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Psychiatric Nursing 1 (2nd Sem; 3rd Year) > F > Flashcards

F Flashcards

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1
Q

Odd thinking and eccentric behavior
● Paranoid personality disorder
● Schizoid personality disorder
● Schizotypal personality disorder

A

CLUSTER A “BAD”

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2
Q

Dramatic and erratic behavior
● Antisocial personality disorder
● Borderline personality disorder
● Histrionic personality disorder
● Narcissistic personality disorder

A

CLUSTER B “MAD”

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3
Q

Dramatic and erratic behavior
● Antisocial personality disorder
● Borderline personality disorder
● Histrionic personality disorder
● Narcissistic personality disorder

A

CLUSTER B

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4
Q

Severe anxiety and fear
● Avoidant personality disorder
● Dependent personality disorder
● Obsessive-compulsive disorder

A

CLUSTER C “SAD”

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5
Q

s a relatively stable and enduring set of
characteristic cognitive, behavioral and emotional
traits.

A

Personality

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6
Q

an extreme set of
characteristics that goes beyond the range found in
most people.

A

A personality disorder

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7
Q

deceit, coercion, or
intimidation)

A

Dysfunctional relationship

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8
Q

Doubt’s trustworthiness of others or loyalty of friends
and others.
● Fear of confiding in others

A

PARANOID PD (PERVASIVE MISTRUST & SUSPICIOUSNESS)

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9
Q

Pervasive detachment from social relationships
● Restricted range of emotional expression in
interpersonal setting
● Does not want to be involved in relationship

A

SCHIZOID PD (PERVASIVE DETACHMENT FROM SOCIAL
RELATIONSHIPS)

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10
Q

Has idea of reference
● Magical thinking and odd beliefs
● Unusual perceptual experiences, including body
illusions
● Odd thinking and vague, stereotypical and incoherent
speech

A

SCHIZOTYPAL PD (PERVASIVE PATTERN OF SOCIAL AND
INTERPERSONAL DEFICITS)

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11
Q

ERRATIC- DRAMATIC

A

CLUSTER B :

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12
Q

Failure to sustain the relationship.
● Impulsive actions.
● Low tolerance to frustration.
● Tendency to cause violence.

A

ANTI- SOCIAL PD (CHRONIC ANTI- SOCIAL BEHAVIOR VIOLATES
OTHER RIGHTS)

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13
Q

Unstable relationship
● Unstable self-image
● Unstable emotions
● Impulsivity

A

BORDERLINE PD (PERVASIVE PATTERN OF UNSTABLE
INTERPERSONAL RELATIONSHIPS. SELF-IMAGE, AND AFFECT, AS
WELL AS MARKED IMPULSIVITY.)

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14
Q

Dramatic emotionality (emotional black mail, angry
scenes, demonstrative suicide attempts.)
● Attention seeking behavior.
● Lack of considerations for other
● Self-dramatization

A

HISTRIONIC PD (PERVASIVE PATTERN OF EXCESSIVE
EMOTIONALITY AND ATTENTION SEEKING BEHAVIOR AND ARE ARAWN
TO MOMENTARY EXCITEMENT AND FLEETING ADVENTURE)

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15
Q

Attention seeking
● Dramatic behavior
● Unable to face criticism
● Lack of empathy
● Arrogances
● Exploitative behavior

A

NARCISSISTIC PD (CHARACTERIZED BY A PERVASIVE PATTERN OF
GRANDIOSITY IN FANTASV OR BEHAVIOR’ NEED FOR ADMIRATION.
AND LACK OF EMPATHY)

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16
Q

ANXIOUS FEARFUL BEHAVIORS

A

CLUSTER C:

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17
Q

Fear of disapproval or rejection
● Unwillingness to become involved with people
● Shyness
● Insecurity

A

AVOIDANT PD (PERVASIVE PATTERN OF SOCIAL DISCOMFORT AND
RETICENCE, LOW SELF-ESTEEM AND HYPERSENSITIVITY TO
NEGATIVE EVALUATION

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18
Q

Feeling uncomfortable and helplessness.
● inability to make decisions
● Low self esteem and lack of self-confidence.
● Hypersensitivity

