Final additional cards

Question 1

birth - 18 mo

Answer 1

trust vs mistrust

Question 2

18 mo - 3 yrs

Answer 2

autonomy vs shame and doubt

Question 3

3-6 yr

Answer 3

initiative vs guilt

Question 4

6-12

Answer 4

insustry vs inferiority

Question 5

Class of meds used for autism

Answer 5

antipsychotics

Question 6

electrolyte abnormalities of anorexia

Answer 6

increased BUN/creatinine, decreased electrolytes, increased liver enzymes → confusion, lost of muscle/nerve function

Question 7

labs bulemia

Answer 7

metabolic alk, electrolyte imbalance

Question 8

anorexia meds

Answer 8

antidepressants, antipsychotics (for distored perception) antianxiety

Question 9

bulimia and binge eating meds

Answer 9

SSRIs

Question 10

weight gain goals for anorexia

Answer 10

0.5-1.5 lbs per week gain, with discharge goal of a BMI of 18.5-19

Question 11

Cluster A

Answer 11

schizophrenia-like,
paranoid
schizoid
schizotypal

Question 12

Paranoid

Answer 12

grudges, distrust, suspicion

Question 13

Schizoid

Answer 13

detachment in social relationships, emotional coldness

Question 14

schizotypal

Answer 14

avoidant, delusional, many hallucinate → more misperception than other types

Question 15

Nursing interventions Cluster A

Answer 15

clear communication
promote independence
avoid power struggles
in schizoid, use meds short term

Question 16

Cluster B

Answer 16

Sociological challenges
antisocial
borderline
histrionic
narscistic

Question 17

antisocial

Answer 17

must be at least 18, disregard and violation of the rights of others, harm animals

Question 18

borderline

Answer 18

perceived abandonment, polarized thinking, instability in relationships

Question 19

histrionic

Answer 19

attention seeking

Question 20

Narcissistic

Answer 20

needs to be admired, self centered, lack of care for others, grandiosity

Question 21

cluster B nursing interventions

Answer 21

communicate directly
set boundaries
talk with staff about feelings, especially with borderline personality as slitting can be an issue
for histrionic, show empathy about concerns but focus on objective issues
for narcissistic, allow the patient to rechannel their “skills” to deal with illness

Question 22

Cluster C

Answer 22

fearfulness and anxiety
avoidant
dependent
OCPD

Question 23

avoidant

Answer 23

social inhibition, hypersensitive to negative feedback and criticism

Question 24

Dependent

Answer 24

shy, clingy, submissive, hesitant to make own decisions

Question 25

OCPD

Answer 25

like OCD but they don’t see a problem with it (egosyntonic)

Question 26

Nursing interventions Cluster C

Answer 26

avoidant – calm, avoid reactions that may seem rejectant Dependent – avoid giving a sense of uncertainty, treat patient as an equal partner, avoid making decisions for them OCPD – avoid confrontation, reactivity, and personalizing the interaction

Question 27

Intellectual developmental disorder

Answer 27

onset before 18, deficits in intellectual performance (IQ) and adaptive skills (ADLs) as compared to peers, 4 levels based on IQ

Question 28

Autism

Answer 28

early onset, deficits in communication, social skills, and behavioral inflexibility, levels vary

Question 29

Autism nursing interventions

Answer 29

routines, dopamine antagonists (antipsychotics like zyprexa, geodon, seroquel)

Question 30

ADHD

Answer 30

inattention, impulsivity, and hyperactivity, difficulty with task completion and beginning, disruptive, low frustration tolerance

Question 31

Nonstimulant ADHD meds

Answer 31

Atomoxetine (Strattera) SNRI, wellbutron (weak NRI) alpha 2 agonists like clonidine and guanfacine

Question 32

Stimulant OD

Answer 32

fluids, sz precautions, bromocriptine for fever, and anti seizure meds

Question 33

Tourettes

Answer 33

presence of vocal and motor tics, presents in age 6-7

Question 34

tourets meds

Answer 34

Low dose antipsychotics alpha agonists– clonidine and guanfacine

Question 35

Conduct disorder

Answer 35

constant violence and rule breaking without remorse, especially towards animals, before 18, at 18 converted to antisocial personality disorder

Question 36

Conduct disorder interventions

Answer 36

Structure, supervision, therapy, meds (lithium, antidepressants, anticonvulsants)

Question 37

Disruptive behavioral disorders

Answer 37

disruptive mood dysregulation disorder (replaced pediatric bipolar) Oppositional defiant disorder – provocative, angry, testing limits, argumentative, vindictive

Question 38

Interventions for oppositional defiant disorder

Answer 38

parent education behavior modification

Question 39

Situational crisis

Answer 39

impacts one or a small number of individuals, like a house burning down

Question 40

Adventitious crisis

Answer 40

societal, catastrophic event impacting large groups of people like a bomb being dropped

Question 41

maturational crisis

Answer 41

transitions, failed attempt to master developmental tasks

Question 42

DBT

Answer 42

more in depth, involves parts of CBT, meditation and distraction, increased pt participation in their care, focuses on changing distress tolerance level and emotional regulation most effective for more extreme cases, ED, SI, SUD, BPD