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MED SURG > Med Surg Final > Flashcards

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
Q

TENS

transcutaneous electrical nerve stimulation

A

Nerve conducts electrical current and so cannot conduct pain

26
Q

Normal protein level

A

6-8

27
Q

Normal albumin level

A

3.1-4.3

28
Q

Cardiac standstill occurs when Ca reaches what levels

A

18 or above

30
Q

What is anorexia nervosa

A

Restriction of food leading to low body weight
Morbid fear of obesity
Distorted body image

31
Q

What are the 2 types of anorexia nervosa

A

Bing

Purge

32
Q

What is binge as it relates to anorexia

A

Rapid ingestion of a large quantity of food in a short amount of time

33
Q

What is purge as it relates to anorexia

A

Self induced vomiting or the misuse of laxatives, diuretics, or enemas

34
Q

What are complications of anorexia nervosa

A 
Lanugo
Difficulty maintaining body temp 
Low BP w/ orthostatic hypo tension
Dental erosion from purging
Electrolyte imbalance from purging
Malnutrition
Hair loss
35
Q

What is bulimia nervosa

A

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
Q

What are complications of bulimia nervosa

A

Electrolyte imbalance
Dental erosion from purging
Constipation with laxative dependence
Esophageal tears

37
Q

What are nursing diagnosis for eating disorders

A

Imbalanced nutrition; less than body requirements
Deficient fluid volume
Disturbed body image

38
Q

What is treatment for eating disorders

A

Hospitalization- with IVs and feeding tubes

Behavioral modification therapy, calorie count,meals will be timed,bathroom restriction around meal time

39
Q

What are meds for eating disorders

A

Treat underlying depression and anxiety

SSRIs and TCAs

MED SURG (15 decks)

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