Term
| DEFINITION of personality |
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Definition
| The essence of a person's character; what he/she is "really" like |
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Term
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Definition
| Ways of perceiving, relating to, and thinking about the environment and one's self |
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Term
| People with personality disorders are..... |
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Definition
| not flexible or maladaptive |
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Term
| People with personality disorders have difficulty with.. |
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Definition
| relating to, working with, loving others |
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Term
| Personality disorders r/t self and others |
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Definition
| impaired functioning, self-focused/self-serving. Feel as though they do not have a problem at all |
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Term
| Personality Disorders and EGO |
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Definition
| been doing that behavior for so long, it seems right; not viewed as a problem by the person with the disorder, believes he/she is right and the world is wrong. |
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Term
| Predisposing factors to PERSONALITY DISORDERS |
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Definition
| Genetic, family factors (higher in first degree relatives), neurotransmitters (decreased serotonin/suicidal behavior...increased dopamine in aggressive/violent behavior), psychodynamic, individualization/seperation obstruction, poor parental childhood bonding, poverty, stress, deviant behaviors learned from others. |
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Term
| Personality disorders--classified into 3 categories |
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Definition
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Term
| Cluster A - Personality Disorders |
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Definition
Odd/excentric behavior
***Paranoid personality disorder
***Schizoid personality disorder
***Schitzotypal personality disorder |
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Term
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Definition
Dramatic, emotional & erratic
***Antisocial
***Borderline
***Histrionic
***Narcissistic PERSONALITY DISORDERS |
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Term
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Definition
Anxious or fearful
***Avoidant
***Dependent
***Obsessive-compulsive PERSONALITY DISORDERS |
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Term
| CHARACTERISTICS OF Paranoid Personality |
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Definition
| More common in men, pervasive distrust/suspiciousness, guarded, hypervigilent, test honesty of others, intensive to feelings or others, hypersensitive to criticism, misinterpret events in the environment |
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Term
| CHARACTERISTICS of Schizoid Personality Disorder |
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Definition
| more frequent in men, inability to form relationships, aloof, detached, shy, anxious, uneasy |
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Term
| CHARACTERISTICS of Schizotypal Disorder |
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Definition
| Social/interpersonal deficits, cognitive or perceptual distortions and eccentricities (magical thinking, illusions, depersonalizations, bizarre speech, delusions, hallucinations and withdrawal. |
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Term
CHARACTERISTICS of Antisocial Personality Disorder
DONT work with society/dont care about society |
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Definition
| More in men, disregard right for others, violate others rights, lack of remorse for doing wrong, lack of empathy, exploitative/manipulative, witty, charming and seductive, irresponsible, reckless (safety), lying, stealing, use of alias, conning others for personal profit or pleasure |
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Term
| CHARACTERISTICS of Borderline Disorder |
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Definition
| Difficult controlling emotions, stormy relations (anger), always in a state of crisis, psychotic symptoms during times of stress, unstable self-image, depression, can't be alone, inability to accept positive and negative feelings, manipulation (one person against another), self-destruction (suicide attemps), impulsivity, always black/white--its all good or all bad |
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Term
| Organize response to threat |
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Definition
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Term
| Declarative memory cognitive meaning |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
Object relations theory-MAHLER
***ASDPRO*** |
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Definition
| Autistic, symbiotic, differentiation, practicing, rapprochement, on the way to object consistancy |
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Term
| Autistic (birth to 1 month) |
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Definition
| survival and comfort---end up with an insecure attachment |
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Term
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Definition
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Term
| Differentiation (5-10 months) |
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Definition
| recognizes separateness (develop ego) |
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Term
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Definition
| locomotor functioning and increased seperateness (playing peek a boo) |
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Term
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Definition
| Increases separateness & mother for "emotional refueling) more separation - come back for mom - soothing and calming |
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Term
| On the Way to Object consistency (24-26m) |
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Definition
