flash cards

pysch block 3

Question Answer
when do you see a Growth spurt, and the beginnings of sexual maturation. Young people starting to think abstractly, but still concrete in many areas of thinking early adolescence
when do you see Physical changes of puberty are complete.The individual develops a stronger sense of identity and relatesmore strongly to peer group. Thinking becomes more reflective. mid adolescence
when does The body fill out and take its adult form.The individual now has a distinct identity and more settled ideasand opinions. late adolescence
the following situations lead to what?We are made to feel incompetent or insecure.The group has at least 3 people.The group is unanimous.We admire the group’s status and attractiveness.We have made no prior commitment to any response. increased conformity
Erik Erikson's 5th stage of development Identity versus Role Confusion (11 years through end of adolescence)
define "moratorium" The “moratorium” is a period between morality learned by the child from his or her parents and the ethics ultimately developed by the emerging adult.
name some warning signs of teenage substance abuse at home Decreased interest in family activitiesDisrespect for family rulesVerbal or physical abuseChanges in appetiteWithdrawal from responsibilities
name some warning signs of teenage substance use at School Sudden drop in gradesTruancyDecreased interest in learningSleeping in classNot doing homework/poor work performanceDefiant of authority
Erik Erikson's 6th stage of development Intimacy versus Isolation (20-40)-Tasks are to love and to work-Intimacy is characterized by self-abandonment, mutuality of sexual orgasm, intense friendship, attachments that are life-long
Erik Erikson's 7th stage of development Generativity versus Stagnation (40-65)-Generativity includes raising children, guiding new generation, creativity, altruism-Self-concern, isolation, and absence of intimacy are characteristic of stagnation
define "climacterium" The change in physiologic function that occurs during midlife-menopause in women-
Erik Erikson's 8th stage of development Integrity versus Despair (65 and older)-Integrity is a sense of satisfaction that life has been productive and worthwhile-Persons in the state of despair are fearful of death
just know that elderly men have the highest rates of suicide and that the older you the more likely you'll off yourself just know it.
what's the difference between a "good death" and a "bad death" good – free from avoidable distress and suffering bad -is characterized by needless suffering, a dishonoring of the patient or family wishes or values,
name the five stages of grief Shock and DenialAngerBargainingDepressionAcceptance
what is psychosomatic pain? “pertaining to a physical disorder in which psychological factors play a causal or contributing role”
At least ____% of the physical complaints of medical patients are not well explained by organic illness. 30
stress leads to the chronic release of _________, that can _________ the immune system. cortisol; depress
In Raphe and Holmes social readjustment scale what are the top 4 stressful situation and what pertange of people with a score over 300 became ill? 1. death of a spouse2. divorce3. marital separation4. death of a close family member80%
Non-psychotropic medications can produce psychiatric symptoms , name these symptoms (6) confusion (antiasthmatics), anxiety, agitation (antiparkinson agents), depression (antihypertensives), sedation (antihistamines), agitation (steroid hormone)psychotic symptoms (analgesics, antibiotics, antihistamines).
The extreme Type __ person is said to be engaged in a chronic “struggle to obtain an unlimited number of things from his environment in the shortest possible time.” what kind of traits do they have? ATraits of the type A include: Impatient, competitive, preoccupied with deadlines, and highly involved with their jobs
what disease is a type A person associated with and what trait is best representative of it? Coronary Heart Disease; Hostility
The key stress response pathway is the ________-_________-_________ axis hypothalamic-pituitary-adrenal
what are the three stages of the general adaptation syndrom? (1) the alarm reaction (mobilization of body responses for “fight-or-flight”); (2) the stage of resistance (achievement of resistance to the stressor, or adaptation); and (3) the exhaustion stage (adaptation or resistance is lost).
A study of psychiatric symptoms in Crohn’s disease found that 23% had a pre-existing history of___________________ panic disorder.
Acute emotional stress stimulates ________ arrhythmias
________ _________ is a chronic skin disorder characterized by itching (pruritis) and inflammation (eczema), which often begins as an erythematous, pruritic, maculopapular eruption. Atopic dermatitis
Excoriation disorder is a compulsive skin picking is associated with which disorder? OCD
Depression is comorbid with rheumatoid arthritis in about __% of pts 20
More commonly in diabetes, ____________ (occurs with alcohol drinking, taking too much insulin or diabetes medications, skipping a meal or harder-than-usual exercise) can produce severe anxiety states, confusion, and disturbed behavior hypoglycemia –> can make the patient look drunk
Patients that do not tolerate placebos despite their supposed inertness, and exhibit adverse affects is known as the ________ phenomenon. nocebo
name four ways a PNES is different than normal epileptic: PNES have: Normal EEGAnticonvulsants won’t workNormal ProlactinEyes are closed during attack
Chronic daily headache has been associated with a so-called “_______ ______” of MMPI-2 traits (personality), otherwise associated with chronic pain. neurotic triad
"______ ________ _________" is the most commonly refers to alcohol use-related rhythm disturbances in apparently healthy persons. what is the rhythm disturbance? Holiday heart syndrome; atrial fibrillation
what patients are at the greatest risk for psychological stress? Patients that are:undergoing surgeryundergoing renal dialysis, bring treated in the intensive care unit (ICU) or coronary care unit (CCU
People who experience pain after a procedure have a higher risk of what? morbidity and mortality and slower recovery from the procedure.
