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Exam 2 Flashcards

1
Q

Seizure Drugs

A

Carbamazepine
Divalproex
Gabapentin
Lamotrigine
Oxcarbazepine
Topiramate

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2
Q

Bipolar Mania Drugs

A

Lithium
Carbamazepine
Divalproex
Gabapentin
Lamotrigine
Oxcarbazepine
Topiramate

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3
Q

Lithium Category

A

Mood Stabilizer
Bipolar Mania

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4
Q

Carbamazepine Category

A

Mood Stabilizer
Bipolar Mania
Seizures

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5
Q

Divalproex Category

A

Mood Stabilizer
Bipolar Mania
Seizures

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6
Q

Gabapentin Category

A

Mood Stabilizer
Bipolar Mania
Seizures

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7
Q

Lamotrigine Category

A

Mood Stabilizer
Bipolar Mania
Seizures

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8
Q

Oxcarbazepine Category

A

Mood Stabilizer
Bipolar Mania
Seizures

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9
Q

Topiramate Category

A

Mood Stabilizer
Bipolar Mania
Seizures

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10
Q

Medication to treat enuresis

A

Imipramine (TCA)

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11
Q

Anorexia Meds

A

Cyproheptadine (antihistamine)
Amitriptyline (TCA)
Olanzapine atypical antipsychotic (bizarre body perceptions)
Fluoxetine (SSRI)

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12
Q

First line OCD meds

A

SSRI: sertraline and fluvoxamine

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13
Q

Naltrexone used for

A

opioid and alcohol
blocks effects of opioids and suppresses alcohol cravings

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14
Q

oniomania

A

compulsive buying

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15
Q

SSRI used for

A

Bulimia, anorexia, PTSD

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16
Q

PTSD treatment

A

SSRI and SNRI
exposure therapy
Adaptive disclosure: empty chair
Cognitive processing therapy
CBT

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17
Q

CNS stimulant drugs

A

Cocaine and amphetamines

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18
Q

Chlorpromazine vs Haloperidol

A

Chlorpromazine: predatory and acute psychosis
Haloperidol: chronic and low-level psychosis

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19
Q

CIWA Alcohol Withdrawal Drugs

A

Chlordiazepoxide
Diazepam
Lorazepam

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20
Q

OCD self-soothing behaviors

A

Trichotillomania: hair-pulling
Onychophagia: chronic nail biting
Excoriation: skin-picking

