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313 Cards in this Set
- Front
- Back
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what are two major reasons to bring people in for psychotherapeutic groups?
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a relationship ends or they experience a big loss
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what is a psychoanalytic group?
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principles of psychoanalysis
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what is an interpersonal group?
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interpersonal relationships
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communication groups?
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better communication skills
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what is group process?
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individual and group roles
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what is gestalt group?
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the "here and now"
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what is cognitive groups?
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thinking and behavior
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what is the biggest problem with relationships?
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communication; especially marriage, sex and money
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what is the "empty chair" phrase mean?
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when a person has a problem with another person, but the person they have a problem with is violent or makes you afraid of them
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what are the 11 therapeutic factors in group psychotherapy?
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1.instill hope
2.groups are universal 3.impart information 4.altruistic 5.corrective re-inactment of primary family group 6.develop social techniques 7.imitative behavior 8.interpersonal behavior 9.cohesiveness 10.catharsis 11.existential resolution |
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what are the four types of psychotherapy groups?
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1.primary (face-to-face)
2.secondary (impersonal) 3.formal (someon in authority) 4.informal (friends, clubs) |
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what are the stages of group development?
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initial, working, mature, and termination
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what are the four parts to group communication?
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1.latent (not discussed or hidden)
2.manifest (what's spoken in group) 3.content (what's being discussed) 4.process (how communication is handled) |
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what is the most powerful communication in group therapy?
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nonverbal
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what are some components to the psych assessment?
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mental status exam
psychosocial status primary source- client secondary source-family, friends, health care provider |
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what does a mental status exam (MSE) involve?
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-same as a normal medical exam
-current cognitive processes -objective data |
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what does the psychosocial assessment involve?
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subjective data: personal background, social, strengths/weaknesses, coping skills, spiritual
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what is a psychotic disorder?
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a break in reality that fear somehow triggers
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how is a person typically diagnosed with schizophrenia?
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the symptoms that they are presenting
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what type of hallucinations do schizophrenics have?
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auditory, but can have others as well
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what are delusions?
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distortions of reality
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what is schizophrenia?
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a psychotic disorder that affects the brain: thinking,emotions, language, social behavior, and perception of reality.
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what kind of symptoms are seen with schizophrenia?
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hallucinations (typically auditory), delusions, loss of ego boundaries
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who was luis wain?
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an artist from 1860-1939 that didn't get diagnosed with schozophrenia until he was 57. had a later onset
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what is the incidence of schizophrenia?
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appr. 1% of the population. men typicall get it before women (18-25 years). women 25-35 years old and seen as young as 5 or 6 years
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the earlier the prognosis for schizophrenia, the:
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worse the outcome, but if treated right away properly, can be overcome
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what are the four types of onset for schizophrenia?
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early
insidious- hard to tell b/c it happens in teens and it's difficult to differentiate b/c teens have different behavior at that age. latter- rare, but does happen premorbid- |
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what does comorbitiy mean in reference to mental illness?
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having a diagnosis for a mental illness and medical condition. ie. schizophrenia and anxiety
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what do a lot of peopel with mental illnesses like to do to help with their situation?
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smoke cigarettes
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in pt's that have schizophrenia, what is the one thing about the brain that has been noticed over the years?
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The size of the lobes get smaller over time.
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what are the typical type of meds given to pts with schizophrenia? what do they do?
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dopamine inhibitors; decrease the amount of hallucinations and delusions the pt may have
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what does the term schizoaffective mean?
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a pt that has schizophrenia with a bit of bipolar disorder or mood disorder
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what are the different hypotheses that are out there in terms of schizophrenia?
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dopamine-too much dopamine is causing hallucinations
alt. biochemical-serotonin and glutamate play a role in neural maturation genetic-children of parents who have schizophrenia (1=12%, both=46%) |
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what is belived to be the problem with the neuroanatomical parts of the brain in regards to schizophrenia?
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cerebral abnormalities disrupt the circuitry, decreased blood flow, low glucose metabolism, and less gray matter
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what are some non-genetic factors that were thought to play a role in schizophrenia?
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viral hypothesis
birth and pregnancy comp. stress |
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what is the one unique thing about a majority of people that have a mental illness?
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they are usually highly intelligent
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what are some prepsychotic symptoms of schizophrenia?
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social isolation
unrealistic plans depressed anxious misinterpretation of actions preoccupations |
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what is important to know about paranoid schizophrenia subtype?
