Psychiatric Mental Heath Final

Front 1

EATING DISORDERS

Back 1

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Front 2

What are physical clinical mafinestations of anorexia nervosa? (first 7)

Back 2

1. Weight loss, 15% below ideal weight
2. Amenorrhea
3. Jaundice
4. Lanugo on face and body
5. Peripheral edema
6. Slow pulse, decreased temp
7. Cachexia

Front 3

What are physical clinical mafinestations of anorexia nervosa? (next 4)

Back 3

8. Constipation
9. Dry skin,
10 Cold sensitivity
11 Delayed puberty, grow retardation
12. Cardiovascular abnormalities

Front 4

What are physical clinical manifestations of bulimia nervosa? (first 3- weight, fluid, CV)

Back 4

1. Normal to slightly low weight
2. Fluid & electrolyte imbalances
(hypokalemia, alkalosis, idiopathic edema)
3.Cardiovascular- hypotension, cardiac arrhythmia/dysrhythmia, cardiomyopathy

Front 5

What are physical clinical manifestations of bulimia nervosa?

Back 5

4. Endocrine- hypoglycemia, menstrual dysfunction
5. GI- constipation, diarrhea, gastroparesis, esophageal reflux, esophagitis, Mallary-Weiss syndrome, dental enamel erosion, parotid gland enlargement

Front 6

What is Mallory Weiss syndrome?

Back 6

bleeding from an arterial blood vessel in the upper gastrointestinal trac

Front 7

What do you call the eating disorder of an individual who chews large amt of food without swallowing and spits out?

Back 7

Rumination

Front 8

State a nursing diagnosis of inadequate nutrition.

Back 8

Imbalance nutrition: less than body requirement

Front 9

State a nursing diagnosis or inadequate fluid.

Back 9

Risk for inadequate fluid volume

Front 10

State a nursing diagnosis for psychological complex about body shape.

Back 10

Disturbed body image

Front 11

What is a nursing diagnosis of a person who lacks in knowledge?

Back 11

Deficient knowledge

Front 12

What is a nursing diagnosis of a person who is susceptible to fall?

Back 12

Risk for injury

Front 13

What are IBW for male and female?

Back 13

Male- 50kg + 2.3kg for each inch over 5'
Female- 45.5kg + 2.3kg for each inch over 5'

Front 14

What is the formula for BMI?

Back 14

1.Weight (Ib)x703/ height (inch) squared
2. Weight (kg)/ height (m) squared

Front 15

What BMI is underweight, normal, overweight, obese?

Back 15

under- below 18.5
normal- 18.5-24.9
overweight- 25-29.9
obese- 30 and above

Front 16

COGNITIVE DISORDERS

Back 16

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Front 17

List common causes of delirium.

Back 17

1. Postop status
2. Drug intoxication & withdrawal
3. Infections
4. Metabolic disorder: dehydration, hypoxia, hypoglycemia...
5. Drugs: digitalis,steroids, LiCO3, levadopa
6. Neurological: seizure, head trauma
7. Tumors
8. Psychosocial stressors

Front 18

What are four cardinal features of delirium?

Back 18

1. Acute onset and fluctuating course.
2. Inattention
3. Disorganized thinking
4. Disturbance of consciousness

Front 19

What do you call syptoms and problem behaviors becoming more pronounced in the evening?

Back 19

Sundowning

Front 20

What the two possible causes of Alzheimer's disease?

Back 20

1. Amyloid plaques
2. Neurofibrillary tangles

Front 21

For early onset Alzheimer's disease, there ______ corelation.

Back 21

genetic

Front 22

What do you call the creation of stories or answers in place of actual memories?

Back 22

Confabulation

Front 23

What do you call the repetition of phrases or behavior?

Back 23

Perseveration

Front 24

What do you call loss of language ability?

Back 24

Aphasia

Front 25

What do you call loss of purposeful movement in the absence of motor or sensory impairment?

Back 25

Apraxia

Front 26

What do you call loss of sensory ability to recognize objects?

Back 26

Agnosia- ring of phone, familar objects such as glass, pencil, eventually face of loved ones.

Front 27

What do you call problems in planning, organizing, and thinking abstract things?

Back 27

Disturbances in executive functioning

Front 28

Describe symptoms of stage 1 (mild) Alzheimer's disease.

Back 28

1. Short term memory loss
2. Memory aids
3. Aware of the problem
4. Depression
5.

Front 29

Describe symptoms of stage 2 (moderate) Alzheimer's disease.

Back 29

1. Progressive memory loss
2. Withdrawal from social activity
3. Declines in instrumental ADLs
4. Denial
5. Problems get worse when stressed

Front 30

Describe symptoms of stage 3 (moderate to severe) AD.

Back 30

1. ADL losses (personal hygiene->dressing->gait->reading, writing
2. Loss of reasoning ability- safety
3. Frustration, stress threshold decrease

Front 31

Describe symptoms of stage 4 (late, severe) AD.