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21
Q

OCD reward-seeking behaviors

A

Kleptomania: compulsive stealing
Oniomania: compulsive buying

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22
Q

Cluster A Disorder

A

odd or eccentric
Paranoid

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23
Q

Cluster B Disorder

A

erratic or dramatic behaviors
antisocial, borderline, histrionic, narcissistic

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24
Q

Cluster C Disorder

A

anxious or fearful
avoidant
dependent
obsessive compulsive personality disorder

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25
Borderline Disorder
Characteristics: unstable relationships, self-image, affect. Impulsive and self-mutilation. Splitting Treatment: CBT and low dose antipsychotic Monitoring: promote safety and teach how to build connections
26
Carbamazepine vs Divalproex
Anticonvulsant used as mood stabilizers Carbamazepine: side effects: dizziness, hypotension, ataxia, sedation, blurred vision, leukopenia, rashes Divalproex: side effect: ataxia, drowsiness, weakness, fatigue, menstrual change, dyspepsia, N/V, weight gain, hair loss Administer with food
27
normal lithium levels
0.5-1.5
28
Cluster B Characteristics
unstable attachment splitting no motivation to change self-mutilation low self-esteem
29
Paranoid Characteristics and Nursing Actions
Cluster A Mistrust and suspicious of others Guarded and restricted affect serious and straightforward approach tech client to validate ideas before taking actions involve client in treatment planning
30
Antisocial Characteristics and Nursing Actions
Cluster B Disregard for rights of others, rules, and laws Limit setting. Teach client to solve problems and manage emotions of anger or frustration
31
Histrionic Characteristics and Nursing Actions
Cluster B Excessive emotionality and attention-seeking teach social skills and provide factual feedback about behavior
32
Narcissistic Characteristics and Nursing Actions
Cluster B Grandiose, lack of empathy, need for admiration matter of fact approach. Gain cooperation with needed treatment. Teach client any needed self-care skills
33
Avoidant Characteristics and Nursing Actions
Cluster C Social inhibitions and feelings of inadequacy. Hypersensitive to negative evaluation Support and reassurance. Cognitive restructuring techniques. Promote self-esteem
34
Dependent Characteristics and Nursing Actions
Cluster C Submissive and clinging behavior Excessive need to be taken care of Foster client self reliance and autonomy teach problem-solving and decision making skills cognitive restructuring techniques
35
Obsessive Compulsive Personality Characteristics and Nursing Actions
Cluster C Preoccupation with orderliness, perfectionism and control Encourage negotiation with others. Assist client making timely decision and completing work. Cognitive restructuring techniques
36
CIWA
onset within 4-12 hours after cessation usu peak 2nd day and complete 5 days symptoms: coarse hand tremors, sweating, elevated pulse and BP, insomnia, anxiety severe or untreated withdrawal: hallucinations, seizures, delirium Thiamine, folic acid, B12
37
Dual Diagnosis
SUD and psychiatric illness
38
Hostility vs aggression
Hostility: verbal aggression Aggression: physical
39
Assault Cycle
Triggering: incident initiate aggressive response Escalation: moving toward loss of control; take control; seclusion Crisis: client lost control; take charge; restraint Recovery: client regain physical and emotional control; talk about triggers; debrief staff Postcrisis: client attempt reconciliation with others and returns baseline. remove pt from seclusion/restraints
40
Acute Stress vs Adjustment vs PTSD
Acute Stress: 3 days to 1 month Adjustment: 1 month to 6 months PTSD: 3-6 months
41
PTSD Medications
SSRI and SNRI Fluoxetine Paroxetine Sertraline Venlafaxine
42
Dissociative Amnesia vs DID vs Depersonalization vs Derealization
DA: unable remember important personal information DID: 2 or more distinct identifies Depersonalization: detached from body Derealization: dream-like sensation
43
Obsessions vs Compulsions
Obsession: recurrent and intrusive unwanted thoughts Compulsives: behaviors and actions to neutralize anxiety
44
Delirium Causes
Electrolyte imbalances Sepsis HIV Hypoxemia UTI PNA Encephalitis
45
Dementia 4 A's
Agnosia: unable recognize objects Amnesia: memory impairment Aphasia: language Apraxia: motor
46
Dementia Medications
Cholinesterase Inhibitors Donepezil Memantine
47
ADHD Medications
Control motor activity with CNS stimulants Methylphenidate Dextroamphetamine Clonidine
48
Bulimia Nervosa Medications
TCA Antidepressants Fluoxetine MAOI Antidepressant
49
Most common neurodevelopmental disorder in childhood
ADHD
50
Grief vs Bereavement vs Mourning
Grief: coping with loss Bereavement: grieving period following a loss (time) Mourning: expressing grief outwardly (how they grieve)
51
Elisabeth Kubler-Ross Stages of Grief
DABDA Denial Anger Bargaining Depression Acceptance
52
Horowitz Stages of Grief
ODIWC Outcry Denial Intrusion Working through Completion
53
Tasks of Grieving: Rando's Six R's
Mourning Tasks Recognize React Recollect Relinquish Readjust Reinvest
54
Abbreviated Grief
Moving through grieving process quickly
55
Delayed Grief
Moving through grieving process slowly remain fixe din denial stage; linked to shock
56
Inhibited Grief
Repressing emotions; not displaying emotions
57
Cumulative Grief
Multiple losses in short time period
58
Collective Grief
Community grieving together
59
Complicated or prolonged grief
last longer than expected loss of self-esteem
60
Disenfranchised Grief
grief over loss not acknowledged openly, mourned publicly or supported socially
61
Nursing Process for Grief
Adequate perception regarding loss Adequate support while grieving for loss Adequate coping behaviors during process
62
Characteristics of Violent Families
social isolation abuse of power and control SUD intergenerational transmission process
63
Anorexia
Onset: 14-18Y Underweight Difficult treatment because denies problem
64
Bulimia Nervosa
Onset: 18-19Y Normal weight CBT treatment: aware eating behavior is pathologic and will go to great lengths to hide

Mental Health (3 decks)

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