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437- Psychiatric > Exam 3 > Flashcards

Exam 3 Flashcards

1
Q

normal beh v emotional problem

A

compare actions of child to others at same age and dev lvl
if actions persist, impair functioning, not age appropriate or deviate from cult. norms

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2
Q

intellectual disability onset

A

prior to 18yrs
impairmnts in measured intellectual performance and adaptive skills

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3
Q

general intellectual functioning

A

measured by clinical assessment and IQ test
*if pt has dec IQ and impaired daily functioning= DD

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4
Q

adaptive functioning

A

ability to adapt to requir and expectations of age

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5
Q

predisposing risks for Intell. dis- pregnancy

A

disruptions in embryonic dev
toxicity, maternal illness/infections (prolonged fever= fetal distress)
preg complications (dec O2)
premature birth

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6
Q

predisposing risks for Intell. dis- medical conditions

A

acquired in infancy or childhood
trauma to head
poisonings (lead, insecticides)
infections (meningitis, encephalitis)

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7
Q

predisposing risks for Intell. dis- sociocul

A

**preventable
neglect/lack of nurturing before age 1
environm w/ poor care and inadeq nutrition
no social stimulation

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8
Q

intellectual disability and social disinhibition

A

overly friendly or very shy

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9
Q

Autism spectrum disorder def

A

withdrawal into self and into fantasy world
occurs more in boys, onset early in childhood
“neurodivergent”

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10
Q

predisposing factors ASD

A

brain structure abnormalities
medical conditions (maternal rubella)
genetics
perinatal (maternal asthma)

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11
Q

s/s ASD

A

sensory alterations-
social dysfunction
easily overstim
avoid eye contact

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12
Q

medication for ASD

A

risperidone and aripiprzole
2nd gen antipsychotics
trts irritability, depression, compulsive drive and overstim, temper tantrums

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13
Q

Risperidone ae

A

drowsiness, sedated and somnolence, drooling, weight gain, fatigue

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14
Q

aripiprazole (abilify) ae

A

sedation, somnolence

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15
Q

risperidone and aripipzole serious ae

A

NMS
tardive dyskinesia
hyperglycemia
EPS
DM (measure ht, wt and and girth)

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16
Q

types of ADHD

A

1- inattentive (more common in girls)
2- wiggly, impulsive, hyperactive
3- combined

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17
Q

stimulant trtmnt for ADHD body v brain

A

body- vasoconstriction (inc bp)
activates SNS- dec appetite

pts usually sick, small and malnurished

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18
Q

brain scans of ASD and ADHD

A

similar
alters dopamine pathways

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19
Q

predisposing factors of ADHD-

A

genetics
biochemical
pregnancy factors
environment (dietary, lead)
social (chaotic family, maternal mental disorder, low SES, unstable foster care)

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20
Q

s/s ADHD

A

cannot perform age-appropriate tasks
distractable
disruptive/intrusive
impulsive (accident-prone)
limited attention span
low tolerance= outburst

GOAL- promote safety

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21
Q

ADHD- comorbi.

A

oppositional defiant disorder
conduct disorder
anxiety/depression
bipolar depression
substance use

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22
Q

ADHD and trtmnt of comorbid

A

can trt anxiety and depression and adhd at same time
bipolar depression and substance use must be stabilized before targeting adhd
substance use can mask severity of adhd
too much stimulant can cause manic episode

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23
Q

ADHD- CNS stim

A

methyls and amines
methyl- Ritalin
amine- Adderall

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24
Q

CNS stim ae general

A

immune and cardiac suppressing

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25
Q

cns stim drug holiday

A

used to eval effectiveness and help malnourished kids grow

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26
Q

ADHD- Atomoxetine (strattera)

A

selective norepi reuptake inhib
NOT stimulant
monitor cardiovasc and liver

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27
Q

atomoxetine (straterra) ae

A

n/v, weight loss, tachy, palpitations
r/f sudden death w/ pts w/ hx of cardiovasc dis.
monitor for manic episodes
report liver abnormal (dark urine, sore throat, fever)

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28
Q

ADHD- bupropion (wellbutrin)

A

nonselective reuptake inhib
NOT stimulant
used to dec compulsive drive

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29
Q

bupropion (wellbutrin) ae

A

tachy, n/v, wt loss, dec seizure threshold, dec appetite (don’t give to pts w/ hx eating disorder)