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lack of trust, poor nutrition (b/c of not trustin anyone), lack of sleep
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what is one important thing to try and do with a paranoid schizophrenic?
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establish trust with the pt. b/c of their paranoia, trust is going to be the best, yet hardest thing to overcome.
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what does catatonia look like in a schizophrenic pt?
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abnormal motor-retarded: withdrawal and slowed down movements
abnormal motor-excited: very active |
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what is waxy flexibility?
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a pt that has the ability to do things on their own, but at the same time can and will stay in one spot or position if not told to do something. This can occur for hours on end.
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what is disorganized schizophrenia?
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this type has the poorest prognosis. these pt's are the most regressed and socially impaired. They have inappropriate affect (smille while talking about death), bizarre maneurisms, incoherent speech. mostly found on the streets
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what is undifferentiated schizophrenia?
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this type doesn't specifically fit into any of the other categories and falls into this one.
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what is residual schizophrenia?
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this is post active phase and is no longer active. they have no energy, social withdrawal, impaired role function, odd beliefs and magical thinking
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what is schizophreniform disease?
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similar to schizophrenia, but is shorter in length of illness and doesn't affect social/occupation parts of life
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what is a brief psychotic disorder?
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it's sudden, usually less than a month and can a lot of times be because of stress
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what is a schizoaffective disorder?
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schizophrenia with another medical diagnosis such as anxiety or mood disorder
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what is important to know about delusional disorder?
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usually is less than a month and does not affect function
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what symptoms are of most concern in regards to schizophrenia?
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hallucinations
delusions danger to self or others alterations in thinking |
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what are positive symptoms in the schizophrenic pt?
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florid symptoms, early first phase, most responsive
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what are ideas of reference?
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believing that I caused something to happen that hurt people
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what is grandiosity?
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having the feeling that I can do unbelievable things
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what is a delusion that involves bodily functions?
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having the feeling like they are pregnant when they are not or feeling like something inside them is dead
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what are delusions of being controlled?
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having feelings like they are being controlled by the FBI, CIA, or aliens
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what is thought broadcasting?
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I can put thoughts into your head and you can put thoughts into mine
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what is thought withdrawal?
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I feel like you are taking thoughts away from me
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what is concrete thinking?
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taking things literally
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what are neologisms?
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made up words
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what is echolalia?
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repeating exactly what someone said
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what is clang association?
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rhyming of words
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what is word salad?
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a string of words that don't make any sense
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what is extreme motor agitation?
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inner restlessness
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what are stereotyped behaviors?
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rituals that a person may do over and over again. very similar to someone that has OCD.
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what are automatic behaviors?
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a behavior that happens without the person even thinking. almost like a tic that occurs and the person can't control it.
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what is negativism?
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the lack of energy to do anything
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what are some negative symptoms seen in schizophrenia?
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flat or blunted affect
poverty of speech thought blocking avolition-lack of motivation anergia-lack of energy anhedonia-no pleasure poor social skills |
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what is the number one intervention for the nurse to do with a pt that has schizophrenia?
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keep them safe and free from harm
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what is one of the best interventions for schizophrenia aside from keeping them safe?
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some type of rehab to get the pt involved with the world again
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is it ok to give a pt with schizophrenia their medications against their will?
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yes, but a court order must be obtained first.
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in the acute phase of schizophrenia, why is it important to set limits for the pt?
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because they are unable to do so.
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during phase II and III of schizophrenia, what is most important for the nurse to do?
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educate the pt. not only the pt, but educate the family and caregivers as well
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If a pt with schizophrenia is experiencing hallucinatoins, what is important to ask them on a regular basis?
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are they hearing any voices or seeing anything
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when dealing with a pt that is having delusions, what is most important for the nurse to focus on?
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focus on the feelings that the delusions are causing and not the delusion itself
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if a pt with schizophrenia has confused speech, what should be done?
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don't act like you know. tell the pt that you didn't understand them and have them repeat. look for themes and let them know you understand
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what are some side effects that typical antipsychotics can cause?
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ESP, pseudoparkinsonism, acute dystonia, akathisia, tardive dyskinesia (TD), hypotension, tachycardia, photo sensitivity, weight gain
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what is the AIMS test?
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abnormal involuntary movement scale. an objective visualization of the pt and their bodily movements. rating them on a specific scale
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what are some things seen in neuroleptic malignant syndrome?
