LPN Mental Health

Question 1

Milieu Therapy

Answer 1

An inpatient treatment approach involving professionals and staff members encouraging a person with a severe mental disorder to engage in prosocial and therapeutic activities.

Question 2

Interpersonal Psychotherapy

Answer 2

a form of psychotherapy that focuses on helping clients improve current relationships.

Question 3

Behavior Therapy

Answer 3

A type of therapy that assumes that qisordered behavior is learned and that symptom relief is achieved through changing overt matadaptive behaviors into more constructive behaviors

Question 4

Cognitive Therapy

Answer 4

therapy that teaches people new, more adaptive ways of thinking and acting; based on the assumption that thoughts intervene between events and our emotional reactions.

Question 5

3 Stages of Group Development

Answer 5

Initial - superficial communication
Working - Real work is done
Termination - provides opportunity to learn to deal with issues

Question 6

4 Types of Anxiety

Answer 6

Mild
Moderate
Severe
Panic

Question 7

Mild Anxiety

Answer 7

Adaptive and motivates for change / Awareness heightened /Learning enhanced /Seldom a problem

Question 8

Moderate Anxiety

Answer 8

hyper-alert, complains of being uptight, impaired problem solving ability.

Question 9

Severe Anxiety

Answer 9

Feeling that something bad is about to happen
perceptual field marked narrowed,. focus on SINGLE SMALL DETAIL or SCATTERED detail of a situation, CANNOT CONNECT between events

Question 10

Panic Anxiety

Answer 10

Unable to focus /Loss of contact with reality is possible /Wild, desperate actions or extreme withdrawal/Feelings of TERROR or of “going crazy”

Question 11

GAD

Answer 11

General Anxiety Disorder, excessive anxiety and worry, occurring more days than not for at least 6 months.

Question 12

GAD S/S

Answer 12

-restlessness, being easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance

Question 13

GAD Tx

Answer 13

Best treated w/ SSRl’s, Buspirone HCL, and Effexor (Venlafaxine)

Question 14

PTSD

Answer 14

Posttraumatic Stress Disorder, an anxiety disorder associated with serious traumatic events and characterized by such symptoms as survivor guilt, reliving the trauma in dreams, numbness and lack of involvement with reality, or recurrent thoughts and images

Question 15

PTSD Tx

Answer 15

-SSRls and benzos for sleep, nightmares, irritability

Question 16

Benzodiazepines

Answer 16

anti-anxiety drugs that depress the central. nervous system, reduce activity, and induce relaxation and sleep; often prescribed to relieve tension, muscular strain, sleep problems, anxiety, and panic attacks (eg. valium)

Question 17

Benzodiazepine S/E

Answer 17

tolerance and dependence within a few weeks Anterograde amnesia

Question 18

Benzodiazepine examples

Answer 18

Valium (diazepam), ativan (lorazepam), Xanax (Alprazolam), Serax (oxazepam), Klonopin (clonazepam), Librium (chlordiazepoxide)

Question 19

Benzo Antidote

Answer 19

Flumazenil (Romazicon): competitive antagonist of benzodiazepine receptor
-given IV for overdose or reversal

Question 20

Somatoform Disorders

Answer 20

disorders characterized by physical symptoms for which no known physical cause exists

Question 21

Conversion Disorder

Answer 21

a mental disorder characterized by the conversion of mental conflict into somatic forms (into paralysis or anesthesia having no apparent cause)

Question 22

Dissociative Disorders

Answer 22

disorders in which conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings

Question 23

Dissociative Amnesia

Answer 23

sudden loss of memory usually following a particularly stres sful or traumatic event

Question 24

Dissociative Fugue

Answer 24

The sudden loss of memory for one’s personal history, accompanied by an abrupt departure from home and the assumption of a new identity

Question 25

Dissociative Identity Disorder

Answer 25

also called multiple personality disorder

Question 26

Depersonalization Disorder

Answer 26

dissociative disorder in which individuals feel detached and disconnected from themselves, their bodies, and their surroundings

Question 27

Bipolar Disorder

Answer 27

Characterized by episodes of mania nd depression with periods of normal mood and activity in between

Question 28

Lithium carbonate | Therapeutic range

Answer 28

0.8 to 1.2 mEq/L

Question 29

SSRI

Answer 29

selective serotonin reuptake inhibitor (antidepressant drug)

