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46 Cards in this Set
- Front
- Back
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Axis 1?
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Mental disorder that is the focus of treatment
(medical diagnosis) |
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Axis II?
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Personality disorders and mental retardation
(more permenant then Axis I) |
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Axis III?
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General medical disorder relevant to the mental disorder in axis I
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Axis IV?
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Psychosocial and environmental problems
Anything: housing, marital probs, support, etc... |
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Axis V?
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Global Assesment of Functioning (GAF)
# from 1 to 100 1= not functioning at all 100= complete health |
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7 signs of mental health?
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1) Happiness
2) Control of behavior 3) Appraisal of reality 4) Effectiveness of work 5) Healthy self-concept 6) Satisfying relationships 7) Effective coping strategies |
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What is the least practical, most expensive therapeutic approach?
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Classical psychoanalysis
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What therapeutic approach does evidence support the best outcomes for?
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Cognitive therapy
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Cognitive therapy?
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How people think and behave determines their emotions and actions
Challenge negative thoughts |
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Therapeutic Milieu
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Maintain an atmosphere of healing and growth
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What are the 4 key elements critical to success in psychiatric nursing assessment in the community?
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1) Housing adequacy and stability
2) Income and source of income 3)Family and support system 4) Substance abuse histroy and current use |
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Assertive community treatment (ACT)
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For clients with repeated hospitilizations, severe symptoms, or inability to participate in traditional treatment
Go to the client |
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What is the single best predictor of violence?
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History of violence
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What is the primary difference between Major depressive disorder (MDD) and dysthymia?
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MDD is more acute, whereas, dysthymia is more of a low dose depression that goes on for years
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What is the chance that someone who has expreienced an episode of MDD, will experience another one.
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60 % for second episode
70% chance of eperiencing a 3rd episode if already had 2 90% chance of future episodes if have experienced 3 or more |
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What are the primary risks factors for depression?
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History of prior episode
Family history Suicide attempt history Female 40 or younger Postpartum Sick Lack of social support Stressful life events Substance abuse |
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Which nursing diagnosis is always considered 1st?
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Risk for violence to self
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Milieu
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The whole environment (inpatient)
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List SSRI's
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Prozac
Zoloft Paxil Luvox Celexa Lexapro |
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List atypical (novel) antidepressants
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Effexor
Cymbalta Wellbutrin Zyban Serzone Desyrel Remeron |
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List tricyclics
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Elavil
Aventyl or Pamelor Tofranil Norpramine Sinequan of Adapin Anafranil |
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List MAOI's
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Nardil
Parnate |
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Side effects of SSRI's
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Agitation
Anxiety Sleep disturbance Sexual dysfunction Nausea Wt Changes Tension HA |
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What is Central Serotinin Syndrome?
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Potentially lethal condition similar to shock (sympathetic symptoms)
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When is the highest risk for Central Serotonin Syndrome?
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When SSRI are given with MAOI
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What are the two most common side effects of TCA's?
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Dry mouth
constipation |
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Why are TCA's risky with elderly or cardiac patients?
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They cause tachycardia
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What foods are to be avoided with MAOI's?
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Foods that contain tyramine:
Foods with yeast (alcohol) Cheeses Bologna, peperoni, salami |
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What medications react with MAOI's?
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OTC cold medications
TCA's General anesthetics Narcotics A few hypertensives |
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Assessment tool for Suicide
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Sex
Age Depression Previous Attempt Ethanol use Rational thinking loss Social support lacking Organized plan No spouse Sickness |
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Primary intervention for suicide?
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Activities that provide support, information, and education to prevent suicide
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Secondary interventions for suicide?
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Tx of the actual suicidal crisis
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Tertiary interventions for suicide?
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Interventions with the family and friends of a person who has committed suicide to reduce the traumatic aftereffects
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Autism?
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Syndrome resulting from abnormal brain function of unknown etiology usually observed before 3
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What are the three presenting symptoms of autism according to the DSM-IV?
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Impairment in communication and imaginative activity
Impairment in social interaction Markedly restricted patterns of behavior, interest, and activities |
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Asperger's?
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"High" functioning autism that has a later onset and no significant delay in cognitive and language development
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Rett's disorder?
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Only occurs in females
Severe mental retardation Onset before 4 |
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Childhood Disentegrative Disorder?
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Delayed onnset, but severe autism
More common in males |
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What is a major indicator of childhood problems?
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Loss of previously acquired abilities
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ADHD?
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Inappropriate degree of inattention, impulsiveness, and hyperactivity
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Oppsoitional defiant disorder?
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Recurrent pattern of negatavistic, disobedient, hostile, defiant behavior toward authority figures without serious violations of the basic rights of others
Feel they are responding to unreasonable demands |
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Conduct disorder?
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Characterized by behaviors in which the rights of others and societal norms are violated
Childhood-onset- agressive males, lack of concern for others Adolescent-onset- less agression and tend to act out with their peer groups |
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Seperation anxiety disorder?
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Become excessively anxious when seperated from or anticipating a seperation from their home or parental figures
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PTSD (Children)?
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Rather than living the traumatic event as an adult might, tend to react with behaviors indicative of internalized anxiety
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Adjustment disorder?
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Emotional response to an identifiable stressor that begins within 3 months of stressor and lasts no longer than 6 months after ceasation of stressor
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Bibliotherapy?
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Involves using childrens literature to help the child express feelings in a supportive environment, gain insight into feelings and behavior, and learn new ways to cope with difficult situations
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