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hallucinations
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Absolutely. Your list is very broad, so the best way to study it is not to memorize every disease. We can turn it into a high-yield nursing reviewer based on: What is it? → What will I see? → What should I assess? → What should I do? → What medications/treatments matter? → What is the priority/emergency? → What should I teach? Below is a condensed master reviewer. I’ll keep it nursing-focused and use simple language. ⸻ 🩺 MEDICAL-SURGICAL NURSING REVIEWER 1. ENDOCRINE SYSTEM Diabetes Mellitus Type 1 Type 2 Main problem Little/no insulin Insulin resistance + progressive insulin deficiency Usually Younger onset, but can occur any age More common in adults Treatment Insulin required Lifestyle + oral/injectable meds ± insulin Major acute problems DKA HHS Signs of hyperglycemia “3 Ps” * Polyuria – urinating frequently * Polydipsia – excessive thirst * Polyphagia – excessive hunger Other: * Fatigue * Blurred vision * Slow wound healing * Recurrent infections Hypoglycemia Think FAST: * F – Feeling shaky * A – Altered behaviour/confusion * S – Sweating * T – Tachycardia Treatment if conscious: 15 g fast carbohydrate → recheck glucose in 15 min → repeat if necessary. Examples: * Glucose tablets * Juice * Regular pop If unconscious/severe: * Glucagon if appropriate * IV dextrose in a healthcare setting DKA Usually associated with Type 1. Think: Hyperglycemia + ketones + metabolic acidosis Signs: * Dehydration * Abdominal pain * Nausea/vomiting * Fruity/acetone breath * Kussmaul respirations * Altered LOC Priority treatment: 1. IV fluids 2. Insulin 3. Monitor/correct electrolytes, especially potassium 4. Monitor glucose and acid-base status HHS Usually Type 2. * Extremely high glucose * Severe dehydration * Altered LOC * Little/no significant ketoacidosis Major nursing priority: fluid replacement and monitoring. Diabetes teaching Remember: * Foot care * Inspect feet daily * Proper footwear * Don’t walk barefoot * Don’t cut corns/calluses yourself * Monitor blood glucose * Know signs of hypo/hyperglycemia * Medication adherence * Sick-day management * Regular eye/kidney/foot assessments ⸻ ❤️ 2. CARDIOVASCULAR SYSTEM Stroke Two major types: * Ischemic → blocked blood vessel * Hemorrhagic → bleeding Recognize stroke: BE FAST B – Balance loss E – Eye/vision changes F – Face drooping A – Arm weakness S – Speech difficulty T – Time to call emergency services Nursing priorities * ABCs * Determine last known well * Neurological assessment * Blood glucose * Prepare for CT/imaging * Swallow assessment before oral food/fluids/medications * Prevent aspiration * Maintain safety Do not give food or water until swallowing is assessed. ⸻ Myocardial Infarction (MI) Think: “Time = muscle.” Common symptoms: * Chest pressure/pain * Radiation to arm/jaw/back * Dyspnea * Diaphoresis * Nausea * Anxiety Some patients, especially older adults and people with diabetes, may have atypical or minimal pain. Nursing priorities * ABCs * ECG * Vital signs * Cardiac monitoring * IV access * Blood work including cardiac biomarkers * Oxygen if hypoxemic/clinically indicated * Administer prescribed medications promptly Common medications: * Aspirin * Nitroglycerin * Antiplatelet drugs * Anticoagulants * Beta blockers * Statins Nitroglycerin Can cause: * Hypotension * Headache * Dizziness Never combine nitrates with PDE-5 inhibitors because of potentially severe hypotension. ⸻ Heart Failure Left-sided Think Lungs * Dyspnea * Crackles * Orthopnea * Pulmonary edema * Pink/frothy sputum in severe pulmonary edema Right-sided Think Body * Peripheral edema * Weight gain * JVD * Hepatomegaly * Ascites Nursing priorities * Daily weight * I&O * Respiratory assessment * Edema assessment * Fluid/sodium management as ordered * Medication adherence Sudden weight gain can indicate fluid retention. Common drugs: * Diuretics * ACE inhibitors/ARBs/ARNI * Beta blockers * Mineralocorticoid antagonists * SGLT2 inhibitors * Digoxin in selected patients Digoxin Watch for: * Bradycardia * Nausea/vomiting * Visual disturbances * Dysrhythmias Low potassium increases risk of digoxin toxicity. ⸻ Peripheral Vascular Disease Arterial Think: “Pain + Pale + Pulseless + Cold” * Cool extremity * Weak pulses * Pale colour * Pain with activity * Poor wound healing Venous Think: “Swollen + Warm + Edema” * Edema * Warm skin * Aching * Venous ulcers often near ankles ⸻ 🩸 3. HEMATOLOGY Anemia Reduced oxygen-carrying capacity. Signs: * Fatigue * Pallor * Weakness * Dyspnea * Tachycardia * Dizziness Iron-deficiency anemia May see: * Low hemoglobin * Low ferritin * Microcytic/hypochromic RBCs Iron teaching: * Take as directed * Vitamin C can improve absorption * Dark stools are common * Constipation can occur * Liquid iron may stain teeth ⸻ Leukemia Cancer of blood-forming tissues. Possible findings: * Infection → abnormal WBC function * Anemia → fatigue/pallor * Bleeding → low platelets * Bone/joint pain Think: Leukemia = infection + anemia + bleeding Nursing priorities: * Infection prevention * Bleeding precautions when indicated * Monitor CBC * Oral care * Avoid unnecessary invasive procedures * Monitor treatment adverse effects ⸻ 🍽️ 4. GASTROINTESTINAL SYSTEM Crohn’s vs Colitis Crohn’s Ulcerative Colitis Can affect anywhere mouth → anus Colon/rectum “Skip lesions” Continuous inflammation Transmural Mainly mucosal Fistulas common Bloody diarrhea common Strictures possible Toxic megacolon risk Crohn’s Watch for: * Diarrhea * Abdominal pain * Weight loss * Malnutrition * Fistulas Ulcerative colitis Watch for: * Bloody diarrhea * Abdominal cramps * Urgency * Risk of toxic megacolon ⸻ Diverticulitis Inflammation/infection of diverticula. Signs: * Usually LLQ abdominal pain * Fever * Change in bowel habits During acute inflammation: * Follow prescribed bowel-rest/diet plan * Monitor pain, fever and abdominal status * Watch for perforation/peritonitis ⸻ Colorectal Cancer Red flags: * Change in bowel habits * Blood in stool * Unexplained weight loss * Iron-deficiency anemia * Abdominal discomfort Important: Screening is important even before symptoms occur. ⸻ Constipation Risk factors: * Opioids * Immobility * Low fluid intake * Low fibre * Some medications Management: * Fluids if not contraindicated * Fibre * Activity * Bowel routine * Appropriate laxatives/stool softeners ⸻ Diarrhea Priority concerns: Fluid + electrolytes + cause Assess: * Frequency * Stool characteristics * Blood * Fever * Abdominal pain * Hydration * Recent antibiotics/travel/exposure ⸻ Peptic Ulcer Disease Major complications: * Bleeding * Perforation * Gastric outlet obstruction Warning signs: * Hematemesis * Melena * Sudden severe abdominal pain * Rigid abdomen Common causes: * H. pylori * NSAIDs ⸻ Appendicitis Classic: * Pain may begin around umbilicus and migrate to RLQ * Fever * Nausea/vomiting * Rebound/guarding may occur Priority Prevent rupture. Avoid: * Laxatives * Enemas * Applying heat to abdomen ⸻ 🚰 5. RENAL SYSTEM UTI Symptoms: * Dysuria * Frequency * Urgency * Suprapubic discomfort If infection reaches kidneys: * Fever * Flank pain * Chills * Nausea/vomiting Nursing * Obtain urine specimen correctly * Culture before antibiotics when ordered/appropriate * Encourage fluids if not contraindicated * Complete antibiotics ⸻ Renal Failure Major problems: Think: * Fluid overload * Electrolyte imbalance * Acid-base imbalance * Uremia * Anemia Possible findings: * Edema * Hypertension * Fatigue * Decreased urine output * Nausea * Confusion Particularly important: Hyperkalemia can cause life-threatening dysrhythmias. ⸻ Dialysis Hemodialysis Blood is filtered through a machine. Assess: * Weight * BP * Fluid status * Access site AV fistula Remember: “Feel + Hear” * Thrill → feel it * Bruit → hear it Protect the access: * No BP on that arm * No blood draws on that arm when avoidable * Don’t compress unnecessarily ⸻ Incontinence Types: Stress → coughing/sneezing Urge → sudden strong urge Overflow → bladder doesn’t empty Functional → can’t get to toilet Mixed → combination Management depends on cause. ⸻ 🫁 6. RESPIRATORY SYSTEM COPD Includes chronic bronchitis and emphysema. Common: * Dyspnea * Chronic cough * Sputum * Wheezing * Reduced exercise tolerance Nursing: * Position upright * Pursed-lip breathing * Energy conservation * Smoking cessation * Oxygen as prescribed * Inhaler technique Don’t automatically assume oxygen should be withheld from COPD patients. Oxygen is prescribed/titrated according to the patient’s clinical status and target saturation. ⸻ Asthma Usually reversible airway obstruction/inflammation. Symptoms: * Wheezing * Cough * Dyspnea * Chest tightness Rescue medication Short-acting bronchodilator, e.g. salbutamol. Controller Often: Inhaled corticosteroid Severe attack Red flags: * Difficulty speaking * Severe respiratory distress * Exhaustion * Altered LOC * Silent chest Silent chest = very serious. ⸻ Pneumonia Signs: * Fever * Cough * Sputum * Dyspnea * Crackles * Pleuritic chest pain Nursing: * Oxygen if needed * Antibiotics if bacterial/ordered * Hydration if appropriate * Mobilization * Cough/deep breathing * Monitor respiratory status ⸻ Lung Cancer Risk factors: * Smoking * Environmental/occupational exposures Symptoms: * Persistent cough * Hemoptysis * Weight loss * Dyspnea * Chest pain ⸻ Tuberculosis Classic: * Persistent cough * Fever * Night sweats * Weight loss * Possible hemoptysis Nursing priority Airborne precautions for suspected/confirmed infectious pulmonary TB according to institutional policy. ⸻ Atelectasis Collapsed alveoli, often after surgery. Prevention: * Deep breathing * Coughing * Incentive spirometry * Early mobilization * Adequate pain control ⸻ Pneumothorax Air in pleural space → lung collapse. Possible: * Sudden dyspnea * Chest pain * Decreased/absent breath sounds Tension pneumothorax Emergency. May cause: * Severe respiratory distress * Hypotension * Distended neck veins * Tracheal deviation * Cardiovascular collapse Requires immediate emergency treatment. ⸻ Hemothorax Blood in pleural space. Think: Respiratory compromise + blood loss. Chest tube may be required. ⸻ 🦴 7. MUSCULOSKELETAL Osteoporosis Loss of bone density. Risk: * Fractures * Vertebral compression * Hip fracture Prevention: * Weight-bearing activity * Calcium/vitamin D as appropriate * Fall prevention * Avoid smoking * Limit excessive alcohol ⸻ Fractures Priority: ABCs → bleeding → neurovascular status Assess the 6 Ps: * Pain * Pallor * Pulselessness * Paresthesia * Paralysis * Poikilothermia/coolness Neurovascular assessment is critical. ⸻ Arthritis Osteoarthritis Think: Wear and tear * Pain with activity * Stiffness * Often affects weight-bearing joints Rheumatoid arthritis Think: Autoimmune * Symmetrical joint involvement * Morning stiffness * Systemic effects ⸻ Scoliosis Abnormal lateral curvature of spine. Assess: * Posture * Shoulder/hip asymmetry * Spinal curvature * Respiratory effects if severe ⸻ Multiple Sclerosis Autoimmune demyelinating disease affecting CNS. Possible: * Weakness * Fatigue * Visual disturbances * Sensory changes * Balance problems * Bladder dysfunction Important nursing concept: Fatigue and heat can worsen symptoms. ⸻ 🦠 8. INFECTION/IMMUNE SYSTEM MRSA Methicillin-resistant Staphylococcus aureus. Key: * Resistant to several antibiotics * Contact precautions may be required * Strict hand hygiene ⸻ VRE Vancomycin-resistant enterococci. Key: * Resistant organism * Contact precautions according to facility policy * Hand hygiene * Environmental cleaning ⸻ C. difficile Often associated with antibiotic exposure. Symptoms: * Frequent watery diarrhea * Abdominal cramping * Fever VERY IMPORTANT Soap and water handwashing is preferred because alcohol-based hand sanitizer does not reliably kill C. difficile spores. Use appropriate contact/spore precautions according to facility policy. ⸻ Influenza * Fever * Cough * Myalgias * Fatigue * Headache Prevention: Annual vaccination + respiratory hygiene. ⸻ Sepsis Think: Infection + organ dysfunction Potential signs: * Fever or hypothermia * Tachycardia * Tachypnea * Altered mental status * Hypotension * Reduced urine output * Elevated lactate Nursing priority Recognize early and escalate rapidly. Expect: * Cultures * Lactate * IV fluids when indicated * Prompt antimicrobials when sepsis is suspected * Source control * Frequent reassessment ⸻ 🔬 9. DIAGNOSTIC TESTS Don’t memorize only the test. For every test ask: 1. Why is it being done? 2. What does it tell me? 3. What does the nurse do before? 4. What does the nurse do after? 5. What complications should I watch for? ⸻ CT Uses X-rays to create detailed cross-sectional images. Contrast may be used. Nursing: * Check allergies/previous contrast reactions * Assess kidney function when appropriate * Follow contrast-specific instructions ⸻ MRI Uses magnetic field. NO metal/unsafe metallic objects. Assess: * Implanted devices * Metal fragments * Claustrophobia ⸻ X-ray Useful for: * Fractures * Chest conditions * Some abdominal problems ⸻ Ultrasound Uses sound waves. Common: * Pregnancy * Abdomen * Pelvis * Blood vessels No ionizing radiation. ⸻ Mammogram Breast imaging for screening/assessment. ⸻ Endoscopy Allows direct visualization of GI tract. Nursing: * Usually NPO beforehand * Sedation may be used * Monitor airway and vital signs afterward * Ensure gag/swallow reflex has returned before oral intake when applicable ⸻ Bronchoscopy Visualizes airways. Post-procedure: * Monitor respiratory status * Watch for bleeding * Keep NPO until protective reflexes return if sedated/topical anesthetic used ⸻ Pulmonary Function Tests Measure lung function. Important for: * Asthma * COPD * Other pulmonary disorders ⸻ 🧪 10. LABORATORY VALUES For exams, know what the lab means, not just the number. CBC Hemoglobin/Hematocrit Think: oxygen-carrying capacity Low → anemia/bleeding/etc. WBC Think: infection/inflammation/immune response Platelets Think: clotting Low → bleeding risk. ⸻ INR Measures effect of warfarin therapy. Higher INR generally = increased anticoagulation and bleeding risk. Monitor for: * Bleeding * Bruising * Hematuria * Melena ⸻ Glucose Think: current blood glucose ⸻ HbA1c Think: “3-month-ish glucose picture.” Used for longer-term diabetes management. ⸻ BUN + Creatinine Think: Kidney function. Creatinine is particularly useful when evaluating renal function. ⸻ GFR Estimates kidney filtration. Lower GFR generally = worse kidney function. ⸻ Electrolytes Sodium Think: water balance + neurological function Potassium Think: heart rhythm Abnormal potassium can cause dangerous dysrhythmias. Calcium Think: bones + muscles + nerves ⸻ Cholesterol LDL “Lousy” cholesterol Higher LDL → increased cardiovascular risk. HDL “Healthy” cholesterol Generally protective. ⸻ Urinalysis Can help identify: * UTI * Protein * Blood * Glucose * Ketones * Kidney problems ⸻ Culture & Sensitivity Culture = What organism? Sensitivity = Which antibiotic is effective? ⸻ 💊 11. PHARMACOLOGY For every medication, memorize: Class → Why given → Major adverse effects → Contraindications/precautions → Nursing assessments → Patient teaching ⸻ Acetaminophen (Tylenol) Used for: * Pain * Fever Major concern: Liver toxicity with excessive dosing. ⸻ NSAIDs Examples: * Ibuprofen * Naproxen Watch for: * GI bleeding * Kidney injury * Fluid retention * Cardiovascular risks ⸻ Morphine Opioid. Watch: * Respiratory depression * Sedation * Hypotension * Constipation * Nausea Antidote for opioid-induced respiratory depression: Naloxone ⸻ Antibiotics Key nursing principle: Complete the prescribed course unless directed otherwise. Watch: * Allergic reactions * Diarrhea * Superinfection * C. difficile ⸻ Warfarin (Coumadin) Anticoagulant. Monitor: INR Major complication: Bleeding Teaching: * Consistent vitamin K intake rather than suddenly changing intake * Drug interactions matter * Report unusual bleeding ⸻ Heparin Anticoagulant. Monitor: * Bleeding * Platelets * aPTT for unfractionated heparin, depending on protocol Major complication: Bleeding Important adverse reaction: HIT – heparin-induced thrombocytopenia ⸻ Insulin Major adverse effect: HYPOGLYCEMIA Know: * Onset * Peak * Duration * Administration technique * Glucose monitoring ⸻ Nitroglycerin Used for angina. Can cause: * Headache * Hypotension * Dizziness Avoid with PDE-5 inhibitors. ⸻ Digoxin Remember: “Slow heart + low potassium = danger.” Monitor: * Apical pulse * Potassium * Signs of toxicity ⸻ Diuretics Example: Furosemide (Lasix) Causes: * Increased urine output * Decreased fluid volume Watch: * BP * Electrolytes * Dehydration * Potassium ⸻ Corticosteroids Example: Prednisone Long-term effects: * Infection risk * Hyperglycemia * Osteoporosis * Fluid retention * Skin changes * Adrenal suppression Do not abruptly stop long-term corticosteroids without medical direction. ⸻ Bronchodilators Example: Salbutamol Can cause: * Tremor * Tachycardia * Nervousness ⸻ Inhaled corticosteroids Important: Rinse mouth after use. Helps prevent oral candidiasis. ⸻ Statins Example: Atorvastatin Used to lower cholesterol. Watch: * Muscle pain/weakness * Liver-related adverse effects ⸻ Stool medications Psyllium Bulk-forming. Requires adequate fluid intake unless contraindicated. Docusate Stool softener. Stimulant laxatives Increase intestinal motility. ⸻ 🧠 12. NEUROLOGICAL Seizure During seizure: Protect, don’t restrain. * Protect from injury * Turn to side if possible * Protect airway * Remove nearby hazards * Don’t put anything in mouth * Time the seizure After: * Assess airway * Vital signs * Neurological status * Document characteristics Status epilepticus Emergency. ⸻ Increased Intracranial Pressure Think: Headache + vomiting + decreased LOC + pupil changes Late sign: Cushing’s triad * Increased BP/widened pulse pressure * Bradycardia * Irregular respirations Nursing: * Elevate head as ordered * Maintain neutral neck alignment * Avoid unnecessary stimulation * Monitor neurological status * Prevent hypoxia/hypercapnia ⸻ Parkinson’s Disease Classic: TRAP T – Tremor R – Rigidity A – Akinesia/bradykinesia P – Postural instability Nursing: * Fall prevention * Mobility support * Medication timing * Swallowing assessment * Nutrition ⸻ Spinal Cord Injury Priority: Airway + breathing + immobilization + neurological assessment Possible complications: * Neurogenic shock * Autonomic dysreflexia * Respiratory compromise * Loss of bowel/bladder control * Pressure injuries Autonomic dysreflexia Usually associated with injuries at/above T6. Signs: * Sudden severe hypertension * Headache * Flushing/sweating above injury * Bradycardia Priority: Sit patient upright and identify/remove the trigger. ⸻ 👁️ 13. SENSORY Cataracts Clouding of lens. Symptoms: * Blurred vision * Glare * Reduced visual acuity Treatment: Surgical removal when significantly affecting vision. ⸻ Glaucoma Optic nerve damage often associated with increased intraocular pressure. Key distinction: Glaucoma → pressure/optic nerve Cataract → cloudy lens Acute angle-closure glaucoma: * Severe eye pain * Headache * Halos * Nausea/vomiting * Red eye Emergency. ⸻ Hearing Loss Conductive Problem with sound transmission through outer/middle ear. Sensorineural Problem involving inner ear/auditory nerve. Communication: * Face patient * Speak clearly * Don’t shout * Reduce background noise * Verify understanding ⸻ 🔥 14. BURNS Think: Airway → Breathing → Circulation Inhalation injury Red flags: * Facial burns * Soot * Singed nasal hairs * Hoarseness * Stridor * Carbonaceous sputum Airway edema can worsen rapidly. ⸻ Burn priorities * Airway * Breathing * Circulation * Fluid resuscitation for significant burns * Pain management * Infection prevention * Temperature control * Nutrition * Wound care ⸻ 15. WOMEN’S & MEN’S HEALTH Menopause Decrease in estrogen. Common: * Hot flashes * Night sweats * Sleep problems * Vaginal dryness * Mood changes Long-term: * Bone loss * Cardiovascular considerations ⸻ Birth Control Know: * Effectiveness * How it is used * Contraindications * STI protection Most hormonal birth control does NOT protect against STIs. Condoms help reduce STI transmission. ⸻ STIs Examples: * Chlamydia * Gonorrhea * Syphilis * HPV * Herpes * HIV Nursing: * Testing * Treatment adherence * Partner notification/treatment when appropriate * Safer sex education * Prevention ⸻ Breast Cancer Warning signs: * New breast lump * Skin changes * Nipple changes/discharge * Axillary lymph node changes Know current screening recommendations and individual risk factors. ⸻ Prostate Cancer Possible: * Urinary hesitancy * Weak stream * Frequency * Hematuria Important: Early prostate cancer may have no