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30
Q

ADHD- Clonidine

A

centrally acting alpha agonist
same effect as stim but different MOA
used for impulsivity

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31
Q

clonidine ae

A

bradycardia, sedation
rebound syndrome if stopped abruptly

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32
Q

stimulant implementation considerations

A

promote safety
give after meals to reduce anorexia
give at least 6hrs before bed- prevent insomnia
give 30 min before activities w/ food
has shrt half life and fast onset

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33
Q

interaction btw stimulants and OTC meds

A

avoid otc (cough meds and Sudafed) stimulant toxicity- dec cardiovasc function

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34
Q

tourette’s

A

inc stress/anxiety= inc freq tics
onset 6-7
more common in boys

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35
Q

tourette’s predisposing factors- environm

A

neurologic trauma
low birth wt
encephalitis
preg complications
carbon monoxide

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36
Q

tourettes s/s

A

complex motor tics (tapping, skipping, hopping)
simple motor tics (eye blinking, neck jerking)
vocal tics

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37
Q

tourettes- palilalia v echolalia

A

palilalia- involu repetition of words or phrases
echolalia- rep. of vocalizations made by another person

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38
Q

tourettes- trtmnt therapy

A

behavioral
individual psycho
family
occupational therapy (how to cope when tics happen)
** modify environment to dec anxiety

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39
Q

tourettes- trtmnt meds- haloperidol and pimozide

A

haloperidol- use in kids w/ severe sympt that impair functioning

pimozide (Orap)
NOT use in kids < 12
only for severe cases

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40
Q

tourettes- trtmnt meds- atypical antipsychotics

A

risperdal, zyprexa
ae- wt gain, hyperglycemia
ziprasidone (geodon)- QT prolonged

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41
Q

tourettes- trtmnt meds- alpha agonists

A

clonidine, guanfacine
**first choice
contraindicated w/ pre-existing cardiac dis
vasdil- dec hr- dec anxiety- dec tics

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42
Q

oppositional defiant disorder def

A

persistent angry mood
act diff than kids same age and dev level
interferes w/ daily functioning (throw things, run in the street)

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43
Q

oppositional defiant disorder

A

stubborn
passive-aggressive beh
running away, temper tantrums, argumentative, test limits

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44
Q

ODD- planning/implementation of care

A

encourage cooperation w/ therapy (model, lead by ex)
help pt accept responsibility for actions
promote inc self-worth
promote socially approp beh and interactions w/other (demonstrate)

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45
Q

conduct disorder def

A

violate basic rights of others and age-approp social norms

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46
Q

conduct disorder onset

A

childhood (attachmnt problem)
adolescent (trauma)

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47
Q

conduct dis. predisposing factors

A

genetics, temperament, poor peer relationships, parental rejection, inconsistent management of harsh discipline, large family size, shifting of parental figures

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48
Q

conduct dis. predisposing factors- parent specific

A

parents w/ antisocial dis, etoh dependence, marital conflict, parental permissiveness

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49
Q

conduct dis s/s

A

physical aggression to violate rights of others (can incl sexual)
use of drugs/etoh
have low self esteem
mimic s/s adhd (inattentive, impulsive, hyperactive)
use projection
lack feelings of guilt

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50
Q

conduct disorder in adults

A

not real diagnosis
dx w/ antisocial personality disorder

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51
Q

predisposing factors for separation anxiety

A

stressful life events, parental overprotection, overattachment to mother
*rarely onset in adolescence or school age

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52
Q

s/s separation anxiety

A

shadow, nightmares, refusal to attend school in adolescence, tantrums

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53
Q

separation anxiety trtmnt

A

goal- comfort and distract
play therapy
occupational
group
family
behavior
psychopharmacology

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54
Q

aging- memory

A

short term dec
long term should have no changes
inc time for memory scanning

mentally active ppl have less memory decline

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55
Q

aging- mental illness

A

depression NOT normal

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56
Q

aging- intellectual

A

NOT decline

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57
Q

aging- learning

A

need longer time to learn and alterations in teaching methodology

ability to learn is unchanged (just may be less motivated)

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58
Q

aging- grief

A

not normal
grief just so happens to be very common in the elderly due to inc death

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59
Q

aging- self-identity

A

no change in self concept or self image

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60
Q

factors that favor psychosocial adjustment later in life

A

sustained family relationships
absence of alcoholism
absence of depressive disorder

