Mental health final Flashcards

1
Q

disorder is characterized by episodes of major depression with at least one episode of manic or hypomanic behavior.

A

Bipolar 1

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2
Q

is characterized by one or more depressive episodes with at least one episode of hypomania, a hyperinflated or irritable mood lasting for at least 4 days that does not involve psychosis

A

Bipolar 2

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3
Q

Things in a banana bag pg 1112

A

Normal saline, magnesium sulfate, folic acid, multivitamins, thymine

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4
Q

is recurrent or intrusive thoughts that they cannot stop thinking about

A

obsession

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5
Q

is an act that the person feels compelled to perform

A

compulsive act

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6
Q

Levels of anxiety pg 1090

A

Mild, moderate, severe, panic

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7
Q

of schizophrenia are those that should not be there. Examples include hallucinations, delusions, disordered thinking or loose associations between thoughts and hearing voices that tell the person what to do

A

positive symptoms

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8
Q

What are Psychoactive substances pg 1109

A

Are any mind altering agents capable of changing a person’s mood, behavior, cognition, level of consciousness, or perceptions

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9
Q

What is a dual diagnosis 1109

A

Indicates that a patient has been diagnosed with a substance use problem as well as a mental health disorder

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10
Q

What are substance abuse disorders 1108

A

A cluster of cognitive, behavioral, and physiologic symptoms that contributes to an individual’s continual use of a substance, have the potential for causing medical problems and death

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11
Q

What is elderspeak 1085 safety alert

A

A style of speech that includes baby talk, exaggerated tones and slow speed, elevated pitch and volume, and simplified vocabulary

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12
Q

Withdrawal from cannabis 1118

A

There is no particular withdrawal syndrome for cannabis, so treatment must focus on issues related to the general dangers of substance abuse

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13
Q

Alcohol serving sizes pg 1111

A

A 12oz bottle of beer, a 6oz glass of wine, and a 1.5oz of a single shot of whiskey contain the same amount of alcohol. It takes approximately 1 hour for the body to metabolize one standard drink

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14
Q

haloperidol

A

Haldol

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15
Q

Ages that schizophrenia develops 1128

A

15-25

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16
Q

an individual who believes he is a king

A

Delusions of grandeur:

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17
Q

believe that they are being persecuted by agencies, by other people, or by supernatural beings

A

Delusions of persecution:

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18
Q

Genetic link for alcohol use disorder pg 1108

A

50%

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19
Q

Risk factors for suicide pg 1102

A

Family history of suicide, history of a previous attempt; terminal illness; addiction to drugs or alcohol; diagnosis of borderline personality disorder, major depressive disorder, or bipolar disorder; and excessive stress

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20
Q

CAGE questionnaire pg 1119

A

A quick and simple assessment tool for alcohol abuse is the CAGE questionnaire, which includes four questions regarding the patient’s feelings about their drinking and specific habits. A ‘yes’ answer to two or more of the four questions has a 90% correlation with alcohol abuse. Cut down, annoyed, guilty, eye opener.