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decreased LOC, severe EPS, hyperpyrexia, tachycardia, diaphoresis
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what are some treatments of neuroleptic malignant syndrome?
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stop meds, fluid balance, temp reduction
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what are some atypical antipsychotic meds?
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Clozapine – Clozaril
Risperidone – Risperdal Olanzapine – Zyprexa Quetiapine – Seroquel Aripoprazole – Abilify Ziprasidone – Geodon |
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what is a psychiatric emergency?
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a patient's behavior is disturbing to him/herself, his family, or his/her community
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what are s/sx of a psychiatric emergency?
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-becoming psychotic
-visual/auditory hallucinations -person is threat to self or others -extremely agitated, extremely paranoid, or under influence of drugs |
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why do people that have psychiatric emergencies have a difficult time getting help?
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they react slower than normal people and are unsure of what to do to get help
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what should a person do when having a psychiatric emergency and can't get ahold of a mental health provider?
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call 911
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what are the benner stages of involvement?
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the stages a nurse will go through when they graduate and mature into the nursing role
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what are some caring behaviors that the nurse should exhibit?
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-listening
-respect -empathy -patience -be genuine |
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what is good for a mental health/illness nurse do?
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less talking and more listening
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regarding psychobehavior of the nurses role, what are the three R's?
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recognition-memory/mood, appearance, speech
relationship-concreteness, empathy, respect, genuineness resources-community agencies, doctors, hospitals, churches |
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what are some good therapeutic relationships for the nurse-client?
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goal oriented, time limited, client's needs are important, verbalization. it is also important to have a social (friendship) relationships too.
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what are the most important behaviors for the nurse-client relationship?
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accountability, patient needs, clinical competence, don't judge, supervise
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who was the first nurse theorist for mental health and what did she do?
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Hildegaard Paplau (1952). she began the interpersonal relationships in nursing. She said that the aim is to facilitate independence and health problem solving.
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if a history isn't available, what should be done?
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talk to the pt or family to obtain as much information as possible. always check the chart for any history possible.
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what are the phases of the nurse-client relationships?
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orientation- nurse and pt decide appropriate goals to work on
working-pt is currently working on the issues and doing the work. termination-there will be an end at some point and is usually looked at from the beginning |
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what are the three positive curative factors that make relationships work?
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1. genuineness
2. empathy 3. positive regard |
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what is the best tool a nurse can learn to use for the nurse-client relationship?
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therapeutic communication
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what are some therapeutic comunication techniques?
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accepting
give recognition offer self general lead broad opening- asking ?'s about their day or how the're doing present reality observation |
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people cope better with a good:
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support system
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who does better with the loss of a spouse, men or women?
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women. men tend to marry quicker.
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what is the classification system called to diagnose mental illnesses? what does it consist of?
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DSM-IV-TR; behavioral, psychological, biological
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what does a multiaxial system include?
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axis 1-clinical disorders
axis 2-personality disorders and mental retardation axis 3-general medical conditions axis 4-psychosocial and environmental problems axis 5-global assessment functioning |
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according to the multiaxial system, what is the point scoring system?
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0-100; normal people are around 85 and hospitalized people are around 30
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what are some barriers to mental illness care?
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-fear
-money -experience -culture -language |
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what are some things included in basic nursing care for the mentally ill?
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counseling, milieu, psychotropic meds, education, community outreach
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what are some things included in advanced practice nursing for the mentally ill?
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basic nursing, psychotherapy, prescribe meds and treatment, order and interpret tests, consult
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what is a challenge that may be seen in the future for the mentally ill?
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as we age, we are more likely to get a mental illness
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what is beneficence?
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duty to promote good of client
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what is autonomy?
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right to make own decisions
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what is justice?
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treating others fairly and equally
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what is fidelity?
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loyalty and commitment to the client
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what is veracity?
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tell the truth
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what is a decanoate?
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medication in an oil suspensions that the patient will only have to come in and get a shot once or twice a week.
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what is arnold v. sarn?
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getting someone to be desigated to delegate the money for the mentally ill. still going on to this day
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what was important about the 90's regarding mental illnesses?
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imaging techniques, neurobiological changes, psychopharmacology
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if a pt is unable to get consent, who should be talked to about consent?
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guardian or medical power of attorney
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what does the hospitlization of mentally ill act in 1964 portray?
