Exam 1 Chapter 8, 11,17 N4

Appearance and behaviors include:

automatism (repeated behavior)

phsychomotor retardation (slowed movements)

waxy flex (posture)

what is neologisms

made up words that have meaning only to the one who said them

Labile

rapid mood swings

circumstantial thought process

answers questions after unecessary details

Delusion thought process

false belief not reality

Flight of ideas thought process

rapid speech, with unrelated ideas

Ideas of reference thought process

interpreting general messages/events as personal

loose assosiations thought process

ideas jumping around

tangential thinking thought process

wondering thoughts and no answer to OG question

Thought blocking

Thought broadcasting

Thought insertion

Thought withdrawl

1. cant continue ideas. stops talking

2. thinks others hear their thoughts

3. others put ideas into their head

4. others taking their thoughts away

CHAPTER 11

asserting is the use of

“I” statements

Catharsis is

aggressive but safe activities (punch a pillow)

Phases of aggression

Trigger

escalation

crisis

recovery

post crisis

explain the 5 stages of aggression

Trigger: restless anger, raising voice,

Escalation: flushed face, pacing, yelling, threats

Crisis: violence, shrieking, outbreak

recovery: calming down, relaxing, realizing and communication

post crisis: apologizing, crying, quiet

What is IED

Intermittent explosive disorder. aggressive episodes with impulses and assault

emberassed after.

usually has multiple Dx

Aggression occurs with and increase in the following NT:

seratonin

Dopa

Norepi

decreased in seratonin

increased in dopa/norepi

CHAPTER 17

Ranges of lithium for maintenence, treatment, and Toxicity

0.5-1

0.8-1.5

>1.5

where is Lithium excreted

urine

1.5-2

n/v/d, weak, drowsy

2-3 lithium

ataxia, agitation, poly uri/dip, twitch

3< lithium

KF, hypot, myocardial, coma, seiz

TX for lithium toxicity

Diuretics, IV NS + electrolytes, dialysis

Suicide ideations active vs passive

Active: finds ways

Passive: thinks about it but doesn’t act out

Ambivalence

mixed feelings common in suicide

TD

Akathisia

Parkinsonism

Dystonia

TD: blinking and rolling eyes, tongue, lip smacking, chewing, involuntary body mvnt. head left and right

Akathisia: restlessness→ needs to keep moving

Parkinsonism: slumped, shuffle, shaking, slow,

Dystonia: side to side neck, tone, posture, eyes up