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Psych Flashcards

1
Q

Who created defense or ego mechanism

A

Sigmund Freud

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2
Q

DEFENSE MECHANISMS
__make up for weakness (ex. Nagfail sa studies ginalingan para maging champ sa sports)
__unachievable to achievable goal (di nakakuha ng application sa isang course so ibang course kinuha)
__unacceptable to acceptable (competitive and aggressive boy naging football player)
__justifies behavior (walang car sinabi ayaw nya marisk life nya)
__unconscious forgetfulness
__conscious forgetfulness
__cancelling previous act
__admires
__image of one person identified to another person (tatay tinatransfer nya emotions sa nurse kasi nakikita nya anak nya don)
__logic, reasoning, analyzes
__characteristics ng tao inincorporate mo sayo
__blames
__feeling transfer to obj or person kaysa dun sa nagcause nun (galit sa boss so sa asawa nya sya nakipag away)
__revert back to developmental level
__galit pero bait pinapakita or vice versa
__w physical sx
__mental fxn suppression/ partial amnesia
__refuses

A

DEFENSE MECHANISMS
COMPENSATION make up for weakness (ex. Nagfail sa studies ginalingan para maging champ sa sports)

SUBSTITUTION unachievable to achievable goal (di nakakuha ng application sa isang course so ibang course kinuha)

SUBLIMATION unacceptable to acceptable (competitive and aggressive boy naging football player)

RATIONALIZATION justifies behavior (walang car sinabi ayaw nya marisk life nya)

REPRESSION unconscious forgetfulness

SUPPRESSION conscious forgetfulness

UNDOING cancelling previous act

IDENTIFICATION admires

TRANSFERENCE image of one person identified to another person (tatay tinatransfer nya emotions sa nurse kasi nakikita nya anak nya don)

INTELLECTUALIZATION logic, reasoning, analyzes

INTROJECTION characteristics ng tao inincorporate mo sayo

PROJECTION blames

DISPLACEMENT feeling transfer to obj or person kaysa dun sa nagcause nun (galit sa boss so sa asawa nya sya nakipag away)

REGRESSION revert back to developmental level

REACTION FORMATION galit pero bait pinapakita or vice versa

CONVERSION w physical sx

DISSOCIATION mental fxn suppression/ partial amnesia

DENIAL refuses

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3
Q

misinterpretation of EXTERNAL stimulus akala nya ung gamit is something/may stimuli

A

Illusion

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4
Q

misinterpretation of SENSORY stimulus

A

Hallucination

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5
Q

hallucination of marijuana use

A

Visual (psychedelics)

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6
Q

hallucination of alcohol withdrawal

A

Tactile (formication)

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7
Q

hallucination of post traumatic stress disorder

A

Olfactory (phantosmia)
Sense of smell is close to emotion

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8
Q

hallucination of epilepsy [aura of seizure]

A

Gustatory (spontaneous dysgeusia) “metallic taste”

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9
Q

hallucination of paranoid schizophrenia most dangerous

A

Auditory (command auditory)

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10
Q

Hallucination Management

A

THINK HARDER!
- Hallucination must be recognized
- Assess the content
- Reality presentation
- Divert the attention
- Engage in reality-based activity
- Reintegrate with the milieu

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11
Q

reality-based activity

A

GARDENING

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12
Q

TALK BACK to the voices

A

“practice saying GO AWAY!”

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13
Q

mixing of senses (hears the color, sees the sound, tastes the words)

A

Synesthesia

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14
Q

a part of the body is missing

A

Nihilistic

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15
Q

giving meaning to events or actions of others

A

Ideas of Reference / Referential delusion

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16
Q

paikot ikot pero sasagot

A

Circumstantiality

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17
Q

Does not answer the question

A

Tangentiality

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18
Q

fragmented ideas —wala konek

A

Looseness of Association

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19
Q

Looseness of Association aka

A

derailment

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20
Q

jumping from one topic to another —may konek

A

Flight of ideas

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21
Q

word salad, mixing of words without rhyme

A

Schizophasia

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22
Q

rhyming of words

A

Clang associations

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23
Q

repeating the words of others

A

Echolalia

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24
Q

repeating own words (fast and decreasing audibility)

A

Palilalia

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25
Q

adherence to a single topic

A

Perseveration

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26
Q

use of flowery words

A

Stilted language

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27
Q

repeating phrases

A

Verbigeration

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28
Q

internal emotions

A

mood

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29
Q

external; outward expression of mood

A

Affect

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30
Q

no emotion response (Withdrawn)

A

Flat

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31
Q

minimal emotional response (Major Depression)

A

Blunt

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32
Q

emotions are opposite to the context of the situation (Schizophrenia)

A

Inappropriate

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33
Q

single emotional response (Paranoid)

A

Restrictive

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34
Q

sudden shift of emotions (Bipolar disorder)