symptoms. ⸻ 🚨 16. EMERGENCY NURSING Shock Basic concept: Tissues aren’t receiving enough oxygen/perfusion. Signs: * Tachycardia * Hypotension * Altered LOC * Cool/clammy skin in many shock states * Decreased urine output * Tachypnea Major types Hypovolemic → blood/fluid loss Cardiogenic → pump failure Distributive → vasodilation (e.g., septic/anaphylactic) Obstructive → obstruction to circulation Priority: ABCs + identify/treat cause + restore perfusion. ⸻ Hemorrhage Look for: * Tachycardia * Hypotension * Pallor * Weakness * Decreased LOC * Decreased urine output Priority: Control bleeding + support circulation + escalate. ⸻ Anaphylaxis Severe allergic reaction. Signs: * Airway swelling * Wheezing * Dyspnea * Hypotension * Hives * GI symptoms FIRST-LINE MEDICATION: IM epinephrine Do not delay epinephrine while waiting for other treatments. ⸻ 💧 17. FLUID & ELECTROLYTES Dehydration Signs: * Thirst * Dry mucous membranes * Tachycardia * Hypotension * Poor skin turgor * Decreased urine output * Weight loss ⸻ Fluid overload Signs: * Edema * Crackles * Dyspnea * Weight gain * JVD * Hypertension ⸻ Potassium Hypokalemia Think: Weak + irregular heart Causes: * Diuretics * GI losses Hyperkalemia Think: Dangerous heart rhythm Causes: * Renal failure * Tissue breakdown * Certain medications ⸻ Acid-Base Use: ROME Respiratory = Opposite Metabolic = Equal Examples: Respiratory acidosis CO₂ ↑ → pH ↓ Respiratory alkalosis CO₂ ↓ → pH ↑ Metabolic acidosis HCO₃ ↓ → pH ↓ Metabolic alkalosis HCO₃ ↑ → pH ↑ ⸻ 👶 MATERNAL-CHILD NURSING Prenatal Care Monitor: * Maternal vital signs * Weight * Blood pressure * Urine * Fetal growth * Fetal heart rate * Laboratory screening * Risk factors Important warning signs: * Vaginal bleeding * Severe headache * Visual changes * Severe abdominal pain * Fluid leakage * Decreased fetal movement * Sudden swelling/other signs of hypertensive disorders ⸻ Fetal Development High-yield concept: First trimester → organ formation Second trimester → growth and development Third trimester → maturation and preparation for birth ⸻ Labour Stage 1 Onset of true labour → complete cervical dilation. Stage 2 Complete dilation → birth of baby. Stage 3 Birth of baby → delivery of placenta. Stage 4 Immediate postpartum recovery. ⸻ Apgar At approximately 1 and 5 minutes. A P G A R A – Appearance P – Pulse G – Grimace A – Activity R – Respiration Each scored 0–2. Apgar helps assess newborn adaptation; it does not by itself diagnose asphyxia or determine long-term prognosis. ⸻ Newborn Assessment Assess: * Respiratory effort * Heart rate * Temperature * Colour * Tone * Feeding * Reflexes * Weight * Head circumference * Urine/stool ⸻ Breastfeeding Benefits: * Nutrition * Immune protection * Bonding Signs of effective feeding: * Good latch * Audible swallowing * Appropriate wet/dirty diapers * Expected weight pattern ⸻ 👶 PEDIATRIC NURSING Development General progression: Head → toe Simple → complex Large muscles → fine motor Always consider developmental stage when communicating with children. ⸻ Pediatric Safety Big priorities: * Falls * Choking * Burns * Poisoning * Drowning * Car-seat safety * Medication dosing * Safe sleep Medication principle Pediatric medications are often based on: weight (kg) Always verify calculations and concentrations. ⸻ Pediatric Asthma Same basic principles as adults: * Bronchodilator for acute symptoms * Controller medications for long-term control * Trigger avoidance * Asthma action plan ⸻ RSV Common in infants/young children. Signs: * Rhinorrhea * Cough * Wheezing * Increased work of breathing * Poor feeding Priority: Respiratory assessment and hydration. ⸻ Croup Classic: Barking cough + stridor Often worse at night. Severe respiratory distress requires urgent intervention. ⸻ Cystic Fibrosis Thick secretions affect lungs and GI system. Think: “Thick mucus + lung infections + malabsorption.” Nursing: * Airway clearance * Nutrition * Pancreatic enzymes when prescribed * High-calorie/high-protein nutrition * Infection prevention ⸻ Gastroenteritis Major concern: Dehydration. Assess: * Wet diapers/urine * Mucous membranes * Tears * Capillary refill * Weight * Activity/LOC ⸻ Pyloric Stenosis Classic: Projectile, non-bilious vomiting Often occurs in young infants. Possible: * Hunger after vomiting * Dehydration * Weight loss ⸻ ASD vs VSD ASD Hole between atria. VSD Hole between ventricles. VSD can produce: A significant murmur and increased pulmonary blood flow. ⸻ Sickle Cell Disease Problem: Abnormal hemoglobin → sickled RBCs → vaso-occlusion and hemolysis. Crisis triggers: * Dehydration * Infection * Hypoxia * Stress Management: * Hydration * Oxygen if hypoxemic * Pain management * Treat infection * Rest * Disease-specific therapies ⸻ Meningitis Think: Fever + headache + stiff neck + altered mental status May also have: * Photophobia * Vomiting * Seizures Emergency. Use appropriate isolation precautions according to suspected organism and institutional policy. ⸻ Hydrocephalus Excess CSF. Infants may have: * Increasing head circumference * Bulging fontanelle * Irritability * Poor feeding * “Sunsetting” eyes Older children: * Headache * Vomiting * Visual changes * Altered LOC ⸻ 🧠 MENTAL HEALTH NURSING Therapeutic Communication DO: * Use open-ended questions * Listen * Reflect * Clarify * Validate feelings * Maintain appropriate boundaries DON’T: * Give false reassurance * Judge * Argue * Give excessive advice * Say “everything will be fine” ⸻ Depression Symptoms: * Persistent sadness * Anhedonia * Sleep changes * Appetite changes * Fatigue * Poor concentration * Feelings of worthlessness * Suicidal thoughts Nursing priority: Assess suicide risk directly. ⸻ Bipolar Disorder Mania * Elevated/irritable mood * Increased energy * Decreased need for sleep * Rapid speech * Impulsivity * Grandiosity Nursing: * Reduce stimulation * Maintain safety * Set clear limits * Encourage nutrition/hydration * Administer medications as prescribed ⸻ Schizophrenia Positive symptoms: * Hallucinations * Delusions * Disorganized speech/behaviour Negative symptoms: * Flat affect * Social withdrawal * Reduced motivation Communication Don’t argue with delusions. Instead: Acknowledge the patient’s feelings while presenting reality. ⸻ OCD Obsessions: Intrusive thoughts Compulsions: Repetitive behaviours/mental acts ⸻ Eating Disorders Watch: * Electrolytes * Cardiac rhythm * Nutrition * Weight * Refeeding complications * Psychological safety ⸻ Substance Use Priorities: * Airway/breathing/circulation * Overdose recognition * Withdrawal * Safety * Nonjudgmental communication ⸻ 🧪 HIGH-YIELD DIAGNOSTIC TEST THINKING When you see a test question, ask: “Why are they ordering this?” Examples: CT head after sudden neurological deficit → looking for bleeding/structural abnormalities. MRI → detailed soft tissue/neurological/musculoskeletal imaging. ECG → electrical activity/ischemia/dysrhythmia. Troponin → myocardial injury. HbA1c → long-term glucose control. Creatinine/GFR → kidney function. INR → warfarin effect. Culture and sensitivity → organism + effective antimicrobial. Pulmonary function test → lung function/obstruction/restriction. ⸻ 💊 PHARMACOLOGY MASTER MEMORY MAP Instead of memorizing 100 medications individually, memorize the danger associated with each class: Drug/Class Think Insulin Hypoglycemia Opioids Respiratory depression Warfarin Bleeding + INR Heparin Bleeding + HIT Furosemide Fluid/electrolyte loss Digoxin Bradycardia/toxicity ACE inhibitors Hyperkalemia + cough/angioedema Beta blockers Bradycardia/hypotension Steroids Hyperglycemia + infection NSAIDs GI bleeding + kidney injury Statins Muscle/liver effects Bronchodilators Tachycardia/tremor Inhaled steroids Oral candidiasis Antibiotics Allergy + C. diff ⸻ 🚨 THE “PRIORITY QUESTION” METHOD When you’re stuck on an exam question, ask: 1. Is the airway threatened? If yes → AIRWAY 2. Is breathing compromised? If yes → BREATHING 3. Is circulation/perfusion compromised? If yes → CIRCULATION 4. Is there an acute neurological deterioration? Think neurological emergency. 5. Is there a safety risk? Falls, suicide, aspiration, seizures, etc. 6. Which patient is deteriorating? Unstable beats stable. ⸻ ⭐ TOP THINGS I WOULD MEMORIZE FIRST If you have limited study time, prioritize these: 🚨 Emergencies * Anaphylaxis → IM epinephrine * Stroke → BE FAST + last known well * MI → ECG + rapid intervention * Sepsis → early recognition + rapid treatment * Tension pneumothorax → emergency * Severe hypoglycemia → rapid glucose treatment * Status epilepticus → emergency * Increased ICP → neurological deterioration * Hemorrhage → control bleeding + perfusion * Severe burns → ABCs 💊 Medications * Insulin → hypoglycemia * Morphine → respiratory depression * Warfarin → INR/bleeding * Heparin → bleeding/HIT * Digoxin → pulse/potassium/toxicity * Furosemide → fluid/electrolytes * Nitroglycerin → hypotension + PDE-5 interaction * Steroids → infection/hyperglycemia * Antibiotics → allergy/C. diff * Inhaled steroids → rinse mouth 🧪 Labs * Hb → oxygen carrying * WBC → infection/immune response * Platelets → bleeding/clotting * INR → warfarin * Glucose → current sugar * HbA1c → long-term glucose * Creatinine/GFR → kidney * K⁺ → heart rhythm * Na⁺ → neurological/fluid balance * Culture → organism * Sensitivity → antibiotic choice 🩺 Nursing skills * Infection control * Medication administration * IVs * Oxygen * Suction * Tracheostomy * Chest tubes * Urinary catheter * Wound care * Ostomy care * Vital signs * Neurovascular assessment * Respiratory assessment ⸻ 📚 How I’d recommend studying this huge syllabus Don’t try to study all of these diseases in one sitting. Use system blocks: Day 1: Diabetes + cardiovascular Day 2: Respiratory + renal Day 3: GI + liver Day 4: Hematology + immune/infection Day 5: Neuro + musculoskeletal Day 6: Maternal/newborn Day 7: Pediatrics Day 8: Mental health Day 9: Pharmacology Day 10: Labs + diagnostics + clinical skills Day 11: Emergency/priority questions Day 12: Full mixed practice exam + review weak areas For each condition, make yourself answer only 5 questions: 1. What is happening? 2. What will I assess? 3. What is the biggest complication? 4. What will I do first? 5. What do I teach the patient? That approach will help you think like a nurse rather than memorize isolated facts, which matches the study framework you were given.
