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Psychosis
Exam 2
32
Nursing
Undergraduate 3
10/09/2018

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Cards

Term
Primary Psychosis
Definition
Has a psychiatric etiology
Term
Secondary Psychosis
Definition
Has an organic etiology, may be seen in acute substance intoxicating, delirium, or dementia.
Term
Toxic Psychosis
Definition
Related to substance use
Term
Delusions:
Definition
A mistaken or fixed belief that is held even in the presence of superior evidence to the contrary. Flat earthers.
Term
Hallucinations:
Definition
Perception like experiences that occur without an external stimulus
Term
Disorganized/abnormal motor behavior:
Definition
Markedly abnormal behavior ranging from agitation to Catalonia that is commonly situationally incongruent
Term
Negative symptoms:
Definition
Alogia, ,affective blunting, a socialite, anhedonia and avolition
Term
Populations at risk for psychosis:
Definition
Learning disability range IQ
Lower socioeconomic status at time of birth = increased risk for schizophrenia
Cities with populations exceeding 1 million = increased risk for Schizophrenia

All individuals are potentially susceptible to psychosis regardless of gender/age/race

Schizophrenia may be associated with a sociality
Preexisting personality disorder = more vulnerable to brief psychotic disorder
Schizophrenia has strongest genetic link of psych disorders
Term
Schizophrenia
Definition
Positive symptoms commonly distance society from the patient and negative symptoms that distance the patient from society.

Commonly manifests during early adulthood. Requires lifelong management.
Term
Alcohol withdrawal sx begin
Definition
6-9 hours after the last drink.
Term
Alcohol withdrawal sx
Definition
Alterations in mental status, tremors, seizures, tachycardia and hypertension.
Term
Late signs of alcohol withdrawl
Definition
Bradycardia or hypotension indicate cardiovascular collapse.
Term
Neurosis
Definition
Pschiatric disturbances categorized by excessive anxiety that is expressed directly or altered through defense mechanisms.

Are aware of their maladaptive tendencies but feel helpless to control their behavior.
Term
Delusion of Persecution
Definition
Feels threatened and others intend to cause harm.
Term
Delusions of Grandeur
Definition
Exaggorated feeling of importance, power, knowledge or identity
Term
Delusion of Reference
Definition
A neutral event is believed to have personal meaning. Ex: pt believes a billboard has a special message meant specifically for them
Term
Control or influence
Definition
Objects or persons have control over thoughts and behavior
Term
Somatic delusions
Definition
False idea about the functioning of the body
Term
Nihilistic
Definition

A part of the self or others or the world is nonexistent or has been destroyed

 

Things do not exist. A sense that everything is unreal 

Term
Hallucinations vs illusions
Definition
Illusion is a misinterpretation of a real external stimuli. Hallucinations is not associated with real stimuli.
Term
Opioid overdose sx
Definition
Pinpoint pupils, respiratory depression and coma
Term
Alcohol intoxication effects seen after
Definition
2 drinks in most people
Term
BAL <200
Definition
Sense of well being, expansive mood which progresses to more depressed, withdrawn, cognitive impairment
Term
BAL >300
Definition
Likely to fall asleep, enter first stage of amnesia.
Term
BAL 300-400
Definition
inhibition of respiratory and pulse in non tolerant individuals
Term
BAL decreases how much per hour
Definition
15-20 mg
Term
How do benzodiazepines aid alcohol withdrawal
Definition
Decrease withdraw symptoms, stabilize vitals, prevent seizures and DT -pams
Term
How do beta blockers aid alcohol withdrawl
Definition
Improve vitals, decrease cravings, decrease autonaumic component of withdrawal sx
Term
How does clonidine aid alcohol withdrawl
Definition
Decreases autonomic component of withdrawl symptoms
Term
Disulfiram:
Definition
Disrupts alcohol metabolism leading to toxic acetaldehyde. Can be fatal
Term
Acamprosate
Definition
reduces unpleasant feelings brought on by abstinence.
Term
high risk populations for depression
Definition
Females, low socioeconomic class
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