Exam 1 Flashcards

0
Q

Caring theory

A

Watson

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1
Q

Energy field

A

Rogers

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2
Q

Environmental theory

A

Nightingale

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3
Q

Interpersonal relationship

A

Paplau

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4
Q

Tarasoff case

A
Landmark court decision in CA which holds a mental health therapist responsible for being proactive in preventing harm by a particular patient.
Duty to protect
Duty to inform
Duty to report
Charting
Assess. Violence
Parameters: type of harm, seriousness, imminence, likelihood. 
Discharge the duty
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5
Q

Physiological

A
Breathing 
Food
Water
Sex
Sleep
Homeostasis
Excretion
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6
Q

Safety

A
Security of:
Body
Employment
Resources
Morality
Family
Health
Poverty
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7
Q

Love and belonging

A

Friendship
Family
Sexual intimacy

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8
Q

Self-esteem

A

Self esteem
Confidence
Achievement
Respect of others

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9
Q

Self actualization

A
Morality
Creativity
Spontaneity 
Problem solving 
Lack of prejudice
Acceptance of facts
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10
Q

Axis 1

A
Clinical disorders:
Depression
Bipolar
Insomnia
Anorexia
Dementia
Autism
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11
Q

Axis 2

A
Personality disorders and mental retardation:
Paranoid personality disorder
Borderline personality disorder
Antisocial personality disorder
Dependent personality disorder
Mental retardation
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12
Q

Axis 3

A
General medical conditions: 
Asthma
CHF
Diabetes
Liver disease
Cancer
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13
Q

Axis 4

A
Psychosocial and environmental problems: 
Divorce 
Abuse
Homelessness
Poverty 
Educational problems
Unemployed
Inadequate health care
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14
Q

Axis 5

A

Global assessment of functioning:

Individuals overall level of functioning

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15
Q

5150

A

Involuntary hold
DTS DTO
72 hour hold

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16
Q

Traditional antipsychotics

A

Used for schizophrenia acute & chronic psychoses.
Action: alters effects of dopamine in the CNS.
SE: neuroleptic malignant syndrome, extrapyramidal RXN, sedation, tardive dyskinesia, agranulocytosis.
Haldol
Thorazine
Prolixin
Navane

17
Q

SE of traditional antipsychotics

A
SE: neuroleptic malignant syndrome, extrapyramidal RXN, sedation, tardive dyskinesia, agranulocytosis.
Haldol
Thorazine
Prolixin
Navane
18
Q

Examples of Traditional Antipyschotics

A

Haldol
Thorazine
Prolixin
Navane

19
Q

Examples of atypical Antipsychotics

A
Abilify
Zyprexa
Resperidal
Geodone
Clozapine
20
Q

Indication for atypical antipsychotics

A

Schizophrenia
Bipolar disorder
Action: antagonizes dopamine and serotonin type 2 in CNS

21
Q

SE of atypical antipsychotics

A

Extrapyramidal symptoms, Akathisia, tardive dyskinesia, acute dystonia, neuroleptic malignant syndrome. Agranulocytosis, sedation, contra indicated in dementia patients.

22
Q

Examples of Anticholinergics

A

Cogentin
Benadryl
Artane

23
Q

Indication of Anticholinergics

A

Drug induced extrapyramidal effects and acute dystonic RXNs

Action: block the action of neurotransmitter acetylcholine.

24
Q

SE of Anticholinergics

A
Dry mouth, nose and throat.
Constipation
Drowsiness
Blurred vision
Confusion
Memory loss.
25
Q

Examples of Tricyclic antidepressants

A

Amitriptyline
Desipramine
Imipramine

26
Q

Indication for tricyclic antidepressants

A

Depression

Action: block the reabsorption of serotonin.

27
Q

SE of tricyclic antidepressants

A
Arrhythmias 
Drowsiness fatigue
Blurred vision
Hypotension
Constipation
28
Q

Examples of MAOI antidepressants

A

Nardil

Pamate

29
Q

Indication for MAOI antidepressants

A

Pt. W/ depression. Tricyclic, SSRI, SSNRI, and electroconvulsive therapy were ineffective.

Action: inhibits serotonin reuptake

30
Q

SE of MAOI antidepressants

A

HTN crisis, seizures, Arrhythmias, dizziness, headache.

31
Q

Patient teaching for MAOI antidepressants.

A

Avoid tyramine:

Cheese, meats, wine. Can cause HTN crisis.

32
Q

Examples: SSRI antidepressants

A

Prozac
Paxil
Zoloft

33
Q

Indications for SSRI

A

Depression
Bulimia nervosa
Panic disorder
Action: inhibits serotonin reuptake.

34
Q

SE of SSRI

A

Seizures, drowsiness, sexual dysfunction, insomnia, nervousness.

35
Q

Examples of Mood stabilizers

A

Lithium
Depakote
Carbamazepin
Trileptal

36
Q

Examples:
Anxiolytics
Benzodiazepines

A

Valium
Xanax
Ativan
Klonopin

37
Q

Indication of anxiolytics and benzodiazepines

A

Anxiety disorders
Action: depresses the CNS
Potentiating GABA sedation, and decreased anxiety.

38
Q

SE of anxiolytics and benzodiazepines

A

Apnea, cardiac arrest, dizziness, drowsiness, lethargy.

39
Q

Pt teaching for anxiolytics and benzodiazepines

A

Habit forming and overdose can be fatal.