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96 Cards in this Set
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A client with schizophrenia has been admitted to an acute psychiatric facility, when working with this client initially the most therapeutic action the nurse should do is what?
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A client with schizophrenia has been admitted to an acute psychiatric facility, when working with this client initially the most therapeutic action the nurse should do is what?
- Sit with them, establish trust, and develop a therapeutic relationship (to engage in therapeutic communication) - Initially spend time with the patient to build trust and demonstrate acceptance |
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You have an acute schizophrenic patient; they are having vivid hallucinations that make them agitated, what is the nurse’s best response?
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You have an acute schizophrenic patient; they are having vivid hallucinations that make them agitated, what is the nurse’s best response?
- To explore the content of the hallucinations - Need to know if the hallucinations are threatening to patients, or perhaps a command hallucination telling the patient to harm themselves or others |
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A nurse is evaluating the effectiveness of psychotropic medications for positive S/S of schizophrenia, you must be able to know what are positive symptoms of schizophrenia are because the nurse looks for a decrease of which of the following S/S. (know positive and negative S/S of schizophrenia)
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A nurse is evaluating the effectiveness of psychotropic medications for positive S/S of schizophrenia, you must be able to know what are positive symptoms of schizophrenia are because the nurse looks for a decrease of which of the following S/S. (know positive and negative S/S of schizophrenia)
- Positive Symptoms: hallucinations, delusions, disorganized speech, bizarre behavior - Negative Symptoms: blunted or flat affect, alogia (Complete lack of speech, poverty of thought or speech; the client may sit with a visitor but may only mumble or respond vaguely to questions), avolition (lack of initiative or motivation, lack of motivation in activities and hygiene (ex. Client makes his bed, but is unable to start the next chore without prompting)), anhedonia (inability to gain pleasure from enjoyable experiences, lack of pleasure or joy; indifferent to things that often make others happy), anergia (condition of lethargy or lack of physical activity, lack of energy) - Cognitive Symptoms: disordered thinking, inability to make decisions, poor problem solving ability, difficulty concentration, long term and working memory deficits - Depressive Symptoms: hopelessness, suicidal ideation |
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A client is admitted to a psychiatric unit with a diagnosis of chronic undifferentiated schizophrenia, what are the S/S of chronic undifferentiated schizophrenia?
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A client is admitted to a psychiatric unit with a diagnosis of chronic undifferentiated schizophrenia, what are the S/S of chronic undifferentiated schizophrenia? (check all that apply)
- The client has symptoms of schizophrenia but does not meet the criteria for any of the other types of schizophrenia - Common Symptoms: Any positive or negative symptoms may be present - Positive Symptoms: hallucinations, delusions, disorganized speech, bizarre behavior - Negative Symptoms: blunted or flat affect, alogia (Complete lack of speech, poverty of thought or speech; the client may sit with a visitor but may only mumble or respond vaguely to questions), avolition (lack of initiative or motivation, lack of motivation in activities and hygiene (ex. Client makes his bed, but is unable to start the next chore without prompting)), anhedonia (inability to gain pleasure from enjoyable experiences, lack of pleasure or joy; indifferent to things that often make others happy), anergia (condition of lethargy or lack of physical activity, lack of energy) |
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A client has residual schizophrenia, what are the S/S and behaviors of residual schizophrenia?
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A client has residual schizophrenia, what are the S/S and behaviors of residual schizophrenia?
- Active symptoms are no longer present but the client has 2 or more “residual” symptoms - Common symptoms include: anergia (condition of lethargy or lack of physical activity), anhedonia (inability to gain pleasure from enjoyable experiences), avolition (lack of initiative or motivation), withdrawal from social activities, impaired role function, speech problems (ex. Alogia (Complete lack of speech)), odd behaviors (ex. Walking in a strange way) |
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What’s the S/S expected to see in a patient with Paranoid schizophrenia?
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What’s the S/S expected to see in a patient with Paranoid schizophrenia?
- Characterized by suspicion toward others - Common symptoms include: - Hallucinations, such as hearing threatening voices - Delusions, such as believing oneself to be the president of the United States - Other directed violence may occur |
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A client is admitted with acute psychosis, the primary provider diagnosed schizophrenia after ruling out several other conditions, schizophrenia is characterized by what S/S?
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A client is admitted with acute psychosis, the primary provider diagnosed schizophrenia after ruling out several other conditions, schizophrenia is characterized by what S/S?