A

La bile

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35
Q

last sensory na mawawala in death

A

hearing

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36
Q

inability to recall memories formed before a traumatic event

A

Retrograde Amnesia

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37
Q

Retrograde Amnesia therapy

A

Reminiscence therapy)-photos music

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38
Q

inability to make new memories after a traumatic event

A

Anterograde Amnesia

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39
Q

Anterograde Amnesia mngt

A

(Reorient the client)
diary

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40
Q

making stories that are not true to fill the gap between memory loss

A

Confabulation

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41
Q

Effect of compassion fatigue

A

Burnout

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42
Q

psychosis (1 – 6 months)

A

Schizophreniform

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43
Q

psychosis (<1 month)

A

Brief Psychotic Disorder

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44
Q

Schizophrenia
Genetics: 1 parent (__%); 2 parents (__%)

A

Genetics: 1 parent (15%); 2 parents (35%)

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45
Q

SCHIZOPHRENIA Diagnostic Criteria:

A

2 or more of the following for at least 1 months

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46
Q

Therapy of physical env & rs of ppl within

A

Milieu

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47
Q

4As of Schizophrenia (Prof. Eugene Bleuler)

A

Autism – indifference
Ambivalence – 2 opposing feelings
Associative looseness
Abnormal affect

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48
Q

2 or more people sharing similar delusion

A

Shared Psychotic Disorder (Folie à Deux)

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49
Q

Schizophrenia Neuroanatomy:

A

less CSF and brain tissue

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50
Q

Schizophrenia Neurochemistry

A

Inc DOPAMINE AND SEROTONIN

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51
Q

waxy flexibility, stupor and mutism

A

Absence of movement (catatonia)

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52
Q

Absence of movement (catatonia) positive or negative sx

A

Nega

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53
Q

1st generation aka

A

CONVENIENTIONAL/ TYPICAL

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54
Q

CONVENIENTIONAL/ TYPICAL decreases

A

DOPAMINE

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55
Q

CONVENIENTIONAL/ TYPICAL
manage _____ signs

A

Positive

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56
Q

CONVENIENTIONAL/ TYPICAL drugs

A

-zine
haloperdol
LOMO (LOXAPINE & MOLIDONE)

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57
Q

CONVENIENTIONAL/ TYPICAL SE:

A

Pseudoparki
nsonism
pero walang
parkinsons,
sx lang

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58
Q

levodopa nasobrahan:

A

Hallucination

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59
Q

high potent antipsychotic kaya maganda

A

HALOPERIDOL (haldol)

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60
Q

CONVENIENTIONAL/ TYPICAL Contra

A

> 65 y.o (more
prone sa pseudo)

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61
Q

2nd generation ANTIPSYCHOTICS aka

A

ATYPICAL

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62
Q

ATYPICAL decreases

A

DOPAMINE AND SEROTONIN *think atypical as 2

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63
Q

ATYPICAL manage _____ signs

A

Nega

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64
Q

ATYPICAL drugs

A

*Pindot (-pine/done)

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65
Q

best safe Antipsychotic sa elderly

A

Clozapine

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66
Q

Dopamine System Stabilizer

A

3rd generation

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67
Q

3rd generation Advantage

A

less side effects

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68
Q

3rd generation drugs

A

-zole *think honey

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69
Q

Long Term Injection

A

“DECANOATE”

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70
Q

“DECANOATE” IM and Frequency

A

IM, 1 / 2x a mo.

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71
Q

“DECANOATE” side effects

A

memory, accessibility

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72
Q

SIDE EFFECTS OF ANTIPSYCHOTICS sympa or para

A

sympa except hypotension

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73
Q

What are the SIDE EFFECTS OF ANTIPSYCHOTICS

A

“CAT DOGS PAWS”

Constipation
Agranulocytosis
Tooth decay

Dry mouth
Orthostatic hypotension
Galactorrhea

Photosensitivity
Arrhythmias
Weight gain
Sedation

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74
Q

Agranulocytosis report any signs of

A

infection (fever, sore throat) void crowd

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75
Q

Tooth decay and Dry mouth mngt

A

sugarless hard candy or gum

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76
Q

Galactorrhea mngt

A

cotton underwear

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77
Q

ANTIPSYCHOTICS how to take

A

w or after MEALS

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78
Q

Extra Pyramidal Syndrome sx

A

DAP
Dystonia
Akathisia
Pseudoparkinsonism

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79
Q

Dystonia could lead to

A

DOT:
DYSPHAGIA & DROOLING
OCULOGYRIC CRISIS-tirik mata
TORTICOLLIS- stiff neck

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80
Q

EPS meds

A

(ABC)
-Akineton (biperidine)
⭐ARTANE (triheyphenydil)
-Benadryl (dipen)
-Cogentin (benztropine)

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81
Q

Neuroleptic Malignant Syndrome think

A

neuro-VS
malignant- muscle relaxant

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82
Q

Neuroleptic Malignant Syndrome ito ba ung delikado

A

Yes kaya ito pang ung dini discontinue

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83
Q

Neuroleptic Malignant Syndrome sx

A

Hyperthermia
Hypertension
Muscle spasms

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84
Q

Neuroleptic Malignant Syndrome if INC always VS leads to

A

SEIZURE!

