Psych Exam 3

Front 1

What does fear mean?

Back 1

Rection to specific danger

Front 2

What does anxiety mean?

Back 2

Feeling of apprehension, uneasiness resulting from a real or perceived threat who source is unknown/unrecgnized, vague sense of dread

Front 3

What does crisis mean?

Back 3

Temporary state of disequlibrium

Front 4

What does stress mean?

Back 4

Body's arousal response to any demand, change or percieved threat

Front 5

Mild anxiety?

Back 5

Occurs in normal day experience, problem solving more efficient, slight discomfort, restlessness, irritability(nail biting, foot tapping and figeting)

Front 6

Moderate anxiety?

Back 6

Narrow perceptual field, grasps less of what's going on, selective inattention only certain things in environment are seen or heard, tension, pounding heart, increase pulse/resp, perspiration

Front 7

Severe anxiety?

Back 7

Focus on one particular detail or many scattered details, learning and problem solving are impossilbe-dazed and confused, increase in headache, nausea, dizzy, insomina, pound heart, hyperventilation

Front 8

Panic anxiety?

Back 8

Most extreme form, lead to disturbed behavior, lost touch with reality, confusion, shouting, screaming, withdrawal, halluciniations, false sensory perceptions,

Front 9

Nursing interventions for mild to moderate level of anxiety

Back 9

Nurse can help pt focus and solve problems-open ended questions, seeking clarifications, don't bring up random topics, listen

Front 10

Nursing interventions to severe to panic levels

Back 10

remove to quiet environment, provide gross motor activites to drain tension, med and restrains for last resorts,
BE FIRM, SHORT AND SIMPLE STATEMENTS ARE USEFUL

Front 11

What is generalized anxiety disorders??

Back 11

excessive anxiety or worry about numerous things lasts for 6 months or more, worry is out of proportion, sleep disturbance, decision making is difficult because making mistake, restlessness, fatigue, irritability, tension

Front 12

What is OCD?

Back 12

Obessions and complusions occur together

Front 13

What does to obessions means?

Back 13

Thoughts, impulses or images that persist and recur so that they cannot be dismessed from the mind

Front 14

What is egodystonic mean?

Back 14

symptoms that an individual experiences that are unacceptable, objectionable and alient to themselves

Front 15

What is Compulsions

Back 15

ritualistics behaviors that an individual feels driven to perform an attempt to reduce anxiety, relief is temporary

Front 16

What is PTSD?

Back 16

Repeated re-experiencing of a highly traumatic event that involved serious injury to self or others, to which individual responded with intense fear, helplessness or horror

Front 17

What is panic attack?

Back 17

Sudden onset of extreme apprehension fear, palipitations, chest pain, breathing difficulties

Front 18

What is panic disorders?

Back 18

Recurrent episdoes of panic attacks, at least 1 of the atacks has been followed by 1 month of persistent concern about having additional attacks, worry about consquences, significant change in behavior

Front 19

What is somatization?

Back 19

expression of psychological stress through physical symptoms

Front 20

What is malingering

Back 20

conscious process of intentionally producing symptoms for obvious benefit

Front 21

What is factious disorder

Back 21

self-injury for purpose of assuming the sick role and to recieve comfort and attention

Front 22

What is Psychosomatic illiness?

Back 22

medical condition that may be affected by stress

Front 23

What is somatization disorder?

Back 23

Requires sevel symptoms accompanied by functional impariment: pain, gi, neuro, sexual

Front 24

What is body dysmorphic disorder?

Back 24

Pt has normal appearance or minor defect but is preoccupied with imagined defective body part

Front 25

What is typical characteristics?

Back 25

obsessional thinking and compulsive behavior such as a mirror checking and camouflaging

Front 26

What is comoribidy for body dysmorphic disorder?

Back 26

major depression, ocd, social phobia, suicidal

Front 27

What is la belle indifference?

Back 27

lack of emotional concern about the symptoms

Front 28

What is conversion disorder?

Back 28

Affect voluntary motor or sensory function suggesting a physical condition

Front 29

What is comorbidity of conversion disorder?

Back 29

depression, anxiety, somatoform disorders, personality disorders

Front 30

What is depersonalization?

Back 30

persisent alteration in perception of self with intact reality testing, feeling deadness of the body, see self from distance

Front 31

What is dissociatve amnesia?

Back 31

Inablity to recall personal information often occuring after traumatic event

Front 32

What is generalize amnesia?

Back 32

unable to recall information on entire lifetime

Front 33

What is localize amnesia?