Back 31

1. Does not recognize family or self in mirror
2. Nonambulatory
3. Forgets how to eat
4. Problem associated with immobility

Front 32

List four cholinesterase inhibitor drugs to treat AD.

Back 32

1. donepazil (Aricept)
2. tacrine (Cognex)
3. galantamine (Razadyne)
4. rivastigmine (Exelon)

Front 33

What is a NMDA antagonist med used to treat severe AD?

Back 33

Memantine (Namenda)

Front 34

SLEEP DISORDERS

Back 34

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Front 35

State two different physiological state in sleep.

Back 35

1.Non-rapid eye movement (NREM) sleep
2. Rapid eye movement(REM) sleep

Front 36

Explain four stages of NREM sleep.

Back 36

1. Stage 1- wake->sleep BMR, HR, RR, temp, muscle tone down
2. Stage 2:Cerebral BF to brain stem down.
3. Stage 3: (delta sleep)BF to cortex down.
4. Stage 4: (restorative sleep) GH is relased. Catecholamine & corticosteroids down.

Front 37

What happen in REM sleep?

Back 37

1. Muscle atonia
2. Myoclonic twitches of the facial and limb muscles.
3. Dreaming
4. Autonomic nervous system variability

Front 38

List neurotransmitters which promote wakefulness.

Back 38

Dopamine, norepinephrine, acytylcholine, histamine, glutamine, hypocretin.

Front 39

List neurotransmitters which promote sleep.

Back 39

Adnosine, Gamma-aminobutyric acid (GABA), serotonin

Front 40

List three diagnostic procedures for sleep disorders.

Back 40

1. Polysomnography (PSG)-breathing disorder
2. Multiple sleep latency test (MSLT)- sleepiness in daytime nap
3. Maintenance of wakefulness test (MWT)-ability to remain awake

Front 41

What do you call a wrist watch type device to evaluate sleep pattern.

Back 41

Actigraphy

Front 42

What do you call factors that create vulnerability to insomnia?

Back 42

Predisposing factors

Front 43

What do you call factor that trigger insomnia?

Back 43

Precipitating factors

Front 44

What do you call sleep practices and attributes that maintain the sleep complaint like excessive caffein, ETOH us..

Back 44

Perpetuating factors

Front 45

What do you call sleep disturbances associated with the initiation and maintenance of sleep?

Back 45

Dyssomnias

Front 46

What do you call excessive sleepiness for at least 1 month?

Back 46

Primary Hypersomnia

Front 47

What do you call a problem initiating or maintaining sleep for at least 1 month?

Back 47

Primary insomnia

Front 48

What do you call unusual or undesirable haviors that occur ding sleep/wake transition?

Back 48

Prasomnias

Front 49

List four kinds of parasomnias.

Back 49

1. Nightmare disorder
2. Sleepwalking disorder (somnambulism)
3. REM Sleep behavior d/o
4. Sleep paralsyis

Front 50

What are two characteristics of REM sleep behavior disorder?

Back 50

1. Muscle atonia
2. Actually acting out their dream

Front 51

List 5 different kinds of dyssomnias.

Back 51

1. Primary insomnia
2. Primary hypersomnia
3. Breathing related sleep d/o
4. Circadian rhythm sleep d/o
5. Restless leg syndrome (RLS)

Front 52

What is a nursing diagnosis for sleep disorders?

Back 52

Altered sleep patterns

Front 53

List 5 benzodiazepine hypnotics.

Back 53

1. triazolam (Halcion)
2. temazepam (Restoril)
3. estazolam (Prosom)
4. flurazepam (Dalmane)
5. quazepam (Doral)

Front 54

List 3 nonbenzo hypnotics.

Back 54

1. zaleplon (Sonata)
2. zolpidem (Ambien)
3. eszopiclone (Lunesta)

Front 55

State melatonin receptor agonist hypnotic.

Back 55

ramelteon (Rozerem)

Front 56

What are three stimulants used for hypersomnia?

Back 56

1. Ritalin
2. Concerta
3. Adderall

Front 57

What do you use to treat nacolepsy?

Back 57

1. Modafinil (Provigil)

Front 58

PERSONALITY DISORDER

Back 58

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Front 59

What are included in cluster A personality disorder and what are common characteristics?

Back 59

1. Paranoid PD
2. Schizoid PD
3. Schizotypal PD

Social isolation, detachment

Front 60

What is the primary characteristic of paranoid PD?

Back 60

1. Distrust, suspicion based on belief
2. Hypervigilant, hostile response, short temper, argumentitive
3. Pts are actually quite anxious about bein harmed.

Front 61

What is the primary characteristic of schizoid PD?

Back 61

1. Emotional detachment
2. Does not seek out or enjoy close relationships

Front 62

What is the primary characteristics of schizotypal PD?

Back 62

1. Odd belief leading to interpersonal difficulties
2. Eccentric appearance
3. Magical thinking
4. superstitious and preoccupied with paranormal phnomena.

