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Mental health > ATI > Flashcards

ATI Flashcards

1
Q

Mild anxiety

A

Heightened perceptual field

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2
Q

Moderate anxiety

A

Difficulty concentrating

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3
Q

Panic level anxiety

A

Shortness of breath

Sense of impending doom

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4
Q

Remote memory

A

Distant past

Ex, year graduated high school- older adult

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5
Q

Resent memory

A

Past few days

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6
Q

Clients orientation

A

Date

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7
Q

Projection

A

Blaming traits of self on others

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8
Q

Undoing

A

Client makes up unacceptable action

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9
Q

Compensation

A

Client focus strength to compensate for a perceived weakness

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10
Q

Identification

A

Taking on characteristics of another person

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11
Q

Introjection

A

Adopting values and beliefs on another person

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12
Q

Sublimation

A

Conversion of unacceptable drives into socially sanctioned activities

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13
Q

Somatic delusion

A

Body part is no longer functioning realistically or expected

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14
Q

Reference delusion

A

Occurrences in environment are about or because of themselves

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15
Q

Persecutory delusion

A

Someone or something wants to intentionally harm them

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16
Q

Grandiose delusion

A

Client believes he is superior to others

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17
Q

Suppression

A

Conscious denial of disturbing feeling

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18
Q

Countertransference

A

Consciously attributing feelings positive or negative about another towards the client

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19
Q

Transference

A

Unconscious displacement of feelings toward the nurse

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20
Q

Assertiveness

A

Expression of feelings without denying those of others

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21
Q

First stage of grief

A

Denial

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22
Q

Regression

A

Dysfunctional attempt to reduce anxiety and conflict

Less mature behaviors

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23
Q

Repression

A

Unconscious removal of thoughts or memories from ones awareness

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24
Q

Splitting

A

Inability to integrate positive and negative qualities of oneself or others into a combined idea

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25
Q

PTSD

A

Avoidance of talking of event

Difficulty sleeping

Hypervigilant

Feeling of isolation

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26
Q

Paroxetine should not be taken with

A

St. John’s wort

Increase risk for serotonin syndrome

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27
Q

Classical psychoanalysis

A

Assessing unconscious thoughts and feelings

Talking with psychoanalyst

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28
Q

Free association

A

Spontaneous

Uncensored verbalization of what comes to clients mind

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29
Q

Transference

A

Feelings client developed toward therapist

Similar to feelings of sig person in childhood

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30
Q

Psychodynamic psychotherapy

A

Focuses on clients present state rather than past

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31
Q

Interpersonal psychotherapy (IPT)

A

Address specific problems

Improve interpersonal relationships, communication, role relationship and bereavement

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32
Q

Cognitive therapy

A

Thoughts and behaviors to solve current problems

Treats depression, anxiety, eating disorders, etc

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33
Q

Systematic desensitization

A

Planned, progressive, graduated exposure to anxiety-provoking stimuli

Real life or imagination

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34
Q

Aversion therapy

A

Maladaptive behavior paired with punishment or unpleasant stimuli

Promote change in behavior

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35
Q

Operant conditioning

A

Client receives rewards for positive behavior

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36
Q

Flooding

A

Exposing client when with therapist

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37
Q

Manifestations of alcohol withdrawal

A 
Abdominal cramping
Vomiting
Tremors
Restlessness
Inability to sleep
Tachycardia
Hallucinations or illusions 
Anxiety
Hypertension
Hyperthermia
Tonic clonic seizures
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38
Q

Bulimia nervosa

A

Binge eating (lack of control)

Maintain weight or slightly higher

18.5-30 BMI

Low calorie “diet” foods

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39
Q

Binge eating risk factors

A

Common between 46-55

Increased risk for type 2, hypertension and cancer

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40
Q

Eating disorders expected findings

A 
Hypotension
Bradycardia 
Hypothermia
Hypertension- binge eating
Muscle weakness
Decreased energy 
Loss of bone density 
Constipation/ diarrhea (lax use) 
Menstrual irregularities
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41
Q

