Mental Health 2

Front 1

This benzodiazipine is used for anxiety:

Back 1

Valium

Front 2

Valium has these side effects:

Back 2

Blood dyscrasias,irritability,ataxia.(habit forming and increased tolerance)

Front 3

Term used to describe the lack of concern over physical illness:

Back 3

La belle indifference

Front 4

A decrease in anxiety resulting from the ability to deal with a stressful situation:

Back 4

Primary gain

Front 5

The rewards obtained from the sick role, freedom from certain responsibilites:

Back 5

Secondary gain

Front 6

This word means a person that has many reoccurent complaints with no organic base:

Back 6

Somatization

Front 7

This is a sudden temporary inability to recall extensive personal information:

Back 7

Pschogenic amnesia

Front 8

This person suddenly leaves work/life and does not recall prior life and have know idea who they were:

Back 8

Dissociative Fugue

Front 9

Two or more distinct personalities, main personality normally does not know of others:

Back 9

Dissociative Identity Disorder R/T sexual/physical abusei childhood, personality comes out to protect.

Front 10

Not feeling like you are part of your body, driivng somewhere and not knowing how you got there:

Back 10

Depersonalization Disorder

Front 11

What are the four cardinal features of delirium:

Back 11

Acute onset and fluctuating course
Inattention
Disorganized thinking
Disturbance of consciousness

Front 12

A person see's a cactus, but thinks it is an alien, this is an:

Back 12

illusion

Front 13

A person see's ants all over their body, but there are no ants, this is a:

Back 13

Hallucination

Front 14

This is a secondary form of dementia this is :

Back 14

Reversible, if cause is eliminated.

Front 15

Is primary dementia reversible:

Back 15

NO, treatable but permanent

Front 16

In Dementia there are how many stages:

Back 16

4

Front 17

What stage is confusion:

Back 17

Stage 2- moderate

Front 18

What stage is completely debilatating:

Back 18

Stage 4- end stage

Front 19

What stage is forgetfullness:

Back 19

Stage 1- Mild

Front 20

What stage is the patient unable to identify objects/person:

Back 20

Stage 3- Mod-Severe

Front 21

To be considered a somatoform disorder, you must have had s/s for at least:

Back 21

6 months

Front 22

With dementia this word means to "fill in the gaps"

Back 22

Cofabulation

Front 23

This word mean to stay on track with the conversation, to persevere:

Back 23

Perseveration

Front 24

This word means patient cannot acknowledge objects depsite knowledge of them:

Back 24

Agnosia

Front 25

This word mean cannto communicate thought process:

Back 25

Apraxia

Front 26

Is Depression a normal part of aging:

Back 26

NO

Front 27

What is the first line of meds for depression:

Back 27

SSRI- Paxil, Prozac

Front 28

What are side effects of SSRI'S:

Back 28

HA, Insomnia, SEROTONIN SYNDROME, Do not take with MAOI(htn crisis)

Front 29

How long do they take to work:

Back 29

2-4 weeks, should wait 14 day between d/c MAOI and starting SSRI

Front 30

Parnate and Nardil are what type of drugs:

Back 30

MAO-I

Front 31

What must the pt be taught with MAOI's:

Back 31

Dietary restrictions, do not use with trycyclics(HTN crisis), Teach s/s of crisis, headache,palpitations,HTN,Nausea/Vomiting.

Front 32

Lithium is used for what disorder:

Back 32

Bi-polar/manic disorders

Front 33

What is therapeutic dose of Lithium:

Back 33

0.5-1.5

Front 34

What are early signs of Lithium toxicity:

Back 34

Vomting and diarrhea,muscle weakness,lack of coordination.

Front 35

What labs should be checked with lithium:

Back 35

Renal profile/TSH/Cardiac

Front 36

Lithium can cause:

Back 36

Hypothyroidism, renal issues, arrhythmias. NO DIURETICS on LITHIUM, can cause increase hyponatremia which can lead to toxicity

Front 37

So some common side effects with Lithium would be:

Back 37

Weight gain, fatigue, thirst and polyuria, find hand tremors

Front 38

When should blood levels of lithium be drawn:

Back 38

12 hours after last dose

Front 39

With bipolar, what would be a therapeutic form of activity:

Back 39

NON-competitive forms of sports to use large muscle groups.

Front 40

What is considered negative signs of schizophrenia:

Back 40

Flat affect, blunted,Inappropriate or bizarre.

Front 41

What are positive signs of schizophrenia:

Back 41

Neoglisms, echolalia, echopraxia, word salad, clang associations, delusions, hallucincations

Front 42

Which symptoms usually appear in the beginning of diagnosis:

Back 42

Positive symptoms- which usually respond to anti-psychotics

Front 43

What are the cognitive signs of schizo:

Back 43

Difficulty with memory, attention span, information processing.

