Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psych - Test 3 > Complete Test Deck > Flashcards

Complete Test Deck Flashcards

You may prefer our related Brainscape-certified flashcards:
Psychology 101 flashcards GRE® Psychology flashcards
1
Q

Tolerance is

A

Need more to get the same effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Physical Tolerance

A

Tissue adaptation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cross-Tolerance

A

To other CNS depressants (may occur)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Intoxication

A

Due to direct physiological effects of substance on CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Symptoms of Intoxication include (5):

A
  • Perception
  • Thinking
  • Judgement
  • Psychomotor skills
  • Interpersonal behavior
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Effects of Alcohol on Central Nervous System (2):

A
  • Respiratory depressant

- Selective anesthetic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Minor Withdrawl -
Timeframe
Symptoms

A

6-12 hours after last drink

  • Irritability
  • Anxiety
  • Agitation
  • Headache
  • Nausea/Vomiting
  • Insomnia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Withdrawl -
Timeframe
Symptoms

A

24 hours after last drink

  • Tremors (shakes)
  • Tachycardia
  • Increased BP
  • Diaphoresis
  • GI distress
  • Hallucinations - Audio, visual, tactile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Major Withdrawl-
Timeframe
Symptoms

A

48-72 hours after last drink

  • Seizures
  • Delirium Tremens
  • Symptoms may last up to 5 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Delirium Tremens (DT’s) defined

A
  • Disorientation
  • Hallucinations
  • Profuse sweating
  • Increased BP
  • Increased & irregular pulse
  • Severe Tremor
  • Risk of Seizures
  • Mortality Rate 5-25%
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Disulfiram (Antabuse)

A

Inhibits breakdown of alcohol by enzyme

Antabuse + alcohol = ILL

  • Nausea and Vomiting
  • Sweating
  • Tachycardia
  • Hypotensive
  • Throbbing headache

NO alcohol in any form
Examples: NO cough medicine, mouthwash, etc.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

You are working the inpatient psychiatric unit and believe that a client is intoxicated after a visitor has left. What is the best intervention?

A

Obtain a specimen for drug screen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Benzo Withdrawal (lots)

A 
Muscle Pain
Tinnitus
Itching
Anxiety/Panic
Hypersensitivity to sounds
Depression
Insomnia
Hallucinations
Sweating
Paranoia
Balance Problems
Shaking
Jumpiness
Seizures

CAN BE FATAL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Physical effects of Opioids

A

Respiratory depression - Opioid death often occurs d/t respiratory depression

  • Hypotension
  • Decreased biliary, gastric, and pancreatic secretions
  • Urinary retention
  • Constipation
  • Constricted pupils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Amphetamines

What side effect of amphetamines may make them popular?

A

ANOREXIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Most widely used drug

A

Cannabis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cannabis Effect:

A
  • Sense of well-being
  • Alters perceptions
  • Increased appetite
  • Anti-emetic properties
  • Impaired balance and stability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cannabis Effect (-)

A
  • Impaired short-term memory
  • Impaired decision making
  • Impaired concentration
  • Amotivational- research disagrees
  • Cellular changes in the lungs
  • Weakening heart contraction
  • Immunosuppression
  • Reduced testosterone & sperm count
  • Impaired judgment
  • Lowered testosterone levels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Psychiatric clients are vulnerable to:

A

substance use and abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Common for clients with schizophrenia and depression to use:

A

drug and alcohol to self-medicate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Best Practice Treatment Integrates

A

-Both mental health and substance abuse interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Co-Ocurring treatment programs

A

Most effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Family Issues:

A

Co-Dependency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Co-Dependency - defined

Behaviors

A

Maladaptive coping pattern that results from a prolonged relationship with the person who uses substances

  • Over-extending one-self
  • Low self-esteem
  • People-pleasing
  • Poor Boundaries
  • Care taking
  • Denial
  • Painful emotions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Domestic Violence

Pattern of -

Perpetuated through-

A

Pattern of intentional and purposeful behavior that adults and adolescents use to control their intimate partner

Perpetuated through generations of cycle of violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

A child has a history of an eating disorder, poor trust of others and has come to the ED after an episode of cutting their wrist. What are your priorities?

