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Final NSG 219 and 212 > Final NSG 212 > Flashcards

Final NSG 212 Flashcards

1
Q

what is overgeneralizaton?

A

Using a bad outcome to believe nothing will ever go right again

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2
Q

what is catastrophizing?

A

Extreme form of magnification in which the very worst outcome is coming
o Ex. If I don’t make a good impression on the boss, she will fire me

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3
Q

what is forming?

A

Infants
• Connecting with others
• Desiring acceptance
• Avoiding conflict
• Leader is the main connection

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4
Q

what is storming?

A

Adolescents
• Issues are being addressed
• Personal relations interfere with task
• Rules and structure
• Members challenge the role of the leader

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5
Q

what is norming?

A

Early adult
• Members know one another
• Rules are evident
• Group identity and cohesion
• Members resist change which could lead to a group breakup
• Leadership is shared

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6
Q

what is performing?

A

Mature adult
• Loyalty, flexibility, interdependence, productivity
• Balance between focus and work of group members

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7
Q

wwhat is adjourning?

A

Older adult
• Tasks are terminated
• Relationships are disengaged
• Accomplishments are recognized
• A sense of loss is an inevitable consequence

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8
Q

what is cohesivness?

A

feeling connected to others and belonging to the group

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9
Q

what is interpersonal learning?

A

learning from other members

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10
Q

what is catharsis?

A

realeasing feelings and emotions

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11
Q

what is identification?

A

modeling after a member or leader

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12
Q

what is universality?

A

feeling that one is not alone

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13
Q

what is existential factors?

A

coming to understanding about what life is about

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14
Q

what is trust vs. mistrust?

A

infants

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15
Q

what is autonomy vs. shame and doubt?

A
  • Early childhood (1 ½-3)
  • Develop confidence in physical and mental abilities
  • Gain self control and independence
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16
Q

what is industry vs. inferioty?

A
  • School age (6-12)
  • Gain self confidence through learning
  • Competitive drive
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17
Q

What is identity vs. role confusion?

A
  • Adolescence (12-20)
  • Question beliefs
  • Diffusion and differentiation from parents
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18
Q

What is intimacy/ solitary vs. isolation?

A
  • Young adult (20-30)
  • Maturity and social responsibility result in ability to love
  • Fear of losing identity
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19
Q

What is Generatively vs. self absorption?

A
  • Adulthood (30-65)
  • Caring and contributing
  • Lack of generatively results in self absorption
  • Achieve life goals
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20
Q

What is integrity vs. despair?

A
  • Senescence (65-death)
  • Acceptance of mortality
  • Maintain self worth
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21
Q

What is elopement?

A

Leaving before discharge

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22
Q

What is veracity?

A

Ones duty to commit the truth

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23
Q

What is conditional release?

A

Follow up treatment is needed

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24
Q

What is treansference?

A

Patient throws feelings onto the nurse

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25
Q

What medicine is given for nightmares?

A

Prazosin

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26
Q

What is the first line treatment for PTSD?

A

Fluoxetine and Venlafaxine

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27
Q

What is mild anxiety?

A
  • Alert, can see and hear
  • Can identify issues
  • Able to work effectively
  • Irritability, and impatience
  • Finger tapping and nail bitting
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28
Q

What is moderate anxiety?

A
  • Norrowing perception field, can solve problems but not clearly
  • Tension, pounding heart, increases pulse and RR
  • Benefits from guidance
  • Voice tremors, shakiness, repetitive questioning
  • Prancing and banging hands
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29
Q

What is severe anxiety?

A
  • Focuses on details, attention scattered
  • No problem solving
  • Hyperventilation
  • Feelings of dread, threats and demands
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30
Q

What is idealization?

A

Attributing exaggerated positive qualities to someone

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31
Q

What are the assessment tools for anxiety disorders?

A
  • CUXOS 20q
  • GAD-7 7q
  • HAM-A 24 q for adolescent
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32
Q

What is illness anxiety disorder?

A

Hypochondriac

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33
Q

What is functional neurological disorder?

A

• Conversion disorder
• Symptoms of altered voluntary motor or sensory functions that cause distress
• Example includes weakness resulting in being unable to go to work where they are bullied

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34
Q

What is the difference between factious disorder and malinering?

A

Factitious has no obvious benefit to their fake symptoms while malingering has a benefit

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35
Q

What signs will anorexia have?

A

Bradycardia
Hypotension
Hypokalemic alkalosis
Catchtic and lanugo appearance

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36
Q

What is used in the diagnosis of anorexia?

A

SCOFF questioners

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37
Q

What medication is given for anorexia?

A

Olanzipine

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38
Q

What are the symptoms of mild serotonin syndrome?

A
  • Dialated pupils
  • Shivering/sweating
  • Tachycardia
39
Q

What are the signs of moderate serotonin syndrome?

A
  • Altered mental status
  • Hyperthermia
  • Tremors
  • Admit to hospital with heart monitor
40
Q

What are the signs of severe serotonin syndrome?

