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Bullets > Mental Health > Flashcards

Mental Health Flashcards

1
Q

A therapeutic therapy for a client with a conflict with parents due to his hate with siblings.

A

Family therapy

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2
Q

Effective therapy to a client with post- traumatic stress

disorder (PTSD) (group therapy or individual therapy?)

A

Individual therapy

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3
Q

Electroconvulsive therapy (ECT) is effective to a client with.

A

Major depression followed by medication

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4
Q

A client experiencing nightmares, screaming during sleep,
unable to focus or concentrate and thoughts of guilt.
During a client-nurse interaction, it was found out of her
mental and physical abused as a child. What kind of anxiety
disorder this may be related to?

A

Post-traumatic stress disorder (PTSD)

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5
Q

ADHD medications:

A

Attenta, Concerta, Ritalin, Strattera

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6
Q

Most common form of mental illness in elderly patient

A

OBS (organic brain syndrome)

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7
Q

Newest ADHD medication

A

Strattera (atomoxetine) is a Psycho stimulant
ADHD medication is stimulating and calming effect in
children and adults.

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8
Q

Side effect of ADHD

A

Loss of appetite, abdominal pain, headache, and
insomnia.
Provide high calorie and snacks during the day to
overcome weight loss.

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9
Q

Best time to administer ADHD medication

A

30-45 minutes before meal TID or once daily before

breakfast for long acting form.

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10
Q

An antidepressant and used also to quit cessation) smoking

A

Zyban (buproprion)

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11
Q

Withdrawal signs from Strattera (Adhd medication)

A

Flushing, palpitations, hypertension,

tachycardia, and abdominal pain

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12
Q

Common side effects of Strattera

A

Drowsiness

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13
Q

Needs further teaching to relieve dryness of the mouth when

taking Prozac.

A

When taking large amount of water as it may deplete
electrolytes. Sugarless gum and ice chips will be the
right away to relieve dryness of the mouth.

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14
Q

Normal level of Lithium

A

0.6 - 1.2

Toxic level >2

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15
Q

Onset of lithium

A

5 to 7 days

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16
Q

Side effects of Lithium toxicity

A

Nausea, vomiting, sedation, metallic taste, polyurea and headache.

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17
Q

Indication of Haldol (haloperidol)

A

Acute and chronic psychoses

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18
Q

Side effects of Haldol (haloperidol)

A

Haldol has an anticholinergic effects:
dry mouth, blurry vision and dry eyes, constipation,
EPS (tremors, rigidity, shuffling gait),
hypotension, and tachycardia

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19
Q

Pristiq (desvenlafaxine) is indicated to client with?

A

To treat major depressive disorder.

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20
Q

What drug used to treat heroin and opiate addiction?

A

Methadone

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21
Q

Borderline personality

A

Suicidal tendency

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22
Q

Less severe, chronic depression for about 2 years or more

A

Dysthymia

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23
Q

Geodon (ziprazidone) is an.

A

Antipsychotic medication

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24
Q

Recurrent, multiple, physical symptoms without organic cause.

A

Somatoform disorder (briquet syndrome)

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25
Q

Zyprexa (Olanzapine)

A

Antipsychotic: Prevent dehydration
Supervise suicidal risk during early therapy
**(as energy level improves, as depression lessens)

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26
Q

What laboratory value would be a priority to monitor when
clients receiving Clozaril (clozapine) and Remeron
(mirtazapine)?

A

WBC due to agranulocytosis

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27
Q

What are the signs and symptoms of agranulocytosis?

A

Sudden fever and sorethroat (due to decreased WBC).

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28
Q

Term used to escape from uncomfortable situations.
It has no real illness, but is overly obsessed over normal
bodily functions,

A

Hypochondriasis

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29
Q

Treatment for severe depression

A

Electroconvulsive Therapy (ECT)

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30
Q

Is a person repeatedly acts as if he or she has a physical or
mental disorder when, in truth, they have caused the
symptoms. The most severe type of factitious disorder.

A

Munchausen Syndrome

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31
Q

The purpose of compulsive disorder is to?

A

To reduce anxiety

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32
Q

A defense mechanism that is normal when a client is

suddenly faced with a life threatening illness.

A

Denial

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33
Q

Antidepressant that is safe in pregnancy

A

Prozac and tricyclics

34
Q

Antabuse type reaction

A

Disulfiram type reaction

35
Q

Abilify (aripiprazole) is an.

A

Antipsychotic such as schizophrenia, bipolar disorder

(mania), and also used as antidepressant.

36
Q

Side effects of Abilify (aripiprazole)

A

Headache, insomnia, sedation, and constipation

37
Q

Remeron (mirtazapine) indication?

A

Antidepressant
SE: sedation, drowsiness, headache, increased
appetite. Mild visual hallucination when taken during the
day or when awake).

38
Q

What to monitor when patient is taking Remeron

(mirtazapine)?

A

WBC, obtain WBC before starting treatment and on

going treatment for WBC (due to agranulocytosis).

39
Q

Remeron(mirtazapine)

A

Antidepressant for children and adolescents. Patients
who are started on therapy should be observed closely
for clinical worsening, suicidality, or unusual changes in
behavior.

40
Q

Symptoms of alcohol withdrawal include:

A

Delirium. or confusion, agitation, nervousness,

Insomnia, hallucinations, palpitations, tachycardia.

41
Q

Client is on Lithium, what to monitor?

A

Fluid intake and Sodium

42
Q

In psychiatric clients Lanugo is seen in?