A

DEPENDENT PD ( CHARACTERIZE BY AN EXTREME NEED TO BE
TAKEN CARE OF, WHICH LEADS TO SUBMISSIVENESS AND FEAR OF
SEPARATION OR REJECTION)

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19
Q

(CHARACTERIZED BY A PERVASIVE
PATTERN OF PREOCCUPATION WITH PERFECTIONISM, MENTAL AND
CONTROL, ORDERLINESS AT THE EXPENSE OF FLEXIBILITY,
OPENNESS AND EFFICIENCY)

A

OBSESSIVE COMPULSIVE PD

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20
Q

Preoccupation with orderliness
● Feeling of excessive doubt and caution
● Perfectionism
● High standards

A

OBSESSIVE COMPULSIVE PD

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21
Q

Pattern of negative attitudes and passive resistance to
demands for adequate performance in social and occupational
situations.

A

PASSIVE-AGGRESSIVE

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22
Q

DEVELOPMENTAL FACTORS

A

Early traumatic experience
● Losses suffered by the attachment figure.
● Childhood abuse.
● Sexual abuse.
● Lack of parental care.

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23
Q

SOCIAL CULTURAL FACTORS

A

Long term psychiatric problems.
● Chronic institutionalization
● Immigration
● Lack of close family ties which promotes loneliness.

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24
Q

ncrease the likelihood of aggression and
sexual behaviour.

A

Androgens increase

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25
Q

commonly used
10-item measure to screen for BDP. This measure
was developed as a very brief paper-and-pencil test
to detect possible BDP in people who are seeking
treatment or who have a history of treatment.

A

McLean Screening Instrument for borderline
personality disorder (MSI-BPD)

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26
Q

used for patients who have already been
diagnosed with BPD to see if there have been any
changes over time.

A

ZARINI RATING SCALE

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27
Q

consists of 99 true or false
questions that can help screen for different personality
disorders, including borderline personality diosorder.

A

PDQ-4

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28
Q

Their
dedication and hard work have yielded an
authoritative volume that defines and classifies mental
disorders in order to improve diagnoses, treatment,
and research.

A

The new edition of Diagnostic and Statistical Manual
of Mental Disorder (DSM-5

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29
Q

Aggression/ Impulsivity
Affective aggression
(normal)

DOC?

A

Lithium
Anticonvulsants
Low-dose antipsychotics

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30
Q

Predatory (hostility/cruelty)
Drug of Choice

A

Antipsychotics
Lithium

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31
Q

Psychotic symptoms
Acute and psychosis DOC?

A

Antipsychotics
Low-dose
antipsychotics

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32
Q

A subgroup of children and adolescents with conduct
disorder are characterized by severe and persistent
aggression.

A

LITHIUM

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33
Q

s used to treat conditions
such as certain types of seizure caused by epilepsy
this includes partial seizure, generalized tonic clonic
(grand mal) seizures and mixed seizure pattern.

A

CARBAMAZEPINE (TEGRETOL)

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34
Q

benzodiazepine that is used
predominantly in epilepsy, panic disorder, and mania,
and also appears to be effective in relieving
antipsychotic drug-induced akathisia

A

CLONAZEPAM

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35
Q

e helpful for decreasing
severe anger and mood lability, that does not respond
to antidepressants

A

VALPROATE (DEPAKOTE)

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36
Q

commonly prescribed for patients with severe
mental illness, such as schizophrenia and bipolar
disorder, but their use in the context of co-occurring
substance use disorders is highly controversial

A

BENZODIAZEPINES

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37
Q

drug used to treat schizophrenia that
acts in the brain. It’s also called a typical antipsychotic
or a first-generation antipsychotic (FGA)

A

HALOPERIDOL (HALDOL)

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38
Q

are a type of
antidepressant drug. They became the first
antidepressants, launched in the 1950s

A

Monoamine oxidase inhibitors (MAOls)

39
Q

They’re
often used to treat depression, particularly chronic or
serious cases. Since they have less adverse effects
than most other forms of antidepressants,

A

SSRIs (selective serotonin reuptake inhibitors

40
Q

never lack friends. They are
people-oriented. They can genuinely feel the joys and
sorrows of the people they meet and have the
capacity to make other people feel important

A

SANGUINE

41
Q

Strong-willed
Practical
Leader
Optimistic

A

Cholerix

42
Q

analytical, gifted,
perfectionist-type with a sensitive nature.
● They are introvert in nature with a strong
desire to be accepted.

