.Hannah's Behavioral Day2
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Created by:
hannahbessejackson on January 23, 2012
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48 terms
Terms | Definitions |
|---|---|
 Diversion of unacceptable impulses into more acceptable ones | Sublimation |
| mom whose child died of a disease who becomes active in a state or national organization designed to help families with the disease is example of WHAT coping mechanism? | Sublimation (diversion of unacceptable impulses into more acceptable ones) |
| Enuresis in a 6yo boy who was previously toilet-trained after recent arrival of new sibling - example of what? What to do? | Regression (defense mechanism) Need to spend more individual time with older child to reassure of love + affection |
| patient who has really eccentric, non-matching outfit - what personality disorder | Histrionic - acting in theatrical manner, can't maintain long relationships, attn-seeking, sexually provocative |
| Personality disorder: difficulty maintaining job, prone to crime and violence | Antisocial |
| Personality - seek constant reassurance from parterns and fear rejection | Avoidant personality |
| Personality - mismatched clothing, odd behavior, viewed as eccentric and strange, ppl tend to avoid them | Schizotypal |
| recommended treatment for autism | Behavioral therapy, such as shaping (teach new behavior by systematically and differentially reinforcing successive approximations of target behavior |
| Condition: withdrawal from interaction with others, don't use speech to communicate, obsessive need for sameness | Autism |
| What is methylphenidate used for? | ADD/ADHD |
| what do you do if patient says they don't want to know their diagnosis (e.g. whether or not they have cancer?) | Address why they don't want to know but YOU MUST TELL PATIENT FOR ISSUES OF INFORMED CONSENT, you cannot just tell family NO MATTER WHAT RELIGIOUS/CULTURAL ISSUES ARE PRESENT |
| experiencing vivid dreams with waking from sleep | Hypnopompic hallucinations (nighttime are hypnagogic) - seen in narcolepsy in conjunction with sleep paralysis,cataplexy and sleep attacks |
| 4 common sx narcolepsy | 1. vivid dreams/hypnopompic hallucinations at wake 2. sleep paralysis 3. cataplexy 4. sleep attacks |
| "rule" for physician-patient relationship | Should not become personally involved with anyone for whom thye have cared professionally in PAST 2 YEARS |
| DSM-4 for alcohol abuse | 1. recurrent use leading to failing fulfill obligations 2. use in hazardous situations (DUI) 3. recurrent legal problems related to use 4. continued use despite neg. consequences |
| change in sleep with age | More awakening and arousal at night with earlier awakening Less total sleep REM percentage remains constant to 80yo then declines (20%) STAGE 4 SLEEP DECREASES (almost vanishes) as well as stage 3 (slow wave) |
| risks of ECT | Asystole Arrhythmias 6mths antero/retro grade memory difficulty |
| 4 exceptions to informed consent | 1. emergency, life-threatening conditions 2. waiver by pt 3. pt is incompetent 4. therapeutic privilege |
| Disorder a/w OCD | Tic disorder |
| Personality: rationalization of behavior, associated alcoholism, drug addiction, infidelity, promiscuity, job failure, impronment and punishment rarely modifies behavior/judgement | Antisocial |
| delinquency, can't hold job, prone to violence and crime - what personality disorder? | Antisocial |
| APGAR - stands for/ what do you lose pts for? | Appearance (blue/pink) - usually lose 1 here Pulse (>100) Grimace Activity (tone) Respirations (-1 if irregular) 2 each = 10 (most are 9) |
| What do you do if patients family asks you to withhold info from demented mother? | NEVER CORRECT TO WITHHOLD INFO FROM PATIENT |
| Requirements for PTSD dx | 1. witness/experience event 2. persistent avoidance stimuli a/w trauma 3. numbing general responsiveness 4. sx increased arousal (insomnia, restless) 5. DURATION GREATER THAN 1 MONTH 6. causes sign. Distress or impairment in life |
| Tx PTSD | SSRIs, group therapy |
| difference acute stress disorder + PTSD | SAME ETIOLOGY AND FEATURES butt ACUTE STRESS <1 month! |
| chromosomes a/w autism | Chromosome 15 + 11 |
| moderate MR but sociable, can work, talks in 3word sentences - likely cause? | Maternal alcohol use |
| Specific type MR a/w chromosome 15 | Angelmans (movement, balance disorders, smiles, seizures) -also autism |
| Age of child: holds blanket, stubborn, independent, lots of activity, can walk backward and stand on tiptoes, 1-2 word sentence that only parents understand | 2yo |
| When is fixed gender identity in development? | Age 3 (after tiptoes, walking, starting to talk) |
| Age: dressing self | 5yo |
| Age: emergence hand preference | 18mo |
| Age: hopping on one foot | 4yo - tasks with balance |
| Age: separation anxiety | 1yo (as early as 8mo) |
| most sensitive measure of recent alcohol abuse | Serum gamma-glutamyl transpeptidase level |
| change in RBC in alcoholic | 60% macrocytic |
| Use of serum gamma-glutamyl transpeptidase (GGTP) | -biologic marker ALCOHOL consumption over EXTENDED period of time -elevated BEFORE LFT changes - good screening for etoh abuse |
| Can parents withhold lifesaving treatment from child if the child (e.g. 17yo) asks to stop tx (will eventually die, e.g. CF) | NO! Only adults can do this for themselves |
| factitious disorder (and what is it associated with?) | Deliberate production of sx to attain sick role and meet unconscious needs - a/w early parental ABUSE/REJECTION |
| Malingering | Voluntary production sx to ACCOMPLISH GOAL (goal known, act is known) - conscious motivation |
| Brother dies and kid starts wearing his old jacket every day - what is defense mechanism? | Identification - unconscious adoption of characteristics or activities of another person - mechanism to reduce pain of separation or loss |
| widow who takes over husbands voluntary work after he dies - what is defense mechanism? | Identification - unconscious adoption of characteristics or activities of another person - mechanism to reduce pain of separation or loss |
| Common defense mechanism after separation or loss | Identification - unconscious adoption of characteristics or activities of another person |
| first step in suspected child abuse | SEPARATE CHILD FROM PARENTS THEnnnnn you report to CPS (failure to do so is criminal offense) |
| if sx of PTSD abate, will they return? | No |
| delusional disorder | 1 sole fixed and unshakable delusion that is non-bizarre and present for AT LEAST 1mth - apart from impact of delusion, functioning not markedly impaired in other areas of life |
| Age first see cooperative play | 4yo (at 24-30 mths have parallel play but no real intrxn) |
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