what treatment princible is based on the idea that the autonomic nervous system can come under voluntary control (at least to some extent!) through learning (it is often conceived as operant conditioning, biofeedback
In thermal biofeedback,Hand warming involves arteriole vasodilation produced by a________________ hormonal mechanism, while hand cooling involves arteriole vasoconstriction brought about by increased firing of ________________ beta-2 adrenergic; sympathetic C-fibers
EEG – electroencephalogram – measures brain wave profiles, may use to produce increased alpha as occurs in _______ states, relaxed
GSR – decreased skin conductivity during relaxed state; thermistor – measures skin temperature, which ________ under stress decrease
Link the disease to the type of biofeedback technique _______- asthma_______- cardiac arrhythmia_______- fecal & urinary_______- epilepsy and ADHD_______- hyper/hypotension EMGECGCathetorEEGThermal
This Method of relaxation, using self-suggestion involves the pts directing their attention to different body regions and suggesting themselves, as in self-hypnosis, into a relaxed state. Autogenic Training
The meditative state has 4 main physiological effects, what are they? decreased anxiety; heart and respiratory rates slow, blood pressure decreases, and alpha brain wave increase
Benson relaxation response technique, through modification of the Transcendental Meditation (TM) technique into a form that is considered more ideal for the Western medicine. What does the TM use? mantras based on personal characteristics
what test for hypnosis is based on behavioral compliance with suggestions (e. g, eye closure, taste hallucination, arm rigidity, anosmia to ammonia/oil of peppermint, negative hallucination, post-hypnotic amnesia). Stanford Hypnotic Susceptibility Scale
what patients are easily susceptible to hypnosis and what ones aren't? easy:histrionic personality disorder, dissociative personality disorderhard: Paranoid personality disorders, anorexia
Sickness is different from having a disease. The person in the SICK ROLE MUST 1. rely on own experience or seek professional assistance to get better2. adhere to culturally or professionally prescribed regimens
In the stupid iceberg concept of culture are cultural beliefs and assumptions in our awareness? what about Cultural artifacts? No; Yes
___________ allows people to avoid doubt and fear, gives people scapegoats to blame in times of trouble, can boost self-esteem, allows people to bond with their own group by contrasting their own groups to outsider groups and legitimizes discrimination prejudice
What's UPECE? think of example questions for each one. understanding, illness prototypes, causal explanations, course of illness, expectations
know the dietary practices and the possible religious or ethno-cultural drugs. like vegetarian, no pork, no tea, no alcohol, periods of fasting, no beef. just know the answers
what is Mal do ojo and how is it treated? “strong eyes” intentionally or unintentionally looks at a child or makes comments about them .Spell placed by person that secretly covets them. Heats blood leading to fever, crying, V/D, abdominal sxms Txment: sweep body with eggs, lemons, bay leaves, pra
what is Empacho and how is it treated? Food or saliva “stuck” in stomach b/c of dietary indiscretionSymptoms: vomiting, diarrhea, anorexia, bloating, feverBiomedical overlap: gastroenteritis, milk allergy, GI obstruction, appendicitistxment: lead powders
circular lesions caused by application of the rim of a cup or other round device that had been heated using a flame and then quickly applied to the skin. what is this called cupping
what is coining? rubbing oil into the skin by abrading it with a coin or other instrument.
_________-is the therapeutic burning of pieces of moxa herb (mugwort or Artemisia vulgaris) or yarn on the skin. The lesions appear as a pattern of small discrete circular burns and may be confused with cigarette burns Moxibustion
when establishing rapport during the psyciatric interview what is key? ask open ended questions
what are the additional sections in psyciatirc history comepared to a normal health history? i don't really know, there was a star on this slide
The mental status examination (MSE) adds another structured way to assess a patients what? current state of mind and then progressive deterioration
_______ is the physician's objective observation of the patient's expressed emotional state. changes with emotional state and can be determined by facial expressions and interactions. Affect
what should be noted when assessing through process? *in note Rate of though, flow of thought, coherence
The presence or absence of which topics should be looked for in though content of psychiatric interview? DelusionsSuicidal and/or Homicidal IdeationObsessions Compulsions (repetitive and intrusive actions)Phobias (excessive and irrational fears)Paranoia (belief of others harming self)Poverty of Content (poorly formed thoughts, vague)
whats the difference between delusions and obsessions? people with obsessions know that its irrational
what's the difference between illusions and hallucinations? illusions are actually there but they are misinterpreted
How do we assess levels of Insight Insight is present; admits to an illness; agrees with need for treatment & need for change in Admits possibility of being ill Admits the real need to change, but denies any illness
World Health Organization Disability Assessment Schedule 2.0(WHODAS) assess disability across which six domains Understanding and communicating, Getting around, Self-care, Getting along with people, Life activities (i.e., household, work, and/or school activities)Participation in society.
