ATI Flashcards
Mild anxiety
Heightened perceptual field
Moderate anxiety
Difficulty concentrating
Panic level anxiety
Shortness of breath
Sense of impending doom
Remote memory
Distant past
Ex, year graduated high school- older adult
Resent memory
Past few days
Clients orientation
Date
Projection
Blaming traits of self on others
Undoing
Client makes up unacceptable action
Compensation
Client focus strength to compensate for a perceived weakness
Identification
Taking on characteristics of another person
Introjection
Adopting values and beliefs on another person
Sublimation
Conversion of unacceptable drives into socially sanctioned activities
Somatic delusion
Body part is no longer functioning realistically or expected
Reference delusion
Occurrences in environment are about or because of themselves
Persecutory delusion
Someone or something wants to intentionally harm them
Grandiose delusion
Client believes he is superior to others
Suppression
Conscious denial of disturbing feeling
Countertransference
Consciously attributing feelings positive or negative about another towards the client
Transference
Unconscious displacement of feelings toward the nurse
Assertiveness
Expression of feelings without denying those of others
First stage of grief
Denial
Regression
Dysfunctional attempt to reduce anxiety and conflict
Less mature behaviors
Repression
Unconscious removal of thoughts or memories from ones awareness
Splitting
Inability to integrate positive and negative qualities of oneself or others into a combined idea
PTSD
Avoidance of talking of event
Difficulty sleeping
Hypervigilant
Feeling of isolation
Paroxetine should not be taken with
St. John’s wort
Increase risk for serotonin syndrome
Classical psychoanalysis
Assessing unconscious thoughts and feelings
Talking with psychoanalyst
Free association
Spontaneous
Uncensored verbalization of what comes to clients mind
Transference
Feelings client developed toward therapist
Similar to feelings of sig person in childhood
Psychodynamic psychotherapy
Focuses on clients present state rather than past
Interpersonal psychotherapy (IPT)
Address specific problems
Improve interpersonal relationships, communication, role relationship and bereavement
Cognitive therapy
Thoughts and behaviors to solve current problems
Treats depression, anxiety, eating disorders, etc
Systematic desensitization
Planned, progressive, graduated exposure to anxiety-provoking stimuli
Real life or imagination
Aversion therapy
Maladaptive behavior paired with punishment or unpleasant stimuli
Promote change in behavior
Operant conditioning
Client receives rewards for positive behavior
Flooding
Exposing client when with therapist
Manifestations of alcohol withdrawal
Abdominal cramping Vomiting Tremors Restlessness Inability to sleep Tachycardia Hallucinations or illusions Anxiety Hypertension Hyperthermia Tonic clonic seizures
Bulimia nervosa
Binge eating (lack of control)
Maintain weight or slightly higher
18.5-30 BMI
Low calorie “diet” foods
Binge eating risk factors
Common between 46-55
Increased risk for type 2, hypertension and cancer
Eating disorders expected findings
Hypotension Bradycardia Hypothermia Hypertension- binge eating Muscle weakness Decreased energy Loss of bone density Constipation/ diarrhea (lax use) Menstrual irregularities
Anorexia nervosa findings (weight and integumentary)
Less than 85% expected
Fine hair on face and back
Yellowed skin
Cool extremities
Poor skin turgor
Bulimia integumentary, neck, mouth findings
Calluses or scars on hand
(Russell’s sign)
Enlargement of parotid glands
Dental Erosion
Acute care: eating disorders
Rapid weight loss greater than 30% over 6 mo
Unsuccessful weight gain in outpatient trtmt
Lab findings: anorexia
Hypokalemia Anemia Leukopenia Impaired liver function (increased enzymes) Hypoalbuminemia Elevated cholesterol Elevation BUN (dehydration) Increase carotene (yellow skin) Decreased bone density Increase(vomiting) or decrease bicarbonate (lax)
Lab findings: bulimia
Hypokalemia Hyponatremja Hypocholoremia Hypomagnesemia Hypophosphatemia Decreased estrogen decreased testosterone
Referring syndrome
Potentially fatal
Fluids, electrolytes, carbs introduced to severely malnourished client
Monitor serum electrolytes!