Anorexia nervosa findings (weight and integumentary)

A

Less than 85% expected

Fine hair on face and back

Yellowed skin

Cool extremities

Poor skin turgor

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42
Q

Bulimia integumentary, neck, mouth findings

A

Calluses or scars on hand

(Russell’s sign)

Enlargement of parotid glands

Dental Erosion

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43
Q

Acute care: eating disorders

A

Rapid weight loss greater than 30% over 6 mo

Unsuccessful weight gain in outpatient trtmt

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44
Q

Lab findings: anorexia

A 
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)
45
Q

Lab findings: bulimia

A 
Hypokalemia
Hyponatremja
Hypocholoremia
Hypomagnesemia
Hypophosphatemia
Decreased estrogen
decreased testosterone
46
Q

Referring syndrome

A

Potentially fatal

Fluids, electrolytes, carbs introduced to severely malnourished client

Monitor serum electrolytes!

47
Q

Adventitious crisis

A

Natural disaster

Crime

National disaster

48
Q

Family focus therapy

A

Needs within family dynamics

Improve understanding among family members

Maximize positive interaction

49
Q

Group therapy focus

A

Share common feelings, experiences and thoughts

Interaction and feedback

50
Q

Family: placating

A

One member takes responsibility for problems to keep peace

51
Q

Family: generalizing

A

Members use overall descriptions “always” and “never”

52
Q

Scapegoating

A

Member of fam with little power is blamed for family problems

Ex. Not going out to din because one didn’t do laundry

53
Q

Triangulation

A

Third party drawn into relationship with two members who relationship is unstable

54
Q

Family: enmeshed boundaries

A

Thoughts, roles, feelings blend

Individual roles unclear

55
Q

Family: rigid boundaries

A

Rules and roles completely inflexible

Family members isolate themselves

56
Q

Tricyclic antidepressants

A

Amitriptyline

imipramine
Doxepin
Nortriptyline
Amoxapine
Trimipramine
57
Q

Selective serotonin reuptake inhibitors

A

Fluoxetine

Citalopram
Escitalopram
Paroxetine
Sertaline
Vilzaodone
58
Q

Therapeutic use of tricyclic antidepressants

A 
Neuropathic pain
Fibromyalgia 
Anxiety
Insomnia
Bipolar
59
Q

Therapeutic use of SSRIs

A 
Depression
OCD
bulimia
Premenstrual disorder 
Panic
PTSD
BIpolar
60
Q

Light therapy

A

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

61
Q

Beneficence

A

Quality of doing good

62
Q

Autonomy

A

Clients right to make their own decisions

Client accepts consequences of decisions

63
Q

Fidelity

A

Loyalty and faithfulness to client and ones duty

64
Q

Veracity

A

Honesty when dealing with a client

65
Q

ADHD

A

Inattettention
Hyperactivity
Impulsitivity (not waiting turn, interrupting)

Risk for injury

66
Q

Conduct disorder

A

Bullying

Threats of suicide

Law breaking activities

67
Q

Depression manifestations

A

Substance abuse

Weight loss

Irritability

Aggressiveness

68
Q

Anger management nursing interventions

A

Discuss ways for client to keep control of cycle

Encourage client to talk about incident and what triggered them

Debrief staff to evaluate effectiveness

69
Q

12-step program

A

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

70
Q

First generation antipsychotic purpose

A

Control positive symptoms

Used if concerned about cost of second generation

Ppl who can tolerate adverse effects

Low, medium or high potency

71
Q

First generation antipsychotic: low potency

A

Low EPS

High sedation

High anticholinergic

72
Q

First generation antipsychotic: medium potency

A

Moderate EPs

Moderate sedation

Low anticholinergic effects

73
Q

First generation antipsychotic: high potency

A

High EPs

Low sedation

Anticholinergic adverse effects

74
Q

Second generation antipsychotic

A

First-line schizophrenia

Relieve both positive and negative symptoms

Improve memory

Less relapse

75
Q

Third generation antipsychotic

A

Positive and negative symptoms

Improve cognitive function

Decrease risk of EPs or tardive dyskinesia

Lower risk for weight gain and anticholinergic effects

76
Q

Antipsychotics prototype

A

Chlorpromazine

77
Q

First generation antipsychotic use

A 
Psychotic disorder
Schizophrenia
Bipolar
Tourette
Agitation
Prevention of nausea and vomiting
78
Q