Back 33

pt unable to remeber all events in certain period

Front 34

What is selective amnesia?

Back 34

pt able to recall some but not all events in certain period

Front 35

What is dissociative fugue?

Back 35

Individaul may assume new identity, precipated by traumatic event

Front 36

What is dissociative identity dissorder?

Back 36

Multiple personality

Front 37

What are interventions for dissociative identity disorder?

Back 37

safety, simple routines, confirm identity, do things for self, do not flood pt with past events, teach stress reduction methods, allow pt to progress at own pace as memory is recovered

Front 38

Nursing interventions for anxiety?

Back 38

provide safe environment, be quiet, simple structured, task orientated, support groups

Front 39

Nursing interventions for Somatoform disorder?

Back 39

offer explnations and support during testing, avoid further reineforcement, spent time w/pt, observe/record symptoms, don't imply that symptoms are not real, reinfore strengths, teach stress reductions

Front 40

Medications given for anxiety/somatoform/DID

Back 40

Benzodiazepines(additive, interact w/other rx, drowsiness)
SSRI(dose dependent, daytime sedations)
Tricyclics( decrease nonrepinephrine, dry mouth blurred vission)

Front 41

What is ADHD?

Back 41

Inattention, impulsivity, hyperactive, easily distracted, unable to meet age appropriate role expectations, difficulty making friends in school, may have migranes, seizures, asthma

Front 42

Nursing interventions for ADHD

Back 42

Safety, build trust, control impuslses, tolerate frustration, role models, provide support, revwarding behavior

Front 43

RX treat for ADHD

Back 43

Ritalin, psychostimulants

Front 44

What is conduct disorder?

Back 44

repetive conduct that violates other's rights: stealing, mugging, physical violence, poor peer relationships, truancy, running away, cruelty to animals/people, destrictions of property, absence of guilt, defiant, hostile, provocative

Front 45

What are nursing interventions for conduct disorder?

Back 45

group therapy, safety factors, have health referrals

Front 46

RX for conduct disorder?

Back 46

Haldol

Front 47

What oppositional defiant disorder?

Back 47

recurrent pattern of negativistic, disobedient hostile behavior towards authority without violating rights of others, agression, attention seeking behaviors

Front 48

What are nursing interventions for oppositional defiant disorder?

Back 48

See ADHD, rx- antipsychotics, lithium, anticonvulsants, antidepressants

Front 49

What is mood disorder?

Back 49

acting out behaviors of kids, once considered symptoms of masked by depression, decrease activity and worthlessness

Front 50

RX for mood disorders?

Back 50

antidepressants

Front 51

What is separation anxiety?

Back 51

become excessively ancious when separted or anticipating a separation from home or parents, withdrawal, somatic complaints

Front 52

Nursing interventions separation anxiety

Back 52

develop coping skills, protect from panic levels of anxiety by acting as parent, accept regression but give emotional support, increase self-esteem and feelings of competence, help accept and work through traumatic events

Front 53

What is rx for separation anxiety?

Back 53

SSRI

Front 54

What is adjustment disorder?

Back 54

maladaptive reaction to a specific psychosocial disorder, occurs within 3 months of stressor, depression anxiety, physical complaints

Front 55

What is bipolar disorder?

Back 55

severe mood changes, overly inflated self-esteem, increased energy, talking, decreased needs for sleep

Front 56

Nursing interventiosn for bi polar disorders?

Back 56

group therapy, safety, increasing coping skills, empower the child

Front 57

RX for bi-polar

Back 57

mood stablizers, antidepressants

Front 58

What is autistic disorder?

Back 58

behavioral syndrom resulting from abnormal brain fuction, incurable, very passive, diffculty in social interaction and communication, repeating,

Front 59

What is asperger's syndrome?

Back 59

later onset of autsim, less severe, social deficits, restricted interests, no mental retardation, social interaction impairment

Front 60

Nursing interventions for austism and apsergers?

Back 60

parent involvement, behvior modication, play therapy, music/dance therapy, foster develpment of communication and self concepts

Front 61

What is pathology for elderly depression?

Back 61

physical illness, neuro deficit, losses, isolations, poverty, financial strain

rx group therapy

Front 62

What is delirum pathology?

Back 62

drug intoxication, systemic infections, dehydration, hypoxia, nutriotion, fluid/electoryltes

Front 63

What is delirium reversible behavior?

Back 63

clouden consciouness, disorganized thinking, memory imparment, disorientated, attention difficulty, illusions, hallucinations, unfocused speech, strong emotional reaction

Front 64

What is sundown syndrome for delirium?

