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Flashcards in Spring Final 2014.. Deck (54)
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1

Agnosia

loss of sensory ability to recognize objects.
EX: can't identify common objects, or does not recognize family.

2

Aphasia

loss of language ability. First the correct word, then a few words, finally mute.

3

Apraxia:

Loss of purposeful movement. Example: non ambulatory or can't dress self.

4

Auditory hallucinations

hearing voices more common in psychotic depression or schizophrenia.

5

Confabulation

making up stories for periods not remembered, in order to maintain self-esteem. Not the same as lying. If lyon, they are aware they are making up the answer, confabulation is an unconscious attempt to maintain self-esteem

6

Flight of ideas

A nearly continuous flow of accelerated speech with abrupt changes from topic to topic that are usually based on understandable associations, distracting stimuli, or plays on words. When severe, speech may be disorganized and incoherent.

7

Hyper vigilance:

clients are extraordinarily alert and their eyes constantly scan the room; they may have difficulty falling asleep.

8

Illusions

errors in perception of sensory stimuli: misinterpretation of real objects in the enviornment.
Example: IV tubing is a snake climbing a pole.
Illusions can be explained or clarified to an individual, hallucinations cannot!

9

Labile

abnormal sudden rapid shifts in affect.

10

Perceptual disturbances

false process of information about one's internal and external environment.

11

Perseveration

repetition of phrases or behavior. Eventually seen/intensified with stress.

12

Pseudodementia

a disorder that mimics dementia (drug toxicity, depression, infection, nutritional deficiencies, and metabolic disorders). Always provide a thorough assessment that is comprehensive.

13

Sundown syndrome

Symptoms and problem behaviors become more pronounced in evening, may occur in both delirium and dementia

14

Tactile hallucinations

Example: feels bugs crawling on them.

15

Visual hallucinations

More common in delirium-Example: seeing spiders drawing on the walls.

16

Labile

abnormal sudden rapid shifts in affect.

17

Perceptual disturbances

false process of information about one's internal and external environment.

18

Perseveration

repetition of phrases or behavior. Eventually seen/intensified with stress.

19

Pseudodementia

a disorder that mimics dementia (drug toxicity, depression, infection, nutritional deficiencies, and metabolic disorders). Always provide a thorough assessment that is comprehensive.

20

Sundown syndrome

Symptoms and problem behaviors become more pronounced in evening, may occur in both delirium and dementia

21

Tactile hallucinations

Example: feels bugs crawling on them.

22

Seclusion

only seclusion if door is shut!
one-on-one observation at all times
offer food and water
must have an order
Priority nursing care: prevent injury to self and others.

23

MSA

mental status assessment

24

AMA

Against Medical Advice
Clients voluntarily admitted to a mental health institute can leave AMA.
Be aware of insurance regulations
Always double check the chart if someone wishes to leave AMA, their situation could have changed.

25

Slander

spoken defamation of character

26

DSM Axis I

Clinical disorders, treat with medications

27

Battery

placing your hands on someone

28

DSM Axis III

Medical conditions, treat physical first! (Asthma, CHF)

29

DSM Axis VI

Behavioral and Environmental Issues. (4 families living together in one household)

30

Emergency admission

when a client is being admitted on an emergency basis and meets certain criteria.
Directly admitting harm to others, or spoke a specific threat! A specific plan and someone who believes them. It take 3 people to initiate an emergency admission. Physician, law enforcement officer, and psychologist/psychiatrist.