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Phoenix College NUR
Psych Skill Day PreTest
| Question | Answer |
|---|---|
| the external manifestation of feeling or emotion which is seen in facial expression, tone of voice and body language. – e.g. flat, blunted ,broad, constricted, sad, tearful, tense, etc. An objective assessment | affect |
| lack of energy | anergia |
| decreased ability to experience pleasure, joy, intimacy, and closeness. A common symptom of depressive disorders | anhedonia |
| Lack of feelings, emotions, interests, or concern | apathy |
| Any observable, recordable, and measurable act, movement, or response | behavior |
| A term used to describe both mental health and addiction services | behavioral health |
| Thought and speech of a person associated with excessive and unnecessary detail that is usually relevant to a question; an answer is eventually provided | circumstantial |
| The mental processes of: knowing, thinking, learning, and judging | cognition |
| Involuntary admission in which the request for hospitalization did not originate with the patient | commitment |
| A recurring, irresistible impulse to perform some act. A repetitive, purposeless behavior that serves to reduce anxiety | compulsion |
| Use of specific terminology rather than abstractions in the discussion of the patient’s feelings, experiences, and behavior. | concreteness |
| A confused person’s tendency to make up a response to a question when he or she cannot remember the answer | confabulation |
| how well a patient’s stated mood fits with his observable affect. | congruence/incongruence |
| any effort directed at stress management. It can be problem, cognitive, or emotion focused. | coping mechanism |
| Coping mechanisms of the ego that attempt to protect the person from feelings of inadequacy and worthlessness and prevent awareness of anxiety. They are primarily unconscious as originally theorized by Freud as “Ego Defense Mechanisms” | defense mechanisms |
| The medical diagnostic term that describes an organic mental disorder characterized by a cluster of cognitive impairments with an acute onset and the identification of a specific precipitating stressor (i.e. medical problem) | delirium |
| A fixed, false belief that is firmly maintained even though it is not shared by others and is contraindicated by social reality. | delusion |
| The medical diagnostic term that describes an organic mental disorder characterized by cognitive impairment. | dementia |
| Simultaneous occurrence of a mental illness and a substance abuse disorder. Both on Axis I. | dual diagnosis (“DD”) |
| adjective: low mood | dysphoria |
| a diagnosis: a milder form of depression lasting 2 or more years. | dysthymia |
| Artificial induction of a grand mal seizure by passing a controlled electrical current through electrodes applied to the patient’s head under anesthesia | electroconvulsive therapy (ECT) |
| highly elevated mood often associated with mania. | euphoria |
| a “normal” mood – the midpoint between dysphoria and euphoria. | euthymia |
| a variety of signs and symptoms, including muscular rigidity (dystonias), tremors, drooling, shuffling gait (pseudoparkinsonism), or restlessness (akathesia), usually a side-effect of antipsychotic medications. | extrapyramidal syndrome (EPS) |
| Perceptual distortion arising from any of the 5 senses. | hallucination |
| A clinical syndrome that is similar to but less severe than that described by the term mania or manic episode. | hypomania |
| Incorrect interpretation of casual incidents and external events as having direct personal references i.e. the president is asking you to…. | ideas of reference |
| False or misperceptions of a sensory (perception) stimulus. | Illusions |
| The patient’s understanding of the nature of the problem or illness. | insight |
| Excessive reasoning or logic used to avoid experiencing disturbing feelings; an Ego Defense Mechanism | intellectualization |
| rapid changes in mood fluctuating high to low. | lability |
| nonpunitive, non-manipulative act in which the patient is told what behavior is acceptable, what is not acceptable, and the consequences of behaving unacceptably. | limit setting |
| lack of a logical relationship between thoughts and ideas that renders speech and thought inexact, vague, diffuse, and unfocused. | loose associations |
| Deliberate feigning of an illness. | malingering |
| a condition characterized by a mood that is elevated, expansive, or irritable. It is a component of bipolar illness. | mania |
| the patient’s self-report of prevailing emotional state, a subjective assessment. | mood |
| New word or words created by the patient; often a blend of other words. | neologisms |
| A potentially fatal side-effect of antipsychotic medications. | neuroleptic malignant syndrome |
| Chemical messengers of the nervous system, manufactured in one neuron, released from the axon into the synapse, received by the dendrite of the next neuron. | neurotransmitters |
| an idea, emotion, or impulse that repetitively and insistently forces itself into consciousness; unwanted, but cannot be voluntarily excluded from consciousness. | obsession |