- Positive Symptoms: hallucinations, delusions, disorganized speech, bizarre behavior - Negative Symptoms: blunted or flat affect, alogia (Complete lack of speech, poverty of thought or speech; the client may sit with a visitor but may only mumble or respond vaguely to questions), avolition (lack of initiative or motivation, lack of motivation in activities and hygiene (ex. Client makes his bed, but is unable to start the next chore without prompting)), anhedonia (inability to gain pleasure from enjoyable experiences, lack of pleasure or joy; indifferent to things that often make others happy), anergia (condition of lethargy or lack of physical activity, lack of energy) - Cognitive Symptoms: disordered thinking, inability to make decisions, poor problem solving ability, difficulty concentration, long term and working memory deficits - Depressive Symptoms: hopelessness, suicidal ideation |
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What would an appropriate modification behavior goal be for a patient with anorexia nervosa?
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What would an appropriate modification behavior goal be for a patient with anorexia nervosa?
- Gain one pound a week is best answer |
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A client is admitted with depression, in an effort to promote positive self-regard, what sorts of activities should the nurse encourage the patient to perform?
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A client is admitted with depression, in an effort to promote positive self-regard, what sorts of activities should the nurse encourage the patient to perform?
- Encourage activities that promote success - Milieu therapy for the hospitalized client includes maintenance of self-care, positive group activities (success promotes self-esteem), pharmacologic therapy, counseling and psychotherapy, and possibly electroconvulsive therapy |
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A severely dehydrated teenager admitted to the hospital with a diagnosis of anorexia nervosa, what is your nursing intervention? (know S/S of anorexia nervosa)
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A severely dehydrated teenager admitted to the hospital with a diagnosis of anorexia nervosa, what is your nursing intervention? (know S/S of anorexia nervosa)
- hypotension, electrolyte imbalance, bradycardia (teacher said tachycardia) - Common laboratory findings: - Hypokalemia - Anemia and leukopenia - Elevated Liver enzymes - Possible elevated cholesterol - Abnormal thyroid function tests - Elevated carotene (causes yellow skin) - Decreased bone density (Osteoporosis) - Vital signs – low BP with possible orthostatic hypotension, decreased pulse and body temp - Weight – anorexia will have body weight < 85% of expected normal weight - Head, neck, mouth, and throat – enlargement of parotid glands, dental erosion, and caries - Cardiac – irregular heart rate, dysrhythmias - Skin, hair, nails – lanugo (fine hair) on face and back, mottled cool extremities, poor skin turgor - Nursing interventions: - Monitor meal intake, exercise patterns, and attempts to purge after eating - Closely monitor client during/after meals |
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A borderline client dramatically expresses feelings about each nurse, stating only one nurse is understanding and trustworthy, namely whoever the client is talking to at that time, what is that type of behavior called?
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A borderline client dramatically expresses feelings about each nurse, stating only one nurse is understanding and trustworthy, namely whoever the client is talking to at that time, what is that type of behavior called?
- Splitting Personality - Splitting is the inability to incorporate positive and negative aspects of self into a whole image and is commonly associated with borderline personality disorder - In splitting, client tends to characterize people or things as all good or all bad at any particular moment - Borderline personality – instability of affect, identity, and relationships; lack of self-esteem; fear of abandonment, strong dependency needs; splitting behaviors, manipulation and impulsiveness; often tries self-mutilation and may be suicidal |
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A nurse is admitting a client to a mental health unit and the client tells the nurse: “I’m afraid to leave my house because people will make fun of me, my nose is so big, I had plastic surgery and it still looks awful”, what is the name of this disorder?
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A nurse is admitting a client to a mental health unit and the client tells the nurse: “I’m afraid to leave my house because people will make fun of me, my nose is so big, I had plastic surgery and it still looks awful”, what is the name of this disorder?
- Body Dysmorphic Disorder - Preoccupation with an imagined defect in appearance, causing significant distress or interfering with social, occupational, or other important areas of functioning - The disorder may be associated with multiple, frantic, and unsuccessful attempts to correct the imagined defect by cosmetic surgery - Client may avoid appearing in public, including work and social activities, due to being self-conscious about appearance |
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You have a patient who is obsessive compulsive, what is the best nursing intervention for this type of behavior?
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You have a patient who is obsessive compulsive, what is the best nursing intervention for this type of behavior?