A
  • Delirium
  • Hypertension, tachycardia
  • Rigidity (hyper relfexia)
  • Hyperthermia
  • ICU
41
Q

What meds can trigger mania?

A

Fluoxetine and sertraline

42
Q

What is cyclothymic disorder?

A

Hypomania with depression for more than 2 years

43
Q

What is a melancholic feature?

A

Depression with inability to feel pleasure

44
Q

What is dysthymia?

A

Persistent depressive episodes

45
Q

What is ataxia?

A

Impaired balance

46
Q

What is the first line of treatment for bipolar?

A

Lithium

47
Q

How long does lithium take to work?

A

3-6 weeks

48
Q

What is a toxic level of lithium?

A

Above 1.5

49
Q

What is Valproic acid used for?

A

Manic, mixed, and rapid cycling

50
Q

What medication id given for catatonia?

A

Lorazepam

51
Q

What is a volition?

A

Lack of motivation

52
Q

What is circumstantiality?

A

Detail extracts from main idea

53
Q

What is neologisms?

A

Made up words

54
Q

What is echolalia?

A

Repeating words for imitation

55
Q

What is nihilistic?

A

Thinks they are not alive

56
Q

What is thought broadcasting?

A

Thinks their thoughts are heard by everyone else

57
Q

What is echopraxia?

A

Mimicking others movement in catatonia

58
Q

What are the extrapyramidal symptoms?

A

Dystonia: spasms of head, neck and tongue
Akathsia: pacing or fidgeting
Psuedoparkinsonism: stiffening of face, body, arms and legs
Tardive dyskinesthsia: muscular spasms of face and jaw

59
Q

What is haloperidol used for?

A

Aggressive behaviors

60
Q

What is the delirium screening tool?

A

MINDSPACES

61
Q

What is the mild stage of AD/

A

Forgetful
Concerned about lost abilities
Decreased energy and motivation

62
Q

What is the moderate stage of AD?

A

Supervision required
Unsafe to drive
Apraxia

63
Q

What is the severe stage of AD?

A

Agnostic
Apraxia
Agraphia
Wandering
Dependent

64
Q

What is confabulation?

A

Making up answers to maintain self esteem

65
Q

What is perseveration?

A

Repetition of behaviors

66
Q

What is agraphia?

A

Inability to read and write

67
Q

What is aphasia?

A

Loss of language ability

68
Q

What is agnostia?

A

Loss of ability to recognize objects

69
Q

What is the assessment for cognitive functioning?

A

CAM
MOCA

70
Q

What are the medicines for neurocognitive disorders?

A

Cholinesterase: Exelon and Aricept (slows progression of AD for 6 mon)
Narendra for severe AD

71
Q

What are the signs of stimulant use?

A

Dialated pupils
Dry nasal cavity
Excess activity

72
Q

What are the signs of cocaine use?

A

Malnutrition
Weight loss
Brain damage or stroke

73
Q

What are the signs of amphetamine use?

A

Seizures
Kidney damage
Hypothermia
Dental decay

74
Q

What are signs of overdose of opioids?

A

Pinpoint pupils
Respiratory distress
Decreased LOC

75
Q

What are signs of withdraw of opioids?

A

Decreased energy
Flu like symptoms
Hot/cold sweats

76
Q

Ehat is the opioid assessment tool?

A

COWS

77
Q

What is the antagonist effect?

A

Drug is taken to weaken the other drug

78
Q

What is PAWS?

A

Post acute withdraw syndrome
More emotional symptoms
Last up to 2 years with risk of relapse

79
Q

What is wermicke-korsakoff ?

A

Caused by thiamine deficiency
Confusion, abnormal eye movements, unsteady gait

80
Q

What assessment tool is used for alcohol withdraw?

A

CIWA-Ar

81
Q

If CIWA-Ar score is 6-9 ehat is given?

A

0.5mg of lorazepam

82
Q

What is naltrexone used for?

A

Reverse opioid overdose

83
Q

What is clonidine used for?

A

Helps withdraw effects r/t autonomic instability

84
Q

What is methadone used for?

A

Replace opioid
Decreases cravings and relapse

85
Q

What does Reviva and Vivitrol do?

A

Blocks alcohol cravings

86
Q

When is Antabuse given?

A

Only when pt plans to stay alcohol free

87
Q

What are diagnostic studies for substance/alcohol?

A

SMART and SAMHSA
B-DAST TEST
Cage questioner (alcohol)

88
Q

What drugs are commonly used in sexually assaulted victims?

A

GHB. Rohypnol, and ketamine

89
Q

What meds are used in agreession emergencies?

A

Zipraside and Olanzapine

90
Q

What will delirium always have?

A

An underlying cause such as dehydration

91
Q

What meds do you check liver levels?

A

Valproic acid and carbamazepine

92
Q

What is the aversion therapy for addiction?

A

Disulfiram

93
Q

What should you be cautious about when taking Disulfiram?

A

When working with arts and crafts or rubbing alcohol

94
Q

What do you report when taking carbamazepine?

A

Sore throat

Final NSG 219 and 212 (2 decks)

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