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61
Q

aging- death anxiety

A

not real
only fear abandonment, pain and confusion

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62
Q

elderly prestige

A

not common in american culture

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63
Q

aging- sexual (social)

A

sexual expression by elderly is frowned upon

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64
Q

aging- changes in women sexuality

A

dec estrogen, dryness, menopause, dec ovarian function

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65
Q

aging- changes in men sexuality

A

dec testosterone, ED, dec testicular size,
sperm still viable

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66
Q

aging- psychiatric disorders

A

delirium, dementia, depression, schizophrenia, anxiety, personality dis, sleep disturbances

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67
Q

Delerium

A

reversible
rapid onset change in cognition and level of awareness

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68
Q

cause of delirium

A

physiologic/metabolic (head trauma, stroke, electrolyte imbal)
infection (systemic or cerebral)
drug related (rxn or withdrawal)
anticholinergics, antihtn, corticosteroids, anticonvulsant, etoh, lead, carbon monoxide

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69
Q

delirium s/s

A

distracted, disorganized thinking, irreg speech, impaired reasoning
hallucinations, impaired recent memory
restless or somnolent

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70
Q

delirium hemodynamics

A

inc bp, inc hr, sweating, flushed face, dilated pupils

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71
Q

delirium trtmnt

A

low stim environm
staff stay w/ pt at all times to reorient
correct underlying cause
antipsychotic to relieve agitation and aggression
benzodiazepine if r/t substance withdrawal

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72
Q

dementia- types

A

alzheimers, vascular, lewy body and frontotemporal

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73
Q

primary NCD v secondary NCD

A

primary
disorder is sign of organic brain disease not r/t any other illness

secondary
r/t another condition (ex. HIV)

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74
Q

neurocog disorder s/s

A

impulsive, poor judgement
doesn’t follow social conduct rules
neglect hygiene
change in personality

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75
Q

Temporary of reversible NCD- causes

A

metabolic disorder, nutritional deficiency, depression, med ae or stroke

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76
Q

aphasia v apraxia

A

aphasia- lack of vol muscle mvmnt
apraxia- difficulty performing tasks when asked

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77
Q

stages of alzheimers

A

4- mild to moderate cog decline (recommend admit to institution)
7- severe cognitive decline (bed bound)

78
Q

Alzheimers causes

A

genetics
head trauma
acetylcholine alterations
plaques and tangles

79
Q

vascular dementia causes

A

cause- cerebrovasc dis (htn, cerebral emboli, cerebral thrombosis)
abrupt onset

80
Q

frontotemporal dementia causes

A

frontal and temporal regions shrink
idiopathic
“pick’s disease”

81
Q

lewy body v alzhemiers

A

lewy body-progresses more rapidly
affects cerebral cortex and brainstem

82
Q

NCD s/t parkinsons

A

loss of nerve cells is substantia nigra and dec dopamine activity

can have dopamine toxicity w/ certain meds
causes s/s that parallel parkinsons ncd
determine if actual dis or caused by med (carbidopa-levodopa)

83
Q

NCD r/t huntington’s dis

A

mendelian dominant gene
usually onset later in life

84
Q

medical conditions commonly associated w/ NCD

A

semi reversible
hypothyroidism
thiamine deficiency
MS
electrolyte imbal
hyperparathyroidism

85
Q

meds for cognitive impairment

A

not curative
slow progression
donepezil (aricept)
acetylcholine inhibitor
n-methyl-d-aspartic acid receptor antagonist (prevent excessive Ca from entering cells and damaging it)

86
Q

meds for irritation, hallucination, wandering, aggression

A

risperidone, olanzapine (zyprexa), quetiapine (seroquel)
geodon- NOT first line- prolongs QT, black box warning w/ elderly
haloperiodl- NOT first line- EPS, black box warning w/ elderly

87
Q

aging- meds for depression

A

SSRI
Trazodone- good for insomnia
dopaminergic agent- Sinemet (carbidopa-levadopa)
trts apathy
** careful- can cause s/s that mimic NCD parkinsons

88
Q

aging- meds for anxiety

A

benzos for short term trtmnt (can exacerb ataxic issues)
diazepam (valium) lorazepam (ativan)

89
Q

meds for parkinsons

A

Sinemet (carbidopa levadopa)
glutamate mao-b inhib
and dopamine agonist

antipsychotics can induce parkinsons if effect wrong dopamine pathway

90
Q

zyprexa and parkinsons

A

zyprexa function
second gen antipsychotic- reduce agitation

zyprexa has higher affinity to serotonin and dopamine receptors than natural dopamine
blocks receptor sites and causes loss of movement for up to two weeks