A

Setting limits on self harm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Child Abuse -

Main priorities

A
  • SAFETY is primary intervention
  • Document, document, document
  • What is important in documenting the injury?
  • Pictures if possible
  • Body Map to document injuries/locations on body
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Child of sexual abuse - May exhibit

A
  • Dysfunctional coping
  • Substance abuse
  • Truancy

May fantasize about revenge

Poor social functioning

Self-neglect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Tension Building Stage

A

Relatively minor incidents-

  • Pushing
  • Shoving
  • Yelling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Tension Building Stage

Victim:

A

Ignores or accepts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Tension Building Stage

Abusers:

A

Rationalize their behavior is acceptable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Explosion/Acute Battering Stage

Abuser:

A

Releases built up tension

-Brutal beatings minor incidents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Explosion/Acute Battering Stage

Victim:

A

May be seriously hurt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Honeymoon Stage

Abusers:

A
  • Feel remorse
  • Apologetic
  • Makes promises
  • Kind, loving behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Honeymoon Stage

Victims:

A
  • Believes promises

- Feels needed and loved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Fear of what?

A

Leaving, staying, both…why?

  • Financially
  • Don’t know anything else
  • Children
  • Low self-esteem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Why Stay?

A
  • Lack of job and/or education
  • Financial dependence on abuser
  • Money controlled by partner
  • Make decisions based on what is “best” for children
  • Cultural or religious beliefs
  • Inadequate response from police and/or courts
  • Safety more in jeopardy if they leave the abuser
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

A woman comes to the hospital complaining of “pulled” neck muscles. She is noted to have a new bald spot on her scalp. She explains she caught her her hair in the door, pulled it out and this resulted her neck injury. Her partner stays close and is very solicitous (attentive) of her. The nurse should:

A

Require the partner to remain in the waiting room when the woman is taken into the exam room

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

How Can I Help?

How can healthcare providers help victims?

A
  • If abuse is suspected whether admitted or denied
  • Gather relevant information
  • Document – Body Map
  • Victim may decide to press charges later
  • Assist victim to develop safety plan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

How can healthcare providers help victims?

A
  • *Develop safety plan**

- Vera House 24 Hour Crisis and Support Lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Rape-

Motivation for rape is:

A

CONTROL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Rape-

Long term impact

A
  • Self blame
  • Disruption in daily routine
  • Depression
  • Sleep disturbances
  • Flashbacks
  • Erratic mood swings
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Rape-

Nurses role priority concerns (2):

A
  • Inform client about process

- Inspect and provide treatment for serious injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Acute Posttraumatic Stress Disorder (PTSD)-

Nursing Assessment (6):

A
  • Quality of sleep
  • Flashbacks and intrusive thoughts
  • Risk for suicide
  • Irritability, angry outbursts
  • Hypervigilence/hyperarousal
  • Emotional numbing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Acute Posttraumatic Stress Disorder (PTSD)-

Factors that interfere with smooth transition from combat zone to civilian life (6):

A
  • Persistence of effects of combat training
  • Inability of family and friends to understand the veteran’s experience
  • Feelings and support from the veteran’s local community
  • Loss of support system
  • Finding a new career
  • Loss of structure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Acute Posttraumatic Stress Disorder (PTSD)-

Nursing Interventions-

What can I do?

A

Good assessment

  • Be aware of signs of abuse
  • Collaboration
  • Safety plan
  • Community Resource
  • Encourage diverse ways to express emotions:
  • Art Therapy
  • Writing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Anorexia-

Reasons for disease (2):

A
  • Refusal to acknowledge seriousness or existence of problem

- Significantly disturbed perception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Bulimia-

Overview (4):

A
  • Loss of control over eating
  • Episodes of binging
  • Episodes of purging
  • *-Precipitated by emotions-**
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q 
Anorexia and Bulimia-
Biological Factors (3)
A

Genetic vulnerability

  • Susceptibility to psychiatric illness
  • Increased odds of eating disorder with family history of mood or anxiety disorder

Dysfunction of hypothalamus

Neurochemical changes

  • Norepinephrine
  • Serotonin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Anorexia and Bulimia-

Deterrents to primary tasks

A

Anorexia -

  • Overprotective parents
  • blurred boundaries

Bulimia-
-Isolation between family members

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Anorexia

A

Enmeshment in family
Obsessive rituals
Irregular HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Bulimia

A

Self-guilt/disgust/shame
Irregular HR
Tooth decay from stomach acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Anorexia Treatment Goals

A
  • Safety
  • Gradual weight restoration
  • Collaborative treatment team efforts
  • Target weight about 90% of average for age and height
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Bulimia Treatment Goals

A

Safety
Break of binge/purge cycle
Collaborative treatment team efforts
Source of depression - emotionally driven

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

SSRI’s used:

A
  • Citalopram (Celexa)
  • Escitalopram (Lexapro)
  • Fluoxetine (Prozac)
  • Paroxetine (Paxil, Pexeva)
  • Sertraline (Zoloft)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

