Final

Question 1

Mental status exam tests what 6

Answer 1

appearance, mood, behavior, speech, judgement, cognition

Question 2

Mini MSE tests 5

Answer 2

orientation, registration, attention, recall, language

Question 3

Mini cog assessment

Answer 3

3 words to remember

draw clock
repeat three words

Question 4

When is it depression 4

Answer 4

rapid mental decline, difficulty concentrating, language and motor slow but working, notices or worries about memory problems.

Question 5

One thing to remember about depression and NCD

Answer 5

CD can be exacerbated by depression. Want to treat this early

Question 6

What happens in the pre-interaction phase

Answer 6

obtain information and evaluate owns feelings

Question 7

What happens in the orientation phase?

Answer 7

establish trust, contract for intervention, assess, nursing diagnosis, goals, plan, feelings

Question 8

what happens in the working phase

Answer 8

promote growth, overcome resistance behaviors, evaluate progress

Question 9

Two things that come up during the working phase and define them

Answer 9

transference and countertransference
t- patient to you- you look like me dad so…
ct- you to patient I remember when my partner was….

Question 10

What happens during the termination phase

Answer 10

wrapping it up progress has been made, plan of action established, feelings adressed

Question 11

Reflection

Answer 11

Refer feelings back to patient to empower the patient to problem solve
Rephrase “I hate my parents” ⇒ “so it sounds like you had a dif time comm w/ your parents?”

Question 12

all or nothing thinking

Answer 12

I am either a success or a failure

Question 13

Overgeneralization

Answer 13

This happened one time so it happens all of the time

Question 14

mental filter or disqualifying the positive

Answer 14

Only seeing the bad

Question 15

magnification or minimization

Answer 15

Accomplishments are minimized or small events are magnified

Question 16

Emotional reasoning

Answer 16

concluding that something is real because of an emotional response

Question 17

personalization

Answer 17

You blame yourself for something you weren’t entirely responsible for, or you blame other people and overlook ways that your own attitudes and behavior might contribute to a problem.

Question 18

Milieu management 7

Answer 18

health of each individual is realized and encouraged to grow
every interaction = opportunity for therapeutic intervention
each individual owns his/her own environment
each individual owns his/her own behavior
peer pressure = useful/powerful tool
inappropriate behaviors dealt w/ as they occur
restrictions/punishments avoided

Question 19

Alcohol w/d time frame

Answer 19

4-12 hours after last drink

Question 20

Anorexia physical signs 6

Answer 20

Hypothermia, bradycardia, hypotension, edema, lanugo, metabolic changes

Question 21

Delirium Tremens on set plus 4 s/s

Answer 21

Onset 2-3 days after last drink
Significant difficulty with attention
Disorganized thinking
Perceptual disturbances
Audio, visual, and/or tactile hallucinations
Significant restlessness

Question 22

Opioid withdrawal s/s 5 and one med

Answer 22

tachycardia, muscle aches, pupillary dilation, abdominal cramping, fever,Loperamide - D

Question 23

Nicotine and caffine wd s/s

Answer 23

headache and dysphoria (caffeine) or anxiety, irritability, restlessness, decreased heart rate (nicotine)

Question 24

Signs of Wernicke-Korsakoff Syndrome

Answer 24

Wernicke’s encephalopathy - Most serious form of thiamine deficiency
Impaired ability to walk and talk “wet brain”
Korsakoff’s psychosis
Syndrome of confusion, loss of recent memory, and confabulation(making things up to fill the gaps in our life) in alcoholic patients
seen in conjunction with Wernicke’s
treatment for both CNS disorders is thiamine (Vitamin B1) replacement

Question 25

What is the difference between ODD and CD

Answer 25

both are persistent patterns of anger but conduct disorder violates the basic rights of others and social rules.

Question 26

Ages for developing ODD

Answer 26

males 8 before puberty

females after first mens and early teens

Question 27

Reasons for autism 5

Answer 27

Depakote, anoxia, increase maternal age, gestational diabetes, disruptions in serotonin= enlargement of brain

Question 28

s/s for autism 6

Answer 28

lack of verbal communication or none, immature or idiosyncratic speech, not responsive to sound or hyper reactive, attachment to things, repetitive behaviors, limited sense of self

Question 29

What are the interventions for autism 7

Answer 29

Routines, prepare for new experiences, use attachment, one on one, warm connective care givers, positive reinforcement for eye contact, learn names of body parts.

Question 30

What drugs are used for autisum?

SE 5

Answer 30

Antipsychotics- risperidone and aripiprazoe

drowsy, increased ap, weight gain, neuroleptic malignant syndrome and extrapyramidal symptoms,

Question 31

s/s of neuroleptic malignant syndrome and why

Answer 31

fever, mm rig, autonomic dysfunction from antipsychotics

Question 32

What medications are used for tourette’s?

Answer 32

Antipsychotics clonidine and guanfacine

Question 33

two types of tics

Answer 33

palilalia and echolalia

Question 34

what are the differences between ocd and tourettes

Answer 34

feelings of incompleteness proceed it no anxiety, repeat behaviors from hyper awareness of sensory and physical awareness.

Question 35

Emotional abuse

Answer 35

A pattern of behavior on part of whomever that results in serious impairment of persons functioning

Question 36

Emotional Abuse
vs
Neglect

Answer 36

Inappropriate statements, belittling, rejections

omission of warmth

Question 37

Predisposing factors of Intellectual development disorder 4

Answer 37

genetics-tays or chromosomal, disruptions in development, illness, environmental exposure.

Question 38

Adaptive functioning

Answer 38

The persons ability to the requirements of daily living and expectations of their age and culture

Question 39

interventions for intellectual development

Answer 39

no stereotype, pos and neg reinforcement, identify ability, consistant care givers, habit training

Question 40

Delirium onset

Answer 40

hours to days

Question 41

s/s of delirium 9

Answer 41

Acute onset, inattention, disorganized thinking, altered level of conscious, impairment of recent memory, hallucinations, agitation, sleep wake issues, emotional instability

Question 42

what are the interventions for delirium? 4

Answer 42

confusion assessment method- assess daily better or worse?

orientation to familiar objects, sleep wake cycle, mobility, assistive devices

Question 43

Def of major or minor nerucog disorder

Answer 43

changes in cognition or memory from previous level of function

Question 44

major difference between major and minor neurocog d

Answer 44

Help with ADLs

Question 45

Biggest difference between delirium and neurocog disorder

Answer 45

memory- neuro cog major minor and attention for delirium

Question 46

s/s of major min neurocog 5

Answer 46

impairment in abstract thinking, judgement. reasoning, rules disregarded, appearance neglected, language may or may not be impaired, personality change.

Question 47

late s/s of major/min neurocog 6

Answer 47

aphasia, apraxia, dysphagia, irritable mood, cant care for needs, wandering, incontinence

Question 48

Alzhimers facts 4

Answer 48

common, onset is slow and insidious, deficiency in ace-concentration and memory, memory and judgement before motor,.

Question 49

what causes alzheimers 6

Answer 49

plaques of beta amyloid fragments and tau protein, head trauma, genetic factors, downs, gen health, age

Question 50

vascular NCD facts 5

Answer 50

vascular stuff, faster onset than alz, variable course-progession and then stable early motor and cognitive problems

Question 51

lewy body disease 4

Answer 51

50 and older, 3rd most common ND, lewy body prot part enter brain and impact function of brain cells. it affects movement like parks and memory like alzheimers