
| evidence must exist to show that the symptoms of are a direct result of the physiological consequences of a general medical condition. ( hypoxia, F&E imbalence, postoperative state, etc.) |
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Definition
| Delirium due to general medical condition. |
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Term
| This disorder is charcterized by the symptoms of delirium that are attributed to medication side effects or exposure to a toxin. |
|
Definition
| Substance-induced delirium |
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Term
| Symptoms develop after reduction or termination of sustained, usually high-dose use of certian substances, such as alcohol, sedatives hypnotics or anxiolytics. |
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Definition
| Substance-withdrawl delirium |
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|
Term
Which subtype of Delirium?
- agitation
-Hallucinations
-delusions
Hyperarousal
-W/drawl syndromes
-elevated or normal cerebral metabolism |
|
Definition
|
|
Term
Which subtype of Delirium?
-hypoalert
-Lethargic
-Sleepy
-Withdrawn
-Slowed
-ex: encephalopathies, benzo intoxication |
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Definition
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Term
| Loss of previous levels of cognitive, executive and memory function in a state of full alertness. |
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Definition
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Term
| The most common form of dementia. |
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Definition
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Term
| Dementias such as AD, in which the dementia itself is the major sign of some organic brain disease not directly related to any other organic illness. |
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Definition
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Term
| Dementia caused by or related to another disease or condition, such as HIV disease or a cerebral trauma. |
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Definition
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Term
Dementia or Delirium?
-the conventional rules of social conduct are often disregarded.
-behavior may be uninhibited and inappropriate
-personal apperance and hygiene are often neglected |
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Definition
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|
Term
| When symptoms of AD seem to worsen in the late afternoon and evening |
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Definition
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Term
| The inability to carry out motor activities despite intact motor function |
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Definition
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Term
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Definition
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
Mild-to Moderate cognitive decline
(Confusion) |
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Term
|
Definition
Moderate cognitive decline
(Early Dementia) |
|
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Term
|
Definition
moderate to severe Cognitive decline
(Middle Dementia) |
|
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Term
|
Definition
severe cognitive decline
(Late Dementia) |
|
|
Term
What stage of AD?
-no apparent symptoms |
|
Definition
|
|
Term
What stage of AD?
-loss in short term memory
-individual begins to loss things or forget names
-these symptoms oftne are not observed by others |
|
Definition
|
|
Term
What stage of AD?
-Interference with work performance
-Difficultly recalling names or words
-becomes noticeable to family and close associates |
|
Definition
|
|
Term
What stage of AD?
-Forget major events in personal history
-Depression and social withdrawl are common
-confabulation present |
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Definition
|
|
Term
| creating imagiinary event to fill in memory gaps |
|
Definition
|
|
Term
What stage of AD?
-Lose ability to perform some ADL's independently
-may become disoriented about place and time
-maintain knowledge about themselves |
|
Definition
|
|
Term
What stage of AD?
-Disorientation to surroundings is common
-unable to recall the day season or year
-unable to manage ADL's w/o assistance
-symtoms seem worse in the late afternoon |
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Definition
|
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Term
What stage of AD?
-The indivdual is unable to recognize family members |
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Definition
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|
Term
| The clinical syndrome of dementia is due to significant cerebrovascular disease. |
|
Definition
|
|
Term
|
Definition
| the exact cause is unknown but hypotheses include acetylcholine alterations, plaques and tangles, head trauma & genetic factors |
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Term
| The most common mental illness in the elderly is? |
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Definition
| Depression (pseudodementia) |
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Term
| What part of the brain contains the appetite regulations center? |
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Definition
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Term
| Eating is considered what time of activity? |
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Definition
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Term
| What 2 things have a great deal of influence on eating behaviors? |
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Definition
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Term
| Prolonged loss of appetite |
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Definition
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Term
| What is characterized by a morbid fear of obesity, symptoms include gross distortion of body image, preoccupation with food and refusal to eat. |
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Definition
|
|
Term
| A subjective concept of one's physical appearance based on the personal perceptions of self and the reactions of others. |
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Definition
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Term
| Is defined as a body mass index of 30 or greater. |
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Definition
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|
Term
| Episodic, uncontolled, compulsive, rapid ingetion of large quantities of food over a short period of time (binging) followed by (Purging) |
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Definition
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|
Term
| What occurs when caloric intake exceeds caloric output in terms of basal metabolism and physical activity. |
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Definition
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Term
| What is the immediate aim of treatment in eating disorders? |
|
Definition
| restore the clients nutritional status |
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Term
| What is important when instituting a behavior modification program with eating disorder clients? |
|
Definition
| ensure that the client doesnt feel like the program is "controlling" them. |
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Term
| Common nursing diagonoses of anorexia nervosa and Bulimia nervosa pt. |
|
Definition
| Imbalenced nutrition lesss than body requirements, ineffective denial, disturbed body image low self esteem. |
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Term
| The totality of emotional and behavioral characteristics that are particular to a specific person and that remain somewhat stable and predictable over time. |
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Definition
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|
Term
| What cluster is behaviors described as dramatic, emotional, or erratic |
|
Definition
| Cluster B- antisocial, boarderline, historionic, narcissistic |
|
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Term
| What cluster describes behaviors described as odd or eccentric |
|
Definition
| cluster A- parnoid, schizoid, schizotypal |
|
|
Term
| What cluster describes behaviors as anxious or fearful |
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Definition
| Cluster C- avoidant, Dependent, OCD |
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Term
| A pattern of socially irresponsible, exploitative, and guiltless behavior that reflects a disreguard for the rights of others, the exploiate and manipulate others for personal gain and hav a general disreguard for the law. |
|
Definition
| Antisocial Personality Disorder |
|
|
Term
| These indivuals have difficulty sustaining consistent employment and developing stable relationships |
|
Definition
| Antisocial personality disorder |
|
|
Term
| Personality characterized by a pattern of intense and chaotic relationships, with affective instablilty and fluctuating attitudes toward other people. |
|
Definition
| Boarderline Personality disorder |
|
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Term
| These individuals are impulsive are directly and indirectly self destructive and lack a clear sense of identity. It is more common in women than in men. |
|
Definition
| Boarderline Personality disorder. |
|
|
Term
Antisocial Criteria (3)
C: Conformity to law lacking
O: Obligations ignored
R: Reckless disregard for safety of self or others
R: Remorse lacking
U: Underhanded (deceitful, lies, cons others)
P: Planning insufficient (impulsive)
T: Temper (irritable and aggressive) |
|
Definition
|
|
Term
Common behavior of what disorder?
-Exploitation and manipulation of others for personal gain
-Belligerent and argumentative
-Lacks remorse
–-Unable to delay gratification
–-Low frustration tolerance
-Inconsistent work or academic performance |
|
Definition
| Antisocial Personality Disorder |
|
|
Term
| A pre-disposing factor is history of ADHD and conduct disorder during childhood and adolescents |
|
Definition
| Antisocial Personality disorder |
|
|
Term
Boarderline Personality Disorder criteria
P: Paranoid ideas
R: Relationship instability
A: Angry outburst, affective instability, abandonment
I: Impulsive behavior, identify disturbances
S: Suicidal (or self-mutilating) behavior
E: Emptiness (chronic feelings of) |
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Definition
| Boarderline Personality Disorder Criteria |
|
|
Term
This is seen in what personality disorder?
◦Always seem to be in a state of crisis.
◦Affect is one of extreme intensity.
◦Behavior reflects frequent changeability
◦Self-destructive behaviors present.
◦Clients are impulsive. |
|
Definition
| Boarderline Personality disorder |
|
|
Term
Common behaviors of what Personality disorder?
–-Chronic depression
–-Inability to be alone
–-Clinging and distancing
behaviors
–-Splitting
–-Manipulation
–-Self-destructive behaviors |
|
Definition
| Boarderline Personality disorder |
|
|
Term
| Common Nursing diagonsis for Boarderline Personality disorder? |
|
Definition
-Risk for self mutliation
-Risk for suicide
-Complicated greiving
-Impaired social interaction
-Disturbed Personal idenity |
|
|
Term
Typical BPD
}emerges in adolescence
}especially severe in twenties
}about half improve spontaneously in thirties and forties
}commonly fail in education, employment, and relationships
}suicide claims eight to ten percent; many more carry scars of self-mutilation |
|
Definition
| Boarderline Personality disorder |
|
|
Term
| What are the stages of Grief for Elisabeth Kubler-Ross |
|
Definition
Stage I: Denial
Stage II: Anger
Stage III: Bargaining
Stage IV: Depression
Stage V: Acceptance |
|
|
Term
| The grief response can be more difficult if |
|
Definition
Page 796 to see all
- the person was strongly dependent
-the individual has experienced a number of losses
-the loss of a young person
-the person percieves some |
|
|
Term
| The indivdual remains fixed in the anger stage of the grief response |
|
Definition
| Distorted (exaggerated) grief response |
|
|
Term
Children what age?
Infants are unable to recogonize and understand death, but they can experience the feelings of loss and seperation |
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Definition
|
|
Term
Children what age?
preschoolers and kindergartners have some undrstanding about death but often have diffculty distingusihing between fantasy and reality. |
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Definition
|
|
Term
Children what age?
at this age they begin to understand the finality of death |
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Definition
|
|
Term
Children what age?
Understand that it effects everyone including themselves, they may ask questions about death. Feelings of anger, guilt, and depression are common.
|
|
Definition
|
|
Term
| How do adolescents view death? |
|
Definition
| They are able to view it as an adult level, they have difficulty tolerating the intense feelings associated with the death of a loved one, they may or may not cry. |
|
|
Term
| The person is less about to adapt and reintergrate the mental and physical health is jeopardized. |
|
Definition
|
|
Term
| Nursing Diagnosis r/t grieving. |
|
Definition
| Risk for complicated greiving, risk for spiritual distress, |
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Term
| A program that provides palliative and supportive care to meet the special needs of people who are dying and their families. |
|
Definition
|
|
Term
| Refers to either a living will or a durable power of attorney for health care. either document allows an individual to provide directions about his or her future medical care. |
|
Definition
|
|
Term
| A written document made by a competent individual that provides instructions that should be used when the individual is no longer able to express his or her wishes for health care treatment. |
|
Definition
|
|
Term
| A written form that gives another person legal power to make decisions regarding health care when an indiviual is not longer capable of making such decisions. |
|
Definition
| Durable power of attorney |
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