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Chapter 10: Stress, Health, and Coping Stress vs. Stressor * Stressor: Anything that causes stress (an event, situation, or demand). * Example: Exams, losing a job, relationship problems. * Stress: The body’s response to a stressor. * Example: Feeling anxious, increased heart rate. Types of Stressors 1. Catastrophe * Large, unpredictable events affecting many people. * Example: Natural disasters, wars. 2. Significant Life Changes * Major events that require adjustment. * Example: Divorce, moving, starting college. 3. Daily Stressors * Small everyday problems. * Example: Traffic, homework, arguments. Sympathetic Nervous System & Fight-or-Flight * Activates during stressful situations. * Prepares the body to react. * Causes: * Increased heart rate * Faster breathing * More energy released General Adaptation Syndrome (GAS) A three-stage response to stress: 1. Alarm: Body reacts to stress. 2. Resistance: Body tries to adapt and continue functioning. 3. Exhaustion: Long-term stress drains resources. Type A vs. Type B Personality Type A: * Competitive * Impatient * Time-urgent * More stress-prone Type B: * Relaxed * Patient * Less stressed Immune System & Stress * Long-term stress weakens the immune system. * Makes the body more vulnerable to illness. Locus of Control Internal locus of control: * Belief that you control your outcomes. External locus of control: * Belief that outside forces control outcomes (luck, fate). Managing Stress * Aerobic exercise * Meditation * Relaxation techniques * Spending time with pets * Social support * Healthy sleep habits ⸻ Chapter 11: Social Psychology Fundamental Attribution Error * Tendency to explain others’ behavior by personality instead of situations. * Example: “He’s lazy” instead of considering he may be exhausted. Attitudes * Feelings and beliefs that influence behavior. * Made of: * Thoughts * Feelings * Actions Cognitive Dissonance * Mental discomfort from having conflicting beliefs or behaviors. * Example: Knowing smoking is unhealthy but continuing to smoke. Social Contagion * Spread of behaviors, emotions, or ideas through groups. * Example: Panic spreading through a crowd. Classic Studies Asch’s Line Study * Showed people may conform to a group even when the group is wrong. Milgram’s Obedience Study * Showed people may obey authority figures even when uncomfortable. Social Facilitation vs. Social Loafing Social Facilitation: * Performance improves when others are watching. Social Loafing: * People put in less effort when working in groups. Deindividuation * Losing self-awareness and responsibility in a group. * Example: Crowds acting differently than individuals. Ingoups vs. Outgroups Ingroup: * Group you belong to. Outgroup: * Group you see as different. Can lead to: * Bias * Stereotypes * Prejudice Passionate vs. Companionate Love Passionate Love: * Intense attraction and excitement. Companionate Love: * Deep affection, trust, and commitment. Altruism & Bystander Effect Altruism: * Helping others without expecting a reward. Bystander Effect: * People are less likely to help when others are present. ⸻ Chapter 12: Personality Personality * Patterns of thoughts, feelings, and behaviors that make someone unique. Psychoanalytic Theory (Freud) Id * Wants immediate pleasure. * “I want it now.” Ego * Reality-based decision maker. * Balances id and superego. Superego * Morals and rules. Defense Mechanisms Ways the mind protects itself from anxiety. Examples: * Denial: Refusing to accept reality. * Projection: Blaming feelings on others. * Rationalization: Creating excuses. Humanistic Theory * Focuses on personal growth and reaching full potential. * Carl Rogers developed Person-Centered Therapy. Trait Theory (Big Five) Five major personality traits: OCEAN * Openness * Conscientiousness * Extraversion * Agreeableness * Neuroticism Spotlight Effect vs. Narcissism Spotlight Effect: * Believing others notice you more than they actually do. Narcissism: * Excessive self-focus and feeling superior. Kruger-Dunning Effect * People with low ability may overestimate their skills. Individualistic vs. Collectivistic Cultures Individualistic: * Focus on independence and personal goals. Collectivistic: * Focus on family, groups, and cooperation. ⸻ Chapter 13: Psychological Disorders Psychological Disorder * A pattern of thoughts, feelings, or behaviors that causes distress or problems functioning. Anxiety Disorders * Excessive fear or worry. Examples: * Generalized anxiety disorder * Panic disorder * Phobias OCD * Obsessions (unwanted thoughts) * Compulsions (repetitive behaviors) PTSD * Stress disorder after experiencing or witnessing trauma. Substance Use Disorder * Difficulty controlling substance use despite negative effects. Major Depressive Disorder Symptoms include: * Persistent sadness * Loss of interest * Changes in sleep or energy Bipolar Disorder * Episodes of depression and mania. * Mania involves unusually high energy, mood, or activity. Suicidal Ideation * Thoughts about suicide. (Important: any concerns about safety should be taken seriously and support should be reached out to.) Schizophrenia * Disorder involving: * Hallucinations * Delusions * Disorganized thinking Personality Disorders Antisocial PD * Disregard for others’ rights and social rules. Narcissistic PD * Extreme need for admiration and lack of empathy. Borderline PD * Difficulty with emotions, relationships, and sense of self. ⸻ Chapter 14: Treatment Psychotherapy * Treatment using psychological methods to improve mental health. Types of Psychotherapy Psychoanalysis/Psychodynamic * Focuses on unconscious conflicts and past experiences. Client-Centered/Humanistic * Focuses on acceptance, growth, and self-understanding. Behavioral Therapy * Changes behaviors through learning principles. Cognitive Therapy * Changes unhealthy thought patterns. Cognitive Behavioral Therapy (CBT) * Combines changing thoughts and behaviors. Family Therapy * Works with family relationships. Group Therapy * Therapy with multiple people. Evidence-Based Practice * Treatments supported by scientific research. Therapeutic Lifestyle Change Improving mental health through: * Exercise * Sleep * Nutrition * Social connection Biomedical Treatments Medication * Treats symptoms through biological processes. ECT (Electroconvulsive Therapy) * Uses controlled electrical stimulation to treat severe depression. Psychosurgery * Surgery involving the brain (rare). TMS (Transcranial Magnetic Stimulation) * Uses magnetic stimulation to affect brain activity. ⸻ Quick Test Tips: * Stress = response, Stressor = cause * Asch = conformity * Milgram = obedience * Big Five = OCEAN * Id = pleasure, Ego = reality, Superego = morals * CBT = thoughts + behaviors * Bystander effect = less helping in groups
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LINGUIST 316: Hallucinations
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​​2023 Semester Only Grade 7th/8th Physical Education Content Review Key Concepts Content • Responsible behaviors • Team Building • Responsible Behaviors o Demonstrate acceptance and respect for people with diverse backgrounds and abilities during fitness activities. Develop strategies for including everyone. o Demonstrate responsible behaviors during fitness activities. Examples of responsible behaviors are controlling emotions, resolving conflicts, respecting opponents and officials, and accepting both victory and defeat • Team Building o Characteristics of High-Performing Teams - Most members of high-performing teams report that it’s fun and satisfying to work on collaborative teams because they are asked to contribute at their highest potential and they learn a lot along the way. Characteristics of high-performing teams include the following: ▪ People have solid and deep trust in each other and in the team’s purpose — they feel free to express feelings and ideas. ▪ Everybody is working toward the same goals. Everyone places the team first. ▪ Team members are clear on how to work together and how to accomplish tasks. ▪ Everyone understands both team and individual performance goals and knows what is expected. ▪ Individuals contribute to the team based on their unique strengths ▪ The team engages in extensive discussion, and everyone gets a chance to contribute. ▪ Disagreement is viewed as a good thing and conflicts are managed. Criticism is constructive and is oriented toward problem solving and removing obstacles. ▪ The team makes decisions when there is natural agreement — in the cases where agreement is elusive, a decision is made by the team lead or executive sponsor, after which little second-guessing occurs. ▪ Each team member carries his or her own weight and respects the team processes and other members. ▪ The leadership of the team shifts from time to time, as appropriate, to drive results. ▪ No individual members are more important than the team. • Warm-up • Cool-Down • Heat Cramps • Hear Exhaustion • Heat Stroke • Dehydration • Proper Attire (clothes and shoes) - color and type of clothing to be worn during exercise in different climates • Proper Hydration - drink water before, during and after exercise especially during hot weather • Warm-up: Gentle exercises that get the heart and muscles ready for moderate to vigorous physical activity. You know when you are warmed up when you begin to sweat and breath more heavily. o Walking or jogging for 5-10 minutes is recommended • Cool-Down: Gentle exercises that let the body adjust to ending a workout. Should last for 5-10 minutes allowing your heart rate and breathing to return to normal. o Include light stretching in your cool down to help muscles relax and not feel stiff or sore afterward. • Heat-Related Illnesses o Heat Cramps: Painful, brief muscle cramps that occur during exercise in a hot environment, caused by dehydration o Heat Exhaustion: A heat illness caused by the body overheating. Symptoms include heavy sweating, dizziness, weakness and rapid pulse o Heat Stoke: A health illness caused by the bodies inability to regulate its temperature. Symptoms include hot, dry skin, elevated body temperature, lack of sweat, hallucinations o Dehydration: Excessive loss of body fluid • Aerobic exercise • Anaerobic exercise • Pedometer • Vigorous • Moderate • FITT • Aerobic Exercise - Rhythmic activity that uses large amounts of oxygen and works the heart and lungs. • Anaerobic Exercise - Activities performed (without oxygen) consists of brief strength-based activities. • Heart Rate - The number of times your heart beats per minute. • Moderate physical activity - An activity with intensity equal to brisk walking. Activities of moderate intensity can be performed for relatively long periods of time without fatigue. • Vigorous physical activity - Movement that expends more energy or is performed at a higher intensity than brisk walking. • Forehand