Final Exam Review Missed Points Flashcards
ambivalence
the state of having mixed feelings or contradictory ideas about something or someone
behavior modifications
these would occur after a person was exposed to a reward or punishment after acting out a certain way
rewards are to reinforce behaviors
punishments are to extinguish behaviors
SKINNER-operant conditioning
care settings for elderly
hospital based
- partial hospitalization
- in patient hospitalization
homebased services
- day care
- home health care
- community support
- respiste care
residential care
- assisted living
- skilled nursing facility
catanoia
increase or decrease in the rate and amount of movement
schizo
cognitive theory
based on the idea that there exists a dynamic interplay between individuals and the environment
thoughts come before feelings and actions
CBT
thoughts are reframed so they change feelings and actions
confabulation
creation of stories or answers in place of actual memories to maintain self esteem
AD
delirium
acute cognitive disturbance and often reversible condition that is common in hospitalized patients, esp older adults
inability to direct, focus, sustain, and shift attention
abrupt onset with clinical features that fluctuate with periods of lucidity and disorganized thinking
dementia
broad term used to describe deteoration of cognitive functioning and global impairment of cognitive functioning
most common is AD
demographics and suicide risk
white males older than 75
elderly care, assessment of elderly, screening tools
involves developing an understanding of the different needs of older adults, assessment of older adults should be complete and include screenings for anxiety, depression, suicide, alcohol, substance
eriksions stages
trust vs mistrust 0-1.5
autonomy vs shame and guilt 1.5-3
initiative vs guilt 3-6
industry vs inferiority 6-12
identity vs role confusion 12-20
intimacy vs isolation 20-35
generatively vs self absroption 35-65
integrity vs despair 65+
frueds stages of psychosocial development
oral 0-1
anal 1-3
phalic 3-6
latency 6-12
genetalia 12+
Freuds Id, Ego, superego
Id: unconscious, impulsive, source of all drives,
ego: problem solver, think do act, navigate outside world
superego: moral component of personality and consists of conscience and ego ideal
interpersonal psychotherapy
effective short term therapy that Wass developed under the assumption that psych disorders are influenced by interpersonal interactions and social context
improve interpersonal functioning
involuntary admission
court ordered
danger to self or others
unable to meet basic needs
levels of prevention
primary: occurs before a problem manifests and seeks to reduce the incidence or rates of new cases
secondary: aimed at early identifications of problems, screening and prompt and effective treatment
tertiary: preventing the progression to severe course, disability, death
medication (polypharm) and elderly
because older adults often take multiple medicaitons, it can be difficult for them to adhere to therapy or make mistakes in self administration
mental status exam
comprehensive and specific to patient population
neurotransmitters
- GABA
inhibitor
reduces aggression anxiety and excitability
pain perception
neurotransmitters
- serotonin
sleep regulation
hunger
mood states
pain
neurotransmitters
- dopmaine
fine motor movements
emotions and thoughts
frued
development of psychoanalysis
defense mechanisms
anxiety
psychosexual
eriksons
stages of moral development
Maslow
heirchy of needs
sullivan
development of interpersonal theory
peplau
influenced by Sullivan to become the mother of modern day psych nursing
perseveration
repetition of a word, phrase, or gesture that continues after the original stimulus has stopped
primary and secondary gain
primary: self satisfaction
secondary: avoid consequence or gain something like drugs
psychoanalysis
frued
free association, dream analysis, defense mechanisms
psychoeducation
educating about mental health topics and skills
rehab vs recovery
rehab focuses on deficits
recovery focuses on patient goals and strengths
substance use/alchol use in elderly
use alc or drugs to cope
therapeutic communication with elderly patients
empathetic, active lisenting to encourage ventilation of feelings and reestablish emotional equilibrium is important for the nurse to demonstrate
tourrettes syndrome
motor disorder that is diagnosed after a patient presents with multiple motor tics and at least one vocal tic for more than a year
transferecen and countertransference
transference occurs when the patient unconsciously and inappropriately displaces (transfers) onto the nurse
countertransference nurse is displaying feelings onto the patient
DBT
integration of opposites
vocational rehab
training skills to enhance employment and financial support for attaining employment
clubhouse
supported employment
food to avoid with MAOI
strong or aged cheeses
cured meats
smoked or processed meats
pickled or fermented foods
soy bean
asian sauces
snow peas fava beans
alcohol
drives or over ripe fruid
- raisins, prunes, bananas, avocados, figs
meat tenderizer
old or spoiled foods
chocolates