| A state of extreme anxiety that involves the disorganization of the personality and results in an inability to function. | panic |
| the way that the sensory information is chosen and transformed so that it has meaning, is organized and a relevant action occurs. | perception |
| Involuntary, excessive continuation or repetition of a single response, idea, or activity. | perseveration |
| A morbid fear associated with extreme anxiety. | phobia |
| Use of a combination of psychoactive drugs in a patient at the same time without determining whether one drug by itself is effective; can cause drug interactions and may increase the incidence of adverse reactions. | polypharmacy |
| all incoming data through senses (visual, auditory, tactile, gustatory, olfactory) received and interpreted or misinterpreted by the CNS. | perception |
| A category of mental health problems that are distinguished by gross impairment in reality testing: either in altered perceptions, altered thought processes (delusions) or alterations in cognitive abilities (thought disorders) | psychosis |
| The consumer-ctrd rehabilitation philosophy that is characterized by awareness of mental illness and substance abuse as illnesses and what is needed to recover; management of one’s own mental health; interconnectedness with others; and client advocacy. | recovery |
| A retreat in the face of stress to behavior that is characteristic of an earlier level of development. A common Ego Defense Mechanism. | regression |
| The process of enabling a mentally ill person to return to the highest possible level of functioning for that individual. | rehabilitation |
| return of symptoms; also referred to as “decompensation” | relapse |
| Attempt of the patient to remain unaware of anxiety-producing aspects within the self (unconscious), manifested as “a smoke screen” within the therapeutic relationship. Therefore resists others attempts to help | resistance |
| behavioral vs. medical “soft” restraints | restraints |
| Separating the patient from others in a safe, contained (perhaps locked) environment with minimal stimulation. | seclusion |
| A related benefit that a patient experiences as the result of one’s illness. | secondary gain |
| The person’s perception of how he or she should behave on the basis of certain personal standards. | self-ideal |
| how the brain transmits data from each sensor system (vision, hearing, taste, smell, feel) | sensation |
| A disorder characterized by multiple physical complaints with no evidence of organic impairment. | somatization disorder (“psychosomatic”) |
| Thought and speech of a person that strays markedly from the original discussion, yet is, in some manner, related to the original discussion -i.e. “touches on” a topic or word within the discussion. | tangential |
| The controlled environment of treatment facilities in which patients are provided with a safe, stable, coherent, therapeutic environment. | therapeutic milieu |
| sudden stopping in the train of thought or in the midst of a sentence. Often a symptom of psychosis | thought blocking |
| The belief that one’s thoughts are being aired to the outside world. Often a symptom of psychosis | thought broadcasting |
| The belief that one’s thoughts are being placed into one’s mind by outside people or influences. Often a symptom of psychosis | thought insertion |
| Series of words that seem totally unrelated. Often a symptom of psychosis | word salad |
| The ability for the nurse to examine his/her personal feelings, beliefs, behaviors, reactions, prejudices, and past experiences | Self-Awareness |
| A quality of the nurse characterized by openness, honesty, sincerity, and authenticity. | Genuineness |
| Regarding all patients with a deep sense of worth, value and unconditional positive regard. | Respect |
| The ability to view the patient’s world from his or her internal frame or reference. | Empathy |
| A core element of the therapeutic relationship. Trust builds over a period of time. Many patients have lost trust in others due to past experiences or due to paranoia. | Trust |
| The active, respectful, watchful, compassionate experience of being with a person in a state of empathy and with an attitude of unconditional positive regard toward those they care for. | Presence |
| Unconscious response of patients in which they experience feelings & attitudes toward the nurse that were originally associated w/ significant figures in their early life. When the nurse experiences transference toward a patient is counter-transference. | Transference/Countertransference |
| Revelation that occurs when a person reveals information about self, ideas, values, feelings, and attitudes. The psychiatric nurse must practice selective self-disclosure in order to establish and develop positive therapeutic relationships. | Self-Disclosure |
| When a nurse goes outside the limits of the therapeutic relationship and establishes a social, economic, or personal relationship with a patient. | Boundary Violation |
Created by:
kjwahine
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