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21
Q

1108 when was alcoholism recognized as a disease

A

1956

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22
Q

1117, what year was the warning placed on cig packs

A

1966

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23
Q

1094 alternative therapy to decrease stress

A

Essential oils like lavender, yoga, massage

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24
Q

(know) binge eating is the most common eating disorder

A

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25
(know) alzheimer's moderate to severe involves wandering
...
26
What are the benefits of pet therapy 1076
Improve memory, coordination, object identification, language, and attention
27
What is dementia care mapping 1081
When caring for confused patients, evidence based practice supports the need for careful observation and documentation of patterns of behavior.
28
People most at risk for PTSD 1091
Cumulative experience such as immigration, military combat, detention as a prisoner of war, exposure to natural diasters, plane or train accidents, assault, and rape
29
Alprazolam
xanax
30
Chlordiazepoxide
librium
31
Lorazepam
ativan
32
person most at risk for suicide
Old white men
33
ignoring reality and refusing to be swayed by evidence
Denial
34
justifying a behavior or action by making an excuse or an explanation
Rationalization
35
Common categories of CNS stimulants 1116
Amphetamines, cocaine, and bath salts.. Also caffeine
36
misinterpretations of reality
Illusions
37
seeing or hearing things that are not there
Hallucinations
38
belief in a false idea
Delusion
39
Vascular dementia on pg 1074
Caused by multiple small blood clots that cause brain tissue damage
40
Polysubstance abuse 1111
Concurrent abuse of other substance as well as DOC
41
Co-occuring problems for schizophrenia 1129
Anxiety, depression, substance abuse, suicidality
42
Date rape drug 1114
rohypnol
43
Biggest concern related to opiate use 1115
respiratory depression
44
Citalopram
celexa
45
Escitalopram
lexapro
46
Fluoxetine
paxil
47
Sertraline
zoloft
48
(know) Anorexia wants a sense of control 1104
...
49
inability to remember the names of things
Anomia
50
misuse of objects due to failure to identify them
Apraxia
51
inability to recognize familiar objects, taste, sound and other sensations
Agnosia
52
memory loss
Amnesia
53
inability to express one’s self through speech
Aphasia
54
What's cheeking 1103
A behavior to avoid taking medication by holding the pill in the cheek pouch rather than swallowing it
55
Know the meds that cause delirium 1075
Anesthetics, analgesics, sedative-hypnotics, tricyclic antidepressants, antihistamines, theophylline derivatives, antipsychotics, famotidine, cimetidine, ranitidine, beta blockers, NSAIDS
56
Know confabulation 1076
Making up words or experiences to fill conversational gaps
57
Know about diet related to alzheimer's disease 1076
Fish, omega 3 polyunsaturated fats, fruits and vegetables, curcumin, traditional mediterranean diet
58
Alzheimer’s disease, who is most affected by it
hispanic, african american
59
Know the action of the drugs for cognitive disorders 1077
Causes elevated acetylcholine levels in the brain and slows progression of Alzheimer disease symptoms.
60
Patient education related to cognitive drugs 1077
Take with food to decrease GI distress, slows progression of symptoms but is not a cure. Take frequent drinks of cool liquids
61
10 early signs of alzheimer’s 1078
Memory loss that disrupts daily life, challenges in planning or solving problems, difficulty completing familiar tasks at home, at work, or at leisure, confusion with time or place, trouble understanding visual images and spatial relationship. New problems with words in speaking or writing, misplacing things with inability to retrace steps, decreased or poor judgment, withdrawal from work or social activities, changes in mood or personality
62
Mini mental status exam 1082, what are you monitoring
Assess orientation, memory, and ability to follow commands
63
Know global amnesia 1084
The patient will not be able to remember family, friends, or events, regardless of how many times you repeat the information
64
Know about restraints 1084
Check the area distal to the restraint every 2 hours for circulation and function
65
What are you going to teach the family about the patient with alzheimers
keep doors locked, keep consistent schedule etc..
66
Generalized anxiety disorder, how do you diagnosis it pg 1090
A person who experiences persistent, unrealistic, or excessive worry about two or more life circumstances for 6 months or longer
67
Know what a phobia is
Experiences excessive, irrational fear of a specific activity, situation, or object
68
Know the symptoms related to PTSD 1091
Typically begin within 3 months of the trauma, but onset may not occur until months or years later
69
Know what an EMDR is 1091
Involves a process in which the patient is asked to think about the distressing event and shift their gaze from one side to the other. As unpleasant feelings are uncovered, the therapist redirects the eye movements using EMDR, thus helping the patient to release the emotions
70
Know about benzos in old people 1092
Ativan and xanax can cause confusion, oversedation, or disinhibition
71
(know) romazicon , you give it to counter benzos
...
72
Know what you are going to document before discharging a patient if their symptoms are not completely resolved yet 1094
If symptoms are not totally resolved, clearly document that the patient’s level of anxiety is not a threat to self or others at the time of discharge
73
Medications that cause symptoms that mimic anxiety 1094 under older adult care points
