SHELF- Psych

Question 1

Mahler identified three phases of infant development.

Answer 1

1- autistic phase- 2
months of life, child spends time asleep .

2- symbiosis- From 2 to 6 months,
psychological fusion or lack of differentiation between mother and child.

3-separation-individuation- 6 and 36 mo, child develops a concept of self as
different and separated from the mother

Question 2

Mahler identified three phases of infant development.

Answer 2

1- autistic phase- 2
months of life, child spends time asleep .

2- symbiosis- From 2 to 6 months,
psychological fusion or lack of differentiation between mother and child.

3-separation-individuation- 6 and 36 mo, child develops a concept of self as
different and separated from the mother

Question 3

transitional object

Answer 3

a toy or a blanket, which represents a comforting substitute for the primary caregiver.

Thanks to a transitional object, the child can tolerate separation from the mother without excessive anxiety

Question 4

what is the best way to explain complex things to a 4 year old

Answer 4

role play with toys

Question 5

Sublimation

Answer 5

mature defense in which unacceptable social impulses are transformed into acceptable ones.

ie: learning about bad disease you have

Question 6

preoperational stage of normal cognitive development, which occurs between _____ years of age

Answer 6

2 and 5 to 7

Question 7

eriksonian stages

Answer 7

Hope: trust vs. mistrust (oral-sensory, infancy, 0–2 years)
Will: autonomy vs. shame and doubt (early childhood, 2–4 years)
Purpose: initiative vs. guilt (locomotor-genital, preschool, 4–5 years)
Competence: industry vs. inferiority (latency, school age, 5–12 years)
Fidelity: identity vs. role confusion (adolescence, 13–19 years)
Love: intimacy vs. isolation (early adulthood, 20-39 years)
Care: generativity vs. stagnation (adulthood, 40–64 years)
Wisdom: ego integrity vs. despair (maturity, 65 – death)

Question 8

anaclitic depression

Answer 8

infants experiencing depression which leads to no eating which leads to failure to thrive

Question 9

when do kids develop stranger anx

Answer 9

8 months

Question 10

Primary process thinking is

Answer 10

primitive, nonlogical, timeless, and denies the existence of negatives.

Primary processes characterize the operational style of the id and are manifested in dreams

freud

Question 11

Acting out means

Answer 11

the avoidance of personally unacceptable feelings by behaving in a socially inappropriate manner, that is often
attention seeking as well

Question 12

undoing means

Answer 12

compulsive act that is performed in an attempt to negate or avoid the consequences of a fantasized action that is the result of an obsessional impulse

Undoing is one of the three main psychological defense systems
used in obsessive-compulsive disorder. The other two are isolation and reaction formation

Question 13

Agoraphobia is

Answer 13

the marked fear and avoidance of being

alone in public places where rapid exit would be difficult or help would not be available

Question 14

marijuana, PCP, and a benzodiazepine can be tested in the urine for

Answer 14

marijuana, PCP, and a benzodiazepine respectively, 2 to 7 days (depending on use), 8 days, and 3 days

Question 15

Rx for LSD hallucinations

Answer 15

benzo

Question 16

Rx for mild heroin withdrawl

Answer 16

clonidine

Question 17

chlordiazepoxide should be given (PO, IM, IV?)

Answer 17

orally

Question 18

The main mechanism of action of

amphetamines is ?

Answer 18

the release of stored monoamines in the synaptic cleft: Da and NE

Question 19

what is bruxism

Answer 19

teeth grinding

Question 20

The presence of the apparently normal

development of speech and other behaviors, followed by the loss of these

Answer 20

Autism (used to be called something else)

Question 21

specific learning disorder with impairment in reading

Answer 21

dyslexia, still called this even tho writing is imparied.

its other name is specific learning disorder with impairment in reading

Question 22

Fetal alcohol syndrome is

characterized by

Answer 22

intrauterine growth retardation
microcephaly
developmental delays/ attentional deficits, /hyperactivity.

Characteristic facial features are microphthalmia with short palpebral fissures, midface hypoplasia, thin upper lip,
and a smooth and/or long philtrum.

Question 23

Infants exposed to cannabis prenatally present with

Answer 23

decreased visual responsiveness, tremor, increased startle reflex, and disrupted sleep patterns.

Question 24

Nocturnal enuresis is not diagnosed before age __

Answer 24

5- incidence in boys > than in girls

the treatment of choice for enuresis is the use of classic conditioning with a bell (or buzzer) and a pad

Question 25

Imipramine is?

Answer 25

a TCA

Question 26

Choreiform movements and night terrors are side effects of this stimulant,

Answer 26

pemoline

Question 27

Common side effects of methylphenidate include

Answer 27

loss of appetite and weight, irritability, oversensitivity and crying spells, headaches, and abdominal pain.

TICs and Insomnia may occur

Question 28

a caregiver, usually the mother, fabricates or produces symptoms of illness in a child.

Answer 28

factitious disorder imposed by another

Question 29

the product of a severely dysfunctional early relationship between the principal caregiver and the child, caregivers consistently disregard the child’s physical / emotional needs, the child fails
to develop a secure and stable attachment with them.

Answer 29

Reactive attachment disorder

Question 30

a child voluntarily abstains from talking in particular situations (usually at school) while remaining appropriately verbal
at home.

Answer 30

selective mutism

Question 31

Do sleep terrors have nightmares?

Answer 31

No, the terror does not occur during REM

Question 32

Psychotic symptoms are present in one-third of the cases of childhood _______-

Answer 32

childhood major depression

Question 33

oppositional defiant

disorder criteria

Answer 33

being angry, spiteful and vindictive, losing temper quickly, and deliberately annoying others, for at least 6 months is characteristic of the disease

SIX MONTHS

Question 34

Define schizoaffective disorder

Answer 34

Major mood episode w/ psychosis

AND

normal mood w/ psychosis for at least 2 weeks

needs a moody AFFECT

Question 35

schizophrenia vs schizofreniform

Answer 35

schizophreniFORM is FORMING the disease (less that 6 months of symptoms)

After 6 months, you have schizo

Question 36

Adjustment disorder

Answer 36

depressive s/s for 3ish months after a traumatic event

rx: therapy

Question 37

Cyclothymia is?

Answer 37

causes emotional ups and downs, but they’re not as extreme as those in bipolar I or II disorder.

Question 38

Factitious disorder usually presents with ?

Answer 38

physical or mental symptoms that are induced by the patient to meet the psychological need to be taken care of (primary gain).

Question 39

Malingering is

Answer 39

symptoms are faked, the motive in malingering is some secondary gain, such as getting out of jail.

Question 40

Temporal Lobe epilepsy s/s

Answer 40

hyposexuality, emotional intensity, and a perseverative approach to interactions, termed viscosity

may often manifest as bizarre behavior without the classic grand mal shaking movements caused by seizures in the motor cortex