Exam 5 Flashcards
How much weight do you want your anorexic patient to a gain a week
1-2 lbs
If an anorexic patient is gaining more than 1-2 lbs a week what could it possibly be…
Pulmonary edema
What is the legal intoxication limit.. you are considered intoxicated at this point
0.08-0.1
If they are above the legal limit (above .08) and they don’t show signs of intoxication what could that mean..
They are tolerant
What are 2 characteristics of nursing that are involved in manipulation and substance abuse..
They will always want to pass meds
Their patient will ask for pain meds a lot because the meds are never actually making it to them
What could happen to your body if you go off depressants..
You could rebound and your personality will shoot up into an overly happy person
Someone who does not feel guilt and is full of excuses might reflect what personality disorder
Antisocial
Someone who is highly manipulative is going to be able to acknowledge when other people are..
also highly manipulative
Why are weekly staff meetings important
so that all the nurses are on the same page about the clients and what they can and cannot do
What should you do when clients are verbally abusing others
You have to stop verbal abuse
When a client is doing this they are just trying their best to attempt to cope with the situation
Self mutilating
Its a good idea for a person with an eating disorder to..
Write down their foods/keep a food journal
Long term drinking can lead to..
Liver failure
An 84 year old with sleep disruptions is going to experience..
Aches & pain
Getting up to go to the bathroom
If you sleep better when it is dark outside, what season are you going to have the most trouble sleeping
Summer
Problems with their sleep cycle could be because the person is..
In different time zones
Russel signs are associated with..
Bulemia
What is a hallucination
These are false sensory stimuli
They are not actually there
Ex.) Bugs in the bed
What is an illusion
This is when objects that are actually there are wrongly perceived as something else
Someone with an eating disorder might secretly do this in their room
Exercise
This is given to people to help them to quit drinking and it will get them sick if mixed with alcohol
Antabuse
With these disorders, thoughts are emotions are everywhere, participation in interpersonal relationships is difficult, they don’t manage impulses well such as spending money, harming themselves or others
Personality disorders
This cluster of personality disorders display odd and eccentric behaviors, they have an unusual level of suspiciousness, they have magical thinking, and they are cognitively impaired
Cluster A
- paranoid
- schizoid
- schizoidtypal
This personality disorder displays a large amount of distrust, it is very hard for them to trust others
They are always suspicious of others
They use projection, placing emotions on others
They think others want to harm them
They are hypervigilant and hostile
They don’t bond well with others
They are jealous, controlling, and unwilling to forgive
Paranoid
This personality type has a poor ability to function
They are viewed as loners
Friends and dating relationships are rare
Depersonalize and detach from others and emotions
They are often raised in a cold/neglectful environment
Schizoid
This personality type is rare
It is more common in men than women
They show severe social and interpersonal deficits
They have extreme anxiety in social situations
They tend to ramble and are unclear with their words
They have odd beliefs, magical thinking, and delusions, but they can probably be talked out of their delusions
Schizotypal
This cluster of personality is dramatic, emotional, shows erratic behavior, and they have problems with impulse control
Cluster B personality disorders
- antisocial
- borderline
- histrionic
- narcissistic
This personality is dramatic, the life of the party, and flirtatious, they need and love to have attention
They are self centered
They have a low frustration tolerance, get frustrated easily
They have an attachment to the opposite sex parent
Many do not think they need help, they also will not harm themselves
Psychotherapy may help
Histrionic
This personality type makes up excuses for everything
They feel no guilt, are deceitful, manipulative, and will exploit others whenever they get the chance
They have a disregard for responsibility
Lack of empathy
More common in men, by age 40 symptoms may improve
Usually in adults but symptoms can be evidenced in mid teens
They can show cruelty to animals and can be child perpetrators
Sociopaths, most likely in jail
Antisocial
What are things to focus on when caring for a client with antisocial personal disorders
Safety
Boundary and limit setting
The whole team should be consistent and on the same page
Watch for them trying to sneak in objects
Use therapeutic communication, no blaming–they will shut down
This is one of the least occurring personality disorders
They think everyone is less than them
They have an arrogant over inflated view of themselves
They need constant admiration
They lack empathy
They feel entitled and will exploit others
They have a fear of abandonment and shame
The cause could be childhood neglect and criticism
There is no medication for this disorder but cognitive behavioral therapy (CBT) is used
Narcissistic
This personality disorder starts when they are young
Most come out of foster homes because they have been abandoned, feel neglected from their families
There is a good chance they will get better as they get older
Borderline parents produce borderline kids
Impulsiveness
Most well known and most dramatic
Mostly women
Emotionally unstable: unstable moods and relationships
They have a fear of separation and social rejection
They don’t know who they are
They lie very easily
They cut and they can overdose as well—high mortality
They have a splitting behavior, its all or nothing
They are unpredictable
Borderline
This cluster of personality disorders are anxious, fearful, and have rigid patterns of social shyness
Cluster C
- avoidant
- dependent
- obsessive compulsive
This personality disorders is excessively clingy
Self sacrificing
They try to get others to care about them
They are needy and need a new relationship
Dependent
This personality disorder has a need for control and they are not flexible at all Perfectionists Rigid, highly critical of others Preoccupied with details Cant do something unless its perfect
Obsessive compulsive
OCD uses what defense mechanisms
Intellectualization Rationalization Reaction formation Isolation Undoing
This personality disorder is fairly common
They have low self esteem
They are reluctant to engage in new activities
They respond well do antidepressants
Avoidant
When symptoms or problematic behavior become more pronounced in the evening or night
Nocturnal delirium
They may need PRNs and someone there with them
Sundowning
Making things up to talk about, creating stories or answers in place of actual memories to maintain self esteem
Confabulation
Loss of speech or language ability, difficulty finding the right word, then they are reduced to fewer words, finally they are reduced to babbling
Aphasia