Levothyroxine or theophylline
74
Differentiate between subject and objective 1094
Subjective you cannot prove, it is what the patient says they are feeling and objective you can prove and they are facts like vital signs
75
What is the only subjective vital sign?
Pain scale
76
Know about herbal alternatives 1095
St. johns wort has been used for mild to moderate depression and anxiety. People with major depression are receptive to music therapy
77
Know about ECT 1095
Oldest form of brain stimulation therapy used for severe depression. This shock artificially induces a grand mal seizure lasting 30 to 90 seconds. The patient typically receives 8 to 12 treatments spread over several weeks
78
Know serotonin syndrome 1095
Potentially life threatening condition that can start 30 minutes to 48 hours after taking the medication. Symptoms include change of mental status, increase in pulse and fluctuation in blood pressure, loss of muscular coordination, and hyperthermia. Treatment include stopping the medication, administering IV fluids, and decreasing the patients temperature
79
Amitriptyline
elavil .... overdose includes Cardiac dysrhythmia
80
Imipramine
tofranil ... overdose includes Cardiac dysrhythmia
81
MAOI dietary interactions and patient teaching regarding those
Instruct to avoid foods high in tyramine, such as turkey, aged cheeses; red wine, sherry, and beer; pickled or smoked fish; fermented meats; and artificial sweeteners because drug-food interactions can cause a life-threatening hypertensive crisis. If the medication is discontinued for any reason, dietary restrictions should continue for at least 14 days.
82
Know about trazodone
priapism
83
(know) Wellbutrin = seizures
...
84
what medications cause agranulocytosis
Remeron and clozaril
85
(know) When antidepressants start working you need to worry about suicide 1098
...
86
(know) Lithium = blood draws, dietary restrictions(tyramine), no diuretics, no caffeine 1098-1099
...
87
Disuse syndrome because of short half life is
paxil
88
Know about taking care of patients who are in a manic episode 1099-1100
Keep the patient safe, providing a high calorie intake, administering mood stabilizer medications, and providing for a restful sleep
89
What is the number one priority in mental health
safety
90
Know what russell's sign is involving bulimia patients
Calasses on the knuckle
91
What puts you at greater risk for substance abuse 1108
Have parents who use or used drugs and alcohol, have psychiatric disorders, live in areas of poverty and violence, have easy access to substances
92
use of a psychoactive substance in a nontherapeutic manner or illicit use of prescription drugs
abuse
93
Presence of physical and psychological symptoms of addiction
dependency
94
craves or feels compelled to use a substance to feel good
Psychological dependence
95
needs the substance to prevent symptoms of withdrawal, not merely to sustain the feeling of euphoria that was present with early use of the drug
Addiction or physical dependence
96
need for increased amounts of substances to achieve the desired effect
tolerance
97
stopping the drug results in a group of symptoms
withdrawal
98
involves allowing a person to continue in the behavior of using substances by lessening consequences for the behavior.
Enabling
99
overcompensates and tries to fix the situation or to control the person who uses substances
Co dependent
100
Know the health problems related to alcoholism 1111
Cirrhosis, cardiomyopathy, GI bleeding, pancreatitis, hypertension, stroke, sleep disturbances, malnutrition, peripheral neuropathies,, cognitive impairment, leukopenia, thrombocytopenia, chronic infection
101
Know about alcohol withdrawal and treatment 1111
Occurs when a person with a physical dependence on alcohol stops drinking. Early symptoms of withdrawal may manifest in 6 to 12 hours after the last drink, these include anxiety, irritability, and agitation.
102
(know) Flagyl, do not drink AT ALL with it
...
103
(know) To prevent someone from having seizures when withdrawing you are going to give magnesium but if you are actively seizing you will get benzos
...
104
Know diagnosing alcoholism 1111
Presence of withdrawal, significant impairment in family relationships, impact on occupational productivity, presence of blackouts, drinking despite serious personal and professional consequences, and evidence of tolerance
105
Naltrexone
vivitrol
106
(Know) antabuse, wait 14 days after antabuse to drink again
....
107
(know) Naran, why are you going to give it, know symptoms patient is going to have if you do give them narcan, yawning, running nose, tremors, vomit, repeat doses1112
...
108
is a life threatening yet reversible medical emergency that arises from thiamine deficiency, with symptoms that include confusion, gait ataxia, and abnormal involuntary eye movements.
Wernicke
109
is a chronic irreversible, memory disorder that arises after a severe lack of thiamine
Korsakoff syndrome
110
Naloxone
narcan
111
Buprenorphine
suboxone
112
(know) Hallucinogens have impaired judgment
...
113
Know about withdrawal from opiates 1116
Abdominal cramps, irritability, profuse sweating, muscle aches, fever and chills, and cravings
114
(know) withdrawal from nicotine withdrawal begins as soon as 24 hours after
...
115
Know diseases related to tobacco use
Heart disease, stroke, many cancers, hypertension, premature wrinkling of the skin, bad breath, and discoloration of the fingernails
116
are abilities or personal characteristics that are absent or lost to the patient with schizophrenia. The results are apathy, social withdrawal, psychomotor retardation, flat affect, alogia, avolition, anhedonia
negative symptoms