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85
Q

Neuroleptic Malignant Syndrome tx

A

MUSCLE RELAXANT
-gamot ng Multiple Sclerosis
1. Dantrolene
2. Baclofen

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86
Q

TardiVe Dyskinesia memory trick

A

T for Tongue protrusion
Teeth grinding
Lip Smacking

V for VALBENAZINE (Ingrezza)

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87
Q

Tardive means late so last sx lasts after

A

6 mos

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88
Q

Tardive Dyskinesia irreversible

A

Yes, its Permanent!

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89
Q

Complementary and Alternative Therapy:

A

Ketogenic diet, Omega-3 fatty acids, Vitamin D, Sulforaphane

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90
Q

MAJOR DEPRESSIVE DISORDER curable or not

A

curable

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91
Q

MAJOR DEPRESSIVE DISORDER cause

A

⬇️ DOPAMINE, SEROTONIN, and NOREPINEPHRINE (think SED)

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92
Q

MAJOR DEPRESSIVE DISORDER Diagnostic criteria:

A

at least 5 of the following symptoms

> 2 weeks

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93
Q

MAJOR DEPRESSIVE DISORDER Defense Mechanism:

A

Introjection “all my fault”

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94
Q

MAJOR DEPRESSIVE DISORDER

Initial Sign:
Hallmark sign:

A

Sleeplessness

Hopelessness, Helplessness, Worthlessness

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95
Q

ANTIDEPRESSANTS
Best time to take:

A

Morning with meals
same time each day or as prescribed

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96
Q

ANTIDEPRESSANTS
Early indication of effectiveness:

A

increased activity levels

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97
Q

ANTIDEPRESSANTS Dosage

A

Start with the lowest dose

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98
Q

ANTIDEPRESSANTS Effectivity After

A

⭐After 2-4 wks

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99
Q

suicidal Defense mechanism:

A

Reaction formation

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100
Q

TO PREVENT RELAPSE:
Continue taking antidepressants for

A

6 mos- 2 yrs. Instruct to cont even feels better

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101
Q

ANTIDEPRESSANTS Discontinuing:

A

TAPER!

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102
Q

ANTIDEPRESSANTS Shifting:

A

Wait for 5 – 6 weeks (wash-out period) *5-6 pm ako naglaba

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103
Q

nasobrahan sa serotonin, happens if ni combine 2
antidepressants or ni double dose

A

SEROTONIN SYNDROME

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104
Q

SEROTONIN SYNDROME compli:

A

SEIZURE

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105
Q

SEROTONIN SYNDROME sx memory trick

A

DEAD CHART

Diaphoresis
Elevated temperature
Anxiety
Diarrhea

Clonus
Hypertension
Agitation
Restlessness
Tachycardia

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106
Q

Electroconvulsive Therapy Contraindications

A

metals (jewelries, pacemaker, hip prothesis)

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107
Q

Electroconvulsive Therapy safe for preg?

A

Yes

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108
Q

ECT Frequency

A

every other day (6 – 15 sessions)

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109
Q

ECT Pre-Meds:

A

THINK SEM!
Succinylcholine (muscle relaxant)
Atropine Sulfate (Anti-cholinergic)
Methohexital (Anesthesia)

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110
Q

Electroconvulsive Therapy Voltage

A

75 to 450 Volts

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111
Q

ECT Seizure

A

Grand Mal

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112
Q

ECT duration

A

30-60 sec

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113
Q

ECT Side effect: __Amnesia

A

Retrograde

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114
Q

ECT SEIZURE Insert bite guard before or after?

A

Before

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115
Q

ANTIDEPRESSANTS lab ichecheck

A

Think kuya pacheck nya liver nya

AST & ALT, or SGPT/ SGOT (hepatotoxic)

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116
Q

MAOI drugs

A

MAOI money pamana sa elder bigay tips
PARNATE
MARPLAN
NARDIL
ELDEPRYL
TRANYLCIPROMIJE
ISOCARBOXACID
PHENELZINE
SELEGILINE

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4
5
Perfectly
117
Q

MAOI Avoid and y

A

TYRAMINE RICH FOODS—Hypertensive Crisis (OCCIPITAL HEADACHE)

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118
Q

TYRAMINE RICH FOODS

A

tyra-tyra (Frozen, Fermented, Pickled, Preserved, and Overripe Fruit, salami, aged
cheese (Parmesan,
cheddar