Front 44

What med is usually used, though not listed on our list:

Back 44

Geo-don

Front 45

What medications if given with anti-psychotics can decrease effect of EPS symptoms:

Back 45

Benadryl or Cogentin

Front 46

What medication is a nonphenothiazine:
What is a concern with this med:

Back 46

Haldol(Haloperidol)

Leukocytosis, severe EPS symptoms

Front 47

What atypical anti-pscyhotic med must be monitored weekly for 6 months for agranulocytosis:

Back 47

Clozapine( Clozaril)

Front 48

How often is the lab monitored for the above med:
Monitor patient for s/s of:

Back 48

Weekly for first 6 months-

Infection (Monitor WBC and ANC)

Front 49

What is Thorazine:

Back 49

Phenothiazine- typical anti-psychotic drug- Severe EPS symptoms-

Front 50

Side effects of Thorazine:

Back 50

Orthostatic hypotension
Weight gain
Anticholinergic symptoms
PHOTOSENSITIVITY
Neuroleptic syndrome
Blood dyscrasias

Front 51

Pt is on Clozaril and is having a high fever, tachycardia, stupor, tachypnea and muscle rigidity, what is this:

Back 51

Neuroleptic syndrome

Front 52

Patient has confusion, disorientation, autonomic dysfunction, what is this:

Back 52

Serotonin syndrome

Front 53

Dry mouth, blurred vision, tachycardia, nasal stuffiness, urinary retention, constipation are all side effects from what drugs:

Back 53

Anti-cholinergic drugs

Front 54

Pt's skin may turn blue and color changes in eyes, no vision impairment with what drugs:

Back 54

Phenothiazines- THORAZINE

Front 55

What should the patient avoid taking with Thorazine:

Back 55

Alcohol, sedatives, and antacids (reduces absorption)

Front 56

What drugs can cause a rash and must be d/c if found on patient:

Back 56

Paxil or Prozac -allergy issue

Front 57

What two anti-depressants can cause a htn crisis if eaten with certain foods or OTC meds:

Back 57

Nardil or Parnate

Front 58

What anti-anxiety med can be used to treat alcohol and drug withdrawl:

Back 58

Valium

Front 59

What are the 3 things you assess for depression and suicide risk:

Back 59

Means
Motive
Opportunity

Front 60

If patient that has been severely depressed, seems happy and cheerful all of sudden:

Back 60

Think Suicide, patient may be happy because he is planning his death.

Front 61

After ECT, what should the nurse do:

Back 61

Monitor VS q 15 min, Patient will be confused, monitor safety, nausea may occur, maintai patent airway.

Front 62

What med is given pre-procedure for ECT for secretion:

Back 62

Atropine

Front 63

What should the nurse always have in the room with an ECT patient:

Back 63

Crash cart, Suction and O2

Front 64

What 3 things will patient complain of after procedure:

Back 64

Nausea
Muscle aches
Headache

Front 65

What age is appropriate to diagnose a child with ADHD:

Back 65

not before age of 7

Front 66

What disorder like Aspergers affects girls only:

Back 66

Rett's disorder

Front 67

What is Apergers:

Back 67

Highly functional Autistic disorder.

Front 68

What are three characteristics of ADHD:

Back 68

Inattention
Hyperactivity
Impulsivity

Front 69

If a child consistently breaks the rules/laws this is:

Back 69

Conduct disorder

Front 70

The child has issues and struggles with authority , but does not break the law:

Back 70

Oppositional Defiant Disorder

Front 71

Is anxiety a normal part of life:

Back 71

YES, it is unhealthy when it immoblizes the person to move on in life.

Front 72

Witness to a trauma can still have what affect on the patient:

Back 72

PTSD

Front 73

What is Nardil:

Back 73

MAOI- depression

Front 74

What is Paxil:

Back 74

SSRI- depression

Front 75

What is Thorazine:

Back 75

Phenothiazine- Typical anti-psychotic

Front 76

What is Clozaril:

Back 76

Atypical anti-psychotic without EPS side effects- weekly lab draw for WBC for 6 months

Front 77

What does Clozaril treat:

Back 77

Positive and Negative symtpoms of Schizophrenia

Front 78

What is Haldol:

Back 78

Non-phenothiazine -anti-pscyhotic- severe EPS

Front 79

Which drug can cause your skin to turn blue if not covered in the sun:

Back 79

Thorazine

Front 80

What drug must have a therapeutic level:

Back 80

0.5-1.5 LITHIUM

Front 81

What is Nardil:

Back 81

MAOI for depression- do not take with other anti-depressants, low tyramine diet

Front 82

What is Prozac:

Back 82

SSRI-depression

Front 83

What is Valium:

Back 83

Anti-anxiety med-

Front 84

Who is more at risk for suicide:

Back 84

White male over 75

Front 85

What a atypical antipsychotic causes weight gain, dizziness, EPS and agitation:

Back 85

Zyprexa

Front 86

What atypcial anti-psychotic can cause NMS, EPS, GI upset and anxiety:

Back 86

Risperdal

Front 87

What anti-psychotic drug that is atypical is used when all other drugs have failed:

Back 87

Clozaril.

Front 88

When will skin discoloration after exposure to the sun on a phenothizine resolve:

Back 88

After 6 months of the drug being d/c'd.

Front 89

What is an EPS symptom that is a permanent side effect if noted:

Back 89

Tardive dyskinesia- involuntary tongue and lip movements.

Front 90

Teach client to report these s/s asap:

Back 90

Involuntary tongue movement, blinking