Nu 201 - Exam 2 - Psych Nursing

Front 1

A person diagnosed with ------------- is characterized as someone with distortions of reality, withdrawal from social interactions and disorganization of perception, thought, and emotion.

Back 1

Schizophrenia

Front 2

Children of one schizophrenic parent have --.-% chance of exhibiting schizophrenic where as a child who’s mother and father are schizophrenic have a --% to --% chance of developing the diso rder.

Back 2

16.4 / 38-68

Front 3

Biogenic Amine hypothesis of schizophrenia is a possible deficiency in -------------------------, a decreased activity of the enzyme --------------------------, or an excess of --------------------

Back 3

enzymes that converts dopamine to norepinephrine, monoamine oxidize, dopamine

Front 4

Psychodynamic theorists believe schizophrenia develops during the ---- stage.

Back 4

Oral

Front 5

What are 6 maladaptive parent-child and family interactions?

Back 5

Schizophrenic mothers and fathers, schismatic family pattern, marital skew, pseudo-mutuality, double-bind communication pattern, and undermining of personal authenticity.

Front 6

Imaginary achievement of goals and meeting of needs.

Back 6

Fantasy

Front 7

Attributing one’s own unacceptable thoughts and desires unto others.

Back 7

Projection

Front 8

Decreased emotional involvement in situations that are perceived as threatening

Back 8

Emotional insulation

Front 9

Return to an earlier development level associated with greater comfort and security.

Back 9

Regression

Front 10

What kind of speech my someone with schizophrenia have?

Back 10

Neologisms, echolalia, word salad, and loose association.

Front 11

Speech where new words are formed to express an idea

Back 11

neologisms

Front 12

Speech where client is repeating what someone else said.

Back 12

Echolalia

Front 13

Speech containing a mixture of words and phrases lacking comprehensive meaning or coherence.

Back 13

Word salad

Front 14

Speech verbalizing a connection between unrelated ideas. Ex: it’s a brown rug I’m cold.

Back 14

Loose association

Front 15

The belief that others are spying on or planning to harm you

Back 15

Persecutory delusions

Front 16

The belief that the individual is extremely important or has extraordinary talent or powers, or is a famous person

Back 16

Delusions of grandeur

Front 17

Client looses track of thoughts or client blocks thoughts. Ex: “Yea I was going to.. (client walks away)

Back 17

Thought fragmentation

Front 18

Impaired ability to perceive self as separate from other or to distinguish internal stimuli from external stimuli.

Back 18

Autistic thinking

Front 19

Thinking equals doing

Back 19

Magical thinking

Front 20

Inablility to conceptualize meaning in words or thoughts

Back 20

Concrete cognitive ability

Front 21

The belief that events, objects, or other people are significant to the individual, usually of a negative nature. Ex: the stock market crashes and they think they are responsible

Back 21

Delusions of reference

Front 22

The belief that ones thought can be heard by others

Back 22

Thought broadcasting

Front 23

The belief that thoughts that are not one’s own are inserted into one’s mind

Back 23

thought insertion

Front 24

Mixed feelings associated with significant relationships

Back 24

Profound ambivalence

Front 25

. What are the 4 different kinds of hallucinations that a person with schizophrenia can have (sometimes all at once) ?

Back 25

Auditory, tactile, somatic, and visual

Front 26

What are the 4 theories of the etiology of paranoia?

Back 26

Psychoanalytic theory, hostility theory, homeostatic theory, and Colby’s shame humiliation theory

Front 27

What are 5 behaviors to cope with anxiety?

Back 27

Withdrawal, acting out, psychosomatization, avoidance, and problem solving.

Front 28

A repeating disturbing thought is also know as

Back 28

Obsession

Front 29

A ritualistic behavior performed to dissipate anxiety and to avoid conflicts is called

Back 29

Compulsion

Front 30

A panic disorder is described as at least --- panic attacks within the ----- week period in situations that are not life threatening and does not involve physical exertion.

Back 30

3, 3

Front 31

What are symptoms of panic disorder and how many do you need to have in order to be classified?

Back 31

Dyspnea, palpitations, choking or smothering, dizziness, tingling of hands and feet, sweating, faintness etc. 4

Front 32

The fear of being alone or in public places from which escape may be difficult

Back 32

Agoraphobia

Front 33

The compelling desire to avoid a situation in which a person may be exposed to possible scrutiny by others and fears being humiliated or embarrassed.

Back 33

Social Phobia

Front 34

All other irrational fears

Back 34

Simple Phobia

Front 35

The sudden ability to recall important information or unexpected travel away from home or work with inability to recall one’s past.

Back 35

Psychogenic Amnesia

Front 36

What symptoms may someone with PTSD have?

Back 36

re-experiencing the event through dreams, flashbacks, denial, confusion or disorganization when thinking about event, fatigue, H/A, alteration in social roles, etc.

Front 37

A group of psychological disorders in which the client experiences physical symptoms even though they have no organic or pathologic basis.

Back 37

Somatoform disorders

Front 38

The symptoms block psychological conflict or anxiety from conscious awareness

Back 38

Primary Gain

Front 39

The physical symptoms release the person from performing responsibilities and they receive attention form others

Back 39

Secondary gain

Front 40

Altering ones usual level of self-awareness in order to escape an upsetting event or feeling. Memory becomes fragmented

Back 40

Dissociative disorder

Front 41

What are some common characteristics of a client with a personality disorder?

