1 Flashcards
Don’t use open-ended questions to clients with what psychiatric disorder?
Rape and Manic patients
Therapeutic use of self requires “Clear understanding of one’s self” as stated by who?
Hildegard Peplau (1952)
Methods used to increase self awareness includes role playing, which means?
put self in clients situation
Methods used to increase self-awareness includes introspection, which means?
Reflection, spend time conscientiously
Basic, innate desire, pleasure principle.
Id
Ego
Superego
Id
If a person has a strong id what cluster of personality disorder arises?
A
B
C
B
What are the three personality disorders under cluster B?
Narcissistic
Boarderline personality disorder
Antisocial
Reality principle, balancing, mediating force.
Id
Ego
Superego
Ego
If a person has a strong ego, what cluster of personality arises?
A
B
C
A
Cluster A personality disorder has what personality disorders?
Schizotypal
Magical thinking
Moral, ethical concept, value principle. Parental and social expectations.
Id
Ego
Superego
Superego
If a person has strong superego, what cluster of personality arises?
A
B
C
C
Cluster C personality disorder includes what three personality disorders?
OCD
Avoidant
Dependent
What are the three levels of consciousness?
Conscious
Pre-conscious
Unconscious
Ideas and reactions partially forgotten.
Slip of the tongue
Conscious
Pre-conscious
Unconscious
Per-conscious
Repressed
Cannot be recalled at will
Unconsciously forgotten
Conscious
Pre-conscious
Unconscious
Unconscious
Client dismiss to therapist
Empathy
Transference
Counter transference
Transference
Therapist displace into client.
Sympathy.
Transference
Counter transference
Counter transference
Distance of
Intimate
Personal
Social
Public
Intimate: 1.5 ft
Personal 1.5 - 3 ft
Social 3 - 5 ft
Public 5 ft onwards
What distance is too near for nurse - patient relationship?
Intimate
Personal
Social
Public
Intimate and personal
“That’s good” “that’s bad” are examples of
A. Therapeutic communication
B. Non-therapeutic communication
B. Non-Thera
Proper sequence commenting to a client.
A. Acknowledge, present reality, know what the patient hears.
B. Present reality, acknowledge, know what the patient hears
C. Know what the patient hears, acknowledge, present reality.
A. Acknowledge, present reality, know what the patient hears.
Always, never, none, all are examples of
A. Thera com
B. Non- Thera com
B. Non-Thera com
Characterized as having 6 months of continued anxiety.
GAD
Characterized as having flashbacks.
PTSD
“You need to” “You must” “you should” are examples of
A. Thera com
B. Non-Thera com
B. Non-Thera com
“Tell me, how do you feel” is an example of
A. Thera com
B. Non-Thera com
A. Thera com
“Tell me, how do you feel” is an example of
A. Thera com
B. Non-Thera com
A. Thera com
Closed ended questions are for what disorders only?
- Manic: to discourage them to control the conversation.
- Rape/Crisis victim: may misconstrue open ended question with prying.
Who is the theorist that states, nurse must assist the patient to attain positive behavioral change.
Hildegard Peplau
Begins when a nurse is assigned to a patient
Pre-orientation
Orientation
Working
Termination
Pre-orientation
The most important aspect in orientation phase.
Contract signing
Rationale: to set up expectation.
Longest, most productive phase.
Pre-orientation
Orientation
Working
Termination
Working
The three S in working phase.
Safety and security
Stay with the client
Set limits
Gradual weaning off
Pre-orientation
Orientation
Working
Termination
Termination
8 year old and above is considered as late behavioral changes.
True
False
True
Alcoholic Anonymous is an example of what type of therapy?
One on one
By Pair
Group
Group
Dopamine, Norepinephrine, and Epinephrine are produced by what gland?
Adrenal medulla
Dopamine, norepinephrine, and epinephrine are excitatory hormone.
True
False
True
Controls complex movement, motivation, cognition, and regulate emotional response.
Dopamine
Norepinephrine
Epinephrine
Dopamine
Contradicts serotonin
Dopamine
Norepinephrine
Epinephrine
Norepinephrine
Changes in attention, learning, and memory, sleep and wakefulness, mood.
Dopamine
Norepinephrine
Epinephrine
Norepinephrine
Fight or flight response
Dopamine
Norepinephrine
Epinephrine
Epinephrine / adrenaline
Serotonin has inhibitory action.
True
False
True
Control of food intake, sleep and wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotions.
Serotonin
Histamine
Acetylcholine
Serotonin
Histamine is a neuromodulator.
True
False
True
Alertness, control of gastric secretions, cardiac stimulation, peripheral allergic response.
Serotonin
Histamine
Acetylcholine
Histamine
Acetylcholine can be both excitatory and inhibitory.
True
False
True
Sleep and wake cycle, signal muscles to become alert.
Serotonin
Histamine
Acetylcholine
Acetylcholine
In cognitive therapy, the nurse let the patient decide.
True
False
True
In schizophrenia, there is an increase in what neurotransmitter?
Dopamine
Epinephrine
Serotonin
Histamine
Acetylcholine
Dopamine
a type of brain surgery that involves severing the connection between the frontal lobe and other parts of the brain.
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
Lobotomy
Uses large doses of insulin to decrease glucose level to induce hypoglycemia to depress the levels of excess epinephrine.
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
Insulin shock therapy
Impulses of electrical energy stimulate the vagus nerve.
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
Vagus nerve stimulation
Use of drugs to treat psychiatric condition.
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
Clinical psychopharmacology
Uses Electric current to induce convulsive seizures in neuron top cause temporary amnesia, and to alleviate symptom
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
ECT
The use of biological treatment for mental disorder
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
Somatic therapy
The use of biological treatment for mental disorder
Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT
ECT voltage
70-150
ECT length
0.5 - 2 sec
Other books 8 sec
ECT frequency
6-12 treatments with 48 hours apart
Indications for ECT
Depression
Mania
Catatonic
Schizophrenia
Contraindications for ECT
Fever
Increased ICP
TB with hex of hemorrhage
Cardiac condition
Recent fracture
Retinal detachment
Pregnancy