- Be supportive of the patient but limiting their behavior - Washing hands 35 times a day, reduce to 30 times a day - Client has intrusive thoughts of unrealistic obsessions and tries to control these thoughts with compulsive behaviors such as repetitive cleaning or washing hands - Clients who engage in constant ritualistic behaviors may have difficulty meeting self-care needs - If rituals include constant hand washing or cleaning, skin damage and infection may occur if behaviors do not decrease (goal: decrease behaviors) |
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Why do people develop compulsive symptoms like using paper towels to open doors? (phobia is not an answer) (Not obsessive compulsive)
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Why do people develop compulsive symptoms like using paper towels to open doors? (phobia is not an answer) (Not obsessive compulsive)
- Look in book (ATI) - A compulsion is the performance of rituals or repetitive behaviors designed to prevent some event, divert unacceptable thoughts, and decrease anxiety - Compulsive behavior patterns decrease the anxiety - During stressful times, the ritualistic behavior increases |
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What behavior would you expect to encounter with a patient with Hypochondriasis?
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What behavior would you expect to encounter with a patient with Hypochondriasis?
- Expect them to express fear of diseases - Hypochondriasis is a preoccupation with bodily functions and fears of acquiring or having a serious disease based on misinterpretation of physical symptoms - Persists for at least 6 months despite negative medical evaluation; evaluate all new symptoms - Bodily symptoms reported are not consistent with the client’s perception of specific illness - Examination/reassurance by provider does not relieve the concerns of the client, who tends to believe the provider has failed to find the cause |
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A nurse understands that in a conversion disorder, pseudo neurologic symptoms such as paralysis and blindness meets what need?
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A nurse understands that in a conversion disorder, pseudo neurologic symptoms such as paralysis and blindness meets what need?
- Behaviors are necessary for the client to cope (the answer) - The client needs the pseudo neurologic symptoms to help them cope - Conversion Disorder – Sudden loss of neurological function, usually at a time of severe stress that cannot be explained fully by a physical disorder - 1 or > symptoms of loss of voluntary motor or sensory function - No evidence that symptoms is feigned or intentionally produced - Loss of function is not due to medical illness and is not a culturally expected behavioral response - The onset of symptoms is linked to a socially or psychologically stressful event - The client may display a lack of concern about the debilitating symptoms - S/S: inability to walk, weakness, impaired coordination or balance, paralysis of an arm or a leg, loss of sensation in a body part - May have simulated convulsions, blindness, deafness; don’t focus on symptoms (reinforces behavior) |
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You have a person remanded to the courts for psychiatric treatment; this person has a police record which states to early teenage years, which includes delinquency, running away, vandalism, and auto theft, which personality disorder would you associate this behavior with?
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You have a person remanded to the courts for psychiatric treatment; this person has a police record which states to early teenage years, which includes delinquency, running away, vandalism, and auto theft, which personality disorder would you associate this behavior with?
- Antisocial Personality – disregard for others with exploitation; repeated unlawful actions, deceit, sexual acting out, failure to accept personal responsibility; maladaptive coping; low tolerance for frustrations; violence |
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What is anxiety?
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What is anxiety?
- Anxiety is a response to stress - Defense mechanisms are used by people with anxiety disorders |
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Visual appearance of panic disorder?
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Visual appearance of panic disorder?
- SOB, immobility, extreme nervousness, choking sensation, worried, agitated, disheveled and demanding |
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Severe anxiety disorder, what do you do?
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Severe anxiety disorder, what do you do?
- Calm them down and stay with patient |
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Best way to decrease anxiety?
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Best way to decrease anxiety?
- teach pt skills to decrease stress |
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How do you know if pt with GAD (Generalized Anxiety Disorder) is improving?
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How do you know if pt with GAD (Generalized Anxiety Disorder) is improving?
- Recognizing own triggers and coping skills |
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PTSD (Post Traumatic Stress Disorder)?
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PTSD (Post Traumatic Stress Disorder)?
- Traumatic event that causes disturbing flashbacks. S/S = sleep disturbances, avoiding others, irritable and poor concentration |
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War veteran having anger and depression and is ashamed of symptoms (PTSD), what is the nurses best response?
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War veteran having anger and depression and is ashamed of symptoms (PTSD), what is the nurses best response?
- Other people suffer these symptoms - Let them know that a lot of people have S/S similar to theirs |
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What are S/S of social phobia with an exacerbation?
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What are S/S of social phobia with an exacerbation?