A

Severe anorexia nervosa

43
Q

most commonly known MAO medications:

A

Parnate, Nardil, and Marplan (PaNaMa)

44
Q

Foods high in Tyramine
When ingested will develop into hypertensive crisis.
When taking MAO and food containing tyramine.

A

Fermented, smoked, aged, such as dried fish,
Smoked fish, pickled herring, bologna, salami, sour
cream, yoghurt, caffeinated beverages, chocolates,
beer containing alcohol, and non-alcohol beer.

45
Q

Manic client

A

Give finger foods such as raisins, carrot sticks, celery

sticks, etc.

46
Q

Borderline personality

A

Suicidal tendency

47
Q

Depressed and Manic

A

Give separate activity

48
Q

Alcoholism what to assess

A

Alcoholism what to assess - Dilated pupils and asystole

49
Q

Initial therapeutic approach for manic behavior

A

Be firm and consistent

50
Q

A mechanism to raise self esteem seen in Korsakoff’s syndrome

A

Confabulation

51
Q

Most important risk to client with Bipolar

A

Risk for suicide and also likely abusing alcohol or other

substance.

52
Q

Patient on patient on Lithium

A

Increase Sodium and fluid intake

53
Q

A brain disorder involving loss of specific brain functions cause by thiamine deficiency.

A

Wernicke-Korsakoff’s syndrome

54
Q

Alcohol should not be consumed for at least ___ hours On Antabuse (disulfiram).

A

Alcohol has been consumed in the last 12 hours.

55
Q

Indications of disulfiram (Antabuse)

A
  1. To support the treatment of chronic alcoholism
    producing an acute sensitivity to alcohol.
  2. As a treatment for cocaine dependence.
56
Q

Tricyclic drug takes effect (in days)

A

12 to 14 days

57
Q

Side effects of Thorazine (chlorpromazine)

A

Other brand name Largactil (antipsychotic)
drowsiness, blurred vision, decreased sweating,
difficulty urinating, constipation
Dizziness, increased appetite

58
Q

What to report to the physician when taking Stelazine
(trifluoperazine)?
Indication: antianxiety/antipsychotic

A

Difficulty of urinating and Extra pyramidal reactions

(EPS), and dystonia.

59
Q

A common symptom seen with Korsakoffs syndrome

A

Confabulation

60
Q

What to monitor to a client taking Clozaril (clonazepine)

A

WBC (due to agranalunocytosis)

61
Q

Autistic child best intervention

A

Behavior modification and not by a play therapy

62
Q

A mother is silent and not looking on her son who is laying on
the floor, rebelling, screaming, kicking and this is called

A

Negative punishment

63
Q

Common side effects of L-dopa and Sinemet.

A

Depression, confusion, and hallucinations.

64
Q

Antidepressant bupropion (Zyban®) is contraindicated in

A

Epilepsy, psychosis and diabetes and may help also

helps with withdrawal symptoms,cravings, and urges.

65
Q

Effects of anticholinergic (tricyclic antidepressant)

A

Dryness of the mouth, blurred vision, urinary retentions,

constipation

66
Q

Indication disulfiram (Antabuse)

A

Alcohol abuse

67
Q

When taking Tofranil (imipramine), instruct client to avoid.

A

Caffeinated drinks such as coffee, soda, chocolate, and

tea. (not recommended due to sleep disturbances)

68
Q

Tofranil (imipramine) therapeutic level?

A

150 to 250 mg /ml.

69
Q

Side effect of Tofranil (imipramine), a tricyclic antidepressant

A
  1. Photosensitivity (Advised to use sunscreen and to
    wear protective clothing when exposed to sun).
  2. Dryness of the eyes (reduced lacrimation and may
    use artificial tears)
  3. Gynecomastia
70
Q

Side effect of Sinequan (doxepin)

A

Orthostatic hypotension

71
Q

Common side effect of Paxil (paroxitine)

A

Dryness of the mouth
Other side effect: may decrease sexual drive in male
and decreased orgasm in female.

72
Q

Common side effect of Zoloft (sertraline HCL)

A

Dryness of the mouth

Decreased libido in male and female

73
Q

What to monitor when client is on Zoloft (sertraline)

A

Suicidal ideation
Rationale: client has renewed energy that may support
the implementation of suicidal ideation

74
Q

Remeron (mirtazapine) is administer preferably

A

During bedtime. Remeron is antidepressant

75
Q

When taking Nardil (phenylzine), food to avoid

Nardil is a MAOI.

A

Avoid foods high in tyramine: Bologna, salami, aged
cheeses, dried fish, beverages with caffeine, chocolate,
pickled herring, and beer including alcohol-free beer.

76
Q

A behavior of crying without tears and laughing simultaneously.

A

Labile affect

77
Q

“I am the master of the universe”, this is an example of?

A

Grandiose delusion

78
Q

Rapid speech pattern from topic to topic without making

sense of ideas stated.

A

Flight of ideas

79
Q

Patient is saying aloud, “Rain, rain go away, and asked who
let the dog out and looking for cat under the rug” the client is
indicating?

A

Flight of ideas

80
Q

More rapes are perpetrated by who

A

Someone the victim knows

81
Q

Strattera (Atomoxetine)

A

Newest ADHD medication

Side effects: increased heart rate and blood pressure

82
Q

Antidepressants: Monoamine oxidase inhibitors (MAOIs)

A

Marplan (isocarboxasid)
Nardil (phenelzine)
Parnate(tranicypromine)

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