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Personality
the composite of behavioral traits and attitudes that identify one as an individual; unique pattern of thoughts, attitudes, values, and behaviors each individual develops to adapt to a particular environment and its standards
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Behavioral theories
personality disorders are the result of conditioned responses caused by previous events
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Biological theories
behavior and personality have a strong genetic influence
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In older adults a sudden change in personality
is not a normal sign of aging
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Histrionic personality disorder
excessive emotional expression and attention-seeking behaviors
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Antisocial personality disorder
pervasive pattern of disregard for an violation of the rights of others
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Hallmark of psychopaths
lack of conscience; self gratification; use charm, manipulation, intimidation and violence to control others and satisfy their own selfish needs
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Dependent personality
anxiety associated with separation and abandonment; deep fear of rejection; do not make demands or disagree with others
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Paranoia
suspicious system of thinking that includes delusions of persecution and grandeur; automatically assume that everyone is out to harm, deceive or exploit them
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Schizotypal personality
same as schizoid but characterized by distortions and eccentricities; often have ideas of reference and commonly find special personal messages in everyday events
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Ideas of reference
incorrect perceptions of casual events as having great or significant meaning
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Psychosis
inability to recognize reality, relate to others, or cope with life�s demands (not able to eat, drink, breathe)
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Neurobiological functions
highly adaptive, effective, to maladaptive; the ability to function, change and adapt is influenced by certain physical brain functions, their connections and their chemical messengers
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Delusions
fixed, false ideas that are not based in reality
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Paranoid schizophrenia
organized delusions of grandeur or persecution, auditory hallucinations; high anxiety levels, guarded, suspicious, aloof, hostile, angry, can be violent or suicidal; onset is late, prognosis is good with treatment
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Concrete thinking
inability to consider the abstract meaning of a phrase; frequently tested by having clients interpret proverbs
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Word salad
random, jumbled set of words that have no connection or relationship to each other
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Antipsychotic drugs
slow the CNS, make people �feel calm,� interrupting the dopamine pathways which produces calming effect; emotional quieting, slowed motor responses, and sedation
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Akathisia
inability to sit still; nervous energy assaultive behaviors can result if they are forced to remain in one position for even a short time
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Cardinal sign of neuroleptic malignant syndrome
high body temperature; EPS of antipsychotics
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Onset of acute psychosis
men-mid-20s and women late 20s
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Individuals with chronic mental health problems have ________ rates of suicide
much higher
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Exacerbations
periods of dysfunction accompanied by an increase in the signs, symptoms, and seriousness of a problem
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People with mental illness live an average of _______ than the general population
10-15 years less
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Altered thought processes
disrupt the ability to think clearly, solve problems or make plans
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Label of mental illness causes
low self esteem
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Mentally troubled people often see themselves as helpless, ineffective, and incapable of change; experience of a small success will often prevent them from making further attempts because they know they will eventually fail
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Children with autism
are in a world of their own
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Sexual behaviors of people with SPMI are at ________ for contracting and sharing STDs
increased risk
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State psychiatric institutions still provide care for more than 50% of all psychiatric inpatients; stays are shorter and readmissions more frequent
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Basic goals for chronically disordered mental health clients are
to achieve stabilization and maintain the highest level of daily functioning
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Dorothy Dix
1841, raised a lot of $ for 30 million mental hospitals
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Psychosocial rehabilitation
use of multidisciplinary services to help clients gain the skills needed to carry out the ADLs as actively and independently; assessed for physical, social, emotional and intellectual levels of function; specific plans for teaching needed skills are developed and even votech
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DRGs
1983 Health Care Financing Administration developed DRGS, more than 400
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Beliefs in witchcraft are in
Haitian, Puerto Rican, and AFA cultures; spells, hexes and incantations are used to cause a person injury, illness, or even death
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Cultural competence
process of continually learning about the cultures with which we work and developing cross cultural therapeutic health care skills; one whose behaviors and attitudes promote effective resolution of a mental health issue for someone who is different culturally
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Restitution
giving back to resolve guilt feelings; a man argues with his wife and then buys her roses
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Humanistic theories emphasize the total individual
holistic
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Animal assisted therapy
assistance dogs have been trained to aid those with certain conditions, such as severe social anxiety, young people with autism, and individuals prone to seizures; found to promote socialization, increase empathy, encourage responsibility and commitment and foster communication
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Benzo side effects
addiction, fatigue, sedation, dizziness, orthostatic hypotension, usually limited to a few months
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Peripheral side effects of antipsychotics
dry mouth, blurred vision, photophobia, tachycardia and hypotension; can�t poop, can�t pee
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Accepting clients�
does not necessarily include approving of their behaviors
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Do not include interpretative statements; it�s not client is angry but rather client was punching fist through wall
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Stuporous
Responds only to string physical stimuli, falls asleep if not stimulated
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Working phase
focus is to achieve the goals in the client-caregiver agreement; time for solving problems and trying out new behaviors; care providers are guided by their knowledge of human behavior, the client�s plan of care and the agreed-on goals; periods of growth and resistance
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Criteria for inpatient admission
the person perceives himself or herself as unable to cope or maintain behavioral control
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Asperger�s syndrome
Severe and long lasting impairments in social interactions with repeated patterns of behavior, interest and activities
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Teen who uses a suicidal gesture
is attempting to influence someone; often little or no depression and no real wish to die
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Social isolation
lack of meaningful interactions with others
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Work within the client�s reality
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Gerontophobia
fear of aging and refusal to accept the elderly into the mainstream of society
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Alzheimer�s meds
cholinesterase inhibitors are used in mild to moderate stages of AD, about 3-6 years after diagnosis; acetylcholine is greatly decreased in people with AD
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Grief
set of emotional reactions that accompany a loss
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Yearning
reality of the loss begins to be realized and the griever becomes overwhelmed; crying, self blame and anger are common and some may even strike out at self or others; griever falls apart � becomes disorganized, depressed, and unable to complete ADLs
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Hallmark of bipolar disorder
sudden and extreme shifts in emotional extremes (mania)
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Immune function and BP changes occur in people
with hostile or negative behaviors during periods of conflict
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Factitious disorders and malingering differ from other somatoform disorder in that
symptoms are intentionally produced; assume the sick role
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Anorexia is about
maintaining control
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Dyssomnias
abnormalities in the amount, quality, or timing of sleep
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Dissociative Identity Disorder main goal
help client integrate or combine the personalities into one functional individual capable of coping with life�s stresses in a healthy manner
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DID individuals
may engage in self destructive behaviors; need to contract to no self harm
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Level 1 therapeutic interventions
focus on prevention of violence; establish and maintain a trusting relationship with clear and honest communications
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Recoil stage of recovery from violence
struggles to adapt
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Indirect self destructive behaviors
substance abuse, engaging in inappropriate or dangerous activities, unwillingness to change negative thoughts and actions
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Children with FAS
are smaller at birth, have small heads, and fail to develop normally
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One�s self awareness
has a strong influence on discussing sexual issues with clients
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