Final Exam Review Missed Points

Question 1

ambivalence

Answer 1

the state of having mixed feelings or contradictory ideas about something or someone

Question 2

behavior modifications

Answer 2

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

Question 3

care settings for elderly

Answer 3

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

Question 4

catanoia

Answer 4

increase or decrease in the rate and amount of movement
schizo

Question 5

cognitive theory

Answer 5

based on the idea that there exists a dynamic interplay between individuals and the environment
thoughts come before feelings and actions

Question 6

CBT

Answer 6

thoughts are reframed so they change feelings and actions

Question 7

confabulation

Answer 7

creation of stories or answers in place of actual memories to maintain self esteem
AD

Question 8

delirium

Answer 8

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

Question 9

dementia

Answer 9

broad term used to describe deteoration of cognitive functioning and global impairment of cognitive functioning
most common is AD

Question 10

demographics and suicide risk

Answer 10

white males older than 75

Question 11

elderly care, assessment of elderly, screening tools

Answer 11

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

Question 12

eriksions stages

Answer 12

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+

Question 13

frueds stages of psychosocial development

Answer 13

oral 0-1
anal 1-3
phalic 3-6
latency 6-12
genetalia 12+

Question 14

Freuds Id, Ego, superego

Answer 14

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

Question 15

interpersonal psychotherapy

Answer 15

effective short term therapy that Wass developed under the assumption that psych disorders are influenced by interpersonal interactions and social context
improve interpersonal functioning

Question 16

involuntary admission

Answer 16

court ordered
danger to self or others
unable to meet basic needs

Question 17

levels of prevention

Answer 17

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

Question 18

medication (polypharm) and elderly

Answer 18

because older adults often take multiple medicaitons, it can be difficult for them to adhere to therapy or make mistakes in self administration

Question 19

mental status exam

Answer 19

comprehensive and specific to patient population

Question 20

neurotransmitters
- GABA

Answer 20

inhibitor
reduces aggression anxiety and excitability
pain perception

Question 21

neurotransmitters
- serotonin

Answer 21

sleep regulation
hunger
mood states
pain

Question 22

neurotransmitters
- dopmaine

Answer 22

fine motor movements
emotions and thoughts

Question 23

frued

Answer 23

development of psychoanalysis
defense mechanisms
anxiety
psychosexual

Question 24

eriksons

Answer 24

stages of moral development

Question 25

Maslow

Answer 25

heirchy of needs

Question 26

sullivan

Answer 26

development of interpersonal theory

Question 27

peplau

Answer 27

influenced by Sullivan to become the mother of modern day psych nursing

Question 28

perseveration

Answer 28

repetition of a word, phrase, or gesture that continues after the original stimulus has stopped

Question 29

primary and secondary gain

Answer 29

primary: self satisfaction
secondary: avoid consequence or gain something like drugs

Question 30

psychoanalysis

Answer 30

frued
free association, dream analysis, defense mechanisms

Question 31

psychoeducation

Answer 31

educating about mental health topics and skills

Question 32

rehab vs recovery

Answer 32

rehab focuses on deficits
recovery focuses on patient goals and strengths

Question 33

substance use/alchol use in elderly

Answer 33

use alc or drugs to cope

Question 34

therapeutic communication with elderly patients

Answer 34

empathetic, active lisenting to encourage ventilation of feelings and reestablish emotional equilibrium is important for the nurse to demonstrate

Question 35

tourrettes syndrome

Answer 35

motor disorder that is diagnosed after a patient presents with multiple motor tics and at least one vocal tic for more than a year

Question 36

transferecen and countertransference

Answer 36

transference occurs when the patient unconsciously and inappropriately displaces (transfers) onto the nurse

countertransference nurse is displaying feelings onto the patient

Question 37

DBT

Answer 37

integration of opposites

Question 38

vocational rehab

Answer 38

training skills to enhance employment and financial support for attaining employment
clubhouse
supported employment

Question 39

food to avoid with MAOI

Answer 39

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