exam 1 pp slides Flashcards
Therapeutic Communication Technique where taking what the patient is saying and concentrating on a feeling or emotion
Reflecting
what 3 types of meds to hold before ECT?
benzos anti anxiety anti seizure
what needs to be filled out with an involuntary admission
Petition and certificate
criteria for restraints
Actively harming self or others and all other methods of interventions have not worked
do you need parent permission with restraints and minors
no
Stage of Development in Erikson’s Psychosocial Theory where: To develop a basic trust in the mothering figure and learn to generalize it to others Infancy (Birth–18 months)
Trust vs. mistrust
An alteration in mood expressed by feelings of sadness, pessimism and despair. Mild to severe with or without psychotic features most severe
Major Depressive Disorder
Stage of Development in Erikson’s Psychosocial Theory where: To review one’s life and derive meaning from both positive and negative events, while achieving a positive sense of self-worth Old age (65 years-death)
Ego integrity vs. despair
depressive syndrome usually present for most of day, more days than not, for at least a 2-year period Onset is early childhood→ young adulthood and are at risk for developing MDD No psychosis
Dysthymia
patient agrees to treatment and signs themselves in
Voluntary admission
Follow through with what you say you’re going to do Spend time with them Don’t lie to them Don’t pass judgement on them Be patient with them
Ways to build trust with patient
can you keep the paient in restraints if they are asleep?
no
Stage of Development in Erikson’s Psychosocial Theory where: To develop a sense of purpose and the ability to initiate and direct own activities Late childhood (3–6 years)
Initiative vs. guilt
nursing diagnosis for ___________ Risk for self-directed violence Self Care Deficit Ineffective coping
Major Depressive Disorder
double vision vertigo blurred vision thrombocytopenia pancreatitis are all common side effects of what type of meds
mood stabalizers
Therapeutic Communication Technique where repeating the main idea of the client with different vocabulary
Restating
when assessing a clients memory ask the client to repeat a series of numbers or list of object
immediate
first line of treatment for the depressive disorders and most commonly used might also be used for anxiety
SSRI Fluoxetine (prozac) Sertraline (zoloft) Citalopram (selexa) Escitalopram (lexapro)
phase involves preparation for the first encounter with the client. Tasks include the following: Obtaining available information Examining one’s feelings, fears, and anxieties about working with a particular client
The Preinteraction Phase
The therapeutic work of the relationship is accomplished during this phase. Tasks include: Maintaining the trust and rapport that was established during the orientation phase Promoting the client’s insight and perception of reality Problem-solving using the model presented earlier in this chapter Overcoming resistance behaviors on the part of the client as the level of anxiety rises in response to discussion of painful issues Continuously evaluating progress toward goal attainment
The Working Phase
An ethical principle that refers to one’s duty to benefit or promote the good of others. doing what’s good for the greatest amount of people
beneficence
if a patient is not able to take a mood stabalizer they can take ________ for bipolar disorder
lithium
Believed that individual behavior and personality development are the direct result of interpersonal relationships. Human behavior could be observed in social interaction with others.
Interpersonal theory
Valproic Acid Carbamazepine Topiramate Lamotrigine are what kind of meds
mood stabalizers
theory where the influence of social processes on the development of the personality
Psychosocial Development
(detaching from a memory) inability to recall: Some events All events Entire lifetime
Dissociative amnesia
Nurse displaces feelings related to people in one’s past onto the patient when nurse puts their feelings toward the patient because they remind them of someone (if the patient reminds the nurse of someone that they don’t like then they will be mean to them and vice versa) may be bad if the feeling is positive because they might treat others who aren’t the person that they like badly
Counter transference
a situational based crisis (unexpected) external (loss of job, divorce, moving, death)
Dispositional or situational-
Stage of Development in Erikson’s Psychosocial Theory where: To gain some self-control and independence within the environment Early childhood (18 months-3 years)
Autonomy vs. shame and doubt
Stage of Development in Erikson’s Psychosocial Theory where: To form an intense, lasting relationship or a commitment to another person, cause, institution, or creative effort Young adulthood (20–30 years)
Intimacy vs. isolation
phase where Self assessment- how are we going to feel about taking care of the patient Collecting data- secondary sources (family, medical records)
Pre-interaction phase:
- Involuntary movements, seizures, paralysis, blindness, Pseudocyesis (fake pregnancy)
Conversion disorder
Therapeutic Communication Technique where when the client has a misperception of the environment “i understand that the voices seem real to you but i do not hear any voices”
Presenting Reality
Therapeutic Communication Technique where expressing uncertainty as to the clients reality “I understand that you believe that to be true, but I see the situation differently” “i find that hard to believe”
Voicing doubt
Venlafaxine Duloxetine Buproprion are all type of what kind of meds?
Atypical
sick to your stomach (nausea) sexual dysfunction rise up slowly (dizziness) major side effects for for what type of meds
SSRI
what is the therapeutic range for lithium
0.6 - 1.2
Therapeutic Communication Technique where give the client time to collect their thoughts
Use of silence
when a patient is taking ______ they need to have adequate water and salt in diet
lithium
internal crisis,(values, gender role conflict)
Maturational or developmental –
crisis where first episode of mental illness (breakdown, overdose, panic attack)
Psychiatric-
Cognition: flight of ideas, GRANDiose (bigger than life) Emotions: Euphoria, labile, irritable Physical: appetite, sleep Behavior: speech, appearance, impulsive, sexual indiscretion
bipolar disorder
manic attack dig fast
Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talkativeness
restraints should not be used more than: _____ continuously is the max for adults ______ continuously is the max for minors
4 hours 2 hours
normal time period for grieving
6-8 weeks
doctor has up to __ days (non weekend or holiday) to decided about discharge. Alerts physician patient wants to leave
5
crisis where traumatic event (sexual assault, natural disaster, violent attack)
Traumatic stress-