| separateness & ability to internalize mother when out of sight (separation anxiety resolved |
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Term
| CHARACTERISTICS of Histrionic Personality Disorder |
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Definition
| "DIVA" excessive emotionality, attention seeker, self-dramatizing, labile, demanding, difficulty forming close relationships, complains of physical symptoms |
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Term
| CHARACTERISTIC OF Narcissistic Personality Disorder |
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Definition
| men more, inflated sense of importance, achievement, and talents, admiration seeking behaviors, no regard for feelings of others, arrogant towards others, unreasonable expectations, self-centered, exploit others to fulfill ones own desires, feels lonely |
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Term
| CHARACTERISTICS of Avoidant Personality Disorder |
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Definition
| Men and women =; extreme sensitivity to rejection, self-imposed social isolation, feels awkward and uncomfortable in social situations, desire companion-but fears relationship will result in pain and disllusionment, single, fear of rejection, not connected |
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Term
| CHARACTERISTICS of Dependent Personality |
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Definition
| woman>men, rely excessively on others for emotional support, advice and reassurance, difficulty leaving home, totally lost w/o partner, males are dependent on mothers, lack of self-confidence, avoid positions of responsibility, low self-worth (sensative) |
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Term
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Definition
| Preoccupied with details, rules, lists, order or organization, perfectionism so pronounced that tasks can not be completed, inability to share responsibility with others, devotion to productivity at the exclusion of personal pleasure, need to be in control, hoarding, financial stinginess |
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Term
| BORDERLINE personality disorder NSG DX |
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Definition
| Risk for self-mutilation, dysfunctional grieving, impaired social interaction. |
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Term
| CHARACTERISTICS of borderline personality |
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Definition
| Many have suicidal thoughts, person realizes that self-mutulation gets attention, feels neglect, often trauma |
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Term
| NSG Implications - Self-mutilization |
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Definition
| Observe clients behavior during routine activities (be aware), secure verbal contract to seek out staff when experiencing urge for self-mutilation, encourage verbalize of feelings prior to behavior, role model appropriate expressions/feelings, may need one on one supervision, they feel numb, nurse needs to be aware-but don't focus too much...that will reinforce them to continue for attention |
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Term
| NSG Mgmt-Dysfunctional Grieving |
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Definition
| Encourage expression of feelings, identify function of anger/rage and encourage outward expression, explore ways to appropriately express anger, explore grieving process, set limits on acting out behavior, usually there are deep feelings of anger/loss. Get patient to commit to contract. |
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Term
| NRSG Interaction-Impaired Social Interaction |
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Definition
| Develop nurse/client relationship w/o reinforcing dependent behavior, positive reinforcement, rotate staff to avoid dependency-don't want the patient so dependant on one particular staff member, assist client to work toward achievement of object consistency, |
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Term
| NSG Interaction-Risk for violence directed at others |
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Definition
| Observe patient's behavior-avoid appearing watchful or suspicious, remove dangerous objects, help patient identify the true object of his hostility, have sufficient ways of handling frustrations, administer tranquilizing meds or restraints if client doesn't calm down. Address early--the younger the better. |
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Term
| NSG interaction-Defensive Coping |
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Definition
| Set limits for the patient and be aware of the behaviors, provide + feedback for acceptable behavior, maintain the attitude that the behavior is unacceptable, not the person. |
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Term
| EXAMPLES of CNS Depressants |
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Definition
| Anxiolytics, alcohol, sedatives, hypnotics |
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Term
| S/S of use of CNS DEPRESSANTS |
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Definition
| Relaxation, loss of inhibitions, lack of concentration, drowsiness, slurred speech |
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Term
| S/S of Intoxication CNS Depressants |
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Definition
| Aggressiveness, disinhibition, impaired judgement, incoordination, unsteady gait, slurred speech, disorientation, confusion |
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Term
| S/S of CNS Depressant WITHDRAWAL |
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Definition
| Tremors, N/V, insomnia, seizures, hallucinations, irritability, Increased BP, pulse, temp, suicide risk, fall precaution |
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Term
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Definition
| Amphetamines, caffeine, cocaine, nicotine |
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Term
| S/S of use of CNS Stimulants |
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Definition
| Hyperactivity, agitation, euphoria, insomnia, anorexia, increased pulse |
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Term
| S/S of intoxication from CNS Stimulants |
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Definition