Front 63

What kind of PDs are included in cluster B personality disorders?

Back 63

1. Antisocial PD
2. Borderline PD
3. Histrionic PD
4. Narcissistic PD

Front 64

What are characteristic of cluster B personality disorders?

Back 64

1. Respond to life with dramatic, emotional or erratic behavior
2. Problems with impulse
3. Manipulative of people and circumstances

Front 65

What are characteristics of antisocial PD?

Back 65

1. Consistent disregard for others with explitation and repeated unlawful actions.
2. No remorse, lack of empaty
3. Repeatedly neglect responsibilities: tell lies
4. Initial charm

Front 66

What are characteristics of borderline PD?

Back 66

1. Instability in affect, identity, and relationship2
2. Desperately seeks relationship to avoid feeling of abandment but drives away other because of their excessive demands
3. Self mutilation
4. Uses splitting

Front 67

What are characteristic of historionic PD?

Back 67

1. Emotional attention-seeking behavior, person needs to be center of attention
2. impulsive, melodramatic
3. Demands "best of everything" and can e critical to staff.

Front 68

What are characteristic of narcissistic PD?

Back 68

1. Grandiose view of self
2. Needs constant admiration with a lack of empathy for others

Front 69

What kind of PDs are included in cluster C PD?

Back 69

1. Avoidant PD
2. Dependent PD
3. Obsessive-compulsive PD

Front 70

What are characteristics of avoidant PD?

Back 70

1. Extreme sensitivity to rejection
2. Avoids all situations that require interpersonal contact.
3. Wants close relationship but fears rejection

Front 71

What are characteristics of dependent PD?

Back 71

1. Extreme dependency in close relationshiops
2. Constantly seeking reasurance. Indecisive.
3. Vunerable to abuse
4. Feels incompetent, fear cannot survive alone.

Front 72

What are characteristics of obsessive compulsive PD?

Back 72

1. Perfectionism with a focus on orderliness and control.
2. Preoccupied with details and rules and may abandon tasks.

Front 73

What is a medication for OCD?

Back 73

Clomipramine

Front 74

SEXUAL DISORDERS

Back 74

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Front 75

List four stages of the sexual response cycle.

Back 75

Desire phase
Excitement phase
Orgasm phase
Resolution phase

Front 76

What do you call the phase of the sexual response cycle, in which penile erection and vaginal lubrication occur?

Back 76

Excitement phase

Front 77

Define orgasm phase.

Back 77

Men- ejaculation
Female- rhythmic contractions of genital

Front 78

Define resolution phase.

Back 78

Both- returns to unaroused state
Men- refractory period
Women- vosocongestion and myotonia are reversed. No refractory period

Front 79

List 4 sexual dysfunctions listed in DSM-IV-TR.

Back 79

1. Sexual desire d/o
2. Sexual arousal d/o
3. Orgasm d/o
4. Sexual pain d/o

Front 80

List 2 kinds of sexual desire d/o.

Back 80

1. Hypoactive sexual desire d/o
2. Sexual aversion d/o

Front 81

If you have premature ejaculation, which d/o do you have?

Back 81

Sexual orgasm phase d/o

Front 82

If you have an erectile dysfunction or impotence, can't maintain lubrication, which d/o do you have?

Back 82

Sexual arousal phase d/o

Front 83

What are two problems patients with sexual pain d/o often have?

Back 83

Dyspareunia
Vaginismus

Front 84

Which d/o are compulsive masturbation and excessive coitus included in?

Back 84

Sexual dysfunctions NOS

Front 85

What is the difference b/w sexual dysfunction and sexual disorder?

Back 85

Sexual dysfunction is troubles and complains about sexual performance.
Sexual disorders are deviation from norm in sexual identity and activities.

Front 86

What do you call sexual disorder that a person has a strong and persistent cross-gender identification?

Back 86

Gender identity d/o

Front 87

What do call a gender disorder that one has feeling of unease about ones maleness or femaleness?

Back 87

Gender dysphoria

Front 88

What do you call sexual deviation?

Back 88

Paraphylias

Front 89

What do you call a sexual disorder that one wants to get dressed in clothes of opposite sex but still is heterosexual?

Back 89

Transvestic fetishism
(different from transsexualism in that they are heterosexual)

Front 90

What do you call d/o of a person who derive sexual satisfaction from humiliation, beating and bounding?

Back 90

Sexual masochism

Front 91

List symptoms of serotonin syndrome.

Back 91

1. Confusion, hallucination
2. Agiation, anxiety
3. Diaphoresis, fever
4. Tremor

Front 92

DISORDERS OF INFANCY, CHILDHOOD AND ADOLESCHENCE

Back 92

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Front 93

At this level of mental retardation,
people reach 6th grade, achieve social and vocational skill adequate for minimum self-support.

Back 93

Mild mental retardation

Front 94

Second grade level.
Moderate supervision.
Can provide personal care and learn to travel in famililar area.
Unkilled work, group home.

Back 94

Moderate mental retardation