91
Q

dopamine and mvmnt

A

need dopamine for mvmnt
parkinsons= low dopamine lvls

92
Q

confabulation

A

behavioral rxn to memory loss
make up things that didn’t happen
used to maintain self esteem

93
Q

kubler ross stages of grief

A

1- denial
2- anger
3- bargaining
4- depression
5- acceptance

94
Q

john bowlby stages of grief

A

1- numbness/protest
2- disequilibrium
3- disorientation and despair
4- reorganization

95
Q

george engel stages of grief

A

1- shock/disbelief
2- developing awareness
3- restitution
4- resolution of the loss
5- recovery

96
Q

william worden stages of grief

A

models the idea that you learn to cope and move on for the better

1- accepting the reality
2- processing the pain
3- adjusting to a world w/o thing
4- finding enduring connection w/ lost person while starting new life

97
Q

adults grieving v younger individuals

A

takes older adults longer
normal is ~ 6-8wks

98
Q

resolution of grief

A

remember comfortably and realistically both pleasures and disappointments

99
Q

maladaptive responses to loss

A

delayed grief- stuck in denial
distorted- exaggerated- cannot do ADLs- can be categorized as depression
prolonged grief- beh are aimed at keeping the lost loved one alive

100
Q

normal grief v clinical depression

A

w/ normal grief self esteem in intact

101
Q

developmental lvl understanding of death

A

birth-2- cannot experience feelings of loss
3-5- cannot tell btw fantasy and reality. think death is reversible
6-9- hard to perceive own death. regressive and aggressive rxns are normal
10-12- understand finality of death. anger, guilt and depression
adolescents- take longer to process. have BIG emotions. can act out

102
Q

bereavement overload

A

can result in depression
takes elderly longer anyway
compilation of many deaths

103
Q

filipino americans

A

wear black for 1 year after death

104
Q

jewish

A

cremation prohibited
7 day shiva beginning w/ burial

105
Q

dorothea dix

A

started campaign to est mental hospitals 1841

106
Q

primary prevention

A

reducing incidence of mental health

targeting groups at risk and providing educational programs

ex. substance use in HS

107
Q

secondary prevention

A

minimizing early s/s of mental illness

reducing duration/prevalence of illness

early id of problems and prompt trtmnt

ex. screening for depression

108
Q

tertiary prevention

A

reducing residual effects assoc. w/ chronic mental illness

prevent complications of the dis, promotme individ maximum lvl of functioning

ex. IEP for ADHD or disability services

109
Q

populations at risk for maturational crisis

A

adolescence, marriage, parents, midlife, retirement

110
Q

adolescence Erickson stage

A

role confusion
seek autonomy/privacy (keep secrets from parents)

issues w/ control

111
Q

midlife issues

A

age related physiological changes
relationships w/ aging parents and kids
“sandwich generation”

112
Q

populations at risk for situational crisis

A

poverty
high rate of life change events (change body image, job, divorce, death of loved one, physical illness etc)
environ. conditions
trauma

113
Q

relationship btw poverty and emotional illness

A

poverty causes emotional illness (stress)
but poverty does not cause mental illness

mental illness can lead to poverty

114
Q

secondary prevention population examples

A

abuse of child
depression, anxiety or substance use in midlife
inadeq grieving in elderly

115
Q

secondary prevention characteristics

A

exacerb of mental illness
occurs when crisis intervention at primary lvl fails
can be in or out pt

116
Q

tertiary prevention characteristics

A

functional impairment that interferes w/ job
ppl feel like they don’t belong
can be assoc. w/ suicide plan/attempt

117
Q

new freedom commission barriers to care

A

gaps in care for children and adults w/ serious mental illness
high unemployment for mentally ill
suicide prevention not national priority

118
Q

examples of tertiary prevention

A

community mental health centers
program of assertive community treatment
group homes

119
Q

mental illness and homelessness

A

often go hand in hand
link to paranoia

120
Q

contributing factors for homelessness

A

deinstitutionalization
poverty
scarcity of affordable housing
lack health care
domestic violence
addiction

121
Q

common health issues w/ homeless

A

alcoholism
thermoregulation
tuberculosis
dietary deficiencies
STD (HIV 3.4% compared to normal pop w/ 0.4%)

