Med Surg Final Flashcards

1
Q

Secondary prevention

A

Focuses on early detection of mental illness

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2
Q

Neologism

A

Made up words that have little or no meaning

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3
Q

Thought broadcasting

A

Type of delusion where one believes thoughts are heard by others

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4
Q

Ideas of reference

A

Type of delusion where one misconstrues trivial events and attaches personal significance to them such as thinking the next table is taking about him

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5
Q

Clans association

A

Meaningless rhyming of words

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6
Q

Thought insertion

A

Type of delusion where one believes that others thoughts are inserted into his head

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7
Q

Positive symptoms of schizophrenia

A

Manifestation of things NOT NORMALLY PRESENT

Hallucinations, delusions, alterations in speech, bizarre behavior such as walking backwards

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8
Q

Negative symptoms

A

Manifestations of things THAT ARE NORMALLY PRESENT

Affect, ologia, anergia, abolition, anhedonia ( lack of pleasure or joy)

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9
Q

Word salad

A

Words jumbled together with lil meaning or significance to the listener

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10
Q

Dissociation

A

Temporally blocking memories from consciousness

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11
Q

Altruism

A

Dealing with anxiety by reaching out to others

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12
Q

Sublimation

A

Dealing with anger by substituting it for acceptable forms like working out

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13
Q

Displacement

A

Outward projection of anger (smashing a toy)

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14
Q

Primary prevention

A

Promotes health

Prevents mental health problems from occurring

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15
Q

Cancer markers

A

PSA- prostate specific antigen ( prostate cancer)
CEA- colon cancer
Alkaline phosphatase- bone metastasis

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16
Q

What are classifications of pain

A

Acute- sudden onset, usually sharp and localized, less than 6 months, initiates flight or fight stress response
Somatic- arises from skin, close to surface of body, sharp or dull poorly localized, includes n/v
Visceral- arises from body organs, dull and poorly localized, with n/v
Referred- pain perceived in area distant from stimuli
Chronic-prolonged pain, more than 6 months often dull, aching,diffuse most common is lower back pain

17
Q

What are common chronic pain conditions

A

Back pain

Neuralgias- pain from peripheral nerve damage

18
Q

Titration

A

Diluting med with NSS

19
Q

Dystrophies

A

Pain from peripheral nerve damage characterized by continuous burning pain

20
Q

Hyperesthesia

A

State of over sensitivity to touch and painful stimuli

21
Q

Phantom pain

A

Post amputation, experiencing pain in a missing body part

22
Q

Psychogenic pain

A

Pain without a physiologic cause or event

23
Q

What’s a non narcotic analgesic

A

Acetaminophen treats mild to moderate pain

24
Q

What are NSAIDS

A

Aspirin, ibuprofen

Interferes with prostaglandin synthesis.

25
TENS | transcutaneous electrical nerve stimulation
Nerve conducts electrical current and so cannot conduct pain
26
Normal protein level
6-8
27
Normal albumin level
3.1-4.3
28
Cardiac standstill occurs when Ca reaches what levels
18 or above
30
What is anorexia nervosa
Restriction of food leading to low body weight Morbid fear of obesity Distorted body image
31
What are the 2 types of anorexia nervosa
Bing | Purge
32
What is binge as it relates to anorexia
Rapid ingestion of a large quantity of food in a short amount of time
33
What is purge as it relates to anorexia
Self induced vomiting or the misuse of laxatives, diuretics, or enemas
34
What are complications of anorexia nervosa
``` Lanugo Difficulty maintaining body temp Low BP w/ orthostatic hypo tension Dental erosion from purging Electrolyte imbalance from purging Malnutrition Hair loss ```
35
What is bulimia nervosa
It is more prevalent than anorexia nervosa Typically the person maintains a normal or slightly higher weight Characterized by eating large quantities of food in a short amount of time Purging behaviors
36
What are complications of bulimia nervosa
Electrolyte imbalance Dental erosion from purging Constipation with laxative dependence Esophageal tears
37
What are nursing diagnosis for eating disorders
Imbalanced nutrition; less than body requirements Deficient fluid volume Disturbed body image
38
What is treatment for eating disorders
Hospitalization- with IVs and feeding tubes | Behavioral modification therapy, calorie count,meals will be timed,bathroom restriction around meal time
39
What are meds for eating disorders
Treat underlying depression and anxiety | SSRIs and TCAs