Psych-Mental Health Nursing — NUR 1730C Study Guide

A comprehensive set of flashcards covering essential terminology and concepts from the lecture notes for Psych-Mental Health Nursing.

Delusion

Fixed false belief.

Hallucination

False sensory perception with no real external stimulus.

Illusion

Misinterpretation of a real external stimulus.

Flight of ideas

Rapid shifts between topics.

Loose associations

Illogical connections between thoughts.

Tangential thinking

Never returns to the main point.

Circumstantial thinking

Includes excessive detail but eventually returns to the point.

Blunted affect

Reduced emotional expression.

Flat affect

Total absence of emotional expression.

Labile affect

Rapid, unpredictable mood swings.

Neologism

Word invented by client with meaning only to them.

Perseveration

Stuck on a single idea; cannot move on.

Waxy flexibility

Maintains an awkward physical position for an extended period.

Word salad

Incoherent mixture of unrelated words and phrases.

Thought blocking

Sudden interruption in train of thought.

Thought broadcasting

Belief that others can hear one's thoughts.

Thought insertion

Belief that thoughts are placed into one's mind by an outside source.

Thought withdrawal

Belief that thoughts are being removed by an external force.

Ideas of reference

Belief that random events have special personal meaning.

Depersonalization

Client feels they themselves are unreal.

Derealization

Client feels their environment is unreal.

Akathisia

Motor restlessness, often a medication side effect.

Catatonia

State of immobility, stupor, or extreme excitement.

Mood

What the client states (subjective emotional state).

Affect

What the nurse observes (objective emotional state).

DSM-5-TR

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision, used for psychiatric diagnoses.

CIWA-Ar

Clinical Institute Withdrawal Assessment for Alcohol; a scale to assess alcohol withdrawal severity.

Wernicke Encephalopathy

Acute thiamine deficiency; requires immediate IV thiamine.

Korsakoff Psychosis

Chronic, permanent sequelae of untreated Wernicke's; involves memory loss and confabulation.

Flumazenil (Romazicon)

Antidote for lorazepam (Ativan); used for benzodiazepine overdose.

Cholinesterase Inhibitor

Class of drugs that increase acetylcholine levels; used in Alzheimer's.

Epinephrine

Antidote for anaphylaxis due to IV thiamine administration.

Neuroleptic Malignant Syndrome (NMS)

High fever, severe rigidity, autonomic instability associated with antipsychotic use.

DBT (Dialectical Behavior Therapy)

Gold standard for treating borderline personality disorder.

Agoraphobia

Fear of open/public places, often linked to panic disorder.

OCD (Obsessive-Compulsive Disorder)

Characterized by obsessions (intrusive thoughts) and compulsions (ritualistic behaviors).

Antisocial Personality Disorder

Lack of remorse or empathy; deceitfulness and manipulation.

Schizophrenia

Chronic mental disorder characterized by hallucinations and delusions.

Bipolar Disorder

Mood disorder characterized by episodes of mania and depression.

Generalized Anxiety Disorder (GAD)

Excessive worry occurring more days than not for at least 6 months.