| Euphoria, grandiosity, fighting, elevates vital signs, N/V, psychomotor agitation |
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Term
| S/S of Withdrawl CNS Stimulants |
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Definition
| Anxiety, depressed mood, insomnia, hypersomnia, craving for the drug, suicidal ideas |
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Term
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Definition
| Opium, morphine, codeine, heroin, meperidine |
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Term
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Definition
| Euphoria, lethargy, drowsiness, lack of motivation |
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Term
| S/S of intoxications from Opioids |
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Definition
| Euphoria, lethargy, somnolence, apathy, dysphoria, impaired judgment, slurred speech, constipation, decreased respiratory rate and blood pressure |
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Term
| S/S of Withdrawl from Opioids |
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Definition
| Craving for the drug, N/V, muscle aches, lacrimation, rhinorrhea, piloerection or sweating, yawning, fever, insomnia |
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Term
| EXAMPLES of Hallucinogens |
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Definition
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Term
| S/S of use of hallucinogens |
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Definition
| visual hallucinations, disorientations, confusion, pananoia, euphoria, anxiety, panic, increased pulse |
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Term
| S/S of intoxication of hallucinogens |
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Definition
| Belligerence, impulsiveness, psychomotor agitation, increased HR, BP, ataxia, seizures, panic reaction, delirium |
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Term
| S/S of withdrawl hallucinogens |
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Definition
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Term
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Definition
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Term
| S/S of use of Cannabinols |
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Definition
| Relaxation, talkativeness, lowered inhibitions, euphoria, mood swings |
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Term
| S/S of intoxication of cannabinols |
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Definition
| impaired judgement, loss of recent memory, tremors, muscle rigidity, conjunctival redness, panic, pananoia |
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Term
| S/S of withdraw from Cannabinols |
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Definition
| Nervousness, tremors, insomnia |
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Term
| Groups at the highest risk for Drug Experimentation |
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Definition
| teens, college students, older adults, males/females (remember metabolize differently), Ethnicity |
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Term
| Substances that alter MOOD/BEHAVIOR |
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Definition
| Alcohol, caffine, nicotine, RX meds, illicit drugs, legal to illegal use of drugs |
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Term
| Social norms for use of substances |
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Definition
| Accepted in moderation-alcohol & caffeine, chronic pain-opioids, ADHD (stimulants), acceptable when used in access or when sold on the street. |
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Term
| Substance related disorders |
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Definition
| Substance abuse and substance dependence |
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Term
| DEFINITION of substance abuse |
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Definition
| Reoccurant and persistent maladaptive pattern of substance use with adverse affects occurring repeatedly or persistantly within 12m. Repeated work absenses, DIU's, spousal arguments |
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Term
| DEFINITION of Substance Dependence |
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Definition
| Repeated use of drug despite substance related cognitive/behavior and physiological problems, tolerance, withdrawal and compulsive drug taking behavior, craving. Does not apply to caffeine. |
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Term
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Definition
| Genetics, biochemical, psychological, ethno cultural, biopsychocial |
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Term
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Definition
Defense Mechanism-deniel and rationalization
Low self-esteem
Inability to delay gratification
poor communication skills
Co-morbidities, bi-polar, depression, etc. |
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Term
| LABS / EXAMS to determine Substance Use |
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Definition
| BMP (Albumin-nutrition), toxicology (substances in urine and blood), Liver function tests (high doses or chronic use of drugs), depression scale, beck depression inventory |
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Term
| PHYSICAL CONSEQUENCES - BRAIN |
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Definition
| Brain damage, psychosis, confussion, encepholopathy |
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Term
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Definition
| Cardiomyopathy, lipids build up |
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Term
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Definition
| Vomit, pass out, aspirate |
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Term
| PC-Esophagus, stomach, pancreas |
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Definition
| mucosal lining, pancreautitus, insulin, diabetes |
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Term
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Definition
| Toxic, hepetitus, pserosis |
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Term
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Definition
| Decreased nutrition---weaker bones---leading to fx. |