122
Q

mindfulness v meditation

A

mindfulness- paying attention to present moment- engage 5 senses
leads to meditation

meditation- can allow someone to be more mindful

123
Q

benefits of mindfulness

A

enhance brain regions responsible for attention and exec fun

modulates amygdala
inc attention
alters experience of pain, dec HR, improves focus/cognition

124
Q

mindfulness in nurses

A

help ppl cope- reduce r/f burnout and stress

enhances communication, performance and assessment skills

125
Q

surface culture v deep culture

A

surface- fashion, holidays, language
deep- military, body language, roles r/t sex, class
attitudes towards elderly, approaches to marriage
courtesy and manners

126
Q

military culture v civilian culture

A

military- job describes your identity. Unit is always the priority

civilian- emphasis on self reliance and individual. a job what what people do, not who they are

127
Q

T/F veterans suffer disproprotionately from PTSD

A

false
they are at a higher risk, but does not mean that all veterans are guaranteed to dev PTSD

128
Q

MMSE

A

mini mental state examination

evaluates mental capacity

129
Q

mental capacity v mental competency

A

judges decide mental competency

psych exam decides mental capacity

NOT THE SAME

130
Q

MMSE test scoring

A

0-17 severe cog impairment

131
Q

T/F mental capacity screeners are diagnostic

A

NO

nurses can perform tests
Dr. have to assess more than one test to diagnose mental illness

132
Q

involuntary hold

A

pt is admitted through ED
held for 72hrs

activated if pt is imminent danger to self or others (society)

usually pt’s held until done withdrawing or detoxing “metabolize to freedom”

133
Q

substances common for inducing psychosis

A

psychedelics (LSD)
synthetic marijuana

134
Q

sexuality- developmental trends

A

inc adolescents in premarital sex
premarital sex in girls inc

avg age for first intercourse has DEC

freq/prevalence of STD dec (sex ed/condoms)

135
Q

stages of sexual dysfunction

A
  1. desire
  2. excitement
  3. orgasm
  4. resolution
136
Q

diagnosis for sexual stages 1-2

A

female sexual interest/arousal disorder (trted w/ testosterone therapy) (1/2)

male hypoactive sexual desire disorder (1/2)
erectile dysfunction (2)

137
Q

diagnosis for sexual stages 3-4

A

female orgasmic disorder (3)

delayed or early ejaculation (3)

138
Q

general diagnosis for sexual stages

A

genito-pelvic pain dis
substance induced sexual dysfunction

139
Q

sexual desire disorder- causes

A

hormonal (prolactin) or medication/substance related

high prolactin in males- low sex drive/gynecomastia

high prolactin females- high sex drive

140
Q

sexual arousal and orgasmic disorder causes

A

physiologic (menopause, atherosclerosis)

psychosocial (trauma)

141
Q

paraphiliac disorder

A

sexual fantasies involve
nonhuman objects
suffering and humiliation
non consenting persons/animals

beh occur repeatedly over 6+ mo and impair function (ex. avoid social activities)

142
Q

exhibionistic disorder

A

typically by men towards women
sexualized things infront of others or expose themselves

143
Q

fetishistic disorder

A

objects

144
Q

frotteuristic disorder

A

non consenting, public place

145
Q

sexual masochism disorder

A

crave pain

146
Q

sexual sadism disorder

A

suffering of others of themselves

147
Q

voyeuristic disorder

A

watching others who are not aware (peeping tom)

148
Q

considerations when diagnosing sexual disorder

A

r/o psychosis and trauma

149
Q

QSEN

A

quality and safety education in nursing

pt-centered care requirement

150
Q

erectile dysfunction trtmnt meds

A

stage 2 men
stage 2-3 wmn
viagra, cialis, phosphodiesterase 5 inhib

151
Q

phosphodiesterase 5 inhib - AE

A

flushing, ha, congestion, blurred vision, gi upset, sudden blindness/deafness when used with nitrate

152
Q

medication class assoc w/ erectile dysfunction

A

beta blockers

153
Q

priapism causes- medication/drug induced

A

non-ischemic

psychotropics (antidep, antipsychotic, trazadone)
zoloft, risperidone, concerta, warfarin

alcohol, cocaine

154
Q

priapsim causes- physiologic

A

ischemia

blood flow is obstructed- requires sx

gout, amyloidosis, sickle cell dis, toxic bites

155
Q

priapism trtmnt

A

sx if ischemic (decompression)

phenylephrine IM/PO (shrinks blood vessels)