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the right to treatment in public hospitals (o'connor v. donaldson)
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how long can restraints be on for? how often do you need to check them? what do you need to get before putting them on?
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2-4 hrs; q15min; doctor's order
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involuntary commitment must be designated by who?
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a judge in a court of law
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when a pt is released from the hospital with conditional restrictions, what does this involve?
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long list of rules and any failure to comply will require hospitalization
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what is duty to warn?
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if a mentally ill pt threatens the well being or safety of another person, it is the duty of the healthcare worker to report this activity, this overpowers confidentiality
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aside from physically harming a person, what else can be considered battery?
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restraints for too long or to the point of injury, or overmedicating a pt
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a nurse rights too, what does this mean?
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if a nurse feels that he/she is in danger, they are to protect themselves
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what is the difference between western and eastern tradition?
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western believes that the mind and body are separate, but eastern believes that the mind, body, and spirit are inseperable.
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indigenous cultures involve:
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identity is tribal or communal
holism and spirit disease involves disharmony w/ environment and others |
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what is the purpose of using electroconvulsive therapy (ECT)?
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it is typicall used for depression and bipolar disorders. it's used when other treatments don't work.
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what is an adverse reaction to electroconvulsive therapy?
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short term memory loss
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what is some basic information to know regarding ECT?
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general anesthesia and muscle paralytics are used. grand mal seizure is induced to help with cellular exchange of sodium and potassium in the cells. can involve 2-3 treatments a week for up to 12 tx's.
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what is dysfunctional grief?
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unresolved or inhibited grief where there is no successful resolution.
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what type of theory did freud use?
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psychoanalytic. there is an unconscious motivation behind our actions. (id, ego, superego)
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what are the three levels of awareness according to freud?
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id-a child that unconsciously wants to be pleased no matter what.
ego-keeps id in balance and brings the conscious world in superego-conscious, overdeveloped does a lot of judging |
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what are the different drives?
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pleasure principle-balanced by reality
psychic energy-attachment of energy to a person or thing sex drive-libido aggresive drive-survival |
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according to freud, what is anxiety?
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the struggle between id and superego
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what are the psychosexual stages of development?
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oral-0-1 yrs
anal-1-3 yrs phalic-3-6 yrs latency-6-12 yrs genital- 12 yrs and older |
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erickson's stages of development are:
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psychosocial, not just biological, but cultural as well.
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list the psychosocial stages of erickson:
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trust vs. mistrust- 0-18mo
autonomy vs. shame-18mo-3yr initiative vs. guilt-3-6yr industry vs. inferiority-6-12yr identity vs. role confusion-12-20yr intimacy vs. isolation-20-35yr integrity vs. despair-65yr and older |
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what does sullivan's interpersonal theory involve?
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our personality comes from interpersonal relationships and is typically seen with mother first.
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what are the four stages of sullivan's interpersonal stages?
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infancy-0-18mo
childhood-18mo-6yr juvenile-6-9yr preadolescence-9-12yr early adulthood-12-14yr late adulthood-14-21yr adulthood-21+ yr |
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according paplau, what is her theory?
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nursing: a significant therapeutic interpersonal process. nurse-pt relationship is the foundation of nursing practice
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what are the four core concepts or paplau's theory?
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orientation
identification exploitation resolution |
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what comes to mind when maslow is mentioned?
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heirarchy of needs. self-actualization is at top and basic needs are at the bottom
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what do piaget's stages of development involve?
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cognitive development
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what are the stages of piaget's cognitive development?
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sensorimotor-0-2yrs
preoperational-2-7yrs concrete operational-7-11yrs formal operational-11yr-adult |
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what does kohlberg's theory involve?
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moral development of boys
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what are the stages of kohlberg's moral development of boys?
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level I- controlled by trying to avoid punishment
level II-to please others level III- control is now internal |
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people do things based on what?
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positive reinforcement
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what is systematic desensitization?
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to treat a fear of something. it's a very gradual introduction to the thing the person is afraid of
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what is aversion therapy?
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punishing you with the item you are trying to overcome. ie. smoke until you can't smoke anymore. not legal anymore
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when a nurse is taking care of a pt with a mental illness, what type of approach should the nurse use?
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holistic approach. treat the person as a whole with the ideas that if one system is affected, it will affect other systems as well.
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why do pt's in the ICU experience psychosis?
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because they never see the sun or smell the air
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patients that have a mental illness need to be watched consistently, why is this?