Back 64

symptoms/behaviior more pronounced in evening withdrawn, agitated, psychotic

Front 65

What are nursing interventions for delirium?

Back 65

nurse assessment, prevent physical harm, support measure to relieve distress

Front 66

What is dementia?

Back 66

Develops more slowly, multiple cognitive deficts that include impairment in memory with impairment in consciousness, memory loss, irreversible, imparment of abstract reasoning, make up stories

Front 67

What is secondary dementia?

Back 67

occurs as results of some other pathological process->viral encephalitis, anemia, folic acid deficianency

Front 68

What is aphasia?

Back 68

language distrubance

Front 69

What is apraxia?

Back 69

impaired motor function

Front 70

What agnosis?

Back 70

failure to recognize objects

Front 71

What is alzheimers dissease?

Back 71

complex disease that begins to damage brain long before symptoms appear, progressive degerative, attacks brain, impaired memory, thinking and behavior

Front 72

What is stage 1 alzheimers?

Back 72

lose their keys, use memory aids, signs of depression

Front 73

What is stage 2 alzheimers?

Back 73

wandering starts, forget their name and address, labeling helps, making up stories, repeat phrases, moods are labile

Front 74

What is confabulation?

Back 74

making up stories or answers to maintain self-esteem

Front 75

What is perseveration?

Back 75

repetition of phrases or behaviors

Front 76

What is stage 3 alzheimers/

Back 76

start to see loss of complete adl's, unable to identify familiar objects, language decrease, incontence, danger to self and others, give antipsychotics and antidepressants, total care

Front 77

What is stage 4 alzheimers?

Back 77

cant read or write, need to taste, chew everthing, forget how to chew, blunting emotions, mute, incontinent, bed sore, touching everyting in site

Front 78

What is hypermetamorphosis

Back 78

touching everything in sight

Front 79

What are rx for stage 4?

Back 79

cognex aricept, antipyschotic, antidepressions

Front 80

What are interventions for stage 4?

Back 80

promote normal activity, give choices, step by step directions, maintain self care, promote sleep, clear thought process, promote orientation

Front 81

What is anorexia nervosa?

Back 81

Engaged in self-starvation, intense fear of gaining weight, disturbance inself image and weight, chronic, loss of menses for least 3 months, BMI <17.5

Front 82

Types of anorexia?

Back 82

binge-eating/purging and restricting type

Front 83

What are physical complications of anorexia?

Back 83

decreased vital signs, electrolyte imbalances, leukopenia, osteoprorosis, amenorrhea, abnormal thyroid, cardiac abnormalities, fatty degeneration of liver, hematura, proteinuria

Front 84

What are interventions for anorexia?

Back 84

acknowledge emotional and physical difficulty the pt is experiencing, assess suicidal thoughts, monitor vitals, weight daily, monitor before and after meals, educate, work to identify strength

Front 85

Assessment guidelines for anorexia

Back 85

determine if medical/psychiatric condition warrants hospitlization, ask what do you eat in a day, assess urine output, imbalanced nutrition, family understanding, acceptannce of treatment

Front 86

What are rx for anorexia?

Back 86

ssri, atypical antipsyctiotics

Front 87

Evaluation of anorexia?

Back 87

percentage of weight restores, self worth no longer dependent on weight, relapse common, decreased distruption in pts life

Front 88

What is refeeding syndrome?

Back 88

catastrophic treatment complication which demands of replenished circulatory system overwhelm the capacity of nutritionally depleted cardiac muscle

Front 89

What is bulimia nervousa?

Back 89

repeated episodes of binge eating followed by inappropriate compensatory behavior, self induced

Front 90

Physical complications for bulimia nervousa?

Back 90

cardiomypathoy, cardia dysrhythmias, electroylte imbalances, dehydration, loss of dental enamel, partoid gland enlargment, esophageal tears, russell's sign

Front 91

Milieu therapy for bulimia nervousa?

Back 91

highly structure inpt unit has goal to interrupt binge cycle, diet coping skills, effect of illness, do not skip meals or restrict food, close observation

Front 92

RX for bulimia nervousa?

Back 92

ssri

Front 93

Binge eating physical complications

Back 93

obesity, psychiatric disease, dm, arterial hypetension, infertility

Front 94

Criteria for binge eating

Back 94

fast eating behaviors, eating to an unpleasant degree of fullness, eating large amounts without feeling hungry, eating while feeling guility