stroke • Backhand stroke • Forehand strokes (racquet sports) are where the front of the hand leads the stroke. o To strike the ball players should stand with their opposite shoulder facing the net, swing from low to high and follow through. Opposite footsteps toward the net. o Follow through by driving the racket forward so that it ends up above the shoulders, pointing up to the sky and in the direction of the ball you just hit. o Hitting the ball too late may cause the ball to land out of bounds. • Backhand strokes (racquet sports) are where the back of the hand leads the stroke. o Begin with a balanced ready position. Transition from large steps to smaller steps as a player closes in on the ball will help maintain balance. Step toward the net with the foot on the same side. o As the ball approaches, the player must move to intercept it, the shoulder must turn to begin the backswing. As a player sets to hit the ball, the backswing is complete. o The path of the racket extends along the intended flight of the ball as long as possible. Contact point for a one-handed backhand is further in front of the body than in a two-handed stroke. o The face of the racket remains vertical through the contact zone. The follow through is high. • CPR • Aquatic safety • Cardiopulmonary Resuscitation (CPR) o Hands-Only CPR Steps: ▪ Call 911 and push hard and fast in the center of the chest (100 compressions a minute) • Aquatic Safety o Swim with a buddy o Take swimming, diving, and water safety or rescue classes to learn the skills to swim and dive safely. o Never swim under the influence of alcohol or drugs o Make sure to check the depth of the water before diving • Free Pass • Penalty try • Rugby Game Play: o free pass: is used to start the match or restart after a “try”. It starts from the center of the field at the halfway line at the beginning of each half. From the touch line (at the place where the ball went into touch) when the ball goes into touch (put into play), and from where the referee makes a mark when an infringement has taken place. o To score in flag rugby you must be on or cross the end zone with your flag on, touch the ball to the ground and say “try”. o A penalty try will be awarded if a try would have been scored if there was not foul play by the defending team. o When a try is scored, the game is restarted by a free pass from the center of the pitch by the non-scoring team. o The player taking the free pass must start with the ball in both hands and, when instructed by the referee who will declare “Play”, pass the ball sideways or backwards through the air to a team-mate. • Rules of the game • Basketball Rules: o The game starts with a jump ball then alternate possession begins. o Five players play on the floor at a time. Players’ positions consist of guards, forwards and a center, o Traveling- is having possession of the ball and moving without dribbling, resulting in a turnover. • Rules • Ultimate Frisbee is a non-contact field sport that combines elements of soccer, football and basketball. The object of the game is for a team to pass the disc from player to player until a pass is completed to a teammate in the end zone resulting in a score. Teams consist of 7 players. • How the Game is Played: o The game is played to 13 points or until a certain amount of time has passed. o All players from both teams begin each point in their respective end zones. Play is initiated with a “pull” from the defensive team’s end zone. The disc is passed from player to player down the field. o Once the disc is caught the “handler” must come to a complete stop. He/she may pivot but must maintain one planted foot at all times (even on the follow through). o The thrower or “handler” has ten seconds to throw the disc once caught. o A point is scored when a receiver catches the disc in the end zone. • Warm-up • Cool-Down • Heat Cramps • Heat Exhaustion • Heat Stroke • Dehydration • Proper Attire (clothes and shoes) - color and type of clothing to be worn during exercise in different climates • Proper Hydration - drink water before, during and after exercise especially during hot weather • Warm-up: Gentle exercises that get the heart and muscles ready for moderate to vigorous physical activity. You know when you are warmed up when you begin to sweat and breath more heavily. o Walking or jogging for 5-10 minutes is recommended • Cool-Down: Gentle exercises that let the body adjust to ending a workout. Should last for 5-10 minutes allowing your heart rate and breathing to return to normal. o Include light stretching in your cool down to help muscles relax and not feel stiff or sore afterward. • Heat-Related Illnesses o Heat Cramps: Painful, brief muscle cramps that occur during exercise in a hot environment, caused by dehydration o Heat Exhaustion: A heat illness caused by the body overheating. Symptoms include heavy sweating, dizziness, weakness and rapid pulse o Heat Stoke: A health illness caused by the bodies inability to regulate its temperature. Symptoms include hot, dry skin, elevated body temperature, lack of sweat, hallucinations • Dehydration: Excessive loss of body fluid • Alcohol • Smoking • Effective Communication • Alcohol o Underage drinking is considered illegal o There are laws about alcohol consumption o Alcohol slows down the ability to think clearly • Smoking o Smoking is the primary risk factor in respiratory diseases including emphysema and bronchitis o Cigarette smoking causes the heartbeat to increase the heart rate o Nicotine in cigarettes stimulates the heart to beat faster, which increases the heart’s need for more oxygen. Carbon monoxide replaces the oxygen in the blood forcing the heart to work harder. • Effective Communication o Includes: ▪ being respectful ▪ Actively listening ▪ Using assertive communication skills when needed • PACER • Push-ups • Curl-ups • Sit and Reach • Fitness Test o PACER: Performed to measure cardiorespiratory fitness o Push-ups: Use to measure muscular strength and endurance o Curl-ups: Used to measure abdominal muscular endurance and muscular strength o Sit and Reach: Performed to measure a student’s flexibility • Digital Citizenship • Digital Footprint • Digital Citizenship: is a safe, responsible, and respectful use of technology • Digital Footprint: is essentially a history of everything you’ve ever done online. Everything you post and do online can follow you through middle and high school, college, and even when you get a job. It has the potential to contribute positively or negatively to your digital reputation. • Positions in Hockey • How the Game is played • Scoring • Hand Placement • How the game of hockey is played o Street hockey is played very similar to ice hockey using the same rules and similar style of play. The only difference is that the players are using a ball instead of a puck and are running on firm ground rather than skating on ice. The game is played with 5 players and a goalie. There are five players on the court at a time with a goalie. Three forwards (2 wingers and a center) and two defenders. • Object of the game o Hockey is a fast-paced team sport, and the object is to outscore your opponent in the allotted time. • Start to play o A face-off will occur after every goal scored and to start off each period. The referee will drop the ball in-between the two centers who are facing each other. There are three periods in a game. • Out of Bounds o If the ball is hit out of bounds, then the opposing team may pass it back in from the side lines. • Scoring o a goal is made when a player either knocks down a cone, or if the ball crosses the goal line. Both goals and assists will be rewarded when scorekeeping during tournament play at the end of the unit. • How the game is played • Players and positions • Basic Skills • How the game of volleyball is played: o A game is played to 25 points. A team must win by 2 points and is called a set. A match is 3 out of 5 sets. o The server must stand anywhere behind the end line on his/her side of the court prior to the serve. The ball may be served underhand or overhand. The player who serves is in the right back position. o Each team may only hit the ball 3 times on its side before the ball must pass over the net. o The teams will rotate clockwise each time they win the serve. o A point is scored every time a ball is not returned properly into the opponent’s court, this is called rally scoring. Thus, both serving and receiving teams can score points. o If the ball hits the line it is considered, in bounds or good. • Players and Positions: o Setters – player who “sets” the ball with an “overhead pass” for a teammate to hit, the setter normally runs the offense o Hitter - the spiker or attacker o Outside hitter - A left or right-front attacker normally taking an approach which starts from outside the court o Libero - defensive specialists, designated for back row only, and wear a different colored jersey. The libero may serve for one player she is substituting for per game. o Blocking - A defensive play by one or more players meant to deflect a spiked ball back into the hitter’s court. To block, move your body in front of the hitter, keep arms in front, straight, palms facing the ball. • Players • Rules • Cues for throwing in flag football • Cues for catching • Scoring • Flag Safety • Defensive Strategy • Flag Football Players Include o Quarterback - The offensive person who is in charge of advancing the ball down the field (either by hand-off or pass), in order to gain yardage, a first down, or to score a touchdown. The QB also initiates and calls the plays. o Center - The offensive person who is in charge of “snapping” or “hiking” the football to the Quarterback. (“Hiking” means to hand the ball between the legs) o Receiver - The offensive person who runs a route down the field to catch a pass from the quarterback in order to gain yardage, a first down, or to score a touchdown • Rules o Interception - When the defensive player catches a pass intended for an offensive receiver o Sack - When the Quarterback has his flag pulled by the defense behind the line of scrimmage o Fumble - When the ball is dropped after being in possession o Line of Scrimmage - Each play starts on the line of scrimmage. The line of scrimmage is the imaginary line where the nose of the ball is placed to separate the offensive team from the defensive team. • Downs - The offensive team then has 4 “downs” to advance the ball to the next 1st down marker. Teams may advance the ball by passing or rushing • How the game is played • How the game of soccer is played o Soccer is a field game between two teams of up to 11 players. o The purpose of the game is to make goals by dribbling, heading, or volleying the ball into the opponent’s goal while defending the teams own goal from opponents. o The ball is put into play at the beginning of the game when a player kicks the ball into the opponent’s half of the field at a distance of at least the circumference of the ball. The kicking player may not kick the ball twice in a row. o Once the ball is in play, each team tries to advance the ball toward the opponent’s goal to score by dribbling and passing it down the field. o Players are free to play the ball in any direction during play. In typical play, players attempt to create goal scoring opportunities through individual control of the ball, dribbling, passing and taking shots on goal