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there is not one entirely safe place, even in the hospital. pts are smart and can find things. where there's a will there's a way
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what is the biogenic theory relate to in regards to mental illness?
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the mental illness most likely has come from genetic basis with some type of biological classification
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what do the different lobes in the brain affect?
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frontal-thinking, reasoning, decision making, speech, vol. muscle movement
pareital-sensory and proprioception temporal-memory, smell, sensory interp. occiptal-visual |
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what makes up the diencephalon?
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thalamus-receives and sends sensory info, mood and memory regulation
hypothalamus-homeostasis; temp, appetite, H2O lymbic system-emotions |
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what are the 5 types of neurotransmitters?
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1.serotonin (5HT)-depression, anxiety, eating disorders
2.norepinephrine-flight or flight, depression, mania 3.dopamine-schizophrenia 4.acetylcholine-muschles, memory, coordination 5.GABA-anxiety |
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what is anomie?
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a state of not being connected or a part of something
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what are some sociocultural reasons someone might commit suicide?
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loss of job, loss of close friend, no personal freedoms
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what are the most lethal methods of committing suicide?
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guns or jumping off really high places
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what usually stops a person from committing suicide?
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usually family
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what is the primary nursing intervention for the nurse to do for a suicidal person?
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prevent it from happening
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manic depressive disorder is now called:
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bipolar disorder
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is bipolar disorder higher in men or women?
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men
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bipolar disorder has a high co-occurence with:
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substance abuse
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what is the DSM-IV criteria for Dx of bipolar disorder?
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period of abnormal behavior, persistently elevated, expansive, or irritable mood. must have 3 of the following: grandiosity, need for sleep, pressured speech, flight of ideas, distractability,
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what are some things seen in a pt with bipolar I disorder?
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mania (severe impairment in social, relationship, or job activities). require hosp to prevent harm to self or others. no psychological cause.
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with bipolar I, how do men usually present with their first episode? how about women?
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men usually have mania and women usually have depression
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what are some significant things about mania?
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talkative and gregarous
irritable & angry or euphoric mood intense attachments quickly no guilt grandiose beliefs flight of ideas hallucinations poor eating and sleeping hyperactive |
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when is typical onset of bipolar disorder (mania)?
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between the age of 18 and 30
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bipolar disorder in the depression state, the pt has probably already had what?
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previous manic episodes
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what constitutes bipolar II disorder?
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hypomanic episode with major depression
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what is the typical age of onset for bipolar II?
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40-44
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what else makes bipolar II different than bipolar I?
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can be social and carry on a job, not hospitalized, no physiological cause
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what are some significant things about hypomania (bipolar II)?
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life of the party
overly familiar with others sexual connotation topic to topic pressured speech social and affable decreased attention span overconsumption of food little sleep |
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how do mood episodes with usually play out?
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hypomania-->mania-->depression...can go from mania-->depression without the hypomania
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what is cyclomania?
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hypomania with minor depression (dysthymia). 2 yrs duration
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if a person has cyclomania, what are they likely to develop?
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15-20% chance of them getting bipolar I or II
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what is the major theory of genetics for mood disorders?
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there are two genes on chromosome 13 that are possibly responsible
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with the neurotransmitter theory for mood disorders, during mania, what is significant?
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norepinephrine, epinephrine, and dopamine are higher. hormones play a role as well
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with neuroendocrine theory of mood disorders, what is significant here?
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thyroid hormone plays a helps with depression
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what is the thought behind the neuroanatomy theory?
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prefrontal cortex and medial temporal lobe show irregular neuro circuitry
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what are some interventions with bipolar disorder pts?
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keep safe
remove from over-stimulating environment set limits meds structure avoid joking and laughing |
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what is one of the major medications for a bipolar pt?
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lithium: takes 7-14 days to be effective. helps control mania and agitation
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what are some important facts about lithium?
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therapeutic range: 0.8-1.4mEq/L
severe toxicity: 1.5mEq/L check levels maintain Na levels |
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what are some other meds used to treat mood disorders aside from lithium?
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Tegretol (carbamazepine)
Depakote (Valproic acid) Neurontin (gabapentin) Lamictal (lamotrigine) |
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is there ever a cure for mood disorders?
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no
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what is the fourth leading cause of diability?
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depression
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what are some important things in regards to major depression?