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Term
| TREATMENT for Substance Use |
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Definition
| 1:1 Psychotherapy, 12 step-programs, medications, detox, hospitalization, residential tx, drug ct. |
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Term
| INTERVENTION strategies and techniques |
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Definition
| Listen, empathize, reflect, ask open-ended ???s, elicit change talk, summarize, avoid preaching, judging or threatening |
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Term
| Data needed for ASSESSMENT |
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Definition
| family use, how long been using, how old when you first used, when do you use, how much, how often, where and with whom, last used, how much, missed work, DUI?, loss of family/friends, ever tried to stop, what did you try |
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Term
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Definition
C-cut down
A-Annoyed
G-Guilty
E-Eye Opener |
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Term
| PHYSICAL HEALTH Interventions |
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Definition
| Detox, monitor VS, I&O, skin turgor, color, gait, energy level, activity tolerance,cognition and orientation, fall precautions, suicide/seizure risk, administer fluids, |
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Term
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Definition
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Term
| Appetite regulating center |
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Definition
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Term
| Eating behaviors are influenced by....... |
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Definition
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Term
| CHARACTERISTICS of Anorexia Nervosa |
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Definition
| Fear of obesity, gross distortion of body image, preoccupation with food and refusal to eat, weight loss (more than 15%), VS (all low), hypothermia, bradycardia, hypotension, edema, lanugo, metabolic changes, ammenorrhea (inability to menstrate), obsession w/food, constant motion, anxious and drepression, REALLY ARE STARVING, SEXUAL ABUSE COMMON |
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Term
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Definition
| Obsessive, skip meals, tiny portions, will not eat in front of others, only eat "safe-low calorie, low fat" foods, loses hair, pale, tired, wears baggy clothes, socially isolated, irritable. They think they R fat. Body perception is incorrect-see self differently than what they really are. |
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Term
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Definition
| Low serum K, increased BUN, Increased serum calcium |
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Term
| CHARACTERISTICS of Bulimia Nervosa |
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Definition
| Binge/purge (self-enduced vomiting), depression, may fast-excessive exercise, normal weight RANGE, excessive vomiting, laxative, diuretic abuse (may lead to dehydration/electrolyte imbalance, substance abuse is common, mood swings, impulsive-money, sex. |
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Term
| PHYSICAL SIGNS of Bulimia |
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Definition
| Hoarseness, esophagitis, dental enamel erosion, enlarged parotid glands, calluses on knuckles, hypotension, poor skin turgor, decreased urinary output, amenorrhea |
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Term
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Definition
| Low K may lead to fatal cardia arrhythmias |
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Term
| Predisposition to Bulimia |
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Definition
| Sociocultural, biological, psychological |
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Term
| SOCIOCULTURAL factors-Bulimia |
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Definition
| Diets, culture of thinness, self-esteem issues |
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Term
| BIOLOGICAL factors-Bulimia |
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Definition
| Genetics (sisters and mothers with disorder), temperament (anorexia-perfectionist/obsessional...bulimia (depressed), neuroendocrine abnormalities-hypothalamic dysfunction in anorexia, serotonin and norepinephrine alterations. |
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Term
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Definition
| Psychodynamic-power and control, parental criticism promotes OCD behavior, eating patterns, rebellion against parents; developmental factors-attachement and separation-individuation; family -chaotic, enmeshment |
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Term
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Definition
| Depression, anxiety, substance abuse, personality disorders, sexual/physical abuse |
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Term
| NSG Interventions-bulimia |
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Definition
| Contract for realistic weight gain, calm/matter of fact attitude, may need tube feedings, record I&O, pleasant meal time, small frequent meals, observe client for at least one hour after meals, replace negative thoughts with positive messages, identify positive attributes, identify situations that proceed binging/purging, help family members understand illness |
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Term
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Definition
| Behavior modification, relaxation technique, individual therapy-get in touch with feelings and coping skills, family therapy-provide support for family members |
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Term
| Psychopharmacology for Bulimia |
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Definition
Antidepressants, SSRI (Prozac)
Atypical antipsychotics (Zyprexa)
Anti-anxiety (BuSpar) |
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Term
| Predisposing factors to OBESITY |
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Definition
| Biological, psychosocial, transactional model of stress/adaption |
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Term