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119
Q

MOST FATAL ANTI DEP

A

TCA

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120
Q

TCA SE

A

THINK “AH AH tricycle!
Adrenergic stimulation
Arrythmia

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121
Q

TCA drugs

A

3 magkakapatid nataTAE, pramine, triptylin
TOFRANIL
ANAFRANIL
ELAVIL
PAMELA
Sino ka? SINEQEN

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122
Q

Antidepressant na -Safest
-leSS suicide
-leSS SE

A

SSRI

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123
Q

SSRI SE

A

Think Sarakit Sikmura after Sex

Gastrointestinal upset (nausea)
Sex dysfxn

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124
Q

SSRI drugs

A

BASTA MAY X AND Z or mga gnagamit ng fam ko

ZOLOFT (sertraline)
PAXIL (paroxetine)
LUVOX (fluvoxamine)
PROZAC (fluoxetine)
LEXARPO (escitalopram)

125
Q

SSRI taken

A

At the same
time each
evening

126
Q

SNRI think

A

sa dulo ang pila
CYMBALTA (Duloxetine)
EFFEXOR (Venlafaxine)

127
Q

SNRI SE

A

sa dulo ang venla ng mga biot (BIOC)

Increase Blood Sugar
Increase Intraocular Pressure
Increase Cardiac Rate

128
Q

HERB FOR DEPRESSION

A

St. John’s Wort

129
Q

ATYPICAL ANTIDEPRESSANTS BUTRAZ

A

BUPROPION (Wellbutrin)
TRAZODONE

130
Q

BIPOLAR
__- mnft
__- eto talaga prob

A

Mania- mnft
Depression- eto talaga prob

131
Q

BIPOLAR
Psychosocial Factors:
Sociocultural Factors:

A

Type A personality
Upper Class

132
Q

alternating periods of depressed mood and hypomania for 2 YRS

A

Think BICYCLE
CYCLOTHYMIA

133
Q

persistent milD depression for 2 YRS

134
Q

BIPOLAR Neurotransmitter:
_____

A

Opposite ng depression mataas ang SED
⬆️ DOPAMINE, SEROTONIN, and NOREPINEPHRINE

135
Q

BIPOLAR Defense Mechanism:

A

⭐️Reaction Formation, Projection (unconsciously ako sinisisi ni ate)

136
Q

MANIC PHASE dx

A

3 or more of the following

137
Q

MANIC mc sx

A

FLIGHT OF IDEAS

138
Q

MANIA- manifestations last for more than__

139
Q

Hypomania – manifestations last for only___

A

4 days (hypo-4 letters)

140
Q

Compare bipolar 1 & 2

A

Bipolar I – MANIC episodes with or without major depression

Bipolar II – Major DEPRESSION with hypomanic episodes

141
Q

BIPOLAR DOC and therapeutic level

A

lithium ⭐0.6-1.2 meq/L.

Max: 1.5 meq/L.

> 3: dialysis

142
Q

BIPOLAR 2nd DOC

A

Valproic acid

143
Q

LITHIUM
Onset:
Peak:
Initial phase:
stable:

A

Think puro 3!!
Onset: 3 weeks
Peak: 3 hours
Initial phase: q 3 days
stable: q 3 weeks

144
Q

LITHIUM SE AND Toxicity

A

SE: FINE tremors, ⭐️POLYURIA & Hypothyroidism

Toxicity: COURSE tremors, ⭐️HYPONATREMIA, Anuria, Severe vomiting and diarrhea

145
Q

LITHIUM WHEN TO TAKE blood specimen?

A

Think L8thium

  • before bfast or…
    -⭐8h after the last dose (accuracy)
146
Q

LITHIUM Must be at bedside:

A

Mannitol (osmotic diuretic)

147
Q

LITHIUM LAB TEST

A

BUN/Crea and Checking NA (for toxicity)

148
Q

LITHIUM Diet

A

Moderate NA and OFI

149
Q

Anticonvulsant meds and notify if may?

A

Think CaLaDi gaba
Carbamazepine (Tegretol)
Lamotrigine (Lamictal)
Divalproex (Depakote)
Gabapentin (Neurontin)
Pregabalin (Lyrica)

RASH

150
Q

2 DOC for ADHD

A

Lamotrigine Ritalin

151
Q

PERSONALITY DISORDERS:
Age of diagnosis:
Age of Improvement:

A

Adolescent 40 – 50 years old

152
Q

PERSONALITY DISORDERS Cluster A –
Cluster B –
Cluster C-

A

Cluster A – ODD / ECCENTRIC / MAD
Cluster B – EMOTIONAL / ERRATIC / BAD
Cluster C – FEARFUL / ANXIOUS / SAD

(Mad bad sad)

