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Psychiatric > ATI 2023 3 > Flashcards

ATI 2023 3 Flashcards

1
Q

Experiencing extrapyramidal effects.
What nurse should do?

A

Administer benztropine

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2
Q

Benzodiazepine ADR?

A

Dizziness

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3
Q

Benzodiazepines are often prescribed for what treatment?

A

seizure

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4
Q

Alprazolam
What education to include?

A

Do not drive
=benzodiazepine

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5
Q

Name
benzodiazepine

A

Alprazolam
Chlordiazepoxide
Clorazepate
Clonazepam
Diazepam

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6
Q

Name
SSRIs

A

Sertraline
Fluoxetine
Citalopram
Paroxetine

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7
Q

Anxiety
mild

A

restlessness
irritability
Heightened perception

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8
Q

Anxiety
moderate

A

difficulty concentrating
muscle tightness

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9
Q

Anxiety
Sever

A

Inability to function
ritualistic behavior
withdrawn
doom

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10
Q

Anxiety
Panic

A

immobility
chest pain
shortness of breath

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11
Q

somnolence

A

眠気　

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12
Q

ritualistic

A

儀式的

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13
Q

hypervigilance

A

過度の警戒

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14
Q

doxepin?
Classification
ADR?
What needs to report immediately?

A

tricyclic antidepressant
drowsiness
Urinary retention

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15
Q

A nurse is assessing a pt who has GAD and states “I drink alcohol to forget the pain” The pt exhibiting what defense mechanisms?

A

Rationalization/ a person covers up a real or perceived problem or weakness.

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16
Q

muscle flaccidity

A

A type of paralysis in which a muscle becomes soft and yields to passive stretching

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17
Q

Tourette’s disorder, what behavior should we expect?

A

Multiple motor and vocal tics

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18
Q

derealization disorder?

A

Surroundings are unreal

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19
Q

Working or termination phase?
1) problem-solving
2) discuss ways to use the new behavior
3) recognize the transfer
help work through the grief response

A

1) W
2) T
3) T

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20
Q

How much it considers too much drinking?

A

Mal 5 or more in 2 hours
Female 4 or more

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21
Q

MAOIs contraindication in pt is taking what med?

A

SSRIs
Serotonin syndrome

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22
Q

Malignant

A

〈人・行為などが〉悪意のある
〔病理〕悪性の

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23
Q

What manifestation of serotonin syndrome?

A

delirium
abdominal pain
muscle spasms
irritability

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24
Q

diaphoresis

A

sweating

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25
Q

A nurse is caring for a pt who has MDD, what are expecting findings?
a)feeling of hopelessness
b) pressured speech
c) grandiosity
d) anhedonia
e) flat facial expression

A

a, d and e

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26
Q

blunted affect

A

decrease emotional response
expected manifestation of schizophrenia

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27
Q

What is respite care?

A

Allow the pt to stay in a nursing facility for a few days while the caregivers to go on vacation etc

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28
Q

Which one is the positive or negative symptoms of schizophrenia?
a) Alogia
b) Withdrawal from social activities
c) Catatonia

A

a) N/poverty of speech
b) N
c) P/abnormal movements, behaviors

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29
Q

A pt is under alcohol toxicity and MDD. Which condition effect on which disease?
a) weight change
b) nausea and vomiting
c) level of consciousness
d) mental states
e) respiratory rate

A

a) MDD/MDD will experience significant weight loss
b) Alcohol
c) Alcohol
d) Both
e) Alcohol

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30
Q

Normal levels

a) fasting glucose level
b) sodium
c) BUN
d) Potassium

A

a) 99 mg/dL or lower
b) 135 to 145 mEq/L
c) 7 to 20 mg/dL/urea nitrogen in your blood
d) 3.5 to 5.2 mEq/L

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31
Q

arouse?

A

目覚める

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32
Q

emesis?

A

嘔吐

33
Q

ameliorate?
deteriorating?

A

改善する
悪化している

34
Q

BMI warning
anorexia nervosa

A

less than 17

35
Q

anorexia nervosa
Vital abnormal range

A

HR less than 50
Systolic less than 90
Temp less than 36.0
ECG changes

36
Q

hematemesis

A

Vomiting blood

37
Q

Emotional lability?

A

Rapid transition from one emotion to another

38
Q

Self-sacrificing
Which personality disorder?

A

Dependent personality disorder

39
Q

atomoxetine
ADR?

A

Dark urine
ADHD med

40
Q

Clozapine
finding that notify the provider ASAP

A

inability to breathe easily

41
Q

Chlorpromazine

A

1st antipsychotic
dry mouth
EPS

42
Q

Clozapine

A

2nd antipsychotic
sedation
monitor WBC
monitor glucose

43
Q

Clonidine

A

reduce hyperactivity
use heroine withdrawal

44
Q

Clomipramine

A

TCAs

45
Q

indecisiveness?

