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43 Cards in this Set

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CHAPTER EIGHT
(Ignore this card)
Group norm
the way the group behaves during sessions, and over time, it provides structure for the group
Subgroup
small number of people within a larger group who function separately from the group
Three types of group roles
Maintenance, Task, and Individual roles
Maintenance roles
members who take on these roles tend to help maintina the purpose and process of the group
Task roles
members take on very tasks within the group processes
Individual roles
these roles tend to prevent teamwork, because individuals take on roles to promote their own agenda
Placating
One member takes responsibility for problems in order to keep peace at all costs
Scapegoating
a member of the family with little power is blamed for all problems within the family
Triangulation
a third party is drawn into the relationship with two members who relationship is unstable
Multigenerational issues
these are emotional issues or themes within a family that continue for at least three generations, such as a pattern of addiction
CHAPTER NINE
(Ignore this card)
GAS
general adaptation syndrome = fight or flight response
PMR - progressive muscle relaxation
a person trained in this method can help a client attain complete relaxation within a few minutes of time
Assertiveness training
One technique teaches the cleint to assert his feelings by describing a situation or behavior that causes stress, stating his feelings about the behaavior or situation, and then making a change
CHAPTER TEN
(Ignore this card)
How MIGHT ECT work?
theory suggests that ECT may enhance the effects of neurotransmitters (serotonin, dopamine, and norepinephrine) in the brain
List two groups of depressed patients for whom ECT may be an option
(1) clients for whom the risks of other treatments outweigh the risks of ECT, (2) clients who are actively suicidal and for whom there is a need for rapid therapeutic response
What types of schizophrenic patients require ECT?
types that are less responsive to neuroleptic medications (catatonic, shizoaffective disorders)
What types of manic patients require ECT?
bipolar disorder with rapid cycling (4 or more episodes of acute mania within 1 year) and very destructive behavior - typicallly have poor response to lithium therapy
List four contraindications for ECT
Recent MI, Hx of CVA, cerebrovascular malformation, intracranial mass lesion
What type of depression is ECT not useful for?
situational depression
The typical course of ECT Tx is what
3 times/week for a total of 6-12 Tx
What medications should be d/c-ed before ECT?
any meds that affect seizure threshold; MAOIs and lithium 2 weeks before
Why should severe HTN be controlled in the ECT patient?
a short period of HTN occurs STAT after the ECT
Any cardiac conditions, such as dysrhythmias, should be monitored and treated before ECT
(Please ignore this side of the card)
What medication is given 30 minutes before ECT and what does it do?
IM injection of atropine sulfate or robinul (Glycopyrrolate) to decrease secretoins and counteract any vagal stimulation
When is ECT administered?
early in the AM after the client has fasted for 8-12 hours
A short-acting anesthetic is administered before ECT, such as what
methohexital (Brevital) via IV bolus
A muscle relaxant is administered after the anesthetic to the ECT patient, such as
succinylcholine (Anectine)
How long is an ECT stimulus applied?
0.2-0.8 seconds
Following ECT, when does the client be transferred back to the mental health unit?
30-60 minutes
What happens to heart rate baseline during ECT?
rises by 25% in procedure and early recovery
What happens to B/P in ECT?
initially falls and then rises, lowering to normal after procedure
What S/S occur following ECT?
HA, muscle soreness, nausea
CHAPTER ELEVEN
(Ignore this card)
What is GAD and how long does it last?
Generalized Anxiety Disorder, 6 months
What is acute stress disorder?
exposure to a traumatic event causing numbing, detachmnet, and amnesia about the event for not more than 4 weeks following the event
Anxiety disorders are more likely to occur in men or women?
Women
How long do panic disorders last?
15-30 minutes
Systematic desensitization
begins with mastering of relaxation techniques, then client is exposed to increasing levels of an anxiety-producing stimulus and uses relaxatoin to overcome the resulting anxiety.
Flooding
exposing the client to a great deal of anxiety-producing stimuli in order to turn off the anxiety response
Response prevention
focuses on preventing the client from performing a compulsive behavior with the intent that anxiety will be diminished