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141 Cards in this Set
- Front
- Back
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DSM-Iv-TR is |
Criteria for diagnosing mental disorders |
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Patient with unstable relationship would benefit from intervention for |
Fulfilling relationships |
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Clinical epidemiology is |
Field that is concerned with the effectiveness of intervention's |
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Prevalence is |
Number of new cases |
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Descriptive epidemiology is |
Estimates of the rights of disorders in a population |
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Experimental epidemiology is |
Testing assumptions between risk factors and disorders |
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ID is |
Pleasure principle, immediate gratification of impulses |
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Ego is |
Mediator of behavior, Weighs consequences of actions |
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Superego is |
Oppose impulsive behavior as 'not nice' |
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Preconscious is |
Level of awareness |
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Autonomy vs shame and doubt crisis is |
Self-doubt, unable to gain control of environment |
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Initiative vs guilt crisis is |
Feelings of guilt |
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Trust vs mistrust crisis is |
Poor interpersonal relationships and suspicion of others |
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Generativity vs self absorption crisis is |
Self absorption limits growth as a person |
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Hierarchy of needs, which is priority |
Food and hygiene |
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Operant conditioning is |
Giving positive reinforcement for a desired behavior |
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Cognitive theory is |
Thought processes are the basis of emotions and behavior |
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Sertraline (Zoloft) is an |
SSRI |
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Clozapine is an |
Antipsychotic |
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Chlordiazepoxide is an |
Anxiolytic |
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Tacrine treats |
Alzheimer's disease |
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Mania is effectively treated with |
Lithium, carbamazepine, valproic acid, lamotrigine |
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Norepinephrine is released with which nervous system |
Sympathetic nervous system |
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Increased BP, pupil size, pulse rate are associated with which nervous system |
Sympathetic nervous system |
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Intestinal cramping is associated with which nervous system |
Parasympathetic nervous system |
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Anticonvulsant medications include |
Valproate (Depakote), carbamazepine (tegretol), lamotrigine (Lamictal), oxcarbazepine (Trileptal) |
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Lamotrigine (lamictal) serious side effect |
Rash |
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Oxcarbazepine (trileptal) off label use |
Acute mania |
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Person responsible for arranging temporary shelter for a patient |
Case manager |
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Supplemental security income is for |
Disabled persons with economic means but have not worked long enough for Social Security disability insurance |
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Restraining a patient is what level of prevention |
Secondary prevention |
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Helping a patient learn to manage money is what level of prevention |
Tertiary prevention |
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Genetic counseling and teaching school age children is what level of prevention |
Primary prevention |
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Extrapyramidal effects most common in what culture |
Asian |
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Battery is |
Intentional tort where individual violets rights of another to touching without consent |
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Behavioral change is often seen in which phase of the nurse patient relationship |
The working phase |
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Denial or avoidance are often seen in which nurse patient relationship phase |
The orientation phase |
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Genuineness is a characteristic involving |
Awareness of one's own feelings and ability to communicate them |
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Positive regard is |
Acceptance and support of a patient regardless of what they did or said |
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Restating is what listening technique |
Active listening technique |
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Eye contact with Asian Americans is |
Not preferred |
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Most important data to collect during initial assessment is |
How stress affects the patient and how they cope |
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Maladaptive vs adaptive |
Increases vs decreases stress |
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Displacement is |
Transferring emotions in a less threatening manner |
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Sublimation is |
Substitute unacceptable impulses for constructive activity such as art or sports |
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Reaction formation is |
Unacceptable feelings or behaviors are substituted by opposite feelings or behaviors. Anger at RN turns to protecting the RN |
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Denial involves |
Escaping unpleasant reality by ignoring its existence |
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Splitting involves |
Avoiding anxiety by seeing person as either 'all good' or 'all bad', no in between |