| BIOLOGICAL FACTORS for obesity |
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Definition
| genetic, physiological (lesions in the appetite and satiety centers of the hypothalamus, hypothyroidism, decreased insulin production, increased cortison production, lifestyle increased caloric intake, sedentary lifestyle |
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Term
| NSG interventions-OBESITY |
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Definition
| Provide education about nutrition, realistic personal goals, diary of foods, eat at a slow rate, avoid eating alone, increase physical activity, refer to community resources |
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Term
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Definition
| A basic need; nurses need to integrate information on sexuality; assist individuals to attain, regain, or maintain sexual wellness. |
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Term
| DEFINITION of paraphilias |
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Definition
| Repetitive or preferred sexual fantasies or behaviors that involve: preference for use of nonhuman objects, repetitive sexual activity with humans involving real or simulated suffering or humiliation, repetitive sexual activity with non-consenting adults |
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Term
| EXHIBITIONISM (type of paraphilias) |
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Definition
| Exposure of one's genitals to an unsuspecting stranger |
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Term
| FETISHISM (type of paraphilias) |
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Definition
| The use of nonliving objects (bras, underpants, stockings) |
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Term
| FROTTEURISM (paraphilias) |
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Definition
| Touching or rubbing against a non-consenting person |
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Term
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Definition
| Sexual activity with a prepubescent child |
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Term
| SEXUAL MASOCHISM (paraphilias) |
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Definition
| being humiliated, beaten, bounded or made to suffer |
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Term
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Definition
| Psychological or physical suffering of the victim is sexually exciting |
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Term
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Definition
| Observing unsuspecting people who are naked, disrobing, or engaging in sexual activity |
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Term
| SEXUAL dysfunction CYCLES/PHASES |
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Definition
| 1-desire 2-excitement 3-organism 4-resolution |
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Term
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Definition
| Changed publics perception of sexuality |
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Term
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Definition
| Studied human sexual response and the treatment of sexual dysfunctions |
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Term
| CLASSIFICATIONS OF SEXUAL DYSFUNCTION |
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Definition
Sexual desire disorders
sexual arousal disorders
orgasmic disorders
sexual pain disorders |
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Term
| Disorders of sexual desire |
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Definition
Hypoactive Sexual desire disorder-most common complaints of couples
Sexual aversion disorder-aversion to genital sexual contact w/partner |
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Term
| Disorders of Sexual desire |
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Definition
1-Female sexual arousal disorders
2-male erectile disorder
3-Orgasmic disorders |
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Term
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Definition
| female, male, premature ejaculation |
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Term
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Definition
Dyspareunia-genital pain
Vaginismus-involuntary constriction of the outer 1/3 of the vagina that prevents penile insertion and intercourse |
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Term
| PREDISPOSING FACTORS to sexual dysfunction |
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Definition
| Biological, psychosocial, transactional model of stress/adaptation |
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Term
| BIOLOGICAL FACTORS - SEXUAL DYSFUNCTION |
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Definition
| Relationship b/t sexual testosterone and sexual desire, side effects of meds, medical conditions that lead to erectile dysfunction |
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Term
| PSYCHOSOCIAL FACTORS-SEXUAL DYSFUNCTION |
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Definition
| religious orthodoxy, secret sexual deviations, fear of pregnancy, rape, fear, anxiety, depression |
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Term
| TRANSACTIONAL MODEL-sexual dysfunction |
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Definition
| Influenced by multiple factors |
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Term
| NSG Interventions-sexual dysfunction |
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Definition
| Assess, explore attitudes & feelings, educate & facilitate communication |
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Term
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Definition
| Powerful identification with the opposite sex, accompanied by discomfort w/one's gender role or identity, desire to be a member of the opposite sex, feel that one was born into the wrong body |
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Term
| TREATMENT Gender Identity disorder |
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Definition
| Hormone therapy or sex change surgery to make bodies congruent with gender identity |
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Term
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Definition
