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Final exam Flashcards

1
Q

Mild IQ

A

IQ 50-70

Capable of independent living
Academic skills to 6th grade

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2
Q

Moderate

A

IQ 35-49

Requires supervision w/ some activities
2nd grade level academic capability some communication limitations

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3
Q

Severe

A

IQ 20-34

unable to benefit from academic training
Can be trained in elementary hygiene
poor psychomotor development
Wants and needs are often communicated by acting out

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4
Q

Profound

A

(IQ <20)

unable to benefit from academic training
No capacity for independent functioning

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5
Q

Intellectual Disability
Self-care deficitn

A

Encourage independence within the patient’s capabilities

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6
Q

Intellectual Disability
Impaired Verbal Communication

A

Learn special words the patient
Maintain consistency of staff assignment over time.

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7
Q

Autism　
Risk for injury

A

Work with the child on a one-to-one basis
diversion or replacement actives(気をそらす）
anxiety level rise, harming self
-helmet or something to covers

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8
Q

Autism
Impaired Social Interaction

A

Assign a limited number of caregivers to the child.
Provide the child with familiar objects
Give positive reinforcement

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9
Q

Normal anxiety

A

is a healthy response to stress for survival

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10
Q

Panic disorder
expecting findings

A

chest pain
fear of daying
A sudden, overwhelming
palpitations, shaking
shortness of breath
choking

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11
Q

Impending doom

A

A feeling of dread 恐怖, terror, and worry that something terrible is going to happen
panic disorder

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12
Q

Generalized anxiety disorder (GAD)
characteristic

A

chronic
persistent
more days than not
for at least 6 months

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13
Q

Nursing care
panic attack

A

offer reassurance of safety and security
Do not leave the patient alone! spoken calmly
breathe into a small paper bag

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14
Q

Phobias

A

No reason to be afraid
disproportional levels of fear/anxiety to a stimulus, this affects ADL
Responses typically include intense anxiety or panic attacks

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15
Q

Agoraphobia
Characteristic

A

Fear of being in public space
out of house (just scared)
Ex:
Traveling in public transportation
Being in shops, theaters, or cinemas
Standing in line or being in a crowd

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16
Q

Social Anxiety Disorder (Social Phobia)

A

excessive fear of speaking in front of others d/t excessive fear of embarrassment
meeting strangers
starting conversations

“What will people think of me?”

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17
Q

Specific Phobias

A

Fear of specific objects or situations
reaction to them is excessive, unreasonable, and inappropriate.

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18
Q

Claustrophobia?

A

fear of being in small spaces

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19
Q

differences between a social phobia and schizoid personality disorder

A

social phobia
-they intrest socialize but it just too scare tosocialize
schizoid personaility
-they don’t care socialoze at all
-may appear cold, aloof and indifferent to others
-engage more with animals than people

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20
Q

Medication
Buspirone (BuSpar)

A

Antianxiety agent
NOT addictive
Does not depresses CNS
DO NOT take as PRN
Takes 10-14 da

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21
Q

Medication
Benzodiazepines

A

Antianxiety medication
Good for acute treatment of GAD
Can cause physical dependence

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22
Q

Chlordiazepoxide (Librium)

A

Should NOT have alcohol with

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23
Q

Obsessions

A

thoughts
unwanted, intrusive, repetitive thoughts
Ex) I need this to be RED, red, red. I don’t know why but it must be red!!!

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24
Q

Compulsions

A

repetitive behavio
reaction of obsessions
unwanted, repetitive behavior patterns Repetitive ritualistic(儀式）behavior or thoughts