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NCLEX Review: Mental Health Disorders Anxiety Disorders Generalized Anxiety Disorder (GAD) Excessive worry lasting 6 months or more Symptoms: Restlessness Muscle tension Fatigue Poor concentration Sleep disturbance Panic Disorder Sudden intense fear with: Chest pain Palpitations Shortness of breath Feeling of doom Nursing: Stay with client Calm environment Short/simple communication Phobias Irrational fear of object/situation Treatment: Exposure therapy CBT SSRIs sometimes used OCD (Obsessive-Compulsive Disorder) Obsessions = intrusive thoughts Compulsions = repetitive behaviors to reduce anxiety Nursing: Do not suddenly stop rituals Set limits gradually Encourage coping skills PTSD Triggered after traumatic event Symptoms: Flashbacks Hypervigilance Nightmares Avoidance Priority: Safety Trauma-informed care Depression Disorders Major Depressive Disorder Symptoms SIGECAPS: Sleep changes Interest loss Guilt Energy low Concentration poor Appetite changes Psychomotor changes Suicidal thoughts Nursing Priorities Suicide assessment Nutrition/hydration Sleep/rest Medication adherence Medications SSRIs Examples: Sertraline Fluoxetine Teachings: Takes weeks to work Do not stop abruptly Watch for serotonin syndrome Serotonin Syndrome Symptoms: Agitation Fever Tremor Hyperreflexia Diarrhea Bipolar Disorder Mania Symptoms Mnemonic: DIG FAST Distractibility Indiscretion Grandiosity Flight of ideas Activity increased Sleep deficit Talkative Nursing Care Reduce stimulation Set firm limits High-calorie finger foods Encourage rest Medications Mood Stabilizers Lithium Anticonvulsants Lithium Toxicity Therapeutic level: 0.6–1.2 mEq/L Toxic signs: Tremor Vomiting Confusion Ataxia Severe diarrhea Important: Maintain sodium/fluid intake Dehydration increases toxicity risk Schizophrenia Spectrum Disorders Positive Symptoms Things added: Hallucinations Delusions Paranoia Disorganized speech Negative Symptoms Things lost: Flat affect Social withdrawal Anhedonia Lack of motivation Hallucination Nursing Response Present reality “I do not hear the voices.” Assess for command hallucinations Delusions Do NOT argue. Respond: “I understand this feels real to you.” Antipsychotics First Generation Haloperidol Risk: EPS Tardive dyskinesia Neuroleptic malignant syndrome (NMS) Second Generation Olanzapine Risperidone Risk: Weight gain Diabetes Metabolic syndrome EPS Symptoms Acute dystonia Akathisia Parkinsonism Tardive dyskinesia Treatment: Benztropine Diphenhydramine Neuroleptic Malignant Syndrome Medical emergency: Fever Rigidity Confusion Elevated CK Personality Disorders Cluster A Odd/eccentric Paranoid Schizoid Schizotypal Cluster B Dramatic/emotional Antisocial Borderline Histrionic Narcissistic Borderline Personality Disorder Fear of abandonment Splitting staff Self-harm risk Nursing: Consistent boundaries Team communication Cluster C Anxious/fearful Avoidant Dependent Obsessive-compulsive personality disorder Eating Disorders Anorexia Nervosa Severe restriction Distorted body image Bradycardia Electrolyte imbalance Priority: Monitor cardiac status Daily weights Observe after meals Bulimia Nervosa Binge/purge behavior Normal weight often seen Complications: Hypokalemia Dental erosion Substance Use Disorders Alcohol Withdrawal Starts within hours after last drinkd
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Unit 1: Psychology’s History and Approaches Big Idea: Psychology is the scientific study of behavior and mental processes. This unit asks: Why do people think, feel, and behave the way they do, and how do psychologists study it? 1. Early Schools of Thought Structuralism Focused on breaking conscious experiences into smaller parts. Example: Describing every taste, smell, and feeling while eating pizza. Functionalism Focused on WHY behaviors and thoughts exist. Example: Fear exists because it helps humans survive danger. Connection: Structuralists asked “What are thoughts made of?” Functionalists asked “What purpose do thoughts serve?” 2. Major Psychological Perspectives Biological Perspective Behavior comes from the brain, genetics, and hormones. Example: Depression connected to serotonin levels. Behavioral Perspective Behavior is learned through rewards and punishments. Example: A dog learns tricks because it gets treats. Cognitive Perspective Focuses on thinking, memory, and problem-solving. Example: Why students remember some facts better than others. Humanistic Perspective Humans naturally strive for growth. Example: Trying to achieve goals and improve yourself. Psychodynamic Perspective Unconscious conflicts affect behavior. Example: Getting unusually angry because of hidden stress. Evolutionary Perspective Behaviors developed because they helped survival. Example: Humans naturally fearing dangerous animals. Sociocultural Perspective Behavior is shaped by culture and society. Example: Different cultures have different expectations for personal space. 3. Research Methods Experiment Used to determine cause and effect. Independent Variable What the researcher changes. Dependent Variable What the researcher measures. Example: Studying whether sleep affects test scores. * Amount of sleep = IV * Test score = DV Correlation Shows relationship between variables. Important: Correlation does NOT equal causation. Example: Ice cream sales and drowning both rise during summer. Random Assignment Participants randomly placed into groups. Helps reduce bias. Double-Blind Procedure Neither researchers nor participants know who receives treatment. Prevents expectations from affecting results. BIG AP EXAM CONNECTION The AP exam loves asking: * Which perspective best explains this behavior? * Which research method should be used? * Why doesn’t correlation prove causation? Example: A psychologist studies how rewards affect studying. → Behavioral perspective + experiment Unit 2: Biological Basis of Behavior Big Idea: Your brain, nervous system, hormones, and genetics all shape behavior. The whole unit asks: How do your body and brain create thoughts, emotions, and behavior? 1. Nature vs. Nurture = Who You Are Main Idea: Your behavior comes from BOTH: * Nature = genetics/heredity * Nurture = environment and experiences Example: Someone may inherit anxiety tendencies but stressful experiences can make anxiety stronger. 2. Nervous System Central Nervous System Brain + spinal cord. Peripheral Nervous System Nerves outside the brain and spinal cord. Sympathetic Nervous System Activates during stress. Example: Heart racing before giving a speech. Parasympathetic Nervous System Calms the body afterward. 3. Neurotransmitters Dopamine Reward and pleasure. Example: Social media likes feel rewarding. Serotonin Mood and sleep. Low levels linked to depression. Acetylcholine Movement and memory. Linked to Alzheimer’s disease. GABA Calms nervous system. Low GABA linked to anxiety. 4. Brain Structures Frontal Lobe Decision-making and personality. Occipital Lobe Vision. Temporal Lobe Hearing and memory. Hippocampus Memory formation. Amygdala Fear and aggression. BIG AP EXAM CONNECTION A student panicking before a test: * amygdala activates fear * sympathetic nervous system increases heart rate * adrenaline releases Unit 3: Sensation and Perception Big Idea: Sensation detects information. Perception interprets information. This unit asks: How does the brain create your experience of the world? 1. Sensation Absolute Threshold Smallest amount of stimulation needed to notice something. Example: Hearing a quiet text notification. Difference Threshold Smallest noticeable difference between stimuli. Example: Noticing the TV volume changed. Sensory Adaptation Becoming less aware of constant stimulation. Example: Not noticing your hoodie after wearing it awhile. 2. Vision Rods Help see in dim light. Cones Detect color. Blind Spot Area without receptors. 3. Hearing Frequency Determines pitch. Amplitude Determines loudness. 4. Perception Gestalt Principles The brain organizes pieces into meaningful wholes. Example: Seeing a complete logo even with missing parts. Depth Perception Ability to see distance in 3D. Example: Catching a volleyball. Perceptual Set Expectations affect perception. Example: Misreading a word because you expected something else. BIG AP EXAM CONNECTION The exam often gives optical illusions or perception scenarios. Example: A person stops noticing a strong smell after 10 minutes. → sensory adaptation Unit 4: Learning Big Idea: Behavior changes because of experience. This unit asks: How do humans and animals learn behaviors? 1. Classical Conditioning Learning through association. Pavlov’s Dogs Dogs learned to associate a bell with food. Unconditioned Stimulus Naturally causes response. Conditioned Stimulus Previously neutral stimulus causing learned response. Example: Feeling hungry when hearing the microwave beep. 2. Operant Conditioning Learning through rewards and punishments. Positive Reinforcement Adding something good to increase behavior. Example: Getting money for good grades. Negative Reinforcement Removing something unpleasant. Example: Seatbelt alarm stopping. Punishment Decreases behavior. 3. Observational Learning Learning by watching others. Example: Kids copying influencers online. BIG AP EXAM CONNECTION The AP exam loves reinforcement examples. Example: A student studies harder after praise from parents. → positive reinforcement Unit 5: Cognitive Psychology Big Idea: Humans think, remember, solve problems, and use language. This unit asks: How does the mind process information? 1. Memory Process Encoding Getting information into memory. Storage Keeping information over time. Retrieval Getting information back. 2. Types of Memory Sensory Memory Very brief memory. Short-Term Memory Temporary limited storage. Long-Term Memory Relatively permanent storage. Working Memory Actively using information. Example: Doing math in your head. 3. Forgetting Proactive Interference Old information disrupts new information. Retroactive Interference New information disrupts old information. Example: Forgetting old password after learning a new one. 4. Problem Solving Algorithm Step-by-step method. Heuristic Mental shortcut. Confirmation Bias Looking for information supporting beliefs. Example: Only reading opinions you already agree with. BIG AP EXAM CONNECTION A student mixes up Spanish vocabulary from last year with current vocabulary. → proactive interference Unit 6: Developmental Psychology Big Idea: Humans develop physically, mentally, and socially across life. This unit asks: How do people change from infancy through adulthood? 