Question 30

SSRI Examples

Answer 30

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

Question 31

SSRI S/E

Answer 31

dry mouth, blurred vision, sedation, insomnia, sexual dysfx

Question 32

Tricyclic Antidepressants

Answer 32

used for the treatment of clinical depression, OCD, most common adverse effects are sedation and anticholinergic-like effects

Question 33

Tricyclic effectiveness

Answer 33

occur within 1 to 4 weeks after therapy is initiated

Question 34

Anticholinergic side effects

Answer 34

blurred vision, dry mouth, tachycardia, constipation, urinary retention

Question 35

MAOI

Answer 35

early type of antidepressants used as last resort due to numerous side effects and food restrictions

Question 36

MAOI avoid

Answer 36

tyramine; aged cheeses, fava beans, yeast extracts, aged meats, high-yeast beers, liver, chianti wine, vermouth, aged liquors.

Question 37

MAOI S/E

Answer 37

- insomnia (sometimes sedation), arousal - postural hypotension - dry mouth, blurring of vision, constipation - anorgasmia, impotence - tremors, twitching, - weight gain - hypertensive crisis (severe occipital headache, prolonged rise in BP)

Question 38

NMS

Answer 38

Neuroleptic maliignant syndrome. Rare but life threatening effect of antipsychotic medications. Signs: Extreme rigidity and Catatonia. Any patient who suddenly becomes rigid or unresponsive requires medical evaluation

Question 39

EPS

Answer 39

pseudo-parkinsonism, acute dystonia, akathisia, and tardive dyskinesia.

Question 40

Pseudo­ Parkinsonism

Answer 40

Stooped posture, Shuffling gait, Rigidity, Bradykinesia, Tremors at rest, Pill-rolling of hand

Question 41

Acute dystonia

Answer 41

Facial grimacing Involuntary upward eye movement Muscle Spasms of tongue, face, neck

Question 42

Akathisia

Answer 42

Restless Trouble standing still Paces the floor Feet in constant motion, rocking back and forth

Question 43

Tardive dyskinesia

Answer 43

Protrusion and rolling the tongue | Sucking and smacking movements of lips Involuntary movements of body/ extremities

Question 44

Delusions of persecution

Answer 44

dstorted sense of paranoia ("The government is watching me.")

Question 45

Delusions of Grandeur

Answer 45

an exaggerated sense of self that has no basis in reality

Question 46

Somatic Delusions

Answer 46

client believes that their body is changing, which has no basis in reality

Question 47

Alcohol withdrawal time

Answer 47

24 - 48 hours

Question 48

Alcohol withdrawal tx

Answer 48

chlordiazepoxide (Librium)

Question 49

Withdrawal delirium peak - time - duration

Answer 49

peak 48 - 72 hrs | duration 2 - 3 days

Question 50

Asperger Disorder

Answer 50

A pervasive developmental disorder in which individuals display profound social impairment and restricted or unusual behaviors, but without language delays seen in autism.

Question 51

Anxiety

Answer 51

response to stress

Question 52

Panic Disorders

Answer 52

recurrent panic attacks

Question 53

Phobias

Answer 53

Fear of a specific object or situation to an unreasonable level

Question 54

Non-medication tx for Anxiety Disorders

Answer 54

- cognitive retraining - behavioral therapy - eye movement desensitization therapy (EMDR) - Group and Family Therapy (PTSD)

Question 55

Behavioral Therapies

Answer 55

- relaxation - modelling - step-wise desensitization - flooding - thought stopping

Question 56

OCD

Answer 56

Obsessive-Compulsive Disorder | Repetitive thoughts lead to repetitive acts to relieve anxiety

Question 57

Acute stress disorder

Answer 57

traumatic event causes numbing, detachment and amnesia about event for < 4 weeks.

Question 58

Anxiolytics (Benzo's)

Answer 58

am's and pam's (addictive) Xanax Valium Ativan

Question 59

Anxiolytics Non-Benzo's)

Answer 59

BuSpar (non-addictive)

Question 60

Antidepressants

Answer 60

Zoloft | Elavil

Question 61

Remeron

Answer 61

allows rest when panic attacks occur while sleeping