153
Q

Cluster A

A

PARANOID
SCHIZOID
SCHIZOTYPAL

154
Q

superstitious, magical thinkers, type nito mga alibutbot

A

SchizoTYPal

155
Q

social isolation and indifference

156
Q

Cluster B

A

BAHN

Borderline
Antisocial
Histrionic
Narcissistic

157
Q

attention seekers, dramatic and theatrical

A

Histrionic

158
Q

law breakers

A

Antisocial

159
Q

unpredictable mood, clings to relationship

A

Think Honey
Borderline

160
Q

Borderline defense mechanism:

161
Q

Cluster C

A

ADO

Avoidant
Dependent
Obsessive compulsive

162
Q

PERSONALITY DISORDERS
therapy and Goal ng mngt

A

Behavioral therapy (Role Playing)

meaningful relationships, stable job

163
Q

EATING DISORDERS cause

A

Parental harassment/antagonism/overprotective parents/enmeshment

Developmental pressure

cultures

164
Q

EATING DISORDERS Age

A

Anorexia: 12-20 y.o
Bulimia: 18-22 y.o (stress)

165
Q

EATING DISORDERS ⭐anxiety mngt

A

STRICT RULES & REGULATIONS

166
Q

EATING DISORDERS Neurotransmitter:

A

SE
⬇️ SEROTONIN AND NOREPINEPHRINE

167
Q

EATING DISORDERS How many months para masabi

168
Q

Anorexia Nervosa Body weight less than ___ % of the ideal

169
Q

Anorexia 2 types:

A
  1. Restrictive- di talaga
    kumakain
  2. Binge purge
170
Q

ANOREXIA anong sx ung di na kasama sa DSM 5

A

Amenorrhea

171
Q

Anorexia Defense mechanism:

A

DENIAL
SUPPRESSION

172
Q

Anorexia Complications

A

Alopecia, Anemia, Lanugo

173
Q

Bulimia triggered by

A

Stress Once a week for 3 mos

174
Q

Bulimia sx

A
  1. Recurrent BINGE eating
  2. Distress regarding binge eating (GUILT)
  3. Compensatory behaviors (PURGING)
175
Q

Bulimia Complications:

A
  1. Tooth decay
  2. Gastric ulcer
  3. Rectal bleeding- uses laxative
176
Q

Bulimia sign

A

Teeth marking in knuckles—
RUSSEL’s SIGN

177
Q

Bulimia has ALTERED METABOLISM anong 2 hormones ⬇️

A

thyroid hormones
sex hormones

178
Q

BINGE - EATING DISORDER

A

No vomiting

179
Q

EATING PSYCHOTHERAPY and DOC

A

Self-monitoring, Diary, Journal

⭐️FLUOXETINE (PROZAC)

180
Q

Normal BMI (eval ng eating disorders)

A

18.5 – 24.9

181
Q

ANXIETY
Neurotransmitter

A

⬇️ GAMMA AMINO BUTYRIC ACID—kaba

182
Q

ANXIETY
Communication
DOC

A

⭐️Direct and Concise
Benzos and Azapirones

183
Q

Benzodiazepines
Drugs
Avoid
Antidote

A

lam pam rone
Valium (diazepam)
Chlor”DIAZE”poxide

⭐ALCOHOL

Flumazenil (Romazicon)

184
Q

Mild ANXIETY sx and mngt

A

MILD- alert, learning is effective, ⭐️ Gastrointestinal butterflies

Verbalization

185
Q

MODERATE ANXIETY sx and mngt

A

Selective attention, narrowed perception
Can be redirected
⭐️Gastrointestinal upset Diaphoresis
⬆️tone/pitch (monotone)

Redirect
Refocus
ORAL anxiolytics

186
Q

SEVERE ANXIETY sx and mngt

A

“cannot”
Cannot complete task, cannot solve problem
Cannot be redirected
Nausea, vomiting, diarrhea
Physiologic symptoms (chest pain, tachycardia)
pacing
trembling
hyperventilation- deep breathing, ❌brown paper bag dt dependence)

ATTEND TO PHYSICAL
SYMPTOMS
IM anxiolytics

187
Q

PANIC ANXIETY sx and mngt

A

Delusions and Hallucinations
Violence and Suicide
⭐Fight! Flight! Freeze!

Take Control
Restraint if needed

188
Q

GENERALIZED ANXIETY DISORDER
3 or more of the following symptoms for more than__

189
Q

OCD Defense Mechanism

A

Undoing (papa gabigay food)

190
Q

OCD therapy

A

COGNITIVE BEHAVIORAL Therapy

191
Q

irrational fear

192
Q

fear of inescapable/open places

A

Agoraphobia

193
Q

fear of deaTH

A

THanatophobia

194
Q

Phobia Defense Mechanism

A

Displacement (ventilation) and avoidance

195
Q

Phobia 2 mngt

A

Flooding – sudden exposure to maximum stimulus
Systematic Desensitization – GRADUAL exposure to the feared object

196
Q

could not acknowledge own feelings

A

alexithymia

197
Q

with Physical symptoms Excessive worry

A

Complex Somatic Symptom Disorder aka pain disorder

198
Q

Wala Physical symptoms pero grabe mag worry

A

Illness Anxiety Disorder (Hypochondriasis)
DOCTOR SHOPPING

199
Q

may Physical symptoms oero wala pake

A

Functional Neurologic Disorder (Conversion Disorder)
LA BELLE INDIFFERENCE

200
Q

Factitious Disorder imposed on SELF

OTHERS

A

Munchausen syndrome
Munchausen by proxy

201
Q

SOMATOFORM DISORDERS

Primary Gain:
Secondary Gain:

A

Relief of anxiety or guilt
Attention

202
Q

SOMATOFORM DISORDERS

Attend to physical complaints
and Consistent care giver.?