A female client is admitted to the psych clinic for treatment of anorexia nervosa. To promote the client’s physical health, the nurse should plan to:

A

Monitor VS, serum electrolyte levels and acid-base balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Nursing Priorities with Eating Disorders:

A
  • SAFETY
  • Intake
  • Weight
  • Fluid and electrolytes
58
Q

Nursing Interventions

A
  • Weights
  • Supervised eating
  • Tube feeding may be necessary*
  • Monitored toileting
  • Monitor after eating
59
Q

Nursing Interventions -

More practical

A
  • Education
  • Listen
  • Observation is your friend!
60
Q

For a female patient with anorexia. The nurse plans to include her parents in therapy sessions along with the client. What fact should the nurse remember to be typical of parents of children with anorexia?

A

They tend to be overprotective of their children

61
Q

What medical condition is commonly found is clients with bulimia?

A

Diabetes mellitus

62
Q

ADHD - defined

A

Persistent pattern of inattention, hyperactivity
and impulsivity more frequent and severe than
others at developmental level

63
Q

ADHD -

Age -

A

-Symptoms present before age 7*

64
Q

ADHD -

Symptoms:

A

-Present in more than one setting*
-Cause problems in social and
academic settings

65
Q

ADHD -

Hyperactive Type Symptoms:

A
  • Fidgets
  • Talks a lot
  • Cannot sit still for long
  • Smaller children may run, jump or climb constantly
66
Q

ADHD -

Hyperactive Child Feels:

A
  • Restless
  • Impulsive
  • Does not wait their turn
  • Does not listen to directions
67
Q

AHDH -

Priority with hyperactive child:

A

SAFETY

68
Q

Nursing management with ADHD:

A
  • Consistent
  • Structured
  • Predictable
69
Q

Nursing Management with ADHD:

A 
Ensure Safety!!!
-An unfamiliar setting (i.e.: hospital) may increase
risk for injury
-Environmental Management
-Positive Reinforcement
70
Q

ADHD -

Psychostimulant Indications:

A
  • Narcolepsy
  • ADHD
  • Obesity
71
Q

Pharmacokinetics of Psychostimulants:

A

Readily absorbed in GI

  • Half-life variable
  • Ritalin 2-4 hours (then symptomatic again)
72
Q

Psychostimulants -

Methylphenidates (Names)

A
  • Ritalin
  • Ritalin LA
  • Metadata CD
  • Concerta
  • Focalin/Focalin XR
  • Daytrana Patch
73
Q

Psychostimulants -

Amphetamines (Mixed Salts)

A
  • Dextroamphetamine
  • Dexadrine
  • Adderall
  • Vyvanse
74
Q

Psychostimulants for ADHD
What Do We Hope To See?

3 increases
3 decreases

A

Paradoxical Calming

  • Increased attention span
  • Increased short term memory
  • Increased ability to follow directions
  • Decreased disruptive behavior
  • Decreased distractibility
  • Decreased impulsivity
75
Q

Non-Stimulant Medications

A
  • Strattera

- Intuniv

76
Q

Alpha-2 Noradrenergic Agonists

A
  • Kapvay/Clonidine HCL
  • Tenex
  • TCA (Tricyclic Antidepressant)
77
Q

Oppositional Defiant Disorder (ODD)

What to look for:

A

-Disobedience
-Argumentative
-Angry outbursts
-Low frustration tolerance
Don’t break the law
-Spiteful/Vindictive
-Blames others
-Easily annoyed often in conflict with
adults

78
Q

Conduct Disorder

A

Repetitive and persistent pattern of
behavior in which rules and the basic
rights of others are violated

BREAK THE LAW

79
Q

Conduct Disorder

A
  • Aggression to people & animals
  • Destruction of property
  • Serious violation of rules
  • Often in trouble with the law
  • Lies & Cheats
  • Truant
  • Run-away
80
Q

Nursing Interventions - ODD and CD

A

Decreased violence and Increased compliance

  • Protect others
  • Set limits
  • Decrease external stimuli
81
Q

An 11-year-old child diagnosed with conduct disorder is
admitted to the psychiatric unit for treatment.
Which of the following behaviors would the nurse
assess?

A

**Physical aggressiveness, low stress tolerance

disregard for the rights of others**

82
Q

An 8 year old boy is disobedient and argumentative.
He has an explosive temper and low frustration
tolerance. Other children relate poorly to him. These
behaviors are most consistent with the diagnosis of:

A

Oppositional Defiant Disorder

83
Q 
P
A
N
D
A
S
A
  • Pediatric
  • Autoimmune disorder
  • Neuropsychiatric
  • Disorder
  • Associated with Group A
  • Streptococcus
84
Q

The parents of a young man with schizophrenia
express feelings of responsibility and guilt
for their son’s problems. How can the nurse
best educate the family?

