Psych Flashcards
Depression
_____ = loss of pleasure in usually pleasurable things
usually related to _____
they need help with ____ care
thoughts are ____ so use slower ____ and _____
sleep disturbances are common: ______ in mild, _____ in moderate-severe
people with depression ____ have hallucinations/delusions
suicide risk _____ as depression lifts
anhedonia loss self slowed, communication, silence hypersomnia, insomnia
CAN
increases
Mania opposite of \_\_\_\_\_, continuous \_\_\_\_ \_\_\_ emotions, \_\_\_\_ of ideas and delusions do not \_\_\_\_\_ or \_\_\_\_\_ about the delusion poor \_\_\_\_, \_\_\_ inhibitions must set \_\_\_\_\_ \_\_\_\_ attention span treat by \_\_\_ stimulus, \_\_\_ environment \_\_\_ group activities, \_\_\_\_\_\_ schedule daily \_\_\_\_\_\_, finger \_\_\_\_\_\_
depression, high labile, flight argue, talk judgment, no limits short decreasing, change limit, structured weight, foods
Schizophrenia
create their own ______
affect can be ____ or blunted
___ thoughts, _____ associations
_____ = making up new words
_____ = repitition
_____ salad, very _____ (concrete ______)
_____ hallucinations most common, followed by ____
child-like ______
Common nursing dx: alteration in ________
assess for ______ hallucinations in which the voice is telling the client to hurt themselves or others
treat by decreasing _____, keep conversations based in ______, ensure _____ needs are met
world flat rapid, loose neologism echolalia word, literal, thinkers auditory, visual mannerisms communication command
stimulus
reality, personal
Suicide
do they have a _____? do they have _____ to carry out the plan?
_____ men are most successful
#1 nursing consideration is to provide a ______ environment
_______ to postpone and don’t forget to _____ it
re-channel anger with ______ –> choose _____ exerting answer
stay _____ because ______ is contagious
plan, access
elderly
safe
contract, renew
exercise, most
calm, anxiety
Restraints
check every ____ minutes
BIG 3: _______, ________, ________
on NCLEX: STAY AWAY FROM RESTRAINS AS ______ AS POSSIBLE
observation at ___ to ____ minute intervals
15
hydration, nutrition, elimination
LONG
15, 30
Paranoia
always _____ with no reason to be
pathologic ______, hypersensitive, can’t _____ and have no _____, everybody but them has the _______, no normal anger response so they react with _____
treat by being _______–build _____, avoid ______, no _____ activities, be ______; always ID their ______
suspicious jealousy, relax humor, problem rage honest, trust, whispering competitive, honest, meds
Anxiety
becomes a disorder when it interferes with ______ functioning, give client with anxiety ______ instructions
GAD is _____ anxiety with poor ______ of life, ______ techniques can be helpful, use _____ term anxiolytics
day-to-day
step-by-step
chronic, quality, relaxation
short
PTSD
emotionally ______ to protect themselves, relive the _____ and often have ______ or nightmares
support _____ are helpful, talk about the ______ but don’t ____ them
numb
experience, flashbacks
groups, experience
push
OCD
obsession = recurrent ______
compulsion = recurrent _____
they cannot ____, need ______ schedule with time for their ______ so their anxiety does not _____, don’t take away ritual without ______ it with another ______ mechanism
thoughts acts stop, structured rituals, increase replacing, coping
Dissociative Disorder
often seen as a coping mechanism in clients with history of _____ or _____ abuse
physical, sexual
Alcoholism
alcohol is a _______
three stages of withdrawal–stage _____ most dangerous with ______ hallucinations, ______ seizures
DTs with stages __ and __, keep _____ on
don’t be afraid to give _______–they have a cross-______ to CNS depressants, can handle meds every _____ hours, DTs should be _______
detox protocol typically includes _____ injections, ______ and possibly _______
chronic problems caused by _____ (B vitamins) deficiency r/t poor ______; Korsakoff’s = disoriented to _____, confabulation; Wernicke’s = ______ emotions, moody, tire _____
Librium is frequently used for ______ detox
major defense mechanisms are ______ and rationalization
rehab includes _____ but must sign a consent form to stay away from ANY FORM of _______, 12-step programs and need a ______ plan
depressant 3 severe, grand mal 2, 3, lights anxiolytics tolerance 2, prevented thiamine multivitamins, magnesium thiamine nutrition time, labile easily outpatient denial
antabuse
alcohol
relapse
Personality Disorders
______ personality disorder is most commonly encountered, clients are intensely _______; suicidal ______ and self _______, may also be ______ or bulimic and _______ substances
treatment includes improving _______, enforce ______ and ______
borderline emotional gestures, mutilation, depressed abuse self-esteem, rules limits
Phobia
key to recovery is _______ over time, must have a ______ relationship, _____ is the key to successful treatment
desensitization
trusting, follow-up
Panic Disorder
stay ______ feet away, use _____ messages/words, symptoms should peak within ____ minutes, must learn how to _____ the anxiety
6, simple
10
stop
Hallucinations
warn before ______, don’t say “_____”
elevate ______, turn _____ radio/tv (_____ stimulus)
remember to assess for ______ hallucinations
touching, they
HOB, OFF, decrease
command
