Psychiatric terminology

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Questions and Answers

A patient abruptly stops mid-sentence and claims they cannot remember what they were saying. Which thought process alteration is the patient experiencing?

  • Associative looseness
  • Thought blocking (correct)
  • Thought insertion
  • Thought broadcasting

A client states, "The government is reading my mind and controlling my thoughts." Which type of delusion is the client experiencing?

  • Grandiose
  • Thought control (correct)
  • Religious
  • Paranoid

A patient is admitted for mania. Which nursing intervention is priority?

  • Providing a structured environment with clear boundaries (correct)
  • Encouraging group participation
  • Promoting detailed discussions about feelings
  • Allowing flexible scheduling of activities

A client, during an assessment, begins to rhyme words together in a sentence that seems nonsensical. Which of the following terms BEST describes this speech pattern?

<p>Clang association (D)</p> Signup and view all the answers

A patient reports hearing voices telling them that they are evil and deserve to be punished. Without any external stimuli, this is an example of what?

<p>Hallucination (B)</p> Signup and view all the answers

A nurse observes a patient mimicking the nurse’s movements during an interview. Which of the following terms BEST describes this behavior?

<p>Echopraxia (A)</p> Signup and view all the answers

A patient is consistently late for appointments and often misses them entirely. When confronted, the patient avoids acknowledging the behavior, consistently providing excuses. Which defense mechanism is the patient using?

<p>Denial (B)</p> Signup and view all the answers

A patient with a long history of opioid abuse requires increasingly higher doses of the drug to achieve the same pain relief. Which of the following terms BEST describes this phenomenon?

<p>Tolerance (A)</p> Signup and view all the answers

A client is experiencing an alteration in their affect. They demonstrate a severe reduction in their emotional expression. Which term BEST describes this condition?

<p>Flat (D)</p> Signup and view all the answers

During a mental status examination, a patient exhibits constant restlessness and an inability to sit still. Which term BEST describes this behavior?

<p>Akathisia (D)</p> Signup and view all the answers

Flashcards

Abuse (substance)

Excessive use of a substance differing from societal norms.

Akathisia

Inability to sit still due to motor restlessness.

Ambivalence

Simultaneous existence of opposing feelings or emotions.

Associative looseness

Disorganized thinking that jumps between unrelated ideas.

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Confabulation

Filling memory gaps with untrue experiences believed to be real.

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Delusion

Fixed false beliefs with no basis in reality.

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Echolalia

Repetition of words heard.

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Hallucination

False sensory perception without external stimuli.

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Illusion

Misinterpretation of real sensory stimulus.

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Neologism

Inventing new words meaningful only to the person.

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Study Notes

  • Psychiatric terminology explained

Abuse

  • Excessive substance use differing from societal norms.

Affect

  • Emotional range attached to ideas outwardly manifested.
  • Blunt affect: slow or dull emotional expression.
  • Flat affect: absence of affective expression.
  • Inappropriate affect: incongruent with the emotional feeling
  • Labile affect: unstable mood with rapid change.
  • Broad affect: showing a full range of emotional expression.
  • Restricted affect: showing only one type of emotional expression.

Agitation

  • Excitement with severe motor restlessness.

Akathisia

  • Motor restlessness with an inability to sit still.

Akinesia

  • Absence of movement.

Alogia

  • Inability to speak.

Ambivalence

  • Opposing feelings/emotions (e.g., love and hate).

Anhedonia

  • Feeling of no joy.

Anxiety

  • Feeling of apprehension or tension, often related to fear of the unknown.

Apathy

  • Lack of feeling, interest, concern, or emotion.

Associative Looseness

  • Disorganized thinking that jumps between unrelated ideas.
  • Example: "cannot see the sky...oh my love...just asking...mmm maybe tomorrow"

Bipolar Disorder

  • Mood disorder with manic behavior, with or without depression history.

Circumstantiality

  • Answering questions with excessive, unnecessary details before getting to the point.

Clang Association

  • Rhyming of words used nonsensically.
  • Example: "I am reading a book, in a shady nook, with the food I cooked."

Confusion

  • Bewilderment, lack of clarity.

Coprolalia

  • Repetitive use of socially unacceptable words.

Confabulation

  • Unconscious filling of memory gaps with untrue experiences, detailed fantasy.

Cyclothymia

  • Mood swings of hypomania and depression.

Dependence

  • The need to increase the dose of a drug to prevent withdrawal.

Disinhibition

  • Inability to suppress urges or socially unacceptable statements.

Disorientation

  • Disturbances in orientation of time, place, or person.

Dysthymia

  • 2 years chronic depressed mood disturbances

Delusion

  • Fixed false beliefs with no basis in reality.
  • Paranoid delusion: e.g., "somebody is going to kill me."
  • Grandiose delusion: false belief of being powerful e.g., "I am the most handsome male in my class.”
  • Religious delusion: e.g., "The devil told me to do this."
  • Somatic delusion: e.g., "I might get sick."

