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Final Exam: NU 664C / NU664C (Latest Update 2025 / 2026) Family Psychiatric Mental Health I/ UPDATE/PRACTICE QUESTIONS AND CORRECT VERIFIED ANSWERS /GRADED A+
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symbolic play, Graphic imagery, mental imagery, and language.
Begin abstract thought Plays games with rules Cause and effect relationship Conservation of quantity, weight, volume, inclusion/seriation
abstractly; thinking operates in a formal, logical manner
The stage during which children learn through senses and motor activities. Coordination of sensory input and motor responses Development of object permanence
development takes place in stages and awareness of other people increases at each stage Preconventional: Punishment/obedience Conventional: Act in ways to maintain good relationships with others. Postconventional: Develop ethical principles that are self-accepted.
development, lifespan consists of eight dilemmas that must be solved correctly in order to solve the next dilemma
during the first year of life, infants learn to trust when they are cared for in a consistent warm manner. Can be associated with psychosis, addiction, and depression when negative.
affect world in the way that the child desires bad: inadequacy, low self esteem. Can be associated with creative inhibition, Intertion.
crucial** teens struggle with identity crisis, if healthy experimentation is fostered they attain identity achievement; if not, they face insecurity and low self-worth. Can be associated with delinquency, BPD, gender confusion.
confidence, not to be released to unauthorized individuals. Subpoena duces tecum can require docs to give relevant documents to the court. Permission should be gotten for each piece of info from the same individual.
research participants be told enough to enable them to choose whether they wish to participate. Parent must be give IC for minors unless for VD, pregnancy, substance/etoh, and contagious disease. IC includes procedure, experimental, pain/risks, benefits, alternatives, questions, freedom to refuse/withdraw.
patient informs them that they plan to kill or injure them. Also, notify police. 2: Provider must take action to protect the target individual by nonconsensual hospitalization or arrest of the patient.
and memory and also triggers muscle contraction. Increased: Parkinsonism Decreased: Dementia
well as in learning and mood regulation. Increased: Anxiety. Decreased: Depression.
attention and learning and the brain's pleasure and reward system. Increased: Psychosis Decreased: Anhedonia, Parkinsons, Addiction.
mood, anxiety, and appetite. Increased: Serotonin Syndrome Decreased: Depression, OCD, Anxiety
brain. Excitatory. Increased: Psychosis, lability, SZ.
Associated with weight gain and sensitivity to rejection. Most common subtype of depression. Treatment: MAOIs/ SSRI
delusions or hallucinations. Varied sleep patterns. Fluctuation in appetite Severely impaired energy Auditory/visual hallucinations or delusions. Tx: SSRI/atypicals eg Sertraline with olanzapine.
cortisol levels after administration of synthetic glucocorticoid. Used to evaluate cortisol levels in Cushings disease which is highly comorbid with psych disorders.
characterized by chronic excessive worry accompanied by three or more of the following symptoms: restlessness, fatigue, concentration problems, irritability, muscle tension, and sleep disturbance.
Onset: Gradual Triggers: None
unpredictable minutes-long (15-30min) episodes of intense dread in which a person experiences terror and accompanying chest pain, choking, or other frightening sensations, sweating, shaking, SOB. Fear of death. Onset: Sudden Triggers: May be without trigger/or triggers that caused previous attacks.
extreme and irrational fear of being embarrassed, judged, or scrutinized by others in social situations
SNRI (Venlafaxine) Buspirone TCA Benzos fro short course Remeron
disorganized and delusional thinking, disturbed perceptions, and inappropriate emotions and actions. Onset: Late teens to early 30's Persistant psychosis that lasts at least 6 months.
ventricle Reduced brain symmetry Reduced size of limbic system (Amygdala, hippocampus, parahippocampal gyrus) Prefrontal cortex similar to lobotomized pts Reduced thalamic size Basal Ganglia/cerebellum-Gait/movement disorders. Secondary to antipyschotics?
dopamine and glutamate increased GABA decreased NMDA receptors non-functioning d/t dopamine and glutamate excess.
acquaintance has been replaced by an identical-looking imposter. It is more commonly seen in schizophrenia, dementia, and brain trauma.
medication, and training in life and social skills. Antipsychotics
symptoms of schizophrenia but lasting less than 6 months.
characterized by little interest or involvement in close relationships, even those with family members
delusions, hallucinations, or disorganized speech or behavior but lasting less than 1 month; often occurs in reaction to a stressor.
Tx for acute mania First line: Lithium, depakote, olanzapine, risperidone, seroquel, abilify, ziprasidone, asenapine, paliperidonem, cariprazine. Second line: Carbamazepine, haldol monotherapy Combined lithium and depakote CBT/family therapy Lamictal superior depressive tx ECT, TMS, Magnetic SZ therapy
neurotoxic; over time, episodes get more severe, last longer, more easily triggered. Initial episodes may be triggered by events "kindling" but subsequent episodes may not need them.
striatum, thalamus amygdala, hippocampus, and pituitary with functional defects.
disruptions. Calcium Channeling- Genetic abnormalities in voltage-gated calcium channels leading to increased intracellular calcium signaling. (e.g. Ca channel affecting drugs like AED's help BD).
repetitive, intrusive thoughts (obsessions) and ritualistic behaviors (compulsions) designed to fend off those thoughts interfere significantly with an individual's functioning Onset 19 more in males
washing compulsions. Fear of germs
Doubt that you have completed a crucial task. (eg turn stove off, lock door)
Obsessive thoughts without compulsions. Usually sexual or violent and morally reprehensible in some way.
lesions Leads to distress or impairment. Mostly on face followed by hands, fingers, arms, and legs. 15% report SI, 12% Attempts More females age of 12
disorder which causes the patient to imagine he or she has strong body odor Mean age 25 Male single.
multiple dysfunctional motor and vocal tics
weeks High dose SSRI eg 80mg fluoxetine or 200 of sertraline Risperidone/aripiprazole after SSRI failure memantine, riluzole, ketamine, lamictal, NAC others
stressful concepts and do not allow compulsive behaviors. CBT
psychological disorder marked by the appearance by age 7 of one or more of three key symptoms: extreme inattention, hyperactivity, and impulsivity Hyperactivity is the first symptom to remit in 40% of cases. Medications are first line (stimulants)
Headache, insomnia, somnolence, dry mouth, nausea, abdominal pain, decrease in appetite, nausea, etc. Priapism NOTE
- do not open capsule * - irritant CYPD 2D6 substrate watch out for *LIVER PROBLEMS *
be taken with hight fat meal. Side effects- Hypotension, fatigue, sedation Taken at bedtime 6 - 17 years old Taper dose Clonidine- Monitor for hypotension during initial dose and titrations. ER is not interchangeable with IR formulations. Side effects- Headache, fatigue, upper abdominal pain.
person experiences, in the absence of drugs or a medical condition, two or more weeks of significantly depressed moods, feelings of worthlessness, and diminished interest or pleasure in most activities.
Treatments SSRI fluoxetine and esciralopram FDA approved for children. Lower dose for children prepubescent.
agency is trying in some way to harm one.
specially favoured by a greater being
being broadcast out loud so that they can be perceived by others.
narcolepsy and ADHD Not FDA approved due to Steven Johsnon's Syndrome.
lobe, hippocampus, basal ganglia, amygdala, cerebellum Prefrontal cortex