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Geri/Pysch final > Geri/mental health final > Flashcards

Geri/mental health final Flashcards

1
Q

what is kyphosis

A

hunch back

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2
Q

what can happen if you strain during a bowel movement

A

hemorrhoids, dysrthmias

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3
Q

adverse reaction to hydrochlorothiazide

A

muscle pain, nocturia

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4
Q

high calcium foods

A

leafy greens, peas, dairy

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5
Q

signs and symptoms of hypothyroidism

A

cognitive function, gait disturbances

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6
Q

which labs put patients at risk for heart disease (think about the Dean’s “health issue”)

A

cholesterol (LDL, triglycerides)

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7
Q

what is post-prandial hypotension

A

after meal hypotension

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8
Q

at what age should you get the Shingles vaccine

A

50+

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9
Q

symptoms of age-related macular degeneration

A

distorted lines

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10
Q

complaints after too much diuretic

A

muscle pain, leg cramps

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11
Q

lab value for pressure ulcer

A

albumin

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12
Q

can urge incontinence be cured in an older adult female

A

no :(

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13
Q

signs of digoxin toxicity (my first pt in 71)

A

confusion, weakness, dysrhythmia, decreased glomerular filtration rate

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14
Q

which lab value will be low during dehydration

A

creatinine

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15
Q

osteoporosis exercise

A

brisk walking

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16
Q

Normal decline of the heart in the elderly

A

decreased elasticity of the ventricles

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17
Q

benign spots on the skin

A

liver spots

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18
Q

symptom of cataracts

A

seeing halos

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19
Q

what affects medication effects in the elderly

A

slowed digestive system

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20
Q

which medication should you avoid with a history of gastric ulcers

A

aspirin (causes bleeding)

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21
Q

what can help PTSD

A

guided imagery

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22
Q

which of these medications would NOT be used for bipolar disorder
lithium, paroxetine, valporic acid, fluoxetine

A

paroxetine

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23
Q

first step in improving the elderly’s nutritional intake

A

determine who buys the groceries -_-

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24
Q

what increases the risk for serotonin syndrome in pts taking SSRIs

A

St. Johns Wort

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25
Q

Should an anorexic pt avoid looking in the mirror

A

no

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26
Q

is a blunted affect a positive symptom

A

no

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27
Q

what can outdated medications indicate

A

abuse

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28
Q

“yesternoon, the sun and moon, drove around the rover”

A

associative looseness

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29
Q

can placing locks at the top of doors prevent wandering

A

yes

30
Q

factor making pts most vulnerable for abuse

A

Alzheimer’s

31
Q

major adverse reaction to Haldol

A

dysrthmias

32
Q

priority assessment for major depression

A

assistance with grooming

33
Q

should a nurse adopt a neutral or positive attitude for a therapeutic relationship

A

neutral

34
Q

what should a nurse maintain with an anxious patient (yes chandler I was being sexual)

A

maintain eye contact

35
Q

what should a nurse do for a pt going through ETOH detox

A

provide rest and hydration

36
Q

is the aggression phase a part of the cycle of violence

A

no

37
Q

(T/F) an EKG can help diagnose narcolepsy

A

false

38
Q

a kid has extreme behavior problems (like playing with matches) …what is this an example of

A

conduct disorder

39
Q

which medications increase risk for suicide when initially started

A

SSRIs

40
Q

what should you do to help a pt with oppositional defiance disorder

A

have them help on the unit

41
Q

for a pt with schizoaffective disorder, the nurse should plan to administer which meds

A

quietiapine and sertraline

42
Q

medication used to treat acute* ETOH withdrawal

A

chlordiazepoxide

43
Q

medications to treat schizophrenia

A

risperdone, clozapine, quietapine

44
Q

what medication does NOT* treat schizophrenia

A

carbomazepine

45
Q

pt with breast cancer is in a crisis, what it priority to focus on

A

potential need for mastecomy

46
Q

most lethal suicide plan (I’ll call Michael if I’m ready to end it all)

A

firearm

47
Q

pt is upset about a scar, what kind of crisis is this

A

situational

48
Q

commonly used technique to manipulate others (“but the other nurse lets me have gum”)

A

splitting

49
Q

dealing with anxiety by reaching out to others

A

altruism

50
Q

voluntarily* denying unpleasant thoughts and feelings

A

suppression

51
Q

unconsciously* putting unacceptable thoughts, ideas, and emotions out of awareness

A

repression

52
Q

pt has had at least one* episode of mania alternating with depression

A

bipolar 1

53
Q

pt has one or more* hypomanic episodes alternating with major depressive episodes

A

bipolar 2

54
Q

made up words that only have meaning to the pt

A

neologisms

55
Q

pt repeats words spoken to them

A

echolalia

56
Q

meaningless rhyming of words often forceful

A

clang assossiation

57
Q

jumbled words with little meaning or significance to the listener

A

word salad

58
Q

which medications cause flu like symptoms

A

opioids

59
Q

benzos (Kayla’s helpers)

A

Alprazolam (Xanax)
Diazepam
Lorazepam
Chlordiazepoxide
Clorazepate
Oxazepam
Clonazepam (Klonopin)

60
Q

Administered to counteract sedation and reverse the adverse effects of acute toxicity of Benzodiazepines

A

Flumazenil

61
Q

SSRIs (Chandlers helpers)

A

Sertraline (Zoloft)
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Fluvoxamine (Luvox)
Paroxetine (Paxil)

62
Q

what is a common side effect of SSRI

A

sexual dysfunction
increased risk for SI when first started

63
Q

MAOIs

A

Phenelzine (Nardil)
Mirtazapine (Remeron)
Trazodone

64
Q

side effect of haloperidol

A

dysrthymias

65
Q

lithium side effect

A

hypothyroidism

66
Q

what to avoid when taking phenelzine

A

aged foods

67
Q

potential side effect of risperidone

A

tardive dyskinesia (Schlegel says they’re licking tardar sauce of their lips) and constipation (increase fiber and fluid)

68
Q

which medication may cause inability to orgasm (I’d be even more depressed)

A

sertaline

69
Q

what should you monitor with pts taking valproate

A

liver function

70
Q

What can help mild depression (Hannah deals it behind the gas station)

A

St Johns wort

71
Q

normal lithium levels

A

0.4 to 1.3

Geri/Pysch final (1 decks)

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