1. Piaget’s Cognitive Development Sensorimotor Stage Babies learn through senses and actions. Object Permanence Understanding objects still exist when hidden. Example: Babies searching for hidden toys. Preoperational Stage Children use language but think egocentrically. Egocentrism Difficulty understanding another perspective. Example: A child assuming everyone sees exactly what they see. Concrete Operational Stage Logical thinking develops. Formal Operational Stage Abstract thinking develops. Example: Thinking about hypothetical situations. 2. Attachment Strong emotional bond with caregivers. Secure Attachment Healthy trust and comfort. 3. Parenting Styles Authoritative Strict but supportive. Usually healthiest. Authoritarian Strict with little warmth. Permissive Warm but few rules. BIG AP EXAM CONNECTION A teenager exploring identity and future goals. → Erikson’s identity vs role confusion stage Unit 7: Motivation, Emotion, and Personality Big Idea: Motivation drives behavior, emotions affect actions, and personality shapes how people interact. 1. Motivation Drive-Reduction Theory People act to reduce discomfort. Example: Eating when hungry. Maslow’s Hierarchy Basic needs come before higher goals. Example: Someone struggling financially may focus on survival before self-esteem. 2. Emotion Theories James-Lange Theory Physical response first. Example: Heart races THEN fear is felt. Cannon-Bard Theory Emotion and physical response happen together. Schachter Two-Factor Theory Emotion depends on physical arousal plus interpretation. 3. Personality Trait Theory Personality made of stable characteristics. Big Five Traits * openness * conscientiousness * extraversion * agreeableness * neuroticism BIG AP EXAM CONNECTION A student interpreting sweaty palms before a game as excitement. → Schachter two-factor theory Unit 8: Clinical Psychology Big Idea: Psychological disorders affect thoughts, emotions, and behaviors. This unit asks: How are disorders identified and treated? 1. Anxiety Disorders Generalized Anxiety Disorder Constant excessive worry. Phobias Irrational fears. OCD Obsessions and compulsions. 2. Mood Disorders Major Depressive Disorder Persistent sadness and loss of interest. Bipolar Disorder Extreme mood swings. 3. Schizophrenia Disordered thinking and perception. Hallucinations False sensory experiences. Delusions False beliefs. 4
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digital hallucination
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Unit 10 – Drugs for Central Nervous System (CNS) Problems (Comprehensive Study Guide – Nursing Pharmacology) ⸻ 🧩 Central Nervous System (CNS) Overview • CNS = Brain + Spinal Cord • Controls body movement, behavior, and cognitive function. • Neurotransmitters are chemicals that transmit signals between neurons. • Excitatory: Acetylcholine (ACh), epinephrine, norepinephrine • Inhibitory: Dopamine, serotonin, gamma-aminobutyric acid (GABA) ⚖️ Balance of dopamine and acetylcholine is critical for smooth movement. An imbalance leads to disorders like Parkinson’s Disease. ⸻ 🧍‍♂️ Parkinson’s Disease (PD) Cause • Progressive CNS disorder due to low dopamine production in the substantia nigra. • Too little dopamine → too much acetylcholine, causing impaired motor control. Key Symptoms Motor: • Tremors (“pill-rolling”) • Bradykinesia (slow movements) • Muscle rigidity, stiffness • Stooped posture, shuffling gait • Difficulty rising, “freezing in place” • Masklike facial expression Nonmotor: • Constipation, urinary frequency • Depression, anxiety, hallucinations • Sleep issues, fatigue • Memory problems ⸻ Drug Classes for PD Goal: Restore balance between dopamine and acetylcholine. 1️⃣ Dopamine Agonists Action: Mimic or increase dopamine. Improve movement, coordination, and muscle control. Examples: • carbidopa/levodopa (Sinemet, Rytary) • pramipexole (Mirapex ER) • ropinirole (Requip) • rotigotine (Neupro patch) Nursing Implications & Teaching: • Give 30–60 min before meals (empty stomach). • Avoid protein-rich foods (reduces absorption). • Monitor for orthostatic hypotension — rise slowly. • Don’t crush extended-release tablets. • Neupro patch: rotate sites, don’t reuse within 14 days. • Avoid vitamin B6 unless taken with carbidopa. • Takes 2–3 weeks for full effect. Side Effects: • Hypotension, headache, nausea, insomnia • Dyskinesia (abnormal movements) • “On/off effect” – medication wears off quickly • Long-term use → hallucinations, impulse control problems Adverse Effects: • Neuroleptic malignant syndrome: fever, rigidity, confusion • Psychosis, severe hypotension ⸻ 2️⃣ COMT Inhibitors Action: Block COMT enzyme → prolong dopamine activity. Examples: • entacapone (Comtan) • tolcapone (Tasmar) Nursing Implications: • Always give with carbidopa/levodopa. • Monitor liver function (q6 months) – risk of liver failure (especially tolcapone). • Harmless side effect: brown-orange urine. • Rise slowly to prevent hypotension. ⸻ 3️⃣ MAO-B Inhibitors Action: Inhibit MAO-B enzyme → prevents dopamine breakdown. Examples: • selegiline (Eldepryl) • rasagiline (Azilect) • safinamide (Xadago) Teaching: • Avoid foods high in tyramine → hypertensive crisis risk. (Aged cheese, wine, beer, cured meats, soy sauce, yogurt, avocados, bananas) • Monitor BP closely. • Avoid OTC decongestants or stimulants. • Can cause insomnia, dizziness, dry mouth, or constipation. ⸻ 🧠 Alzheimer’s Disease (AD) Cause • Progressive neurodegenerative disorder leading to memory loss, confusion, and poor judgment. • Loss of acetylcholine (ACh) and buildup of amyloid plaques and neurofibrillary tangles in the brain. Symptoms • Early: forgetfulness, confusion, mood changes. • Late: loss of reasoning, personality changes, inability to perform ADLs. ⸻ Drug Classes for AD 1️⃣ Cholinesterase Inhibitors Action: Block enzyme acetylcholinesterase (AChE) → increases ACh → improves memory and function. Examples: • donepezil (Aricept) • rivastigmine (Exelon) • galantamine (Razadyne) Side Effects: • Nausea, vomiting, diarrhea • Loss of appetite, GI discomfort • Drowsiness, headache, insomnia • Muscle cramps, bradycardia Adverse Effects: • Dysrhythmias, GI bleeding, hallucinations • Overstimulation of parasympathetic system (too much ACh) Nursing Implications: • Give at bedtime to reduce nausea. • Monitor weight, HR, and mental changes. • Report black/tarry stools or vomiting blood. • Avoid OTC anticholinergics (they reduce effectiveness). ⸻ 2️⃣ NMDA Blockers Action: Block NMDA receptor → decreases glutamate activity → prevents neuron death. Example: • memantine (Namenda) Used in: Moderate to severe AD (often combined with donepezil). ⸻ ⚡ Epilepsy / Seizure Drugs (AEDs) Purpose Reduce excessive electrical activity in the brain and prevent seizures. Common AEDs: • phenytoin (Dilantin) – prevents neuron excitation • topiramate (Topamax) – broad-spectrum seizure control Topiramate Key Points: • Side effects: dizziness, drowsiness, taste changes, paresthesias (“pins and needles”) • Adverse: metabolic acidosis, ↑ ammonia → confusion, lethargy, vomiting • Monitor: serum bicarbonate & ammonia levels • Teaching: stay hydrated, report mental status changes, don’t crush tablets • Contraindicated in pregnancy (teratogenic) ⸻ 💥 Multiple Sclerosis (MS) Pathophysiology • Autoimmune disease where the immune system attacks myelin (fatty sheath around neurons). • Leads to nerve signal disruption → muscle weakness and loss of coordination. • Common type: Relapsing-Remitting MS (RRMS) – periods of flare-ups and remission. Common Symptoms • Fatigue, weakness, difficulty walking • Double vision or blurred vision • Tingling or numbness • Bladder/bowel dysfunction • Depression, poor concentration ⸻ Drug Therapy for MS 1️⃣ Biological Response Modifiers (BRMs) Action: Modify immune system activity and slow disease progression. Examples: • beta-interferons (Avonex, Betaseron, Rebif, Extavia, Plegridy) • glatiramer (Copaxone) • fingolimod (Gilenya) • teriflunomide (Aubagio) Side Effects: • Flu-like symptoms, headache, fatigue • Elevated liver enzymes, slow HR • Thinning scalp hair Nursing Teaching: • Rotate injection sites. • Monitor liver enzymes, CBC, and heart rate. • Avoid live vaccines. ⸻ 2️⃣ Monoclonal Antibodies Action: Destroy lymphocytes that attack myelin. Examples: • alemtuzumab (Lemtrada) • natalizumab (Tysabri) • ocrelizumab (Ocrevus) Side Effects: • Increased risk of infection • Headache, rash, fatigue • GI upset Nursing Teaching: • Given IV every few months to yearly. • Monitor for infusion reactions and infection signs. ⸻ 3️⃣ Neurologic Drugs Examples: • dimethyl fumarate (Tecfidera) – reduces CNS inflammation • dalfampridine (Ampyra) – improves walking by increasing nerve conduction Teaching: • Take daily; don’t crush tablets. • Watch for GI symptoms and dizziness. ⸻ 💪 Amyotrophic Lateral Sclerosis (ALS) Description • Progressive, fatal disorder destroying motor neurons → paralysis. • Death usually occurs within 3–5 years of diagnosis. Drug Therapy Glutamate Antagonists Example: • riluzole (Rilutek, Tiglutik) Action: Inhibits glutamate release → slows neuron damage → prolongs life by months. Side Effects: • Weakness, nausea, dizziness • Liver toxicity (↑ liver enzymes) • Neutropenia, anemia Nursing Implications: • Monitor liver enzymes before and during therapy. • Report jaundice or dark urine. • Take on an empty stomach (1 hr before or 2 hrs after meals). • Avoid alcohol. • Don’t breastfeed while on this med. ⸻ ⚙️ Myasthenia Gravis (MG) Description • Autoimmune disease destroying acetylcholine receptors at neuromuscular junction. • Causes muscle weakness and fatigue, especially in eyes, mouth, throat. Symptoms • Ptosis (drooping eyelids) • Difficulty chewing/swallowing • Weakness in arms, legs, or respiratory muscles • Worsens with activity, improves with rest ⸻ Drug Therapy Acetylcholinesterase Inhibitors Action: Prevent breakdown of acetylcholine → improves nerve–muscle communication. Example: • pyridostigmine (Mestinon) Dosage: Usually every 4–6 hours, depending on patient response. Side Effects: • Nausea, vomiting, abdominal cramps, diarrhea • Increased salivation, sweating • Bradycardia, hypotension Adverse: • Cholinergic crisis (too much medication): → extreme weakness, bradycardia, bronchospasm, respiratory arrest. Nursing Implications: • Use with caution in asthma, COPD, bradycardia. • Give doses at same time each day to maintain muscle strength. • Monitor for myasthenic vs. cholinergic crisis. • Give meds 30–45 min before meals to prevent aspiration. Patient Teaching: • Take missed dose ASAP (but skip if close to next dose). • Don’t double dose. • Avoid alcohol and sedatives. • Report muscle weakness or breathing difficulty. • Keep atropine available (antidote for cholinergic crisis)