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25
**When caring for a patient who is experiencing a panic attack, which of the following nursing actions should be implemented?** A. Leave the patient alone to maintain privacy. B. Instruct the patient regarding unit rules and regulations. C. Sit with the patient in the day room to provide comfort. D. Communicate with simple words and brief messages.　
D
26
**What should the nurse plan to teach a patient who is taking alprazolam (Xanax) three times a day?**　 A. That there is a potential for dependence and tolerance B. The importance of discontinuing Xanax immediately if addiction is suspected C. That increased caffeine consumption can enhance the effectiveness of Xanax D. That Xanax is not habit forming
A Xanax is a benzodiazepine and has addictive properties.
27
Crises are acute or chronic?
acute ソックスない（月曜日はOK） ソックスない（水曜日もOK） ソックスどこだ！！！とわめく 金曜日＝crises
28
Dispositional Crises
an acute response external situational stressor **(person is upset about something at work and goes home and beats up his wife).**
29
Crisis of anticipated life transitions
Normal life-cycle transition that may be anticipated but over which the individual may feel a lack of control **having to take an extra job while in school and getting bad grades as a result)**
30
Crises resulting from Traumatic Stress
He or she feels emotionally overwhelmed and defeated.　　　 Precipitated by an unexpected, external stressor over which the individual has little or no control **(Person is kidnapped. After this experience, she has flashbacks and is constantly afraid).**
31
Maturational/Developmental Crises
A naturally occurring event during the life　 Requires learning additional coping skill　 married, retiring 40なのにどうして仕事してないんだ！
32
Crises reflecting Psychopathology
An emotional crisis in which preexisting **psychopathology** has been instrumental in precipitating the crisis or in which psychopathology significantly impairs or complicates adaptive resolution. **Ex: a woman with borderline personality disorder may be found wandering in traffic on a busy expressway after finding out her therapist is moving out of the city.**
33
Psychiatric Emergencies.
A crisis situation in which general functioning has been severely impaired and the individual is rendered incompetent or unable to assume personal responsibility　 **Ex: high school student may react to a breakup by becoming hysterical and ingesting an entire bottle of valium tablets.**
34
Cluster A
odd or eccentric paranoid　被害妄想 schizoid schizotypal
35
Cluster B
dramatic, emotional, or erratic borderline histrionic narcissistic 他者の気を引くために（注目の的になるために）演技のような（芝居がかった・挑発的 な）言動を過剰にとる
36
Cluster C
anxious or fearful voidant, dependent obsessive-compulsive personality disorder
37
Anorexia nervosa a) Charactiristic b) Weight loss is extreme, usually more than how much expected weight?
a)prolonged loss of appetite a morbid fear of obesity 　拒食症 Persistent energy intake restriction 🡪 low body weight b) 15 percent of expected weight (= less than 85 percent )
38
Anorexia nervosa Symptoms
hypothermia, bradycardia, hypotension, edema, lanugo, and a variety of metabolic changes gross distortion of body image, **preoccupation with food, and refusal to eat** (client feels fat) **amenorrhea obsession w/ food** feelings of anxiety and depression
39
Bulimia nervosa a) Charactiristic
神経性過食症 Recurrently eating large quantities of food over **short period** of time followed by behaviors that rid the body of the food (**vomiting, laxative use**)
40
Bulimia nervosa findindgs
More common than anorexia Fasting or excessive exercise may also occur. Most individuals are **within a normal weight**
41
Bulimia nervosa symptoms
Electrolyte imbalances Deficient fluid volume Imbalanced nutrition
42
binge-eating disorder
eating significantly more than people would eat
43
Anorexia nervosa mental states
anxiety and depression
44
**Which is characteristic of the diagnosis of anorexia nervosa?** A. Obsession with weight gain B. Body image disturbance C. Disregard for the feelings of others D. Healthy family relationships
B The distortion in body image by clients diagnosed with anorexia nervosa is manifested by thoughts that they are fat when they are obviously underweight or even emaciated.
45
**Which assessment finding would the nurse expect to find in clients diagnosed with bulimia?** A. They are below normal weight. B. They binge when they experience hunger. C. They will be highly motivated to seek help. D. They are within their normal weight range
D Clients diagnosed with bulimia nervosa are able to maintain a normal weight by purging and bingeing
46
Anorexia nervosa Outcome
maintained at least 80 percent of expected body weight Verbalizes importance of adequate nutrition
47
Kubler-Ross Stage 1 Stage 2 Stage 3 Stage 4 Stage 5
denial (difficulty believing loss) anger (at self or others) bargaining (negotiates for more time) depression (overwhelming sadness by inability to change situation) acceptance (accepts what has happened and moves forward)
48
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? A. Odd beliefs and magical thinking B. Grandiose sense of self-importance C. Pattern of intense and chaotic relationships D. Submissive and clinging behaviors
B Clients diagnosed with narcissistic personality disorder have an exaggerated sense of self-worth. They are often grandiose and believe they have an inalienable right to receive special consideration.
49
A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder? A. Schizoid personality disorder B. Dependent personality disorder C. Borderline personality disorder D. Antisocial personality disorder
A A hallmark of the schizoid personality is a marked withdrawal from social contact. The client behaviors presented in the question are indicative of schizoid personality disorder.
50
A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe? A. Social isolation B. Suspiciousness of others C. Bizarre speech patterns D. Generates conflict among the staff
D Clients diagnosed with borderline personality disorder, having little empathy toward others, are unable to accept both positive and negative feelings, and view others as all good or all bad. They tend to split staff, generating conflict.
51
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe? A. Predictability B. Controlled anger C. Little tolerance for being alone D. Stable and satisfactory relationships
C Clients diagnosed with borderline personality disorder have little tolerance for being alone. They prefer a frantic search for companionship, no matter how unsatisfactory, rather than experiencing feelings of loneliness, emptiness, and boredom.
52
An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected? A. “It’s not my fault.” B. “I’m too ashamed to talk about it.” C. “I just don’t remember doing it.” D. “I’m really sorry about all the people.”
A Individuals diagnosed with antisocial personality disorder lack remorse 反省 about their actions and view themselves as victims. This individual would most likely refuse to acknowledge responsibility for the accident.
53
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? A. Odd beliefs and magical thinking B. Grandiose sense of self-importance C. Pattern of intense and chaotic relationships D. Submissive and clinging behaviors
54
John Bowlby Stage I: numbness or protest Stage II: disequilibrium Stage III: disorganization and despair 絶望 Stage IV: reorganization
I:feeling of shock and disbelief. Reality of loss is not acknowledged II: preoccupation with the loss, anger toward self and other, and feelings of ambivalence and guilt III:ADLs become increasingly disorganized, and behavior is characterized by restlessness and IV: individual accepts to the loss. New goals and patterns of organization are established.
55
William Worden Task I: Task II: Task III: Task IV:
I:accepting the reality of the loss II: processing the pain of grief physical/emotional pain must work through III: adjusting to a world without the lost Individual must develop new skills to cope and adapt to new environment without lost person IV: finding an enduring connection w/ lost Involves letting go of the past and moving forward. This is the most difficult task to accomplish
56
BPD The importance of maintaining is?
consistent boundaries!!! 境界線をはっきりと示す
57
BPD charactisric
**Claster B** Patients tend to split their world in black and white; good and bad (splitting) Self-harm/suicidal is seen as a way of maintaining control become hostile and blaming
58
Avoidant charactisric
Cluster C extremely sensitive to rejection be extremely sensitive to rejection They are not asocial Avoidant vs Schizoid
59
narcissistic personality disorder Cluster?
Cluster B dramatic/emotional self-important and demanding. They tend to exploit 利用する others for their self-gratification 自己満足
60
dependent personality disorder Cluster?
Cluster C: anxious/fearful lack self-confidence rely on others to make decisions for them high risk for substance abuse

Psychiatric (21 decks)

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