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Psychiatric Nursing > 1 > Flashcards

1 Flashcards

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1
Q

Don’t use open-ended questions to clients with what psychiatric disorder?

A

Rape and Manic patients

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2
Q

Therapeutic use of self requires “Clear understanding of one’s self” as stated by who?

A

Hildegard Peplau (1952)

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3
Q

Methods used to increase self awareness includes role playing, which means?

A

put self in clients situation

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4
Q

Methods used to increase self-awareness includes introspection, which means?

A

Reflection, spend time conscientiously

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5
Q

Basic, innate desire, pleasure principle.

Id
Ego
Superego

A

Id

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6
Q

If a person has a strong id what cluster of personality disorder arises?

A
B
C

A

B

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7
Q

What are the three personality disorders under cluster B?

A

Narcissistic
Boarderline personality disorder
Antisocial

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8
Q

Reality principle, balancing, mediating force.

Id
Ego
Superego

A

Ego

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9
Q

If a person has a strong ego, what cluster of personality arises?

A
B
C

A

A

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10
Q

Cluster A personality disorder has what personality disorders?

A

Schizotypal
Magical thinking

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11
Q

Moral, ethical concept, value principle. Parental and social expectations.

Id
Ego
Superego

A

Superego

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12
Q

If a person has strong superego, what cluster of personality arises?

A
B
C

A

C

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13
Q

Cluster C personality disorder includes what three personality disorders?

A

OCD
Avoidant
Dependent

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14
Q

What are the three levels of consciousness?

A

Conscious
Pre-conscious
Unconscious

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15
Q

Ideas and reactions partially forgotten.
Slip of the tongue

Conscious
Pre-conscious
Unconscious

A

Per-conscious

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16
Q

Repressed
Cannot be recalled at will
Unconsciously forgotten

Conscious
Pre-conscious
Unconscious

A

Unconscious

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17
Q

Client dismiss to therapist
Empathy

Transference
Counter transference

A

Transference

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18
Q

Therapist displace into client.
Sympathy.

Transference
Counter transference

A

Counter transference

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19
Q

Distance of

Intimate
Personal
Social
Public

A

Intimate: 1.5 ft
Personal 1.5 - 3 ft
Social 3 - 5 ft
Public 5 ft onwards

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20
Q

What distance is too near for nurse - patient relationship?

Intimate
Personal
Social
Public

A

Intimate and personal

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21
Q

“That’s good” “that’s bad” are examples of

A. Therapeutic communication
B. Non-therapeutic communication

A

B. Non-Thera

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22
Q

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

A. Acknowledge, present reality, know what the patient hears.

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23
Q

Always, never, none, all are examples of

A. Thera com
B. Non- Thera com

A

B. Non-Thera com

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24
Q

Characterized as having 6 months of continued anxiety.

A

GAD

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25
Q

Characterized as having flashbacks.

A

PTSD

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26
Q

“You need to” “You must” “you should” are examples of

A. Thera com
B. Non-Thera com

A

B. Non-Thera com

27
Q

“Tell me, how do you feel” is an example of

A. Thera com
B. Non-Thera com

A

A. Thera com

28
Q

“Tell me, how do you feel” is an example of

A. Thera com
B. Non-Thera com

A

A. Thera com

29
Q

Closed ended questions are for what disorders only?

A
  1. Manic: to discourage them to control the conversation.
  2. Rape/Crisis victim: may misconstrue open ended question with prying.
30
Q

Who is the theorist that states, nurse must assist the patient to attain positive behavioral change.

A

Hildegard Peplau

31
Q

Begins when a nurse is assigned to a patient

Pre-orientation
Orientation
Working
Termination

A

Pre-orientation

32
Q

The most important aspect in orientation phase.

A

Contract signing

Rationale: to set up expectation.

33
Q

Longest, most productive phase.

Pre-orientation
Orientation
Working
Termination

A

Working

34
Q

The three S in working phase.

A

Safety and security
Stay with the client
Set limits

35
Q

Gradual weaning off

Pre-orientation
Orientation
Working
Termination

A

Termination

36
Q

8 year old and above is considered as late behavioral changes.

True
False

A

True

37
Q

Alcoholic Anonymous is an example of what type of therapy?

One on one
By Pair
Group

A

Group

38
Q

Dopamine, Norepinephrine, and Epinephrine are produced by what gland?

A

Adrenal medulla

39
Q

Dopamine, norepinephrine, and epinephrine are excitatory hormone.

True
False

A

True

40
Q

Controls complex movement, motivation, cognition, and regulate emotional response.

Dopamine
Norepinephrine
Epinephrine

A

Dopamine

41
Q

Contradicts serotonin

Dopamine
Norepinephrine
Epinephrine

A

Norepinephrine

42
Q

Changes in attention, learning, and memory, sleep and wakefulness, mood.

Dopamine
Norepinephrine
Epinephrine

A

Norepinephrine

43
Q

Fight or flight response

Dopamine
Norepinephrine
Epinephrine

A

Epinephrine / adrenaline

44
Q

Serotonin has inhibitory action.

True
False

A

True

45
Q

Control of food intake, sleep and wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotions.

Serotonin
Histamine
Acetylcholine

A

Serotonin

46
Q

Histamine is a neuromodulator.

True
False

A

True

47
Q

Alertness, control of gastric secretions, cardiac stimulation, peripheral allergic response.

Serotonin
Histamine
Acetylcholine

A

Histamine

48
Q

Acetylcholine can be both excitatory and inhibitory.

True
False

A

True

49
Q

Sleep and wake cycle, signal muscles to become alert.

Serotonin
Histamine
Acetylcholine

A

Acetylcholine

50
Q

In cognitive therapy, the nurse let the patient decide.

True
False

A

True

51
Q

In schizophrenia, there is an increase in what neurotransmitter?

Dopamine
Epinephrine
Serotonin
Histamine
Acetylcholine

A

Dopamine

52
Q

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

A

Lobotomy

53
Q

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

A

Insulin shock therapy

54
Q

Impulses of electrical energy stimulate the vagus nerve.

Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT

A

Vagus nerve stimulation

55
Q

Use of drugs to treat psychiatric condition.

Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT

A

Clinical psychopharmacology

56
Q

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

A

ECT

57
Q

The use of biological treatment for mental disorder

Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT

A

Somatic therapy

58
Q

The use of biological treatment for mental disorder

A

Somatic therapy
Lobotomy / psychosurgery
Insulin shock therapy
Vagus nerve stimulation
Clinical psychopharmacology
ECT

59
Q

ECT voltage

A

70-150

60
Q

ECT length

A

0.5 - 2 sec

Other books 8 sec

61
Q

ECT frequency

A

6-12 treatments with 48 hours apart

62
Q

Indications for ECT

A

Depression
Mania
Catatonic
Schizophrenia

63
Q

Contraindications for ECT

A

Fever
Increased ICP
TB with hex of hemorrhage
Cardiac condition
Recent fracture
Retinal detachment
Pregnancy

Psychiatric Nursing (3 decks)

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