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Rationalization involves |
Justifying a logical or unreasonable ideas by developing acceptable explanations |
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Compensation involves |
Excelling in an area to make up for perceived deficits in another |
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Regression involves |
Unconscious use of behavior from earlier stage of emotional development |
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Introjection is |
intense ID with another person, replicating their behaviors |
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Cognitive restructuring involves |
Replacing negative thoughts with positive thoughts to help gain mastery over symptoms |
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Cognitive behavioral therapy is |
Attempting to alter patients dysfunctional beliefs by identifying distorted thinking and reframing it |
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Anergia means |
Reduced energy |
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If experiencing withdrawal from Elavil advise patient to |
Take one Elavil and contact her doctor |
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Priority nursing diagnosis for a patient with mania |
Risk for injury |
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Delusion is |
A persistent irrational believe held despite the evidence to the contrary |
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Patient was schizophrenia denies the illness because |
The illness itself prevents him from realizing it |
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Anosognosia is |
Neurological changes from an illness that interfere with the persons ability to recognize the condition |
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Medications that help with extrapyramidal side effects |
Anti-cholinergic medications |
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Recommendations for orthostasis side effects |
Wear elastic support hose, drink adequate fluids, change position slowly |
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Olanzapine (Zyprexa) is what type of med |
Second generation antipsychotic |
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What generation of antipsychotics only cover positive symptoms |
First generation |
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What generation of antipsychotics covers both positive and negative symptoms |
Second generation |
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Abstract thinking is |
Ability to understand the symbolism and abstract concepts |
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Concrete thinking is |
Literal thinking, inability to understand abstract concepts |
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Impaired reality testing is |
Inability to figure out if perception or thoughts are based on reality |
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Boundry impairment is |
Difficulty knowing where ones self begins or ends |
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Neuroleptic malignant syndrome is |
Life-threatening reaction to antipsychotic medications |
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Neuroleptic malignant syndrome presents as |
Muscular rigidity, hyperpyrexia, autonomic nervous system instability, diminished LOC |
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Anti-cholinergic toxicity presence as |
Hyperpyrexia, elevated and unstable vital signs, hot dry skin |
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Hyperpyrexia treatment includes |
Emergency cooling measures and ICU |
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Superficially charming is common with |
Antisocial personality disorder |
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Intense and impulsive behavior is common with |
Borderline personality disorder |
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Guarded and distant behavior is common with |
Paranoid personality disorder |
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Underlying reason a person with paranoid personality disorder is critical of others is |
Protection of blame for his own shortcomings on to others |
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Impaired social interaction is |
individual participates in insufficient quantity of social exchange. Dysfunctional interaction with others |
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Defining characteristics of 'risk for other directed violence' includes |
History of abuse as a child, having committed other violent acts, demonstrating poor impulse control |
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Validation therapy is |
Validating feelings regarding what they're currently experiencing |
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Developmental tasks at hand with age 1.5 to 3 years |
Autonomy |
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Autonomy is |
Freedom and ability to make own decisions appropriately |
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Conduct disorder is manifested by |
Persistent pattern of behavior or rights of others and age-appropriate societal norms or violated |
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Resiliency is |
Ability to handle the stress of a difficult situation |
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What assessment findings support Aspergers disorder |
Restricted and repetitive patterns of behavior, idiosyncratic interests |
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Ageism is |
Bias against older people r/t their age |
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Elderly white males have highest risk for |
Completed suicide |
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Elderly patient taking an SSRI, nurse should assess for |
Other prescribed medications and over-the-counter products used |
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National alliance on mental illness (NAMI) offers |
Support, education, resources, access to other families with similar experiences. Can help address caregiver burden and planning for future needs of SMI persons |
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People tend to stigmatize those who |
Unlike themselves, they least understand, or anxious about, or are most disenfranchised |