- severe anxiety and fear of social situations |
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claustrophobia
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claustrophobia
- fear of enclosed spaces |
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arachnophobia
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arachnophobia
- fear of spiders |
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Xenophobia
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Xenophobia
- fear of strangers |
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Ophidiophobia
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Ophidiophobia
- fear of snakes |
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Aviophobia
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Aviophobia
- Fear of flying |
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Nyctophobia
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Nyctophobia
- Fear of the dark |
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agoraphobia
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agoraphobia
- The client avoids being outside and has impaired ability to work or perform duties |
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Understand that compulsive symptoms develop because clients are what?
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Understand that compulsive symptoms develop because clients are what?
- Client is trying to control unacceptable impulses and feelings - Lack of control feeling |
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If you admit a person who has OCD behavior and they have to wash their hands 35 times before coming to the table, what would you put in their nursing care plan?
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If you admit a person who has OCD behavior and they have to wash their hands 35 times before coming to the table, what would you put in their nursing care plan?
- Be supportive of them and decrease the number of times they perform behavior (wash hands 30 times) - Help to limit these behaviors |
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Patient suffering from Hypochondriasis, what is this?
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Patient suffering from Hypochondriasis, what is this?
~ Expect them to express fear of diseases ~ Hypochondriasis is a preoccupation with bodily functions and fears of acquiring or having a serious disease based on misinterpretation of physical symptoms ~ Persists for at least 6 months despite negative medical evaluation; evaluate all new symptoms ~ Bodily symptoms reported are not consistent with the client’s perception of specific illness ~ Examination/reassurance by provider does not relieve the concerns of the client, who tends to believe the provider has failed to find the cause |
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Hypochondriasis patient c/o chest pain and tuberculosis, but the xrays come back negative, what do you do?
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Hypochondriasis patient c/o chest pain and tuberculosis, but the xrays come back negative, what do you do?
- Send them to their primary MD for further treatment (report to primary provider) - Respond to all of patients complaints - Always check VS |
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A nurse understands that in a conversion disorder, pseudo neurologic symptoms such as paralysis and blindness meets what need?
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A nurse understands that in a conversion disorder, pseudo neurologic symptoms such as paralysis and blindness meets what need?
- Behaviors are necessary for the client to cope (the answer) - The client needs the pseudo neurologic symptoms to help them cope - Conversion Disorder – Sudden loss of neurological function, usually at a time of severe stress that cannot be explained fully by a physical disorder - 1 or > symptoms of loss of voluntary motor or sensory function - No evidence that symptoms is feigned or intentionally produced - Loss of function is not due to medical illness and is not a culturally expected behavioral response - The onset of symptoms is linked to a socially or psychologically stressful event - The client may display a lack of concern about the debilitating symptoms - S/S: inability to walk, weakness, impaired coordination or balance, paralysis of an arm or a leg, loss of sensation in a body part - May have simulated convulsions, blindness, deafness; don’t focus on symptoms (reinforces behavior) |
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If you have a person that has a conversion disorder, you know this happens because the person has what?
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If you have a person that has a conversion disorder, you know this happens because the person has what?
- They have developed an unconscious or pseudo neurological symptoms to deal or cope with their stressors - stress has gone into condition - deal with their stressors and not their symptoms (symptoms will then disappear) |
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What is body dysmorphic disorder?
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What is body dysmorphic disorder?
- Preoccupation with an imagined defect in appearance, causing significant distress or interfering with social, occupational, or other important areas of functioning - The disorder may be associated with multiple, frantic, and unsuccessful attempts to correct the imagined defect by cosmetic surgery (patient will never be satisfied with surgeries) - Client may avoid appearing in public, including work and social activities, due to being self-conscious about appearance |
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What is the nursing approach to someone with body dysmorphic disorder (what do you put in their nursing care plan)?
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What is the nursing approach to someone with body dysmorphic disorder (what do you put in their nursing care plan)?
- Get the patient to talk - Assess ability to communicate feelings and needs - Assess the client’s ability to identify and verbalize sources of stress |
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paranoid personality disorder
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paranoid personality disorder
- distrustful, suspicious, hypervigilant toward others. think others want to hurt, exploit or deceive them |
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When you deal with a borderline personality, what are you dealing with?
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When you deal with a borderline personality, what are you dealing with?