A

-Explain the biological nature of

schizophrenia.

85
Q

Tics Treatment

A

Medications used in treatment

  • Risperdal
  • Zyprexa
  • Haldol
  • Clonidine
86
Q

Tourette’s

A

-Stimulants make worse

87
Q

Enuresis

A

-Occurs after the age at which the child

should have attained bladder control

88
Q

Treatment for Encopresis and Enuresis

A
  • Thorough physical assessment
  • Calm, matter-of-fact approach
  • No fluids before bed
  • Increased fiber and fluids for encopresis
89
Q

Treatment for Enuresis

A

Tofranil (imipramine)

-Side Effect: Urinary retention

90
Q

Levels of Anxiety (4)

A

Mild
Moderate
Severe
Panic

91
Q

Mild

A

Alert, perceived at a higher level

NEEDED for learning

92
Q

Moderate

A

Narrowed perceptual field

Can be attentive, if guided

93
Q

Severe Anxiety

A

Perceptual field greatly decreased

Selective inattention

94
Q

Panic Anxiety

A

Overwhelmed

Disorganized thinking, speech and behavior

95
Q

Mild anxiety ___________

A

Motivates

96
Q

Very high levels of anxiety ___________

A

Immobilizes

97
Q

Defense mechanisms are:

A

Cognitive distortions used to maintain sense of control

98
Q

Phobias are

A

Displacement of unconscious conflict onto an external object

99
Q

GABA has

A

a “braking” effect on the Limbic System

100
Q

Agoraphobia

A

Don’t want to leave the house

101
Q

In DSM V OCD and Related Disorders**

A

Obsessive Compulsive D/O

102
Q

Generalized Anxiety Disorder (GAD)

A
  • Excessive, unrealistic worries 6+ months
  • Severe, chronic anxiety that interferes with daily living
  • Free-floating anxiety
103
Q

Generalized Anxiety Disorder Sx (4)

A
  • Hypervigilant for potential threats
  • Abnormally sensitive to caffeine
  • Doom & Gloom
  • What if’s?
104
Q

Panic Disorder - Psychological - Sudden Onset Sx

A
  • Sensation of smothering
  • Derealization
  • –Feeling of unreality
  • Depersonalization
  • –Feeling detached from oneself
  • Feeling of impending doom or death
  • Fear of losing control
  • Fear of going “crazy”
105
Q

Panic Disorder - Somatic - Sudden Onset Sx

A

-Palpitations, pounding heart, increased HR
- Sweating
-Trembling/shaking
-Sensation of SOB
-Sensation of choking
- Chest pain/discomfort
- Nausea/abdominal distress
-Paresthesias
-Feeling dizzy, unsteady, light-headed,
faint
- Chills or heat sensation
-Pupils dilated
-Face flushed

106
Q

Phobias

A 
Marked persistent fear
-Excessive
- Unreasonable
-Cued by anticipation of an object or
situation
107
Q

Exposure to a stimulus:

A

Provokes anxiety response

108
Q

Phobias

A
  • Object or situation is avoided
  • Cognitive recognition that the fear is out
    of proportion to the stimulus
  • Fear arises through a process of
    displacement of unconscious conflict to an
    external object that is symbolically
    related
109
Q

Agoraphobia listed as:

A

Separate diagnosis under Anxiety Disorders

110
Q

Agoraphobia Fears:

A 
Fear or anxiety in a least two of the following
situations:
-Using public transportation
-Being in open spaces
- Being enclosed in places
-Standing in line or being in a crowd
- Being outside of the home alone
111
Q

OCD - Obsession

A

-Repetitive disturbing thoughts for which the only relief is the compulsion
-Intrusive thoughts continue to recur despite
efforts to suppress them

112
Q

OCD - Compulsion

A
  • Repetitive actions which become rituals
  • Client realizes ritual is illogical
  • –BUT is helpless to stop the ritual
113
Q

OCD - Interrupting the Ritual

A
  • *Increases anxiety = Increased need for ritual**

- May cause client to “act out”

114
Q

OCD - Initially

A
  • *Allow to complete ritual**

- Try distraction

115
Q

OCD - When client is more comfortable try to:

A

Set limits

116
Q

Substance Induced Anxiety Disorder -

Clinically significant anxiety due to the:

A

DIRECT EFFECT of physiological response to a substance

117
Q

Conversion Disorder is a:

A

Physical expression of psychological conflict

118
Q

Conversion Disorder - Defense Mechanisms

A
  • Repression

- Conversion

119
Q

Conversion Disorder - Symptoms

A

Typically have a symbolic meaning to the client

Symptom is SYMBOLIC of the conflict

120
Q

Somatization Disorder

A 
-Multiple physical symptoms
 Includes
- Pain
-GI
- Pseudoneurolgic symptoms
  • Begins around age 30 years old
  • Trends over several years
121
Q

Somatization Disorder - Typical Presentation

A

-Exaggerated, detailed medical history

Multiple medical providers
-Without resolution/satisfaction to their
complaint

  • Unconsciously express emotions* through
  • *physical symptoms**
122
Q

Behavioral Treatments

A
  • *Diaphragmatic Breathing**
  • Should be practiced daily
  • Lowers levels of arousal
  • Inhibits progression of panic level
  • Reduces physical effects of anxiety
  • Such as increased HR
  • SELECT ALL THAT APPLY!*
123
Q

Intervening with Anxious Patient

A

**Goal is to REDUCE – not eliminate – anxiety level

to enable a full “normal” life**

124
Q

Nursing Interventions During Panic Attack (5)

A
  • Stay with Patient
  • Reassure safety
  • Maintain calm manner
  • Decrease Stimulation
  • PRN meds
  • SELECT ALL THAT APPLY!*
125
Q

Initial Goal During Panic Attack

A

-Reduce IMMEDIATE Anxiety

126
Q

Nursing Intervention during panic attack

A
  • *Identify TRIGGERS**

- Trigger identification is important in D/C plan

127
Q

Non-Benzo Meds - Buspar

A
  • No effect on benzo receptor
  • No sedation

7-10 days to be effective
— 3-6 weeks maximum benefit

  • Not for prn use
  • No cross tolerance with CNS depressants
  • Fewer SE’s
  • Not addicting, no withdrawal
128
Q

Education with Buspar (MED TEST)

A

Works with a steady blood-level

    • Takes 7-10 days to begin working**
  • *No doubling up on doses if missed doses**
  • May increase digoxin to TOXIC LEVEL**

NOT a Prn medication
No MAOI’s
No Demerol

129
Q

Benzos =

A

High street value $

-VERY ADDICTING-

130
Q

Benzos - Names (6)

A 
Ativan
Valium
Xanax
Klonopin
Versed
Librium
131
Q

Benzo - Mechanism of Action

A

“GABA is to the brain as brakes are to the

train”

132
Q

Benzo - Common Side Effects

A

Paradoxical reaction - very important in elderly patients!

  • Confusion
  • Agitation
  • Delirium
  • Paradoxical excitement in elderly
133
Q

Benzo Withdrawl

A

DO NOT STOP ABRUPTLY

  • Seizures
  • Can be lethal
  • Taper
  • Do not use with ETOH

Increased chance of CNS depression

134
Q

Benzo use with the elderly

A

Use with caution

  • Elderly
  • Debilitated
  • COPD - RESPIRATORY DEPRESSION

Paradoxical reaction/excitement

  • Confusion
  • Agitation
  • Delirium
135
Q

Overall Treatment of Anxiety with Benzos

A

Long term treatment of anxiety

SSRI
-Will be used to for control of panic attacks

Novel Antidepressants

Education for Client

  • Use of benzodiazepine is short term
  • Taper benzo when SSRI reaches therapeutic effect
136
Q

Specific Meds for Disorders - Panic (3)

A

Paxil
Prozac
Zoloft

137
Q

Specific Meds for Disorders - GAD (2)

A

Effexor

Paxil

138
Q

Specific Meds for Disorders - OCD (4)

A

Prozac
Paxil
Zoloft
Luvox - SSRI - Takes a while to kick in

139
Q

Use of Anti-Hypertensives - Beta blockers

A

Drug - Propranolol

- Reduces SNS symptoms

140
Q

Use of Anti-Hypertensives - Alpha 2 - receptor agonists

A

Drug - Clonidine
- Blocks epinephrine (fight or flight)
- Prevents symptoms: racing heart, elevated
blood pressure

141
Q

A client prescribed alprazolam (Xanax) 0.50 mg po QID asks, “Would it hurt if I have a cocktail or two at a party? The nurse’s best response is:

A

Drinking any alcohol while taking Xanax can cause a severe dangerous sedating effect.

142
Q

The nurse realizes the goal of intervention during a panic attack is to:

A

Reduce the client’s immediate anxiety

Psych - Test 3 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions