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Psych Midterm
random
23
Nursing
Undergraduate 3
03/21/2010

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Cards

Term
McNaughten Test 1839
Definition
1. determine "legal sanity"
2. crime of passion (irresistible impulse) added 1929
3. NGI, not guilty but insane
4. "competence to proceed"
Term
MSE
Definition
offers picture of mental state at one point in time. speech, affect/mood, perception, thought content & cognition/sensorium included
Term
transference
Definition
pt experiences feelings toward nurse that were originally associated with other figures
Term
countertranference
Definition
therapeutic impasse created by nurse's inappropriate emotional response to qualities of pt
Term
Trephening
Definition
make an opening in skull. often to relieve pressure in syphilis pts
Term
Delusion types
Definition
grandiose, paranoid, somatic, nihilistic
Term
neologisms
Definition
words pts create
Term
Therapeutic relationship stages
Definition
introduction/initiation. working phase-can have therapeutic conversation, med teaching. Termination phase- evaluate pt experience prior to d/c & provide closure, discuss resources
Term
Freud of defense mechanisms
Definition
all behavior is motivated. DMs protect ego/self. some DM are adaptive, others maladaptive.
Term
Schizophrenia + SX --active
Definition
bizarre delusions, command aud hallucinations, inappropriate affect, sudden rage, erratic bx. TYPICAL antipsychotics
Term
Schizophrenia - SX--passive
Definition
thought blocking, difficulty concentrating, blunted affect, anhedonia (inability to feel pleasure), apathy/alogia. ATYPICAL antipsychotics.
Term
Shizo/phrenos
Definition
split/mind
Term
Tarasoff Duty to warn
Definition
legal obligation, must notify individuals of threat, be knowledgeable about potential violence, and recognize suicidal risk.
Term
Levels of Anxiety
Definition
Mild- sharpens senses, heightened awareness, learning enhanced
Moderate-less alert to environment, attention span & concentration decrease, Increased muscle tension & restlessness
Severe-greatly impaired attention & concentration, difficulty completing tasks, physical & emotional s/s, Bx aimed at relieving anxiety
Term
Panic
Definition
unable to focus, misperception or loss of reality, wild desperate actions or extreme withdrawal, ineffective communication & interaction
Term
Panic disorder
Definition
recurrent, persistent worry/concern, change in Bx
Term
Phobia Disorder
Definition
multiple phobias, social anxiety 14% lifetime incidence, specific anxiety (fear of flying...)
Term
Obsessions
Definition
recurrent thoughts, images or impulses that are intrusive and inappropriate
Term
Compulsions
Definition
repetitive Bx or mental acts done to prevent or reduce anxiety
Term
Somatoform Disorder
Definition
S/s varied, puzzling & difficult to sort out. Dissatisfied w/ caregivers=change, move often to no avail. Workups r/o majore disease. Believe themselves to be sick. Psychological factors & conflicts seem r/t symptoms - internalize
Term
Conversion
Definition
Movie Tommy - boy became deaf dumb & blind after seeing his mom w/ another guy. s/s preceeded by conflict or stress. May exhibit "la belle indifference" re their disability
Term
Dissociative Disorder
Definition
Depersonalization (feeling detached/disconnected)
Dissoc Amnesis (can't recall info)
Dissoc Fugue ( travel & can't recal identity re their past)
Dissoc identity (traumatized at young age, alt personality developed to take abuse)
Term
Factitious Disorder
Definition
S/s are INTENTIONALLY produced in order to gain attention.
Muchausen's by proxy, Malingering (pretend to have s/s to achieve external goal - $, time off, attention...)
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