- Inability of affect, identity and relationships. LACK OF SELF ESTEEM, FEAR OF ABANDONMENT, STRONG DEPENDENCY NEEDS, MANIPULATION AND IMPULSIVENESS. Has splitting behaviors and often tries self mutilation and may be suicidal - Has splitting behaviors - Splitting is the inability to incorporate positive and negative aspects of self into a whole image and is commonly associated with borderline personality disorder - In splitting, client tends to characterize people or things as all good or all bad at any particular moment |
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What are S/S of antisocial personality disorder?
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What are S/S of antisocial personality disorder?
- DISREGARD FOR OTHERS WITH EXPLOITATION, REPEATED UNLAWFUL ACTS, SEXUAL ACTING OUT, MALADAPTIVE COPING, LOW TOLERANCE FOR FRUSTRATION AND VIOLENCE. Failure to accept responsibility and has issues with deceit - Low frustration tolerance when they don’t get their way |
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What is narcissistic personality?
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What is narcissistic personality?
- arrogant, grandiose views of SELF IMPORTANCE, the need for consistent admiration, and a LACK OF EMPATHY FOR OTHERS that strains most relationships and are often sensitive to criticism |
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What is a nursing intervention for a patient with dependent personality?
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What is a nursing intervention for a patient with dependent personality?
- Teach them something simple like what clothing to always choose (teach them how to dress) - Give them advice and direction - Someone with a dependent personality would have an inability to make choices or decisions without advice |
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What is Dependent personality?
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What is Dependent personality?
- Extreme dependency in close relationship with urgent search to find a replacement when 1 relationship ends; the most frequently seen personality disorder |
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You have an adolescent client with an eating disorder and you realize she has over and over binge eating and self-induced vomiting, what would that be labeled?
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You have an adolescent client with an eating disorder and you realize she has over and over binge eating and self-induced vomiting, what would that be labeled?
- Bulimia |
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In ER, a patient comes in on gurney, they have Tachycardia, low BP, 5’6”, weighs 80 pounds, what is your first priority?
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In ER, a patient comes in on gurney, they have Tachycardia, low BP, 5’6”, weighs 80 pounds, what is your first priority?
- Get nutritional therapy - Don’t feed them (refeeding syndrome; they will die) |
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What is bulimia?
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What is bulimia?
- Bingeing and Purging (although a few don’t purge, just binge). Uses vomiting, laxatives and diuretics for help to purge. Nurse should monitor meal intake and watch for purging. Try and normalize their eating pattern. |
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What is a nursing intervention for any anorexia nervosa patient?
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What is a nursing intervention for any anorexia nervosa patient?
- Provide one on one supervision during meals and for 1 hour after meals |
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What is a weight goal for anorexia nervosa patient’s?
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What is a weight goal for anorexia nervosa patient’s?
- Gain one pound a week |
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What is anorexia?
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What is anorexia? Preoccupation with food and the rituals of eating, along with voluntary refusal to eat. Morbid fear of obesity.
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somatization
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somatization
- A chronic, severe psychiatric disorder characterized by many recurring clinically significant physical reports that cannot be explained fully by a physical disorder |
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derealization
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derealization
- experiencing familiar persons and surroundings as if they were unfamiliar and strange or unreal |
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splitting
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splitting
- inability to incorporate positive and negative aspects of self into a whole image and is commonly associated with borderline personality disorder |
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MDD (Major Depressive Disorder)
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MDD (Major Depressive Disorder)
- Symptoms must happen almost every day, last most of the day and occur continously for a min 2 weeks. Can be a single or recurrent episode of unipolar depression resulting in significant change in normal function |
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bipolar disorder
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bipolar disorder
- recurrent episodes of depression and mania |
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What is cyclothymic disorder?
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What is cyclothymic disorder?
- The client has at least 2 years of repeated HYPOMANIC episodes alternating with MINOR depressive episodes |
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What is dysthymic disorder?
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What is dysthymic disorder?
- Milder form of depression that usually has an earlier onset, such as in childhood or adolescence, and lasts at least 2 years in length for adults (one year in length for children) |
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If you have a client that is depressed what do you want to involve them in?
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If you have a client that is depressed what do you want to involve them in?