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Final Exam Notes Motivation — the process that initiates, guides, and maintains goal-oriented behaviors Need — a requirement for survival (e.g. food, water); unmet needs motivate behavior Need hierarchy — Maslow’s model ranking human needs (physiological, safety, love/belonging, esteem, self-actualization) Drive — an internal state created by unmet needs (biological drive) Homeostasis — tendency of body systems to maintain internal stability Drive reduction — theory that motivation arises from the desire to reduce drives (i.e. satisfy needs) Arousal — state of being physiologically alert, awake, and attentive Optimal arousal — level of arousal leading to best performance (too low or too high impairs performance) Pleasure principle — Freud’s idea that behavior is driven to seek pleasure and avoid pain Incentive — external stimulus that “pulls” behavior (rewards, goals) Intrinsic motivation — performing behavior for internal satisfaction or interest Extrinsic motivation — performing behavior to earn external reward or avoid punishment Biological factors (eating) — e.g. hunger signals from hypothalamus, genetics, metabolism Learning factors (eating) — e.g. food preferences, cultural influences, classical conditioning Achievement — desire to accomplish goals, attain standards Self-efficacy — belief in one’s ability to succeed at a task Delay of gratification — ability to resist short-term temptations for long-term goals Emotion — complex reaction involving subjective experience, physiological arousal, and expressive behaviors Primary emotions — basic emotions (e.g. joy, anger, fear, disgust, surprise) Secondary emotions — more complex emotions (e.g. guilt, shame, pride) James-Lange theory — emotion results from interpreting bodily reactions (e.g. see bear → heart races → feel fear) Cannon-Bard theory — emotions and physiological reactions occur simultaneously Two-factor (Schachter-Singer) theory — emotion = physiological arousal + cognitive label Amygdala — brain region involved in processing emotions, especially fear and threat detection Emotion regulation — methods to control or influence one’s emotions Thought suppression — trying to push thoughts/feelings out of mind Rumination — repetitively focusing on negative feelings Positive reappraisal — reinterpret event in a more positive light Humor — using jokes or laughter to cope with negative emotions Distraction — shifting attention away from emotional triggers Chapter 11: Health & Well-Being Health psychology — field studying psychological influences on health, illness, and wellness Well-being — sense of physical, mental, and social flourishing Biopsychosocial model — model that health is determined by biological, psychological, and social factors Body mass index (BMI) — weight (kg) / (height (m))²; used to classify obesity / overweight Overeating factors — biological (metabolism, hormones), social (availability, norms), genetic predisposition Anorexia nervosa — eating disorder where individuals restrict food intake, fear weight gain, distorted body image Bulimia nervosa — cycle of binge eating followed by compensatory behaviors (e.g. purging, fasting, exercising) Binge-eating disorder — recurrent episodes of eating large amounts without compensatory behaviors Stress — a process by which we perceive and respond to events appraised as overwhelming Stressor — event or condition that triggers stress response Stress response — physical, emotional, and behavioral reaction to a stressor Major life stressors — big events causing substantial change (e.g. death, job loss) Daily hassles — everyday annoyances that accumulate stress (e.g. traffic, chores) General adaptation syndrome (GAS) — three-stage model of stress response GAS phases: alarm reaction → resistance → exhaustion Fight-or-flight response — physiological response to threat (sympathetic activation) Tend-and-befriend response — stress response especially in women: nurturing and social affiliation Type A behavior pattern — competitive, time-urgent, hostile personality (linked to heart disease) Type B behavior pattern — relaxed, easygoing, less competitive Coping — efforts to manage stress Primary appraisal — evaluating whether a stressor is harmful, threatening, or challenging Secondary appraisal — evaluating one’s resources to cope Emotion-focused coping — regulating emotional response to stressor Problem-focused coping — tackling the stressor directly to reduce or eliminate it Positive psychology — field focusing on strengths, well-being, and human flourishing Five ways to stay healthy — e.g. good diet, exercise, sleep, social support, stress management Chapter 12: Social Psychology Personal attributions — attributing behavior to internal traits or dispositions Situational attributions — attributing behavior to external circumstances Fundamental attribution error — tendency to overestimate personal factors and underestimate situational factors when explaining others’ behavior Actor/observer bias — tendency to attribute one’s own actions to the situation, but others’ actions to internal traits Self-fulfilling prophecy — expectation that leads you to act in ways that make it come true Stereotypes — fixed, overgeneralized beliefs about a group Prejudice — negative attitude toward a group Discrimination — negative behavior directed at a group Ingroup bias — favoring one’s own group Outgroup bias — negative attitudes toward those outside one’s group Attitudes — evaluations of people, objects, or ideas (positive/negative) Mere exposure effect — repeated exposure to something increases liking Cognitive dissonance — discomfort when beliefs, attitudes, or behavior conflict Postdecision dissonance — tension after making a choice, leading to justifying one’s decision Persuasion — process of changing attitudes Central route — persuasion via thoughtful consideration of arguments Peripheral route — persuasion via superficial cues (e.g. attractiveness, emotion) Social facilitation — improved performance in presence of others on simple tasks Social loafing — exerting less effort when working in a group Deindividuation — loss of self-awareness/inhibition in group situations Conformity — adjusting behavior or thinking to match a group standard Compliance — changing behavior in response to a direct request Obedience — following orders from an authority figure Milgram’s study — obedience experiments where participants (under instruction) delivered shocks to a “learner” Bystander intervention effect — tendency for individuals less likely to help when others are present Chapter 14: Psychological Disorders Psychopathology — study of psychological disorders; abnormal patterns of behavior, thoughts, or feelings Diathesis-stress model — view that psychological disorders develop due to genetic vulnerability + stress Biopsychosocial approach (to disorders) — disorders result from biological, psychological, and social factors DSM-5 — Diagnostic and Statistical Manual of Mental Disorders, 5th edition (standard classification of mental disorders) Specific phobia — irrational fear of specific object or situation Social anxiety disorder — intense fear of social situations or being judged Generalized anxiety disorder — chronic, uncontrollable worry about multiple domains Panic disorder — recurrent, unexpected panic attacks Obsessive-compulsive disorder (OCD) — obsessions (intrusive thoughts) and compulsions (ritualistic behaviors) Posttraumatic stress disorder (PTSD) — disorder following exposure to traumatic event, with flashbacks, avoidance, hypervigilance Major depressive disorder — persistent sadness, loss of interest, and other symptoms interfering with daily life Bipolar I disorder — periods of mania (and usually depression) Bipolar II disorder — hypomania (less severe mania) + major depressive episodes Schizophrenia — disorder characterized by delusions, hallucinations, disorganized speech, negative symptoms Positive symptoms (in schizophrenia) — delusions, hallucinations, disorganized speech Negative symptoms — flat affect, social withdrawal, lack of motivation Hallucinations — perceptual experiences without external stimuli Delusions — false beliefs held despite evidence to the contrary Disorganized speech — incoherent or illogical thought reflected in speech Disorganized behavior — inappropriate or bizarre behavior Biological risk factors (schizophrenia) — genetics, neurotransmitter abnormalities, brain structure Environmental risk factors — prenatal exposure, stress, family environment Borderline personality disorder — instability in mood, self-image, relationships, impulsivity Antisocial personality disorder (APD) — disregard for others’ rights, lack of remorse Dissociative amnesia — inability to recall important personal information (usually after trauma) Dissociative identity disorder (DID) — presence of two or more distinct identity states Autism spectrum disorder — deficits in social communication, restricted/repetitive behaviors ADHD (attention-deficit/hyperactivity disorder) — inattention, hyperactivity, impulsivity Chapter 15: Psychological Treatment Psychotherapy — therapy involving psychological techniques to treat mental disorders Psychodynamic therapy — therapy based on psychoanalytic concepts (e.g. unconscious conflicts) Humanistic therapy — focuses on growth, self-actualization, and client potential (e.g. Rogerian) Behavior therapy — uses learning principles (classical/operant conditioning) to change behavior Cognitive therapy — focuses on changing maladaptive thoughts or beliefs Cognitive-behavioral therapy (CBT) — integrates cognitive and behavioral methods Group therapy — therapy conducted with multiple participants simultaneously Family therapy — therapeutic approach focusing on family relationships Biological therapy — treatment using biological methods (e.g. medication, brain stimulation) Psychotropic medications — drugs that affect mental processes (e.g. antidepressants, antipsychotics) Electroconvulsive therapy (ECT) — inducing seizures via electrical current to treat severe depression Transcranial magnetic stimulation (TMS) — using magnetic fields to stimulate brain regions Deep brain stimulation (DBS) — surgical implantation of electrodes to stimulate brain structures Exposure (in CBT) — confronting feared stimuli directly in safe context Systematic desensitization — gradual exposure combined with relaxation Cognitive restructuring — changing negative thought patterns Exposure-response prevention — exposure without performing compulsive behavior (used for OCD) SSRIs (selective serotonin reuptake inhibitors) — class of antidepressants (e.g. Prozac, Zoloft) Treatment for depression — CBT + SSRIs often most effective Bipolar treatment — mood stabilizers (e.g"
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