Final NSG 212 Flashcards by Sydney Book

what is overgeneralizaton?

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

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what is catastrophizing?

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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what is forming?

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

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what is storming?

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

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what is norming?

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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what is performing?

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

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wwhat is adjourning?

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

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what is cohesivness?

feeling connected to others and belonging to the group

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what is interpersonal learning?

learning from other members

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what is catharsis?

realeasing feelings and emotions

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what is identification?

modeling after a member or leader

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what is universality?

feeling that one is not alone

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what is existential factors?

coming to understanding about what life is about

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what is trust vs. mistrust?

infants

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what is autonomy vs. shame and doubt?

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

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what is industry vs. inferioty?

School age (6-12)
Gain self confidence through learning
Competitive drive

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What is identity vs. role confusion?

Adolescence (12-20)
Question beliefs
Diffusion and differentiation from parents

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What is intimacy/ solitary vs. isolation?

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

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What is Generatively vs. self absorption?

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

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What is integrity vs. despair?

Senescence (65-death)
Acceptance of mortality
Maintain self worth

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What is elopement?

Leaving before discharge

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What is veracity?

Ones duty to commit the truth

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What is conditional release?

Follow up treatment is needed

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What is treansference?

Patient throws feelings onto the nurse

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What medicine is given for nightmares?

Prazosin

What is the first line treatment for PTSD?

Fluoxetine and Venlafaxine

What is mild anxiety?

- Alert, can see and hear - Can identify issues - Able to work effectively - Irritability, and impatience - Finger tapping and nail bitting

What is moderate anxiety?

- 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

What is severe anxiety?

- Focuses on details, attention scattered - No problem solving - Hyperventilation - Feelings of dread, threats and demands

What is idealization?

Attributing exaggerated positive qualities to someone

What are the assessment tools for anxiety disorders?

- CUXOS 20q - GAD-7 7q - HAM-A 24 q for adolescent

What is illness anxiety disorder?

Hypochondriac

What is functional neurological disorder?

• 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

What is the difference between factious disorder and malinering?

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

What signs will anorexia have?

Bradycardia Hypotension Hypokalemic alkalosis Catchtic and lanugo appearance

What is used in the diagnosis of anorexia?

SCOFF questioners

What medication is given for anorexia?

Olanzipine

What are the symptoms of mild serotonin syndrome?

- Dialated pupils - Shivering/sweating - Tachycardia

What are the signs of moderate serotonin syndrome?

- Altered mental status - Hyperthermia - Tremors - Admit to hospital with heart monitor

What are the signs of severe serotonin syndrome?

- Delirium - Hypertension, tachycardia - Rigidity (hyper relfexia) - Hyperthermia - ICU

What meds can trigger mania?

Fluoxetine and sertraline

What is cyclothymic disorder?

Hypomania with depression for more than 2 years

What is a melancholic feature?

Depression with inability to feel pleasure

What is dysthymia?

Persistent depressive episodes

What is ataxia?

Impaired balance

What is the first line of treatment for bipolar?

Lithium

How long does lithium take to work?

3-6 weeks

What is a toxic level of lithium?

Above 1.5

What is Valproic acid used for?

Manic, mixed, and rapid cycling

What medication id given for catatonia?

Lorazepam

What is a volition?

Lack of motivation

What is circumstantiality?

Detail extracts from main idea

What is neologisms?

Made up words

What is echolalia?

Repeating words for imitation

What is nihilistic?

Thinks they are not alive

What is thought broadcasting?

Thinks their thoughts are heard by everyone else

What is echopraxia?

Mimicking others movement in catatonia

What are the extrapyramidal symptoms?

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

What is haloperidol used for?

Aggressive behaviors

What is the delirium screening tool?

MINDSPACES

What is the mild stage of AD/

Forgetful Concerned about lost abilities Decreased energy and motivation

What is the moderate stage of AD?

Supervision required Unsafe to drive Apraxia

What is the severe stage of AD?

Agnostic Apraxia Agraphia Wandering Dependent

What is confabulation?

Making up answers to maintain self esteem

What is perseveration?

Repetition of behaviors

What is agraphia?

Inability to read and write

What is aphasia?

Loss of language ability

What is agnostia?

Loss of ability to recognize objects

What is the assessment for cognitive functioning?

CAM MOCA

What are the medicines for neurocognitive disorders?

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

What are the signs of stimulant use?

Dialated pupils Dry nasal cavity Excess activity

What are the signs of cocaine use?

Malnutrition Weight loss Brain damage or stroke

What are the signs of amphetamine use?

Seizures Kidney damage Hypothermia Dental decay

What are signs of overdose of opioids?

Pinpoint pupils Respiratory distress Decreased LOC

What are signs of withdraw of opioids?

Decreased energy Flu like symptoms Hot/cold sweats

Ehat is the opioid assessment tool?

COWS

What is the antagonist effect?

Drug is taken to weaken the other drug

What is PAWS?

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

What is wermicke-korsakoff ?

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

What assessment tool is used for alcohol withdraw?

CIWA-Ar

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

0.5mg of lorazepam

What is naltrexone used for?

Reverse opioid overdose

What is clonidine used for?

Helps withdraw effects r/t autonomic instability

What is methadone used for?

Replace opioid Decreases cravings and relapse

What does Reviva and Vivitrol do?

Blocks alcohol cravings

When is Antabuse given?

Only when pt plans to stay alcohol free

What are diagnostic studies for substance/alcohol?

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

What drugs are commonly used in sexually assaulted victims?

GHB. Rohypnol, and ketamine

What meds are used in agreession emergencies?

Zipraside and Olanzapine

What will delirium always have?

An underlying cause such as dehydration

What meds do you check liver levels?

Valproic acid and carbamazepine

What is the aversion therapy for addiction?

Disulfiram

What should you be cautious about when taking Disulfiram?

When working with arts and crafts or rubbing alcohol

What do you report when taking carbamazepine?

Sore throat