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Psychiatric > Psych blueprint exam 1 > Flashcards

Psych blueprint exam 1 Flashcards

1
Q

Stress

Fight or flight response

1-3 reaction stage

A

Alarm reaction

Resistance reaction

Exhaustion reaction

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2
Q

What is alarm reaction stage?

A

Physiological response of fight or flight

BP, HR, RR, sweat increase

Pupil dilation

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3
Q

Modified(passive) relaxation?

A

Muscles are not tensed

Concentrating feeling of relaxation

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4
Q

The progressive relaxation?

A

Muscle is tensed

Tension associated with anxiety

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5
Q

Example of progressive relaxation method?

A

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

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6
Q

Meditation helps what body functions?

A

Lower RR, HR, and BP

Less O2 is needed

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7
Q

What is RLCQ?

Recent-Life-Changing-Questionnaire

A

Measures the stress of individuals through life-changing event

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8
Q

RLCQ high score means?

What are criticized?

A

High= high risk

It doesn’t consider an individual’s perception of such an event (culture, age, gender etc)

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9
Q

What is biofeedback for relaxation?

A

Feedback about one’s autonomic nervous system

HR, RR, Skin temp etc

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10
Q

Why does exercise help a patient relax?

A

Physical exercise reduces general anxiety

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11
Q

Recovery is the process of moving towards?

Recovery is a what process?

A

Improvement in health and quality life

Collaborative

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12
Q

Recovery

Emerges from?

A

Hope

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13
Q

Recovery

Tidal model

A

Focus on an individual’s personal story

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14
Q

Recovery

Wellness recovery action plan

WRAP

A

An individual monitor/ manage symptoms

self-administration of the plan

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15
Q

Recovery

Psychological recovery model

4 components

A

Hope

Responsibility

Self and identity

Meaning and hope

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16
Q

Primary prevention?

A

Preventing mental health problems

Reducing the incidence

Provide educational program

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17
Q

Secondary prevention?

A

Minimizing early symptoms

Reduce prevalence

Assessment

diagnosis

Screen

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18
Q

Tertiary prevention?

A

Preventing complication

Promoting rehabilitation

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19
Q

In what situation does the nurse override=revoke a client’s right to refuse treatment?

A
  • actively suicidal
  • physically attacks to other
  • Threatens violence to other
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20
Q

Ethical behavior

Justice

A

Fair and equal treatment for all

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21
Q

Ethical behavior

Beneficence

A

Doing Good

Charity

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22
Q

Ethical behavior

Autonomy

A

The client’s right to make their own decisions

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23
Q

Ethical behavior

Non-maleficence

A

Healthcare provides do not harm to their clients

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24
Q

Ethical behavior

Veracity

A

Honest when dealing with clients

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25
Q

Relationship

Essential tasks the nurse perform prior to beginning a nurse-client relationship 4 factors

A

Rapport

Trust

Respect
Genuineness

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26
Q

Tasks of the pre-interaction phase

A

Explore self-perceptions

27
Q

Tasks of the orientation (introductory) phase

A

Established trust

Formulate a contract for intervention

A setting goal that is mutually agreeable

Develop a realistic plan of action

28
Q

Tasks of the working phase

A

Use a problem-solving model

Overcome resistance behavior

Continuously evaluate progress

29
Q

Active listening 5 letter

A

S sits squarely facing the patient

O open posture

L Lean forward

E eye contact

R relax

30
Q

The environment in which communication takes place influences the outcome?

A

Territoriality
Density
Distance

31
Q

Adaptive responses are?

A

preserve the integrity of the individual

32
Q

What is the major side effects of **SSRI** medications? Selective Serotonin reuptake inhibitors

A

Serotonin syndrome Increase sensitivity to sunburn (photophobia/photosensitivity) anxiety

33
Q

**bupropion** Contraindication

A

Patients with seizure disorders

34
Q

**bupropion** other used instead of anti-depressant?

A

smoking cessation

35
Q

What are the **SSRI**?

A

Fluoxetine Citalopram Escitalopram Sertraline

36
Q

**lorazepam** a) class? b) used for? c) side effect?

A

a) benzodiazepine b) generalized anxiety disorder panic disorder c) NOT SAFE FOR LONG TERM USE dependence

37
Q

**Suicide** Outcome Criteria

A

Patient will not harm self Verbalizes a measure of hope

38
Q

**Suicide** Interventions

A

Identify suicidal Thoughts Plans Attempts

39
Q

**Suicide** Intervention to family

A

Eencourage talking about suicide Discourage blaming

40
Q

Symptoms of PTSD 6

A

Re-experiencing the traumatic event Sustained high level of anxiety. General numbing of responsiveness Survivor’s guilt Anger Sleep problem

41
Q

Outcome criteria with PTSD

A

Can acknowledge the traumatic event Experiencing fewer flashbacks Can demonstrate coping behavior.

42
Q

**bupropion** important note 2

A

Not for PRN take 7-10 days Not addiction (because NOT benzodiazepins)

43
Q

Anti-anxiety med concern?

A

Higly addiction No more than 4 weeks then taper off

44
Q

**Benzodiazepins** Important note 4

A

Higly addiciton Not mix with alcohol Not driving Smoking and caffeine make less effect

45
Q

benzodiapzepine Medications

A

Lorazepm Clonazepam Diazepam Alprazplm

46
Q

What are anti-depressant?

A

SSRI SNRI Bupropion Thay are NOT PRN

47
Q

Mood stablizer Side-effects 3

A

Dr mouth GI upset Weight gain

48
Q

Lithium toxicity Acute level range

A

1.0-1.5mEg/L Anything over 1.5 mEg/L is toxic

49
Q

Lithium toxicity Mantain level range

A

0.6-1.2mEg/L

50
Q

Anti-psychotic agents What need to be ovserve?

A

Extrapyramidal symptoms (EPS)

51
Q

Akathisia Sympotoms

A

Contiuos restlessness Need to move

52
Q

Extrapyramidal symptoms can be treated with?

A

Beter blocker Benztropine Benzodiazepines

53
Q

Anti-psychotic agents Typical medications

A

Chlorpromazine Haloperidol Fluphenazine

54
Q

Anti-psychotic agents Atypical medications

A

Clozapine

55
Q

Clozaoine ADR

A

Reduce on sezure threshold Reduce WBC count

56
Q

Milieu Therapy is equal what?

A

therapeutic community

57
Q

Within the therapeutic community setting, clients are expecting?

A

to learn adaptive coping to learn interaction and relationship skills

58
Q

Does the PTSD pt do or don’t want to talk about the traumatic event?

A

Do not But thinking and taking the event prevent develop trauma related disorder

59
Q

Can the ASD (acute stress disorder) pt remember details about the traumatic event?

A

NO Which means they express a sense of unreality about the event.

60
Q

The limbic system helps what?

A

helps stabilize emotional behavior

61
Q

a pt with the panic level of anxiety. What biological system domination would be responsible for this diagnosis?

A

Sympathetic division of the autonomic nervous

62
Q

How did antianxiety medications, such as benzodiazepines produce a calming effect?

A

Depressing the CNS

63
Q

Antipsychotic medications are thought to decrease psychotic symptoms by?

A

Blocking the action of dopamine in the brain

Psychiatric (21 decks)

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