what are the 8 items in the psyhcosis symptom severity scale? HallucinationsDelusionsDisorganized SpeechAbnormal psychomotor activityNegative SymptomsImpaired CognitionDepressionMania
A movement disorder characterized by a feeling of inner restlessness & a compelling need to be in constant motion, by actions such as rocking while standing or sitting, lifting the feet as if marching on the spot, & crossing and uncrossing the legs Akathisia
Pathological imitation of movements of one person by another. Echopraxia
Automatic performance of an act or acts generally representing unconscious symbolic activity Automatisms
: Inability to carry out specific tasks Apraxia
Lack of physical movement Akinesia
Motiveless resistance to all attempts to be moved, or to all instructions. Negativism
what's the difference between poverty of speech and poverty of content? poverty of speech- very little speechpoverty of content – vague content but adequate amount
no self initiation of speech (only answers direct questions) Nonspontaneous speech
what is it called when a patient speaks rapidly and is difficult to interrupt Pressured speech
oscillations between euphoria and depression or anxiety Labile Mood (mood swings)
air of confidence and enjoyment; a mood more cheerful than usual. Elevated mood
expression of feelings without restraint with an overestimation of their significance or importance Expansive mood
loss of interest in and withdrawal from all regular and pleasurable activities, often associated with depression Anhedonia
severe reduction in the intensity of external tone of feeling Blunted Affect
absence or near absence of any signs of affective expression (monotone, face immobile) Flat Affect
rapid and abrupt changes in emotional tone that is unrelated to external stimuli Labile Affect
over inclusion of trivial or irrelevant details that impede the sense of getting to the point circumstantiality
thoughts associated by the sounds of words rather than by there meaning Clang assocications
a breakdown in the logical connection between ideas and the overall sense of goal directedness derailment
a successive of multiple associations so that thoughts seem to move abruptly from one idea to the next. usually through rapid, pressured speech flight of ideas
in response to a question, the patient gives a reply that is appropriate to the general topic without actually answering the question tangentiality
deep seated false belief despite objective contradictory evidence delusions
What kind of delusions are "Persucatory" others are deliberately trying to wrong, harm, or conspire against another
What kind of delusions are "Grandiose" an exaggerated sense of one’s own importance, power, or significance
What kind of delusions are "Somatic" physical bodily sensations
What kind of delusions are "Reference" belief that otherwise innocuous events or actions refer specifically to the individual
What kind of delusions are "Control" belief that thoughts, feelings, impulses, and actions are controlled by an external agency or force
What kind of delusions are "Jealous" unreasonable belief that a partner is unfaithful
What kind of delusions are "Religious" false belief that the person has a special link with God
What kind of delusions are "Guilt" person believes they have committed an unforgivable deed
associated with chronic alcohol abuse and that occur within a clear sensorium, as opposed to delirium tremens (DTs), hallucinations that occur in the context of a clouded sensorium. Hallucinosis
What are hallucinations that also occur: when falling asleep or when awaking hypnogogic; hypnopompic
ability to assess, discern, and choose among various options in a situation Critical judgment
diminished ability to understand a situation correctly and to act appropriately Impaired judgment
Source of threat elusive,Uncertain connection, Prolonged, Persistent, Puzzling quality are all consistant with what? anxiety
Specific focus of threatClear connectionEpisodicDeclines with removal of threatRationalThese are all associated with what? Fear
Yerkes and Dodson determined that performance was best done with what kind of arousal? moderate
Fear of future panic attacks, going crazy or losing controlFear of the panic attack type physical symptomsDiagnosis? Panic Disorder
Fear of an inability to cope with a stressful situation that might occur out of their “safe zone”. Diagnosis? Agoraphobia Disorder
Anxiety about most or all of life situations, accompanied by physical symptoms Generalized Anxiety Disorder (GAD)
Fear of negative evaluation by others, embarrassment Social Phobia
Fear of a specific thing, situation, stimulus, that is out of proportion to the actual risk being faced. Specific Phobias
Repetitive thoughts, images and/or behaviors that are very difficult to control. Obsessive-Compulsive Disorder (OCD)
Following a traumatic event, a feeling of intense horror, helplessness affecting thoughts and behaviors and/or fear of recurrence of traumatic event. Post Traumatic Stress Disorder (PTSD)

Leave a Reply

Your email address will not be published. Required fields are marked *