Ideas of Reference

  • Belief that unrelated events have personal significance.
  • Example: "I hurt my neighbor. The lady I saw in the television told me to do it."

Depression

  • Mood disorder with sadness, despair, apathy, and discouragement.

Denial

  • Avoidance of disagreeable realities
  • Refusal to recognize

Desensitization

  • Gradual exposure to stress-provoking stimuli.

Dyskinesia

  • Abnormal involuntary skeletal movement.

Dystonia

  • Rigidity of muscles controlling posture, gait, eye movement.

Echolalia

  • Repetition of heard words.

Echopraxia

  • Repetitive, meaningless movement or imitating others.

Electroconvulsive Therapy (ECT)

  • Administering electric shock to clients with manic-depressive disorders

Euphoria

  • Exaggerated feeling of well-being with confidence, elation, and assurance.

Extrapyramidal Side Effects (EPSE)

  • Parkinsonism induced by drugs.

Exhibitionism

  • Display of body parts to attract others.

Fear

  • Response to objective threat.

Fetishism

  • Adoring something which serves as a substitute of the original love object.

Flight of Ideas

  • Rapidly jumping between unrelated topics with some identifiable connections.

Flooding

  • Exposure to fear.

Gait

  • Manner of progression in walking.

Hallucination

  • False sensory perception without external stimuli.
  • Visual: seeing things that are not there.
  • Auditory: hearing voices that are not present.
  • Olfactory: smelling things that do not exist.
  • Tactile: feeling touched without stimuli.
  • Gustatory: experiencing taste without stimulus.

Helplessness

  • Incapable and powerless.

Hopelessness

  • Despairing.

Hypervigilance

  • Alert to danger.

Hypomania

  • Elevated state less intense than full mania.

Hypersomnia

  • Increased and prolonged sleeping.

Insomnia

  • Inability to sleep or disrupted patterns.

Illusion

  • Misinterpretation of real sensory stimulus.
  • Example: seeing a gray sock and thinking it is a mouse.

Libido

  • Energy associated with sexual instinct.

Limit setting

  • Establishing structured environments with ground rules.

Lucid intervals

  • When reasoning and judgment appears normal for a brief period.

Malingering

  • Deliberately pretending to be ill or disabled.

Mania

  • A mood disorder characterized by irritability, elation and hyperactivity.

Masochism

  • Gaining sexual pleasure from being physically hurt.

Mutism

  • Refusal to speak.

Negativism

  • Motiveless resistance to all instruction.

Oculogyric crisis

  • Eyes rolled back in a locked position.

Obsession

  • Recurrent disturbing thoughts that are difficult to control.

Compulsion

  • Repetitive behavior to decrease anxiety.

Neologism

  • Inventing new words with meaningful only to the person.
  • Example: "I cannot stay with you because you are a nic-no-kets."

Paranoid

  • Extreme suspiciousness.

Pica

  • Ingestion of non-edible food.

Phobia

  • Exaggerated fear of non-dangerous objects or situations.

Postpartum Depression

  • Depression occurring within 30 days of childbirth.

Psychomotor Retardation

  • Slow speech and body movement.

Psychosis

  • Mental illness with loss of contact with reality and demonstrates bizarre behavior.

Psyche

  • The mind.

Primary Gain

  • Relieving anxiety by feeling better.

Secondary Gain

  • Relieving anxiety with help from others.

Perseveration

  • Resistance to changing topics, verbally repeating a sentence.

Preoccupied

  • Engrossed.

Religiosity

  • Preoccupation with religious ideas or content.

Resilience

  • Ability to move forward despite psychosocial diversity or vulnerability.

Selective Serotonin Reuptake Inhibitors (SSRIs)

Somatic

  • Adjective referring to the body.
  • A delusions about the body

Somnambulism

  • Sleepwalking.

Stereotype

  • Persistent repetition of senseless acts or words.

Suicide

  • Self-inflicted death.

Sialorrhea

  • Excessive drooling.

Xerostomia

  • Reduction of saliva.

Tardive Dyskinesia (TD)

  • Irreversible neurologic disorder.

Tricyclic Antidepressants (TCAs)

Tolerance

  • Increased substance amount to achieve the same effects.

Transference

  • Unconscious emotional reaction based on previous experience.

Countertransference

  • Reaction based on the nurse’s past experience.

Thought Blocking

  • Sudden thought cessation in mid-sentence.
  • Example: "I am going to buy a new bag… I forgot to say what is next."

Thought Broadcasting

  • Delusional belief that others hear or know thoughts.

Thought Control

  • Delusional belief that others control a person’s thoughts against their will.

Thought Insertion

  • Delusional belief that others insert thoughts in a person's mind against their will.

Thought Stopping

  • Technique to stop unwanted thoughts.

Tic

  • Involuntary, recurrent muscular spasm, motor and vocal tics.

Word Salad

  • Combining words/phrases with no connection or sense.
  • Example: "I am fine....apple tree...books...toys for sale...be okay."

Worthlessness

  • Feeling of having no value.

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