First generation antipsychotic complications

A

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

79
Q

Neuroleptic malignant syndrome

A 
Sudden high fever
Blood pressure fluctuation
Diaphoresis
Tachycardia
Muscle rigidity
Drooling
Decreased level of consciousness
Coma
Tachypnea
80
Q

Pseusoparkisonism

A 
Bradykinesia
Rigidity
Shuffling gait
Drooling 
Tremors
81
Q

Akathisia

A

Inability to sit or stand still

Continual pacing and agitation

82
Q

Tardive dyskinesia (TD)

A

Late EPs

Involuntary movement of tongue and face, arms, legs, trunk

83
Q

Antipsychotics second and third generation prototype

A

Risperidone

84
Q

Antipsychotics second and third generation therapeutic use

A

Negative and positive symptoms of schizo

Psychosis

Impulse control disorders

85
Q

Antipsychotics second and third generation complications

A 
Metabolic syndrome 
Orthostatic hypo
Anticholinergic 
Agitation, dizz,sedation, insomnia
Mild EPs (tremor)
Elevated prolactin 
Sexual dysfunction
86
Q

Anhedonia

A

Inability to feel pleasure

Negative symptom of schizo

87
Q

Positive symptoms of schizo

A

Delusion
Neologism
Echopraxia

88
Q

Dissociative amnesia

A

Traumatic event

Ex. Injured under influence of alcohol

89
Q

Delirium

A

Acute onset

90
Q

Dementia

A

Slow

Progressive

91
Q

Aphasia

A

Manifestation of dementia

92
Q

Hospitalization criteria for weight loss

A

30% in 6 months

93
Q

Operant conditioning

A

Positive reinforcement

Desired behavior

Refraining from manipulative behavior

94
Q

Benztropine

A

Shuffling gait

Parkinson’s

95
Q

Methylphenidate adverse effects

A

Weight loss
Tachycardia
Dry mouth

96
Q

Borderline personality disorder

A

Emotional lability (one emotion to another)

97
Q

Narcissistic personality disorder

A

Feelings of grandiosity

Exploitive

Filled with rage

Sensitive to criticism

98
Q

ECT

A

Induced short seizure

Adverse effects: disorientation, confusion, memory loss

Monitor cardiac rhythm

99
Q

Antisocial personality disorder

A

Don’t be friendly to them
Set realistic limits

Can Control behavior

Criminal misconduct

Aggressive

Exploitative

100
Q

Bereavement grief

A

Person feels guilt after someone death

101
Q

Preoccupation grief

A

Image of deceased

Expected during bereavement

102
Q

Complicated grief

A

Difficulty carrying on normal activities following a loss

103
Q

Acute mania

A

Insomnia

104
Q

Manic phase bipolar

A

Obsessive attention to detail

Talk and joke incessantly

Highly interactive

105
Q

Situational crisis

A

Unexpected event

106
Q

Adventitious crisis

A

External disaster

Ex. Tornado

107
Q

Rhinorrhea

A

Yawning
Coughing
Sneezing

Opioid withdrawal

108
Q

Alcohol withdrawal

A 
Cramping
Vomiting
Tremors
Restlessness
Insomnia
Tachycardia
Hallucinations or illusions
Anxiety
Hypertension
Tachypnea 
Fever
Tonic-clinic seizures
109
Q

Opioid withdrawal

A 
Sweating
Rhinorrhea
Weakness
Diarrhea
Fever
Insomnia
Dilation
N/v
Pain in muscles and bones
Muscle spasms 
Piloerection (gooseflesh)-bristling Jair’s

Mental health (7 decks)

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