203
Q

aka SHELL SHOCK

204
Q

PTSD how many mo to dx

205
Q

PTSD Less than 6 years old

A

Repetitive play and re-enactment

206
Q

TRAUMA RELATED DISORDERS ABCDE mngt

A

• Adaptive closure therapy (empty chair)
• BREATHING technique
• Catharsis – art and music
• Debriefing – client is asked about their emotional reaction to an incident
• Exposure therapy – confronting

207
Q

PTSD DOC

208
Q

– out of the body experience
– out of the WORLD experience

A

Depersonalization
Derealization

209
Q

downers

210
Q

NARCOTICS
Purpose
Worst complication

A

escape reality
HIV / Hep B (shared needles)

211
Q

NARCOTICS ⭐overdose

A

PINPOINT pupil

212
Q

NARCOTICS drugs

A

Codeine, Tramadol, -weak

Oxycodone, Morphine, Meperidine, -mod

Fentanyl-strongest

213
Q

NARCOTICS
Detoxification
Antidote:

A

METHADONE
Naloxone/ Narcan or Naltrexone (Revia)

214
Q

NARCOTICS
Early signs of withdrawal:
Late signs of withdrawal:
*mga WET

A

Lacrimation, Diaphoresis, Rhinorrhea, Yawning

Vomiting and Diarrhea

215
Q

sedative-hypnotics

A

BARBITURATE

216
Q

BARBITURATE
Sign of abuse
Signs of Withdrawal

A

same with narcotics na PNS sx din
SeizureABLE and Anxiety

217
Q

BARBITURATE Management

A

Activated charcoAL

218
Q

STIMULANT drugs

A

coMet 💫 nasa taas

COCAINE
METHAMPHETAMINE

219
Q

METHAMPHETAMINE laymans term

A

SHABU
poor man’s
cocaine

220
Q

METHAMPHETAMINE COCAINE
Sign of abuse:
Sign of withdrawal:

A

METH
Sign of abuse: Decreased appetite, insomnia! stained and rotting teeth
Sign of withdrawal: HALLUCINATIONS “halu met!)

COCAINE
Sign of abuse: Excoriated nostrils, nosebleeds
Sign of withdrawal: BIPOLAR CYCLING

221
Q

coMet DOC to decrease cravings na used in Parkinson’s

A

Bromocriptine (Parlodel)

222
Q

HALLUCINOGENS drugs

A

CLEP
Cannabis Sativa (Marijuana)-tetrahydrocannibol
Lysergic Acid Diethylamide (LSD)
Phencyclidine (PCP)
Ecstasy
Mescaline (Peyote)
Psilocybin (mushroom)

223
Q

causes Synesthesia

A

Lysergic Acid Diethylamide (LSD)

224
Q

causes violENce
causes agression (nakipagaway sa bar)

A

PhENcyclidine (PCP)
Ecstasy

225
Q

ALCOHOLISM Defense mechanism

226
Q

ALCOHOLISM therapy

A

AVERSION THERAPY pair a behavior w unpleasant stimulus ex antok sampalin self

227
Q

AVERSION THERAPY
Purpose:

A

stop alcoholism / to maintain SOBRIETY

228
Q

AVERSION THERAPY Drug used and SE

A

⭐️⭐️DISULFIRAM ANTABUSE DIZZINESS

229
Q

DISULFIRAM

Assessment
Contraindication

A

Assessment: TIME OF THE LAST INTAKE

Contraindication: Anything with alcohol (Mouthwash, cough suppressants, perfume etc)

230
Q

ALCOHOL WITHDRAWAL hrs and sx
Stage 1:
Stage 2:
Stage 3:

A

Basta stage 2 12-48 hrs all VS ⬆️

Stage 3 (48-72 hours): Delirium Tremens (seizures and hallucinations)

231
Q

To decrease cravings to alcohol –

To block the effect of alcohol –

A

Acamprosate (Campral)
Naloxone / Naltrexone

232
Q

GROUP THERAPY
No. of participants:
Stages:
Formation:
Leader:
Decision Maker:
Prime Rehabilitator:
Most important element:
Tool:

A

No. of participants: 8 - 10
Stages: Forming, Norming, Storming
Formation: Circular formation no table for openness and equality
Leader: Stable patient
Decision Maker: All members
Prime Rehabilitator: Patient
Most important element: Motivation
Tool: Cut, Annoy, Guilt, Eye opener (CAGE)

233
Q

CODEPENDENCY
ENABLING

A

sa mag-asawa, martyr
kinunsinti

234
Q

Support Groups:
Alcoholic anonymous
Al-Anon
Alateen
Rainbow Recovery

A

Pt
Asawa
Child
LGBT

235
Q

WERNICKE – KORSAKOFF’s SYNDROME
Cause: Alcoholism – causes ? Kaya diet is Thiamine

A

THIAMINE DEFICIENCY (Vit B1)

236
Q

WERNICKE – KORSAKOFF’s diff

A

ACO CHA
Ataxia
Confusion
Ophthalmoplegia

Confabulation
Hallucination
Amnesia

237
Q

aka NO SUICIDE CONTRACT/ contract of safety Effectiveness

A

client calls the attention of the nurse if there is increasing anxiety

238
Q

Observation sa suicidal client

A

Irregular or ✅one on one close supervision

frequent monitoring q 15 mins

239
Q

Type of Friendliness
WITHDRAWN-
DEPRESSED-
PARANOID-

A

WITHDRAWN-Active
DEPRESSED-Kind Firmness
PARANOID-passive

240
Q

PARANOID CLIENT Respect personal space for __ft

A

4 ft or 3-6 ft

241
Q

Types of APPROACH
SUICIDAL-

MANIC / MANIPULATIVE-

A

SUICIDAL-DIRECT CONFRONTATION APPROACH

MANIC / MANIPULATIVE-Matter-of-fact Approach (SET FIRM LIMITS)

242
Q

AGGRESSIVE CLIENT (Verbally abusive) Visibility of __staff members

243
Q

How many RN is allowed to communicate with the agressive patient

244
Q

ASSAULT CYCLE phase and mngt

Non – compliance:
Verbal aggression:
Physical violence:
Relaxation:
Reconciliatory actions:

A

Non – compliance: Triggering—Verbalization
Verbal aggression: Escalation—TIME OUT (Client’s room, Garden)
Physical violence: Crisis—⭐️ SECLUSION or RESTRAINT
Relaxation: Recovery—Assess for injury
Reconciliatory actions: Post crisis depression—Discuss alternative behavior

245
Q

Naabutan Nakahubad pt?

A

Approach and bihisan sa kwarto
nya, wag sa public

246
Q

Nakapanakit na pt?

A

Let other patients leave
the room.
❌restrain sa harap ng ibang
patients

247
Q

WITHDRAWN CLIENT prob

A

self esteem

248
Q

SECLUSION Goal

A

self-control

249
Q

RESTRAINT
Doctor’s order (Application):

A

not required but must be obtained within 1 hr (to follow)

250
Q

RESTRAINT members required in applying

251
Q

RESTRAINT Anchor on

A

stable part bed frame

252
Q

RESTRAINT
Doctor’s order (removal)?
__RN will remove kasi if 1 lang baka itali ka
KNOT

A

Yes
2
QUICK-RELEASE KNOT “half bow tie”

253
Q

RESTRAINT
informed consent
Temporary vs Permanent

A

✅verbal informed consent kay pt
Temporary – alternately, one at a time, for 10 minutes every 2 hours
Permanent – alternately one at a time

254
Q

What Phases of Nurse Patient Relationship
Self – awareness / INTROSPECTION, Read the patient’s chart

A

PRE – ORIENTATION

255
Q

Formulate Nursing Diagnosis and Establish TRUST / Build RAPPORT what phase of NPI

A

ORIENTATION

256
Q

RN (explore); Patient (verbalize) what phase of NPI

257
Q

NPI prob sa end ng termination and gagawin

A

Separation Anxiety (Remind the patient about the contract)

258
Q

Transference vs Countertransference

A

Transference – Patient to Nurse
Countertransference – Nurse to Patient

259
Q

Formerly known as MULTIPLE PERSONALITY DISORDER

A

DISSOCIATIVE IDENTITY DISORDER

260
Q

different identity in a different environment

A

DISSOCIATIVE FUGUE (Psychogenic fugue)

261
Q

CRISIS THERAPY)

A

Here and Now (GESTALT THERAPY)

262
Q

TYPES OF CRISIS
Situational –
Adventitious / Social –
Maturational / Developmental

A

Situational – unexpected
Adventitious / Social –natural catastrophe
Maturational / Developmental-expected

263
Q

Duration of Crisis:

A

4 – 6 weeks (self-limiting)