| s a mental disorder characterized by physical symptoms that mimic physical disease or injury for which there is no identifiable physical cause. |
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Term
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Definition
Primary-enables the client to avoid some unpleasant activity
Secondary-promotes emotional support or attention
Tertiary-the physical symptom that may take such a position that the real issue/conflict is disregarded |
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Term
| PREDISPOSING FACTORS for Somatization Disorder |
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Definition
Psychodynamic-poor family relationships (child gains care and effection through illness)
Family Dynamics-shift in focus from the conflict to the child's illness
Cultural-deal with in different ways; some lack the language to express oneself psychologically |
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Term
| PREDISPOSING FACTORS to pain disorders |
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Definition
| Neurophysiological - Individuals may have decreased levels of SEROTONIN and ENDORPHINS |
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Term
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Definition
| Preoccupied with fear of having a serious illness |
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Term
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Definition
| Severe and prolonged pain, causes significant distress and impairement with functioning, connection b/t stress and onset of symptoms |
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Term
| INTERVENTIONS for HYPOCHONDRIASIS |
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Definition
Fear-aimed @ relieving the fear of serious illness, decreased preoccupation w/an unrealistic interpretation of body sensations
Self-esteem disturbance-help w/increased feelings of self-worth and resolve internalized anger |
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Term
| WHAT IS...Conversion Disorder |
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Definition
| R/T anxiety, PTSD, voluntary muscles/senses; A loss or change in bodily functions resulting from a psychological conflict |
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Term
| CLASSICAL CONVERSION SYMPTOMS |
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Definition
| Neurological diseases, occur following a situation that produces extreme psychological stress |
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Term
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Definition
| A relative lack of concern that is out of keeping with the severity of the impairement-classic conversion; releases anxiety; unconscious behavior, things will ususally resolve once conflict is resolved. |
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Term
| PREDISPOSING FACTORS of Conversion Disorder |
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Definition
Psychoanalytic-emotion associated w/a traumatic event are converted into physical symptoms. The symptom is symbolic in some way to the original trauma.
Behavioral-conversion symptoms are reinforced when attention is focused on the physical symptoms |
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Term
| NSG INTERVENTIONS-CONVERSION DISORDER |
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Definition
Sensory perceptual - recovery of the lost or altered function
Self-care deficit: assist with activities of daily living, do not reinforce physical limits |
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Term
| DEFINITION of BODY DYSMORPHIC DISORDER |
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Definition
| Exaggerated belief that the body is deformed or defective; S/S of depression or OCD are common, associated w/delusional thinking |
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Term
| PREDISPOSING FACTORS TO DYSMORPHIC DISORDER |
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Definition
| Often times commit suicide, prognosis is poor, cause unknown, multiple factors are involved |
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Term
| NSG interventions for Body Dysmorphic Disorder |
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Definition
| Develop a realistic approach to body appearance, decrease fears and anxiety that contribute to body image, positive reinforcement for accomplishments unrelated to physical appearance |
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Term
|
Definition
| Difficulty with initiating or maintaining sleep |
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Term
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Definition
| Excessive sleepiness or seeking excessive amounts of sleep |
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Term
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Definition
| Sleep attacks-individual cannot prevent falling asleep, even in the middle of a task or sentance |
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Term
| PARASOMNIAS-Nightmare disorder |
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Definition
| frightening dreams that lead to awakening from sleep and interfere with social or occupational functioning. |
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Term
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Definition
| Abrupt arousal from sleep with piercing scream or cry (intense fear...does not recall dream) |
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Term
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Definition
| Motor activity initiated during sleep |
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Term
| TREATMENT for Somatoform Disorders |
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Definition
| psychotherapy (group and individual), behavior therapy, psychopharmacology |
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Term
| TREATMENT for Sleep disorders |
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Definition
| relaxation therapy, biofeedback, phototherapy, psychopharmacology |
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Term
| PREDISPOSING FACTORS FOR SLEEP DISORDERS |
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Definition
| Genetic, familial, medical conditions (pain, sleep apnea, withdraw from substances), psychiatric disorders-anxiety, depression, PTSD, neurological abnormalities temporal lobe epilepsy may contribute to sleepwalking |
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