ATI proctored Mental Health�❤��2022 What are cognitive symptoms of psychotic disorders - -disordered thinking -inability to make decisions -poor problem solving ability -difficult concent... rating to perform tasks -Memory deficits Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about them - ideas of reference Feels singled out for harm by others (being hunted down by FBI) - Persecution Believes that she is all powerful and important like a god - grandeur believes that his body is changing in an unusual way, scubas growing a third arm - somatic delusions May feel that her spouse is sexually involved with another individual - Jealousy Believes that a force outside his body is controlling him - being controlled believes that her thoughts are heard by others - thought broacasting believes that others thoughts are being inserted into his mind - thought insertion Believe that her thoughts have been removed form her mind by an outside agency - thought withdrawal is obsessed with religious beliefs - religiosityThe client may say sentence after sentence but each sentence may relate to another topic and the listeniner is bale to follow the clients thoughts - flight of ideas Made up words that have meaning only to the client such as i tranged and flitted. - neologisms What are the standardized screen tools for psychotic disorders - -Global assessment of functioning scale -scale for assessment of negative symptoms -Brief psychiatric rating scale -abnormal involuntary movement scale (AIMS) What antidepressants are prescribed for psychotic disorders - Paxil -monitor for SI -Notify for deepened depression -Do not stop abruptly What are the anxiolytics/ bento's used for psychotic disorders? - -Ativan -Klonopin -sedative effects -need to get blood tests for ANC -use caution in older adults What are the personality disorders in cluster A - (Odd and eccentric traits) -Paranoid -Schizoid -SchizotypalCharacterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations - schizotypal Dealing with anxiety by reaching out to others. Ex: a nurse who lost a family member in a fire is a volunteer firefighter - Altruism Dealing with unacceptable feelings or impulses by unconsciously substitute acceptable forms of expression. Ex: a person who has feelings of anger and hostility toward his work supervisor sublimates those feelings by working out vigorously a the gym during his lunch period - Sublimation Voluntarily denying unpleasant thoughts and feelings. Ex: A person who has lost his job states he will worry about paying his bills next week - Suppression Putting unacceptable ideas, thoughts, and emotions out of conscious awareness. Ex: a person who has a fear of the dentist's drill continually "forgets" his dental appointments. - Repression What are healthy defense mechanisms? - alturism and sublimation what are intermediate defenses - repression reaction formation displacement rationalization undoing What are immature defenses - projection dissociation splitting denialShifting feelings related to an object, person, or situation to another less threatening object, person, or situation Ex: A person who is angry about losing his job destroys his child's favorite toy - displacement Overcompensating or demonstrating the opposite behavior of what is felt. Ex: a person who dislikes her sisters daughter offers to babysit so that her sister can go out of town - reaction formation Performing an act to make up for prior behavior. Ex; An adolescent completes his chores without being prompted to after having an argument with his parents. - undoing creating reasonable and acceptable explanations for unacceptable behavior Ex: A young adult explains he had to drive home from a party after drinking alcohol because he had to feed his dog. - rationalization [Show More]
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