264
Q

ID
EGO Balancer –
SUPEREGO

A

ID- pleasure
EGO Balancer –REALITY
SUPEREGO-Moral conscience, guilt, values

265
Q

accepting another person’s attitude beliefs,
and values as one’s own

A

Introjection

266
Q

ventilation of intense feelings toward
persons less threatening

A

Displacement

267
Q

blaming

A

Projection

268
Q

imitating

A

Identification

269
Q

Acting the opposite of what one
thinks or feels

A

Reaction Formation

270
Q

conscious forgetting
unconscious forgetting

A

Suppression Repression

271
Q

unconscious forgetting with disintegration
of personality

A

Dissociation

272
Q

replacing unattained goals with by one
that is more aTTainable

A

Substitution

273
Q

overachieve

A

Compensation

274
Q

unacceptable impulses to
acceptable

A

Sublimation

275
Q

CATEGORIZING people as either good or bad

276
Q

Therapy to help assume responsibility, means LOGOS as central theme

A

Logo therapy

277
Q

a behavior therapy person respond to stimulus

A

Classical conditioning of Pavlov

278
Q

Reward and punishment as consequence behavior therapy

A

Operant conditioning of Skinner

279
Q

Use of plants as therapy

A

Horticultural therapy

280
Q

Alzheimer and Dementia drugs GaMe na DoRiTa —SE of
Donepezil-
Galantamine-
Memantine-
Rivastigmine-

A

Donepezil-bradycardia, GI bleeding
Galantamine-bronchoconstri
Memantine-consti, ❌alkalines (⬇️excretion)
Rivastigmine-PNS sx
Tacrine- ataxia, hepatotoxic

281
Q

DABDA grief kanino

A

Kubler Gross

282
Q

Grief in child
Infant-
Toddler-
Preschool-
School-
Adole-

A

Infant-los of mother/caregivr
Toddler-withdrawn
Preschool-regression/ agression
School-death as Permanent
Adole-strong emotion

283
Q

Perceived loss

A

di ma verify ng iba

284
Q

Using husband and childred of abused woman

A

Battered woman syndrome

285
Q

Cycle of violence

A
  1. Tension
  2. Acute battery
  3. Honeymoon
286
Q

done by rapist to compensate for his feelings of inadequacy and incompetence

A

Power rape

287
Q

Uses sexual assault as expressing and discharging

A

Anger rape

288
Q

Rape by acquaintance

289
Q

Suicidal ideation-
Suicidal threats-
Suicide attempt-

A

Suicidal ideation-gestures
Suicidal threats-verbal
Suicide attempt-actual attempt

290
Q

Intellectual developmental disorde aka mental retardation how-many IQ, onset? Normal IQ?

A

<70 before 18 yo
90-110

291
Q

Levels of mental retardation
1. Educable 50-70 IQ
2. trainable 35-50
3. 20-35 close supervisiob
4. <20 total care

A
  1. Mild
  2. Mod
  3. Severe
  4. Profound
292
Q

Type of comm disorder
1. Rapid
2. repetition

A
  1. Clutterring
  2. Stuttering
293
Q

1 arm/leg placed in position and holding that for hrs

A

Waxy flexibility

294
Q

nafifeel ung di nama normal/detectable

A

Cenesthetic

295
Q

Konti magsalita

296
Q

Walang ambition, will, drive

297
Q

Defense mechanisms
1. Disorganized/bizarre
2. Catatonic
3. Undifferentiated

A
  1. Repression
  2. Repression
  3. Regression
298
Q

2 or more schizo sx ranging 1-6 mos

A

Schizophreniform

299
Q
  1. Acrophobia-
  2. Astraphobia-
  3. Monophobia-
  4. Mysophobia-
  5. Nyctophobia-
  6. Pyrophobia-
  7. Xenophobia-
A
  1. Heights
  2. Kuryente
  3. Alone
  4. Dilim
  5. Fire
  6. Xeno sya/ stranger
300
Q

DOC of choice for OCD

A

⭐️Clomipramine

301
Q

Disorder ng ayaw magpaalaga

A

Reactive Attachment Disorder

302
Q

Using nonliving objects for sex gratification

303
Q

sex gratification
1. Nude
2. Rubbibg
3. Tae
4. Kain tae
5. Enema
6. Patay
7. One part of body

A
  1. Voyeurism/scophophilia
  2. Frotteurism
  3. Coprophilia
  4. Coprophagia
  5. Klismaphilia
  6. Necrophilia
  7. Partialism
304
Q

Disorder ng ayaw makipag interact

A

Disinhibted Social Engagement Disorder

305
Q

Incongruence bet expressed gender and assigned gender

A

Gender dysphoria

306
Q

Disorder na vina violate ang rules

A

Conduct disorder

307
Q

Pattern of angry for at least 6 mos

A

Oppositional defiant disorder

308
Q

sex gratification receiving pain? Inflicting pain?

A

Receiving- masochism
Sadism

309
Q

Obsess suot clothes ng oppsitive gender

Pinapalala situation

Pagnakaw

A

Transvestism
Pyromania
Kleptomania

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