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substantial pain and suffering
psychological, social, and occupational disabilities no manic or hypomanic episodes |
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what is significant about dysthymia?
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chronic
less intense symptoms for 2 yrs risk is major depression |
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what theories are suggestive of dysthymia?
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there isn't any exact cause:
genetic-hereditary biochemical-decreased serotonin, norepi sleep disturbances |
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what is beck's cognitive triad?
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self-depreciating of self
pessimistic view of world negative will be in future |
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what is some important information to gather whille doing an assessment for someone with dysthymia?
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medical or psychiatric disorders
substance use Hx of depression or suicide support system |
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how is a depression assessment done?
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SIG E CAPS:
Sleep distrubances interest decreased guilty feelings energy decreased concentration decreased appetite inc or dec psychomotor fnct decreased suicidal ideations |
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what is dysfunctional grieving?
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when the grief process is incomplete. prolonged sx of depression are present
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what is the difference between psychotic and neurotic?
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psychotic-feel crappy in the morning and improve throughout the day
neurotic-feel good in the morning, then worsen as the day goes on |
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what are the three phases of treatment and recovery for depression?
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acute-6-12 wks
continuation-4-9 mo maintenance- 1+ yrs |
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what is the first line of meds for deression? second line?
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SSRIs, novel antidepressants, tricyc; MAOIs, ECT
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what is central serotonin syndrome?
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elevated pulse, temp, BP, hyperactivity, seizures
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what are some common SSRIs? what makes them better than tricyc?
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Prozac (fluoxetine), Zoloft (sertraline), Paxil (paroxtene), Luvox (fluoxamine); they offer less side effects
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basic level mental health RN manages:
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milieu
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one who diagnoses and treats human responses to actual or potential mental health problems:
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psychiatric mental health nurse
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feelings the patient has about the nurse:
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transference
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hierarchy of needs:
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maslow
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unconscious mechanism used to reduce anxiety:
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defense mechanisms
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formulated first theoretical framework for psychiatric nursing:
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hildegaard paplau
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decade of the 90's known as:
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brain
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psychosocial development:
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Erickson
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illness and wellness fall along:
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continuum
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type of therapy that corrents distorted conceptualizations and dysfunctional beliefs:
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cognitive
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founder of psychoanalysis:
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Freud
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though afraid to fly, through a series of small steps taken, you are able to eventually fly in an airplane:
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systematic desensitization
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feelings the nurse has about the pt:
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countertransference
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source of drives and instincts:
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id
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prepared at a master's degree or higher:
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advanced practice nurse
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moral development:
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kohlberg
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global assessment of functioning over past year:
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global assessment function (GAF)
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interpersonal theory:
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sullivan
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cognitive development:
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piaget
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propvides criteria for diagnosing mental illness:
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DSM-IV TR
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false reassurance might do this:
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block
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a person who is depressed feels like no one needs them. this is feelings of:
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worthlessness
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the client asks the nurse a personal question. the nurse should ______ on the client
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refocus
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client has a problem and the nurse tells what they should do. this is an example of _______ giving.
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advice
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a person experiencing mania may ______ take time to eat or drink
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not
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when assessing for depression, it is important to ask about:
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medical conditions
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open ended questions require ______ than one word answers.
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more
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true or false. your client is crying. it is important to encourage the client to stop crying.
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false
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a person experiencing mania may need to be hospitalized to _______ themselves
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protect
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a client that goes on a spending spree may indicate that they are entering the ______ state.
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manic
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a person who is depressed has a _______ ability to concentrate.
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decreased
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your client is highly suspicious of everyone. you would assess that your client is:
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paranoid
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"I noticed that you look tired today." is an:
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observation
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Yes or no. depressed mood in children can be manifested as irritability.
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yes
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what is a term for fatigue or loss of energy?
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anergia
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"could you tell me what you meant by feeling sad?" is seeking:
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clarification
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who is the focus of the nurse client relationship?
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client
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the phase of the nurse client relationship where the client's problem solving ability is promoted:
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working
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it is important to assess for _____ harm when the client is depressed
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self
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client: I really do not like groups
nurse: what could you do to help |
reflecting
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open ended questions allow the client more ________ in selecting the topic.
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freedom
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nurse: "are you going to walk today?" this is a _______ ended question
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close
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the phase of the nurse client relationship where the client accomplishes a goal.
