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20 Cards in this Set
- Front
- Back
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A new patient is admitted to the mental health unit. In your initial interview the patient seems very scattered and states "I hardly know what to say or where to begin, so much has happened.." What might you say to elicit the best information? |
What is going on with you right now? |
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You experience an emotional upset in your life. For example, you are a straight A student and you get a C on an exam, what physiologic changes will initially occur as a result? |
Heart rate increases, begin to sweat, you feel ill r/t changes of who you are |
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what is splitting (not staff splitting)? |
A primitive defense mechanism in which the person sees self or others as all good or all bad, failing to integrate the positive and negative qualities of the self and others into a cohesive whole. CAN CHANGE RAPIDLY |
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What is the coping mechanism intellectualization? |
A process in which events are analyzed based on remote, cold facts and without passion rather than incorporating feelings into the processing. Example- using large words to sound smart and prevent questioning and thereby deterring emotional engagement |
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What is the coping mechanism compensation? |
Counterbalancing perceived deficiencies by emphasizing strengths "I may be an ugly woman, but at least i can cook well to keep my husband happy" |
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What is the coping mechanism identification? |
Consciously or unconsciously attributing the characteristics of someone else to yourself. Example, an 8 year old girl identifies with a teacher, dresses like her and puts together a pretend classroom for her friends |
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What is the coping mechanism undoing? |
Making up for an act or communication with some other act. Kathleen states "Boy i was a real bitch yesterday, but i sure made up for it in the bedroom last night." |
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Your patient with anxiety disorder is in acute care and is struggling to maintain their anxiety level with the current medication schedule, what should you do? |
Check their schedule, tell them when medication is due and offer alternate intervention to help alleviate some of the anxiety. Offer a quiet room for them to relax and listen to music until it is time |
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Your patient continues to discuss their situation with very negative self talk, stating things in extreme like "I can never do anything right" how should you approach this patient? |
Engage in reframing in your conversation |
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Can a patient take on your anxiety? |
Yes, dont feed off of each other |
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A coherent patient that is able to communicate suddenly becomes incoherant, what factors may be contributing? |
Medication, electrolyte imbalance, oxygenation, or infection may all be factors, assess the situation |
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You observe your patient with a diagnosis of OCD repeatedly reorganizing the same belongings over and over until they get them in perfect order, what approach might you use for discussing this behavior? |
Assess if they have identified a trigger that leads them to such behavios |
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A patient with anxiety disorder discusses with her doctor whether she should be prescribed buspar or valium. Why would the provider prefer buspar over valium? |
Valium is a benzo so addictive, and should only be used if buspar does not work |
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Every person who takes on responsibility of any kind experiences a certain amount of anxiety, what differentiates normal anxiety from abnormal anxiety? |
Anxiety becomes abnormal when it effects everyday life and prevents you from doing and engaging in activities |
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Your patient is prescribed tricyclic antidepressants. After several days on her new regimen she begins to describe spells of dizziness when she moves from laying to standing, how would you explain this phenomena? |
She is experiencing orthostatic hypotension- a form of low blood pressure in which a person's blood pressure falls suddenly. The recommendation is to situp at the edge of the bed, allowing a bit of extra time for blood to reach her head, when it normalizes, continue on |
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What are common responses for a patient with depression? |
indifferent, hopeless, anhedonia, slow thinking, poor concentration and negative |
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A patient diagnosed with bipolar disorder begins questioning you as to hwy they are bipolar, what information can you tell them about family history relating to the diagnosis |
Bipolar has increasing evidence suggesting that it has genetic vulnerabilities. These studies suggest that prior family history makes a person more susceptible to the illness |
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What is the normal starting level for a patient taking lithium |
0.8-1.4 mEq |
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what is the maintenance level for a patient taking lithium |
0.4-1.3 mEq |
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What are the expected side effects for a person at therapeutic range of lithium carbonate |
find hand tremor, polyuria, and mild thirst |