A

MELANCHOLIC

43
Q

calm, cool, easygoing, and
well-balanced.
● They are relaxed and are good listeners.
● Kind Hearted but are very reserved.

A

PHLEGMATIC

44
Q

excoriation disorder, or skin picking,
is characterized by recurrent picking or scratching of
one’s skin resulting in skin lesions or health concerns;
others pick at minor lesions such as calluses, pimples
or scabs

A

Dermatillomania

45
Q

characterized
by body- focused repetitive behaviors (e.g. nail-biting.
Lip-biting. Cheek chewing) usually not caused by an
obsession

A

Body-focused repetitive disorder

46
Q

characterized by recurrent pulling
out of one’s hair resulting in hair loss.

A

Trichotillomania

47
Q

irresistible urge to eat one’s hair

A

Trichophagia-

48
Q

irresistible urge to eat one’s skin,
bites one’s lips or cheeks

A

Dermatophagia

49
Q

nail picking

A

Onychotillomania

50
Q

chronic nail biting

A

Onychophagia

51
Q

compulsive buying beyond financial
means, there is pleasure in acquiring but bought stuff
is often unused (80% female)

A

Oniomania

52
Q

characterized by
preoccupation with > 1 perceived defects in physical
appearance that are not apparent or appear only
slight to other people

A

Body dysmorphic disorder (BOD)

53
Q

characterized by persistent difficulty
discarding or parting with possessions.

A

Hoarding-

54
Q

OCD TREATMENT: MEDICATION AND BEHAVIORAL

A

SSRIs antidepressants: fluvoxamine (Luvox),
sertraline (Zoloft)
● 2nd generation antipsychotics:

55
Q

NURSING INTERVENTION FOR OCD

A

Encourage the client to use techniques to manage
and tolerate anxiety responses

56
Q

Assessment:POST-TRAUMATIC STRESS DISORDER (PTSD)

A

Emotional numbness
2. Detachment
3. Depression
4. Anxiety
5. Sleep disturbances and nightmares

57
Q

disturbing pattern of behavior demonstrated by
someone who has experienced, witnessed or been
confronted with a traumatic event such as a natural
disaster, combat or an assault.

A
57
Q

disturbing pattern of behavior demonstrated by
someone who has experienced, witnessed or been
confronted with a traumatic event such as a natural
disaster, combat or an assault.

A

POSTTRAUMATIC STRESS DISORDER

58
Q

TREATMENT POSTTRAUMATIC STRESS DISORDER

A

Counseling
Exposure therapy
Relaxation techniques
Adaptive disclosure (empty chair technique)
Medications (SSRIs, 2nd generation antipsychotic)

59
Q

defense mechanism that helps a
person protect his or her emotional self from
recognizing the full effects of some horrific or
traumatic event by allowing the mind to forget or
remove itself from the painful situation or memory.

A

Dissociation

60
Q

therapy for clients who dissociate focuses
on reassociation, or putting the consciousness back
together.

A

fpr ptsd

61
Q

not a split personality, but different
disorder characterized by “split” to reality

A

Schizophrenia

62
Q

patients with both
psychotic and mood disorders

A

Schizoaffective disorders

63
Q

symptoms that are seen in
schizophrenia, which are not commonly seen in
normal individuals (delusions, hallucinations,
disorganized behavior)

A

Positive (hard) symptoms

64
Q

removal of normal
processes (lack of emotion, avolition, social
withdrawal)

A

Negative (soft) symptoms

65
Q

GIVE POSITIVE OR HARD SYMP OF SCHIZ

A

Ambivalence
Associative Looseness
Delusions
Echopraxia
Flight of ideas
hallucinations

66
Q

Negative or Soft Symptoms of Schiz

A

Anhedonia
Apathy
Asociality
Blunted Effect
Catatonis

67
Q

BLEULER 4 A’s Schizophrenia

A

Associative Looseness
Affective Disturbances
Ambivalence
Autism

68
Q

Denotes the presence of grossly abnormal behavior
Include thought disorder, delusions, & hallucinations