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termination
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why questions may make your client feel:
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defensive
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the client asks the nurse to keep a secret. the nurse ______ make this promise
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can't
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which has less severe symptoms...major depression or dysthymia?
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dysthymia
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the _____ inventory is used in the assessment of depression.
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beck
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true or false. during the interview, the nurse should sit at a 90 degree angle to client:
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true
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brief psychotic scale helps assess clinet's ability to:
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function
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this can be flattened or blunted:
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affect
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no enjoyment in your life:
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anhedonia
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your client states that they see a dog in the room and you do not. what type of hallucination is this?
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visual
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your client does not look at you. you would assess this as no _____ contact.
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eye
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voices tell client to jump off of the roof. this is a ______ hallucination:
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command
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client is using this kind of salad "jups test less myhar cat"
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word
|
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client is deathly afraid of very small spiders. this irrational fear is a:
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phobia
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hallucinations and delusions are examples of ________ symptoms:
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positive
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belief that everything that happens is related to self is ideas of:
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reference
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brief psychotic scale could be used with a clint with:
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schizophrenia
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client fills in memory gaps with fiction and truly believes:
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confabulation
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client is taking haldol, facial expression does not express emotion. this is _______ affect.
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flat
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client says "I am fluppy today"
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neologism
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every time client leaves house, returns several times to make sure doors are locked:
|
obsession
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you shake clinet's hand and they leave hand in the same position for several min. This is:
|
waxy flexibility
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you say it is beautiful and your client says the same thing:
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echolalia
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client washes hands 20 times a day because of belief that everything is covered with germs
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compulsion
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client touches door frame every time he enters room
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ritual
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client is tapping their foot and rocking:
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akathisia
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you would use the AIMS test to assess client on this type of medication:
|
antipsychotic
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you lift your arm and your client does the same:
|
echopraxia
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client answers every question with same response:
|
perseveration
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client believes that the FBI is after them and will kill them
|
delusion
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client believes he can fly or make a million dollars in a month
|
gradiosity (or grandeur)
|
|
|
kind of thinking when you take a proverb literally
|
concrete
|
|
|
depression ersults from irrational thinking
|
cognitive theory
|
|
|
drug of choice for mania
|
lithium
|
|
|
neutransmitter 1
|
norepinephrine
|
|
|
selective serotonin reuptake inhibitor
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SSRI
|
|
|
prolonged emotion
|
mood
|
|
|
high risk for when depressed
|
suicide
|
|
|
associated with bipolar II
|
dysthymia (hypomania)
|
|
|
use of rhyming words
|
clang
|
|
|
slowed down movements
|
psychomotor retardation
|
|
|
anticonvulsant antimanic drug
|
depakote
|
|
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neurotransmitter 2
|
acetylcholine
|
|
|
_______ of ideas
|
flight
|
|
|
often coexists with depression
|
anxiety
|
|
|
associated with bipolar I
|
mania
|
|
|
forceful speech
|
pressured
|
|
|
neurotransmitter 3
|
serotonin
|
|
|
dietary necessity with lithium
|
salt
|
|
|
expansive mood
|
elation
|
|
|
milder form of depression
|
dysthymia
|
|
|
another word for mood
|
affect
|
|
|
manics pointer
|
finger
|
|
|
treatment to reduce stimulation
|
seclusion
|
|
|
manic's mood
|
unstable
|
|
|
manic's judgement
|
poor
|
|
|
occasional reaction to manic
|
fear
|
|
|
dietary necessity with lithium
|
sodium
|
|
|
anticonvulsant antimanic drug
|
depakote or tegratol
|
|
|
manic never admits being this
|
tired
|
|
|
high-risk problem for manic
|
injury
|
|
|
use of rhyming words
|
clang
|
|
|
drug of choice for mania
|
lithium
|
|
|
manic defense mechanism
|
reaction formation
|
|
|
nursing intervention
|
seclusion
|
|
|
forceful speech
|
pressured
|
|
|
culprits in biological theory
|
neurotransmitters
|
|
|
play on words
|
pun
|
|
|
a manic mood
|
anger
|
|
|
manic's only speed
|
fast
|
|
|
hypomanic's favorite topic
|
sex
|
|
|
therapeutic activity
|
writing
|
|
|
elevated mood
|
elation
|
|
|
manic's sleep problem
|
insomnia
|
|
|
excess motor activity
|
hyperactivity
|
|
|
manics talk your _______ off
|
ear
|