Back 41

inflexible maladaptive response to anxiety, enraging, self-centered, etc.

Front 42

How many different personality disorder clusters are there?

Back 42

Three cluster A, B, and C

Front 43

A dramatic display of emotions, intense interpersonal conflictual relationships and labile mood characterize which cluster?

Back 43

Cluster B

Front 44

The more adaptive end of the schizophrenic spectrum, the person appears eccentric and may seem cold, withdrawn, suspicious, and irrational. These describe what cluster?

Back 44

Cluster A

Front 45

Characteristics of this cluster are anxious, tense, and over controlled

Back 45

Cluster C

Front 46

How do you treat people who’s disorders fall into these clusters?

Back 46

Promote participation, enlist the family, improve coping skills, reduce inappropriate behaviors, mild confrontation, setting limits, provide physical safety

Front 47

A person with this disorder has extreme distrust of others and think that they are out to get them. They are suspicious and guarded.
What cluster does this disorder fall into?

Back 47

Paranoid personality
Cluster A

Front 48

A person with this disorder has impaired social relationships because they have no means of social intelligence.
What cluster does this disorder fall into?

Back 48

Schizoid Personality Disorder
Cluster A

Front 49

A person with this disorder has a pessimistic perceptual lens. They feel unappreciated, unloved, overworked, used and abused.
What cluster does this disorder fall into?

Back 49

Passive Aggressive Personality
Cluster C

Front 50

A person with this disorder has an exaggeration of achievements and talents. They feel they have entitlement.

Back 50

Narcissistic Personality Disorder
Cluster B

Front 51

A person with this disorder is focused on perfectionism and they insist that others submit to his or her way of doing things.
What cluster does this disorder fall into?

Back 51

Compulsive Personality Disorder
Cluster C

Front 52

A person with this disorder tends to be over dramatic, they have an exaggerated expression of emotions, they draw attention to themselves.
What cluster does this disorder fall into?

Back 52

Histrionic personality disorder
Cluster B

Front 53

A person with this disorder has a hypersensitivity to potential rejection, humiliation, or shame. They are unwilling to enter relationships unless there are strong guarantees of uncritical acceptance.
What cluster does this disorder fall into?

Back 53

Avoidant Personality
Cluster C

Front 54

A person with this disorder is cunning and design schemes to outwit or punish their adversaries. They act out usually with aggressive sexual behavior, vandalism, fighting, dangerous sports, and repeated lying. They tend to have conflict with authority figures.
What cluster does this disorder fall into?

Back 54

Antisocial personality disorder
Cluster B

Front 55

What are some characteristics of a person with borderline personality disorder?

Back 55

They are impulsive and unpredictable, identity disturbance, unstable moods, difficulty in being alone, engages in self mutilation, and chronic feelings of emptiness or boredom.

Front 56

For a client who has the problem of maladaptive defense mechanisms as a means of coping with anxiety and is in a state of denial what would be some appropriate nursing interventions?

Back 56

Remain emotionally neutral, provide health teaching but allow patient to make all decisions that pertain to their care.

Front 57

What are some nursing interventions for a client dealing with devaluation (client is unable to feel good about themselves unless someone else can appear bad, usually trying arouse your feelings of anger).

Back 57

Do not exhibit anger toward the client verbalize: “It sounds as though you want me to get mad at you.” etc.

Front 58

What are some nursing interventions for a client experiencing idealization?

Back 58

Convey to the client that you are not a perfect nurse that you have strengths and weaknesses just like all other human beings.

Front 59

What are some nursing assessment criteria for anorexia nervosa?

Back 59

Intense fear of becoming fat, alteration of body image, at least 25% of original body weight loss, no known physical illness that would cause weight loss, and a refusal to maintain normal weight and height for age.

Front 60

How does someone with an eating disorder look?

Back 60

they have a hollow face with sunken eyes, lanugo on skin, yellow tinge to skin, and dry hair which my fall out.

Front 61

What happens to their temp. and pulse? (person with an eating disorder)

Back 61

They decrease

Front 62

What is their mood like?
(person with an eating disorder)

Back 62

anxious when discussing weight, fearful of becoming fat, quiet after eating, and separation anxiety.

Front 63

What are some examples of behavior someone with anorexia nervosa may exhibit?

Back 63

Controlling, ritualistic exercise regimes, use of laxatives, enemas, and diuretics, bizarre eating habits, preoccupation with calorie counting, denial of hunger or need for treatment.

Front 64

What are the 4 interaction pattern characteristics of anorexic families?

Back 64

Enmeshment, over protectiveness, rigidity, and conflict avoidance.

Front 65

Why is male anorexia less frequent than female anorexia?

Back 65

Because males have a greater emphasis of muscle development rather than slimness, they are more likely to act out feelings than to internalize them.

Front 66

What are some causes of post adolescent male anorexia?

Back 66

lack of educational and occupational achievement, opposition to male sex role standers, and failure to attain adult autonomy.

Front 67

An unconscious rapid consumption of large amounts of food .

Back 67

Binge eating

Front 68

Someone who is bulimic tends to _______ in weight

Back 68

fluctuate

Front 69

What are some nursing interventions for a client with an eating disorder?

Back 69

Support identification and expression of feelings beyond eating and weight, contracting with consistent limit setting regarding caloric intake and activity, encourage client to interact with peers, provide the client opportunity to develop autonomy, etc.