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 of pleasure in usually pleasurable things
usually related to LOSS
they need help with SELF care
thoughts are SLOWED so use slower COMMUNICATION and SILENCE
sleep disturbances are common: HYPERSOMNIA in mild, INSOMNIA in moderate-severe
people with depression CAN have hallucinations/delusions
suicide risk INCREASES as depression lifts
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 \_\_\_\_\_\_
opposite of DEPRESSION, continuous HIGH
LABILE emotions, FLIGHT of ideas and delusions
do not ARGUE or TALK about the delusion
poor JUDGMENT, NO inhibitions
must set LIMITS
SHORT attention span
treat by DECREASING stimulus, CHANGE environment
LIMIT group activities, STRUCTURED schedule
daily WEIGHT, finger 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
create their own WORLD
affect can be FLAT or blunted
RAPID thoughts, LOOSE associations
NEOLOGISM = making up new words
ECHOLALIA = repitition
WORD salad, very LITERAL (concrete THINKERS)
AUDITORY hallucinations most common, followed by VISUAL
child-like MANNERISMS
Common nursing dx: alteration in COMMUNICATION
assess for COMMAND hallucinations in which the voice is telling the client to hurt themselves or others
treat by decreasing STIMULUS, keep conversations based in REALITY, ensure PERSONAL needs are met
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
do they have a PLAN? do they have ACCESS to carry out the plan?
ELDERLY men are most successful
#1 nursing consideration is to provide a SAFE environment
CONTRACT to postpone and don’t forget to RENEW it
re-channel anger with EXERCISE –> choose MOST exerting answer
stay CALM because ANXIETY is contagious
Restraints
check every ____ minutes
BIG 3: _______, ________, ________
on NCLEX: STAY AWAY FROM RESTRAINS AS ______ AS POSSIBLE
observation at ___ to ____ minute intervals
check every 15 minutes
BIG 3: HYDRATION, NUTRITION, ELMINATION
on NCLEX: STAY AWAY FROM RESTRAINS AS LONG AS POSSIBLE
observation at 15 to 30 minute intervals
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 ______
always SUSPICIOUS with no reason to be
pathologic JEALOUSY, hypersensitive, can’t RELAX and have no HUMOR, everybody but them has the PROBLEM, no normal anger response so they react with RAGE
treat by being HONEST–build TRUST, avoid WHISPERING, no COMPETITIVE activities, be HONEST; always ID their 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
becomes a disorder when it interferes with DAY-TO-DAY functioning, give client with anxiety STEP-BY-STEP instructions
GAD is CHRONIC anxiety with poor QUALITY of life, RELAXATION techniques can be helpful, use SHORT term anxiolytics
PTSD
emotionally ______ to protect themselves, relive the _____ and often have ______ or nightmares
support _____ are helpful, talk about the ______ but don’t ____ them
emotionally NUMB to protect themselves, relive the EXPERIENCE and often have FLASHBACKS or nightmares
support GROUPS are helpful, talk about the EXPERIENCE but don’t PUSH them
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
obsession = recurrent THOUGHTS
compulsion = recurrent ACTS
they cannot STOP, need STRUCTURED schedule with time for their RITUALS so their anxiety does not INCREASE, don’t take away ritual without REPLACING it with another COPING mechanism
Dissociative Disorder
often seen as a coping mechanism in clients with history of _____ or _____ abuse
often seen as a coping mechanism in clients with history of PHYSICAL or SEXUAL abuse
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
alcohol is a DEPRESSANT
three stages of withdrawal–stage 3 most dangerous with SEVERE hallucinations, GRAND MAL seizures
DTs with stages 2 and 3, keep LIGHTS on
don’t be afraid to give ANXIOLYTICS–they have a cross-TOLERANCE to CNS depressants, can handle meds every 2 hours, DTs should be PREVENTED
detox protocol typically includes THIAMINE injections, MULTIVITAMINS and possibly MAGNESIUM
chronic problems caused by THIAMINE (B vitamins) deficiency r/t poor NUTRITION; Korsakoff’s = disoriented to TIME, confabulation; Wernicke’s = LABILE emotions, moody, tire EASILY
Librium is frequently used for OUTPATIENT detox
major defense mechanisms are DENIAL and rationalization
rehab includes ANTABUSE but must sign a consent form to stay away from ANY FORM of ALCOHOL, 12-step programs and need a RELAPSE plan
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 personality disorder is most commonly encountered, clients are intensely EMOTIONALL; suicidal GESTURES and self MUTILATION, may also be DEPRESSED or bulimic and ABUSE substances
treatment includes improving SELF-ESTEEM, enforce RULES and 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