156
Q

gender

A

male or female

157
Q

gender dysphoria

A

dissonance btw assigned gender and experienced/internalized gender
75% male wish to be female

158
Q

cause of gender dysphoria

A

no identified
NOT related to sexual identity (who attracted to)

159
Q

goals in trtmnt of gender dysphoria

A

inc peer support/acceptance
trting co-occuring mental health issues
reducing likelihood of gender dysphoria in adulthood

client will demonstrate beh that is appropriate / culturally acceptable for assigned gender (will eval is someone is legit or just enjoys aspects of the other gender (ex. playing football)

160
Q

absolute positive regard

A

interventions for gender changes

focus on positive aspects, inc self esteem, id behaviors they want to change

161
Q

gender re defined definitions

A

cisgender (normal)
gender fluid (drag queen)
gender binary (concerete diff btw genders)
pangender (in btw) (if not one, doesn’t mean automatically the other)

162
Q

gonorrhea transmission

A

sex, oral, hand touched infected secretions and placed in contact w/ muc mem

163
Q

gonorrhea s/s

A

men- dysuria, purulent drainage, pharyngitis

women- initially ASYMPTOMATIC
infection of cervix, urethra and fallopian tubes

164
Q

gonorrhea trtmnt

A

combo therapy
ceftrixone and azithromycin or doxycycline

165
Q

gonorrhea complications

A

men- sterility
women- blindness, ectopic preg, infertility, chronic pelvic inflamm dis

166
Q

syphilis transmission

A

sex, muc mem contact or abraded skin

167
Q

syphilis s/s of stages

A

primary- painless lesion on body part that came into contact w/ fluid (penis, mouth, anus)

secondary- rash, ha, wt loss, fever, body aches, fever

168
Q

syphilis trtmnt

A

long acting penicillin, and erythromycin

169
Q

syphilis complications

A

latent- can be passed onto fetus
no s/s

tertiary- blind, heart dis, lesions

170
Q

chlamydia transmission

A

sex and muc mem contact
most common

171
Q

chlamydia s/s

A

men- urethral discharge and dysuria

wmn- asymptomatic or bleeding, soreness, dysuria, discharge

172
Q

chlamydia trtmnt

A

erythromyacin

173
Q

chlamydia complications

A

scarring of fallopian tubes, ectopic preg, infertility

174
Q

genital herpes trmnt

A

no cure
acyclovir

175
Q

genital warts s/s

A

cauliflower like warts

176
Q

genital warts trtmnt

A

surgical removal
cryotherapy
podophyilin

177
Q

genital warts complications

A

r/f cervical cancer

178
Q

hep B transmission

A

muc mem, sex, blood

179
Q

hep b s/s

A

n/v, fever, ha, RU quad pain, jaundice

180
Q

hep b trtmnt

A

none
bedrest

181
Q

aids transmission

A

body fluids, sharing needles
open skin sores
transfusion w/ contaminated blood
perinatal - breast milk

182
Q

AIDS s/s

A

ASYMPT for up to 10 yrs after infection

early signs- wt loss, fever, night sweats, persistant infections

183
Q

AIDs trtmnt

A

no cure
trt opportunistic infections
Truvada (PrEP) preventative for high risk populations w/in 72 hrs

184
Q

AIDS complications

A

fatal

185
Q

anorexia nervosa v bulimia nervos

A

anorexia- starve themselves

bulimia- binge and purge (vomit, laxative, diuretic, enema)
r/f mood and anxiety disorders

186
Q

eating disorder trtmnt

A

behavior mod, individual psychothearpy, cbt, family trtmnt (maudsley approach)
psychopharmacology (SSRI)

187
Q

refeeding syndrome

A

complications w/ eating disorder trtmnt
s/s- hypophosphatemia, hypokalemia, hypocalcemia, hypomagnesemia

ae- arrhythmias, cardiovasc collapse, delirium

188
Q

ae of amphetamines to supress appetite

A

tolerance

189
Q

fundamental concept of maudsley approach for eating disorder

A

pt family should be involved in each phase of treatment

190
Q

hemodynamics of anorexia nervosa

A

bradycardia, hypotension, hypothermia

191
Q

physical s/s of bulimia

A

enlarged parotid glands (overstimulated and produce more saliva bc of freq vomiting)
tooth decay
laxative use
normal wt

437- Psychiatric (3 decks)

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