- Activities that promote success (some feeling of accomplishment) |
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Schizophrenia
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Schizophrenia
- group of psychotic disorders that affect thinking, behavior, emotions and the ability to perceive reality. Structural brain abnormalities |
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looseness of association
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looseness of association
- used when putting together a sentence, using flight of ideas but barely connecting the topics together????? |
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echolalia
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echolalia
- pt repeats the words spoken to him |
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echopraxia
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echopraxia
- involuntary imitation of the movements of other people |
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word salad
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word salad
- jumbled words with little or no meaning |
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anhedonia
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anhedonia
- loss of interest, loss of pleasure |
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Somatic Delusions
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Somatic Delusions:
- the client believes that his body is changing in an unusual way, such as growing a third arm |
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dependent personality disorder
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dependent personality disorder
- extreme dependency in close relationship |
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avolition
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avolition
- lack of motivation in activities and hygiene |
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Positive nursing action when caring for a Middle aged person that is depressed? How can you build trust?
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Positive nursing action when caring for a Middle aged person that is depressed?
- Sit with them Q2. how can you build trust? ~Spend some time with them, one on one |
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Pt that has episodes of mania and depression?
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Pt that has episodes of mania and depression?
- Bipolar disorder |
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Pt in manic phase, what can you help them?
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Pt in manic phase, what can you help them?
- Have them organize something or take a walk, dont give them anything that the can cause harm/damage |
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Risks associated with Schizophrenia?
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Risks associated with schizophrenia?
- Violence towards others. |
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How do you deal with a pt who thinks their food is poisoned?
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How do you deal with a pt who thinks their food is poisoned?
- Simply tell them its not and let them open their own packaged food |
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Pt with schizophrenia admitted to mental facility, what do you do first to develop a therapeutic relationship?
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Pt with schizophrenia admitted to mental facility, what do you do first to develop a therapeutic relationship?
- Spend some time and build trust, sit with them |
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Schizophrenic on unit, what is nurses diagnosis that comes first?
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Schizophrenic on unit, what is nurses diagnosis that comes first?
- Risk for harm to self and others |
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paranoid schizo says aliens are stealing his brain?
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paranoid schizo says aliens are stealing his brain?
- Acknowledge how frightened he must be but assure him that aliens are not trying to steal his brain |
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Pt yelling and talking to self?
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Pt yelling and talking to self?
-Hallucinations |
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Anorexia pt, how do you supervise meals?
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Anorexia pt, how do you supervise meals?
-Watch for intake and watch pt for 1 hours afterward |
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Body dysmorphic?
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Body dysmorphic?
-Image distortion. have frequent cosmetic surgery |
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Nurses approach to pt the body dysmorphia?
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Nurses approach to pt the body dysmorphia?
- encourage them to talk about their fears |
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A person who acts and looks Depressed might have what condition (with history of rape)?
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A person who acts and looks Depressed might have what condition (with history of rape) ?
- PTSD |
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Pt with social phobia S/S?
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Pt with social phobia S/S?
- severe anxiety and fear |
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A patient with acute psychosis, schizophrenia is characterized by what?
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A patient with acute psychosis, schizophrenia is characterized by what?
- Waxy flexibility, echolalia, alteration in thought (delusions, hallucinations, echolalia, echopraxia) |
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What are Delusions?
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What are Delusions?
- False fixed beliefs that cannot be corrected by reasoning and are usually bizarre |
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Ideas of Reference
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Ideas of Reference
- A type of delusion in which the client misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about him |
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Delusion of persecution
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Delusion of persecution
- The client feels singled out for harm by others, such as being hunted down by FBI |
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Delusions of grandeur
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Delusions of grandeur
- The client believes that she is all powerful and important, like a god |
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Somatic Delusions
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Somatic Delusions
- The client believes that his body is changing in an unusual way, such as growing a third arm |
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Delusion of jealousy
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Delusion of jealousy
- An example of this type of delusion is when the client feels that her spouse is sexually involved with another individual |
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Delusions of religiosity
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Delusions of religiosity
- The client is obsessed with religious beliefs |
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Being Controlled Delusion
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Being Controlled Delusion
- A type of delusion in which the client believes that a force outside his body is controlling him |
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Thought broadcasting
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Thought broadcasting
- A type of delusion in which the client believes that her thoughts are heard by others |
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Thought Insertion
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Thought Insertion
- A type of delusion in which the client believes that others’ thoughts are being inserted into his mind |
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Thought withdrawal
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Thought withdrawal
- A type of delusion in which the client believes her thoughts have been removed from her mind by an outside agency |
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The most serious hallucination is worse,, so get over yourself
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The most serious hallucination is worse,, so get over yourself!!!!!
U are crazy and belong in a nuthouse |