Psych blueprint exam 1 Flashcards
Stress
Fight or flight response
1-3 reaction stage
Alarm reaction
Resistance reaction
Exhaustion reaction
What is alarm reaction stage?
Physiological response of fight or flight
BP, HR, RR, sweat increase
Pupil dilation
Modified(passive) relaxation?
Muscles are not tensed
Concentrating feeling of relaxation
The progressive relaxation?
Muscle is tensed
Tension associated with anxiety
Example of progressive relaxation method?
Tensed for 5-7 secs and then relax for 20-30 secs
Meditation helps what body functions?
Lower RR, HR, and BP
Less O2 is needed
What is RLCQ?
Recent-Life-Changing-Questionnaire
Measures the stress of individuals through life-changing event
RLCQ high score means?
What are criticized?
High= high risk
It doesn’t consider an individual’s perception of such an event (culture, age, gender etc)
What is biofeedback for relaxation?
Feedback about one’s autonomic nervous system
HR, RR, Skin temp etc
Why does exercise help a patient relax?
Physical exercise reduces general anxiety
Recovery is the process of moving towards?
Recovery is a what process?
Improvement in health and quality life
Collaborative
Recovery
Emerges from?
Hope
Recovery
Tidal model
Focus on an individual’s personal story
Recovery
Wellness recovery action plan
WRAP
An individual monitor/ manage symptoms
self-administration of the plan
Recovery
Psychological recovery model
4 components
Hope
Responsibility
Self and identity
Meaning and hope
Primary prevention?
Preventing mental health problems
Reducing the incidence
Provide educational program
Secondary prevention?
Minimizing early symptoms
Reduce prevalence
Assessment
diagnosis
Screen
Tertiary prevention?
Preventing complication
Promoting rehabilitation
In what situation does the nurse override=revoke a client’s right to refuse treatment?
- actively suicidal
- physically attacks to other
- Threatens violence to other
Ethical behavior
Justice
Fair and equal treatment for all
Ethical behavior
Beneficence
Doing Good
Charity
Ethical behavior
Autonomy
The client’s right to make their own decisions
Ethical behavior
Non-maleficence
Healthcare provides do not harm to their clients
Ethical behavior
Veracity
Honest when dealing with clients
Relationship
Essential tasks the nurse perform prior to beginning a nurse-client relationship 4 factors
Rapport
Trust
Respect
Genuineness
Tasks of the pre-interaction phase
Explore self-perceptions
Tasks of the orientation (introductory) phase
Established trust
Formulate a contract for intervention
A setting goal that is mutually agreeable
Develop a realistic plan of action
Tasks of the working phase
Use a problem-solving model
Overcome resistance behavior
Continuously evaluate progress
Active listening 5 letter
S sits squarely facing the patient
O open posture
L Lean forward
E eye contact
R relax
The environment in which communication takes place influences the outcome?
Territoriality
Density
Distance
Adaptive responses are?
preserve the integrity of the individual
What is the major side effects of **SSRI** medications? Selective Serotonin reuptake inhibitors
Serotonin syndrome Increase sensitivity to sunburn (photophobia/photosensitivity) anxiety
**bupropion** Contraindication
Patients with seizure disorders
**bupropion** other used instead of anti-depressant?
smoking cessation
What are the **SSRI**?
Fluoxetine Citalopram Escitalopram Sertraline
**lorazepam** a) class? b) used for? c) side effect?
a) benzodiazepine b) generalized anxiety disorder panic disorder c) NOT SAFE FOR LONG TERM USE dependence
**Suicide** Outcome Criteria
Patient will not harm self Verbalizes a measure of hope
**Suicide** Interventions
Identify suicidal Thoughts Plans Attempts
**Suicide** Intervention to family
Eencourage talking about suicide Discourage blaming
Symptoms of PTSD 6
Re-experiencing the traumatic event Sustained high level of anxiety. General numbing of responsiveness Survivor’s guilt Anger Sleep problem
Outcome criteria with PTSD
Can acknowledge the traumatic event Experiencing fewer flashbacks Can demonstrate coping behavior.
**bupropion** important note 2
Not for PRN take 7-10 days Not addiction (because NOT benzodiazepins)
Anti-anxiety med concern?
Higly addiction No more than 4 weeks then taper off
**Benzodiazepins** Important note 4
Higly addiciton Not mix with alcohol Not driving Smoking and caffeine make less effect
benzodiapzepine Medications
Lorazepm Clonazepam Diazepam Alprazplm
What are anti-depressant?
SSRI SNRI Bupropion Thay are NOT PRN
Mood stablizer Side-effects 3
Dr mouth GI upset Weight gain
Lithium toxicity Acute level range
1.0-1.5mEg/L Anything over 1.5 mEg/L is toxic
Lithium toxicity Mantain level range
0.6-1.2mEg/L
Anti-psychotic agents What need to be ovserve?
Extrapyramidal symptoms (EPS)
Akathisia Sympotoms
Contiuos restlessness Need to move
Extrapyramidal symptoms can be treated with?
Beter blocker Benztropine Benzodiazepines
Anti-psychotic agents Typical medications
Chlorpromazine Haloperidol Fluphenazine
Anti-psychotic agents Atypical medications
Clozapine
Clozaoine ADR
Reduce on sezure threshold Reduce WBC count
Milieu Therapy is equal what?
therapeutic community
Within the therapeutic community setting, clients are expecting?
to learn adaptive coping to learn interaction and relationship skills
Does the PTSD pt do or don’t want to talk about the traumatic event?
Do not But thinking and taking the event prevent develop trauma related disorder
Can the ASD (acute stress disorder) pt remember details about the traumatic event?
NO Which means they express a sense of unreality about the event.
The limbic system helps what?
helps stabilize emotional behavior
a pt with the panic level of anxiety. What biological system domination would be responsible for this diagnosis?
Sympathetic division of the autonomic nervous
How did antianxiety medications, such as benzodiazepines produce a calming effect?
Depressing the CNS
Antipsychotic medications are thought to decrease psychotic symptoms by?
Blocking the action of dopamine in the brain