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Corrective recapitulation of the primary family group means |
Emotional attachment that mirrors patterns within own family of origin |
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Installation of hope group |
Conveying optimism and sharing progress |
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Existential resolution is |
Realizing that certain existential experiences such as death are a part of life |
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Development of socializing techniques involves |
Gaining social skills through group feedback and practice within the group |
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Focus on trust and confidentiality typically occur in which phase |
Orientation phase |
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Reflecting on progress typically occurs in which phase |
Termination phase |
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Differentiation refers to |
Ability to establish unique identity but remain emotionally connected to family of origin |
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Benzodiazepines include |
Diazepam (Valium), clonazepam (Clonopin), alprazolam (Xanax) lorazepam (Ativan) |
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Side effects of benzodiazepines |
Respiratory depression, euphoria, addiction, decreased cognitive functions |
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Benzodiazepines most commonly used for |
Anxiety |
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BuSpar is used for |
Anxiety |
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Diazepam (Valium) Is also used for |
Acute seizure activity |
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TCA medications include |
Amitriptyline (Elavil) imipramine (Tofranil) nortriptyline (Pamelor) |
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Side effects of TCA medications |
Decreased BP, blurred vision, constipation, cardiac toxicity |
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TCAs are used for |
Depression |
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SSRI medications include |
Fluoxetine (Prozac) sertraline (Zoloft) fluvoxamine (Luvox) |
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Side effects of SSRIs |
Headache, sexual problems, agitation, n/v |
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TCAs block |
Serotonin and norepinephrine reuptake |
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SSRIs block |
serotonin reuptake |
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SNRIs Meds include |
Venlafaxine (Effexor) Duloxetine (cymbalta) |
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SNRIs block |
Serotonin and norepinephrine reuptake |
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SNRI side effects |
Headache, excessive sweating, insomnia, dry mouth |
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SNDI Meds include |
Mirtazapine (Remeron) |
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SNDIs side effects include |
Drowsiness, weight gain, headache |
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SNDIs enhance |
Serotonin and norepinephrine neurotransmission |
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MAOI medications include |
Phenzine (Nardil) Tranylcypromine (Parnate) |
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MAOI side effects include |
Dietary restriction, hypertensive crisis |
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MAOIs prevent |
Monoamine oxidase enzyme from removing norepinephrine and serotonin |
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Bupropion (Wellbutrin, zyban) block |
Reuptake dopamine, serotonin, norepinephrine |
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Bupropion (Wellbutrin, Zyban) are used for |
Depression |
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Trazodone (Desyrel) blocks |
Serotonin and norepinephrine reuptake |
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Trazodone (Desyrel) used for |
Depression |
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Trazodone (Desyrel) used off label for |
Sleep aid |
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Norepinephrine release |
Norepinephrine release |
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Lithium increases |
Serotonin |
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Lithium used for |
Mood stabilizer |
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Lithium side effects include |
Weight gain, hand tremors, mild nausea, general discomfort |
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Lithium overdose symptoms include |
Mental confusion, ECG changes, coma, convulsion |
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First generation antipsychotic medications include |
Haldol, Mellaril |
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Haldol and Mellaril bind to |
D2 receptor to block dopamine |
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Haldol and Mellaril are antagonist for |
Acetylcholine, norepinephrine, histamine |
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Side effects of Haldol and Mellaril are |
EPS, NMS, weight gain, increased CHO and glucose |
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Second generation antipsychotic medications include |
Clozapine (clozaril) risperidone (Risperdal) olanzapine (Zyprexa) |
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Clozapine (Clozaril) last resort r/t |
Agranulocytosis |
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Side effects of second-generation antipsychotics include |
EPS, NMS, weight gain, increased CHO and glucose N |
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Second-generation antipsychotics work by |
Binding to dopamine receptors, decreasing motor side affects |
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EPS symptoms include |
Dystonia, akathesia, Parkinsonism, bradykinesia, tardive dyskinesia |
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NMS symptoms include |
Fever, irregular pulse, tachycardia, tachypnea, muscle rigidity, AMS, high or low BP |
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Diathesis means |
Biological predisposition |
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Trust vs mistrust is what age |
0-1.5 yo |
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Initiative vs guilt is what age |
3-6 |
