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Psychiatric > Final exam > Flashcards

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
Q

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.　

A

D

26
Q

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

A
Xanax is a benzodiazepine and has addictive properties.

27
Q

Crises are acute or chronic?

A

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
Q

Dispositional Crises

A

an acute response
external situational stressor
(person is upset about something at work and goes home and beats up his wife).

29
Q

Crisis of anticipated life transitions

A

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
Q

Crises resulting from Traumatic Stress

A

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
Q

Maturational/Developmental Crises

A

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
Q

Crises reflecting Psychopathology

A

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
Q

Psychiatric Emergencies.

A

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
Q

Cluster A

A

odd or eccentric
paranoid　被害妄想
schizoid
schizotypal

35
Q

Cluster B

A

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
Q

Cluster C

A

anxious or fearful
voidant, dependent

obsessive-compulsive personality disorder

37
Q

Anorexia nervosa
a) Charactiristic
b) Weight loss is extreme, usually more than how much expected weight?

A

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
Q

Anorexia nervosa
Symptoms

A

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
Q

Bulimia nervosa
a) Charactiristic

A

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
Q

Bulimia nervosa
findindgs

A

More common than anorexia
Fasting or excessive exercise may also occur.
Most individuals are within a normal weight

41
Q

Bulimia nervosa
symptoms

A

Electrolyte imbalances
Deficient fluid volume
Imbalanced nutrition

42
Q

binge-eating disorder

A

eating significantly more than
people would eat

43
Q

Anorexia nervosa
mental states

A

anxiety and depression

44
Q

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

A

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
Q

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

A

D
Clients diagnosed with bulimia nervosa are able to maintain a normal weight by purging and bingeing

46
Q

Anorexia nervosa
Outcome

A

maintained at least 80 percent of
expected body weight
Verbalizes importance of adequate nutrition

47
Q

Kubler-Ross
Stage 1
Stage 2
Stage 3
Stage 4
Stage 5

A

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
Q

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

A

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
Q

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
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
Q

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

A

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
Q

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

A

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
Q

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

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
Q

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

A
54
Q

John Bowlby
Stage I: numbness or protest
Stage II: disequilibrium
Stage III: disorganization and despair 絶望
Stage IV: reorganization

A

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
Q

William Worden
Task I:
Task II:
Task III:
Task IV:

A

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
Q

BPD
The importance of maintaining is?

A

consistent boundaries!!!
境界線をはっきりと示す

57
Q

BPD
charactisric

A

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
Q

Avoidant
charactisric

A

Cluster C
extremely sensitive to rejection
be extremely sensitive to rejection
They are not asocial
Avoidant vs Schizoid

59
Q

narcissistic personality disorder
Cluster?

A

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
Q

dependent personality disorder
Cluster?

A

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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