A

(+) POSITIVE symptoms

69
Q

Represent the absence of normal behavior
Flat or blunted affect

A

(-) NEGATIVE symptoms

70
Q

BIOLOGIC theory= causation of Schiz

A

excessive
neurotransmitters like DOPAMINE, SEROTONIN, and
Glutamate

71
Q

Characterized by persecutory (feeling victimized or
spied on) or grandiose delusions & occasionally

A

Paranoid type:

72
Q

Disorganized speech,
● Disorganized or catatonic behavior
● Flat or inappropriate affect.

A

Paranoid type:

73
Q

Characterized by marked psychomotor disturbance,
either motionless (catatonic stupor) or excessive
motor activity (catatonic excitement).

A

CATATONIC TYPE

74
Q

Characterized by grossly inappropriate or flat effect,
incoherence, loose associations & extremely
disorganized behavior

A

DISORGANIZED TYPE

75
Q

Characterized by mix schizophrenic symptoms along
with disturbances of thought, affect & behavior

A

UNDIFFERENTIATED TYPE

76
Q

Absence of prominent delusions, hallucinations,
disorganized speech, & grossly disorganized or
catatonic behavior.

A

RESIDUAL TYPE

77
Q

Management of Schi

A

Antipsychotic drugs
● Psychosocial treatments
● Rehabilitation
● Individual Psychotherapy
● Family education

78
Q

tranquilizing drugs most
useful in schizophrenia are the phenothiazine group

A

CHLORPROMAZINE (THORAZINE) b.)
TRIFLOUPERAZINE (STELAZINE)
c.) PERPHERAZINE (TRILAFON)
d.) THIORIDAZINE (MELLARIL)
E.) FLUPHENAZINE (PROLIXIN, PERMITIL)

79
Q

Nx interv in Schiz

A

Offer self in developing therapeutic relationship
2. Use silence
3. Set time for interaction- Increase the type,

80
Q
  1. Binge-like overeating without purging
  2. Food consumption is out of the individual’s control
    and occurs in a stereotyped fashion
A

Compulsive overeating

81
Q

The onset is often associated with a stressful life
event
b. The client intensely fears obesity
c. Body image is distorted, and the client has a
disturbed self-concept

A

. Anorexia Nervosa

82
Q

Attempts to lose weight though diets, vomiting,
enema, cathartics, and amphetamines or diuretics

A

Binge-purge syndrome

83
Q

How client indulges in eating binges followed by
purging

A

Bulimia nervosa

84
Q

sexual behavior is almost always limited to the
genital exposure, and the person may make no
further harmful and advance forward the stranger

A

EXHIBITIONISM

85
Q

People with urges and behavior which are associated
with non-living objects.
● For example, the object of the fetish could be an
article of female clothing, like female underwear

A

FETISHISM

86
Q

When the focus of sexual urges are related to the
touching or rubbing of their body against a
non-consenting, unfamiliar woman.

A

FROTTEURISM

87
Q

Focuses his sexual fantasies and behavior towards
children.
● People who enjoy child pornography or “kiddie porn”
are pedophiles.

A

. PEDOPHILIA

88
Q

Getting of pleasure, often sexual, from being hurt or
humiliated.
● Sometimes the masochistic acts are limited to verbal
humiliation or blindfolding.

A

MASOCHISM

89
Q

Deriving pleasure, often sexual from mistreating
others.
● Involve the infliction of pain with materials such as
leather straps, handcuffs, and whips.

A

SADISM

90
Q

The fetish male usually has a variety of female
clothes that he uses to cross- dress

A

TRANSVECTISM

91
Q

Seeking sexual pleasure by secretly observing
another - “Peeping Tom”.

A

VOYEURISM

92
Q

● Involves making obscene phone calls.
● Partialism is sexual interest exclusively focused on a
particular body part

A

SCATOLOGIA

93
Q

is sexual activity involving feces.
● Klismaphilia is sexual activity involving enemas

A

COPROPHILIA

Psychiatric Nursing 1 (2nd Sem; 3rd Year) (7 decks)

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