A

being unable to decide

46
Q

TCA med
Name

A

Amitriptyline
Doxepin
Clomipramine

47
Q

MAOI med
Name

A

Phenelzine
Isocarboxazid
Tranylcypromine

48
Q

Antipsychotics 1st
Name

A

Haloperidol
Loxapine
Chlorpromazine

49
Q

Antipsychotics 2nd
Name

A

Risperidone
Clozapine
Olanzapine

50
Q

A pt who have sever depression complained about his roommate who has bipolar disorder that “My roommate never sleeps and keeps me up, too” What nurse should do?

A

Move bipolar pt to a private room
Do not move to depression pt to a private room, they feel isolated and at risk for self-harm

51
Q

Digoxin used for?

A

strength of the heart
control the rate and rhythm

52
Q

A nurse is teaching relaxation techniques to mild, moderate or sever anxiety?

A

Mild
The nurse should plan to teach the client relaxation techniques during the mild level of anxiety. This is when the client will be able to concentrate and process information.

53
Q

Provide teaching about the use of positive coping mechanisms.

Primary, secondary, or tertiary?

A

Primary

54
Q

Establish screening programs to identify at-risk clients.
Primary, secondary, or tertiary?

A

Secondary
By establishing screening programs, the nurse can identify individuals who are at risk for partner violence in the community and can take the necessary steps to address individual client needs.

55
Q

Refer survivors of intimate partner abuse to a legal advocacy program.
Primary, secondary, or tertiary?

A

Tertiary
after partner violence has occurred and facilitates support and healing for the client.

56
Q

Organize rehabilitation therapy for clients who have experienced intimate partner abuse.
Primary, secondary, or tertiary?

A

Tertiary
after partner violence has occurred and facilitates support and rehabilitation for the client.

57
Q

Dialectical behavior therapy

A

Cognitive behavioral therapy
Used for self-injurious(borderline personality)

58
Q

Systematic desensitization

A

Provide relaxation techniques
for OCD, phobia

59
Q

Validation therapy

A

reorientation
pt who experiences un reality
dementia

60
Q

Eye movement desensitization and reprocessing therapy

A

PTAD
traumatic memories that cause distress　苦痛

61
Q

What info includes in DSM-5

A

diagnostics criteria
planning care
expecting findings
Not education or pharmacological treatment includes

62
Q

What is interpersonal communication?

A

One-on-one communication with the pt

63
Q

Transference?

A

Occur when the pt views a nurse as characteristic someone

64
Q

Classical psychoanalysis?

A

Focus on pt’s past relationships

65
Q

The medication makes pt nauseous and vomits when alcohol is consumed, what treatment is this?

A

Aversion therapy
unpleasant stimuli

66
Q

TMS will schedule how many times a week for the first several weeks?

A

3 to 5 times

67
Q

After ETC what expecting?

A

Memory loss
Confusion

68
Q

PTSD expecting findings?
a) Difficulty concentrating on tasks
b) Obsessive need to talk about the traumatic event
c) Negative self-image
d) Recurring nightmares
e) Diminished reflexes

A

a, c, d
e) increase startle reflex and hypervigilance

69
Q

MDD
what to keep in mind in the first weeks?

A

The pt is at the greatest risk for suicide during the first weeks of an MDD episode.

70
Q

What is depersonalization?

A

Loos of identity
I am no one, and everyone is me

71
Q

Attempt to convince others to relinquish their belonging

A

antisocial personality
他人に自分の所有物を手放すよう説得しようとする
納得させる
放棄する

72
Q

Expecting findings of bulimia nervosa
a) amenorrhea
b) hypokalemia
c) Yellowing of the skin
d) Slightly elevated body weight
e) Laungo

A

b, d

73
Q

Alprazolam toxicity
a) manifestation
b) what to do?

A

a) confusion
b) Identify the pt’s level of orientation then administer flumazenil.

74
Q

A nurse reviewing the medical record, what findings that makes the nurse to say stop to administer bupropion?
a) The pt has a family history of seasonal pattern depression.
b) The pt smokes 1.5 packs of cigarettes pre day
c) The pt had a motor vehicle crash last year and sustained a head injury

A

c
great risk development of seizures.
make lower the seizure threshold

75
Q

Lithium
An early indication of toxicity

A

polyuria
muscle weakness
constipation

76
Q

atomoxetine ADHD
ADR

A

yellowing skin
fever
malaise(倦怠感)
Those are potential indication of hepatotoxicity

77
Q

altercation

A

言い合い
口論

78
Q

cursing

A

ののしる

79
Q

Alcohol withdrawal manifestations

A

2 A 2 D 3H
Anxiety
Agitation
Dilated pupils
Diaphoresis
Hallusination
Hand tremors
HTN

Psychiatric (21 decks)

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