Adventitious crisis
Natural disaster
Crime
National disaster
Family focus therapy
Needs within family dynamics
Improve understanding among family members
Maximize positive interaction
Group therapy focus
Share common feelings, experiences and thoughts
Interaction and feedback
Family: placating
One member takes responsibility for problems to keep peace
Family: generalizing
Members use overall descriptions “always” and “never”
Scapegoating
Member of fam with little power is blamed for family problems
Ex. Not going out to din because one didn’t do laundry
Triangulation
Third party drawn into relationship with two members who relationship is unstable
Family: enmeshed boundaries
Thoughts, roles, feelings blend
Individual roles unclear
Family: rigid boundaries
Rules and roles completely inflexible
Family members isolate themselves
Tricyclic antidepressants
Amitriptyline
imipramine Doxepin Nortriptyline Amoxapine Trimipramine
Selective serotonin reuptake inhibitors
Fluoxetine
Citalopram Escitalopram Paroxetine Sertaline Vilzaodone
Therapeutic use of tricyclic antidepressants
Neuropathic pain Fibromyalgia Anxiety Insomnia Bipolar
Therapeutic use of SSRIs
Depression OCD bulimia Premenstrual disorder Panic PTSD BIpolar
Light therapy
First line for SAD
Inhibits nocturnal secretion of melatonin
Face exposed to 10,000 lux light box 30 min /day once or in two divided doses
Beneficence
Quality of doing good
Autonomy
Clients right to make their own decisions
Client accepts consequences of decisions
Fidelity
Loyalty and faithfulness to client and ones duty
Veracity
Honesty when dealing with a client
ADHD
Inattettention
Hyperactivity
Impulsitivity (not waiting turn, interrupting)
Risk for injury
Conduct disorder
Bullying
Threats of suicide
Law breaking activities
Depression manifestations
Substance abuse
Weight loss
Irritability
Aggressiveness
Anger management nursing interventions
Discuss ways for client to keep control of cycle
Encourage client to talk about incident and what triggered them
Debrief staff to evaluate effectiveness
12-step program
Abstinence is necessary for recovery
Higher power is needed to assist with recovery
Clients are not responsible for their disease but are for their recovery
Other people cannot be blamed, must acknowledge their feelings and problems
First generation antipsychotic purpose
Control positive symptoms
Used if concerned about cost of second generation
Ppl who can tolerate adverse effects
Low, medium or high potency
First generation antipsychotic: low potency
Low EPS
High sedation
High anticholinergic
First generation antipsychotic: medium potency
Moderate EPs
Moderate sedation
Low anticholinergic effects
First generation antipsychotic: high potency
High EPs
Low sedation
Anticholinergic adverse effects
Second generation antipsychotic
First-line schizophrenia
Relieve both positive and negative symptoms
Improve memory
Less relapse
Third generation antipsychotic
Positive and negative symptoms
Improve cognitive function
Decrease risk of EPs or tardive dyskinesia
Lower risk for weight gain and anticholinergic effects
Antipsychotics prototype
Chlorpromazine
First generation antipsychotic use
Psychotic disorder Schizophrenia Bipolar Tourette Agitation Prevention of nausea and vomiting
First generation antipsychotic complications
Agranulocytosis
Anticholinergic
Acute dystonia (spasms in tongue, neck, face, back)
Pseudo Parkinsonism(shuffling,drooling,tremors)
Akathisia (agitation, inability to sit still)
Tardive dyskinesia (involuntary Mvmts)
Gynecomastia, weight gain, menstrual irregularities
Neuroleptic malignant syndrome
Ortho hypo
Sedation
Photosensitivity
Seizure
Dysrythmia
Neuroleptic malignant syndrome
Sudden high fever Blood pressure fluctuation Diaphoresis Tachycardia Muscle rigidity Drooling Decreased level of consciousness Coma Tachypnea
Pseusoparkisonism
Bradykinesia Rigidity Shuffling gait Drooling Tremors
Akathisia
Inability to sit or stand still
Continual pacing and agitation
Tardive dyskinesia (TD)
Late EPs
Involuntary movement of tongue and face, arms, legs, trunk
Antipsychotics second and third generation prototype
Risperidone
Antipsychotics second and third generation therapeutic use
Negative and positive symptoms of schizo
Psychosis
Impulse control disorders
Antipsychotics second and third generation complications
Metabolic syndrome Orthostatic hypo Anticholinergic Agitation, dizz,sedation, insomnia Mild EPs (tremor) Elevated prolactin Sexual dysfunction
Anhedonia
Inability to feel pleasure
Negative symptom of schizo
Positive symptoms of schizo
Delusion
Neologism
Echopraxia
Dissociative amnesia
Traumatic event
Ex. Injured under influence of alcohol
Delirium
Acute onset
Dementia
Slow
Progressive
Aphasia
Manifestation of dementia
Hospitalization criteria for weight loss
30% in 6 months
Operant conditioning
Positive reinforcement
Desired behavior
Refraining from manipulative behavior
Benztropine
Shuffling gait
Parkinson’s
Methylphenidate adverse effects
Weight loss
Tachycardia
Dry mouth
Borderline personality disorder
Emotional lability (one emotion to another)
Narcissistic personality disorder
Feelings of grandiosity
Exploitive
Filled with rage
Sensitive to criticism
ECT
Induced short seizure
Adverse effects: disorientation, confusion, memory loss
Monitor cardiac rhythm
Antisocial personality disorder
Don’t be friendly to them
Set realistic limits
Can Control behavior
Criminal misconduct
Aggressive
Exploitative
Bereavement grief
Person feels guilt after someone death
Preoccupation grief
Image of deceased
Expected during bereavement
Complicated grief
Difficulty carrying on normal activities following a loss
Acute mania
Insomnia
Manic phase bipolar
Obsessive attention to detail
Talk and joke incessantly
Highly interactive
Situational crisis
Unexpected event
Adventitious crisis
External disaster
Ex. Tornado
Rhinorrhea
Yawning
Coughing
Sneezing
Opioid withdrawal
Alcohol withdrawal
Cramping Vomiting Tremors Restlessness Insomnia Tachycardia Hallucinations or illusions Anxiety Hypertension Tachypnea Fever Tonic-clinic seizures
Opioid withdrawal
Sweating Rhinorrhea Weakness Diarrhea Fever Insomnia Dilation N/v Pain in muscles and bones Muscle spasms Piloerection (gooseflesh)-bristling Jair’s
