Psych blueprint exam 1 Flashcards by Yuko Porter

Stress

Fight or flight response

1-3 reaction stage

Alarm reaction

Resistance reaction

Exhaustion reaction

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What is alarm reaction stage?

Physiological response of fight or flight

BP, HR, RR, sweat increase

Pupil dilation

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Modified(passive) relaxation?

Muscles are not tensed

Concentrating feeling of relaxation

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The progressive relaxation?

Muscle is tensed

Tension associated with anxiety

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Example of progressive relaxation method?

Tensed for 5-7 secs and then relax for 20-30 secs

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Meditation helps what body functions?

Lower RR, HR, and BP

Less O2 is needed

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What is RLCQ?

Recent-Life-Changing-Questionnaire

Measures the stress of individuals through life-changing event

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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)

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What is biofeedback for relaxation?

Feedback about one’s autonomic nervous system

HR, RR, Skin temp etc

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Why does exercise help a patient relax?

Physical exercise reduces general anxiety

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Recovery is the process of moving towards?

Recovery is a what process?

Improvement in health and quality life

Collaborative

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Recovery

Emerges from?

Hope

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Recovery

Tidal model

Focus on an individual’s personal story

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Recovery

Wellness recovery action plan

WRAP

An individual monitor/ manage symptoms

self-administration of the plan

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Recovery

Psychological recovery model

4 components

Hope

Responsibility

Self and identity

Meaning and hope

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Primary prevention?

Preventing mental health problems

Reducing the incidence

Provide educational program

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Secondary prevention?

Minimizing early symptoms

Reduce prevalence

Assessment

diagnosis

Screen

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Tertiary prevention?

Preventing complication

Promoting rehabilitation

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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

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Ethical behavior

Justice

Fair and equal treatment for all

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Ethical behavior

Beneficence

Doing Good

Charity

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Ethical behavior

Autonomy

The client’s right to make their own decisions

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Ethical behavior

Non-maleficence

Healthcare provides do not harm to their clients

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Ethical behavior

Veracity

Honest when dealing with clients

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**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