psych exam 1 Flashcards

1
Q

what is token economy

A

reward system

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2
Q

explain the difference between biologic, psychological, and social assessments

A

biologic- all about the person and their hx and physical wellbeing
psychological- abt mental health and mental status
social- influences on social forces like friends and fam and status of life

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3
Q

what are 4 steps of the nursing process

A

Assessment
Diagnosis
Intervention
Evaluation

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4
Q

suicide definition

A

voluntary act of killing oneself, a fatal, self-inflicted destructive act

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5
Q

suicidality definition

A

all suicide-related behaviors and thoughts of completing or attempting

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6
Q

suicidal ideation definition

A

thinking about or planning ones death

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7
Q

suicidal attempts definition

A

nonfatal self-inflicted destructive act

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8
Q

parasuicide definition

A

attempt but with the real intention to not be death

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9
Q

lethality definition

A

probability of success of completed suicide

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10
Q

what are some short term goals for the patient

A

maintain pt safety & use pt resources

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11
Q

what are some long term goals for the patient

A

maintaining pt psychiatric treatment and widening the pts support system

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12
Q

what is psychobiology

A

the study of the biological foundations of cognitive, emotional, and behavioral processes

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13
Q

frontal lobe functions

A

cognitive functioning
working memory
personality

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14
Q

temporal lobe functions

A

hearing, language, emotional responses

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15
Q

parietal lobe functions

A

feeling and spacial awareness

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16
Q

occipital lobe functions

A

vision and voluntary movements- basal ganglia (bundle of nerves)

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17
Q

“gyroscope balancer”

A

cerebellum

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18
Q

“pleasure center”

A

limbic system

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19
Q

limbic system functions

A

basic emotions
needs and drives
instinct

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20
Q

“relay station”

A

thalamus

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21
Q

“homeostasis regulator”

A

hypothalamus

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22
Q

“emotional brain”

A

amygdala

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23
Q

personality disorders come from the disregulation of what

A

amygdala

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24
Q

“memory center”

A

hippocampus

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25
Q

neuroplasticity

A

ability of the brain to change

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26
Q

what are the primary neurotransmitters for the sympathetic nervous system

A

norepinephrine and epinephrine

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27
Q

what are the primary neurotransmitters for the parasympathetic nervous system

A

acetylcholine

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28
Q

what are the 4 neurotransmitters

A

cholinergic
biogenic amines (monoamines)
amino acids
neuropeptides

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29
Q

psychoeducation

A

an evidence-based therapeutic intervention for patients and their loved ones that provides information and support to better understand and cope with illness

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30
Q

typical antipsychotic main side effect

A

EPS

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31
Q

atypical antipsychotic main side effect

A

weight gain

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32
Q

main side effects of antipsychotics

A

cardio- othro hypo & prolonged QT interval
anticholinergic- dry mouth, constipation, blurred vision
weight gain & EPS

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33
Q

what EPS movement disorders are acute

A

pseudoparkinsonism
akathisia
dystonia

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34
Q

pseudoparkinsonism

A

shuffle gait
stooped posture
tremors and rest

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35
Q

akathisia

A

constant motion of feet
restless
trouble standing still

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36
Q

dystonia

A

facial grimacing
involuntary eye movement
muscle spasms

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37
Q

what is Tardive dyskinesia

A

a chronic (permanent) EPS movement disorder
doesn’t go away even after stop taking antipsychotics
- protrusion and rolling of tongue
- sucking and smacking lip movements
- involuntary movements of body

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38
Q

what are the mood stabilizers

A

anticonvulsants
lithium
calcium channel blockers
adrenergic blocking agents
atypical antipsychotics

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39
Q

what is the gold standard treatment for mood stabilizers

A

lithium

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40
Q

what is lamotrigine (lamictal)

A

anticonvulsant mood stabilizer - watch for rash

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41
Q

what to watch for when taking lithium

A

blood toxicity
renal and thyroid functions
creatine concentration
CBC every 6 months

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42
Q

what is carbamazepine

A

calcium channel blocker mood stabilizer

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43
Q

what to watch for with CCBs?

A

check blood levels
SE: dizzy, drowsy, tremor, n/v

44
Q

what are the 7 antidepressants?

A

SSRIs
SNRIs
NDRIs
SARIs - sedation
NaSSA - sedation
TCAs - 3
MAOIs - ser & norep

45
Q

what pt should not do while on MAOIs?

A

eat or drink aged foods line wine and cheese

46
Q

what are the antianxiety drugs

A

benzodiazepines & nonbenzodiazepines

47
Q

difference between benzodiazepines & nonbenzodiazepines

A

benzos are highly addictive and should only be used for up to 2 weeks
nonbenzos are the safer option

48
Q

what are the 4 sedative-hypnotics

A

benzos
GABA
melatonin
antihistamines

49
Q

what do stimulants do?

A

increase dopamine -> increases focus

50
Q

what are the 3 stimulants

A

wake-promoting agents
adderall
Vyvanse

51
Q

what is st. johns wart

A

an herbal supplement that increased serotonin (watch for serotonin syndrome)

52
Q

what is kava

A

an herbal supplement that has a risk of severe liver injury

53
Q

what is tryptophan

A

an herbal supplement that helps make melatonin and serotonin

54
Q

electroconvulsive therapy (ECT)

A

used for depression, mania, and schizophrenia
major side effect is memory loss that mostly eventually comes back

55
Q

light therapy

A

helps to reset circadian rhythms when someone is seasonally depressed from being in a dark area for along time

56
Q

transcranial magnetic stimulation (TMS)

A

manages symptoms of depression

57
Q

vagus nerve stimulation (VNS)

A

a permanent implant for adults that are unresponsive to several antidepressants

58
Q

the emotional and psychological balance in the pursuit of wellness and a meaningful quality of life

A

mental health

59
Q

conditions involving altered thinking, mood, and behavior

A

mental disorders

60
Q

what is the DSM-5

A

used to diagnose mental disorders

61
Q

what is evidence-based practice

A

problem-solving approach to help improve outcome of patient

62
Q

what is public stigma

A

stereotypes, discrimination, and negative images portrayed

63
Q

whats the difference between spirituality and religious

A

spirituality - ones self as a part of a spiritual force
religiousness- organized way to be in community worshiping together

64
Q

self determination act

A

pt has right to make informed decisions

65
Q

competency

A

if pt is competent, pt has right to know whats going on

66
Q

informed consent

A

the right to be informed of treatment options

67
Q

least restrictive environment

A

restrict only if its the final option with reason

68
Q

mandate to inform

A

authority is mandated to report the patient if they have thoughts or plans to harm someone by name

69
Q

what 3 important things did Sigmund freud teach

A

transference - pt is bias
cotransference - nurse is bias
ID, Ego, Superego

70
Q

acculturation

A

adopting to new culture forms

71
Q

linguistic and culture competence

A

being able to communicate effectively to someone with different culture and/or language

72
Q

maslow’s hierarchy of needs

A

you need the basic needs of life in order to move up the pyramid to having self-actualization

73
Q

what are Erik Eriksons 8 stages of psychosocial development

A

trust vs mistrust
autonomy vs shame and doubt
initiative vs guilt
industry vs inferiority
identify vs role confusion
generativity vs stagnation
integrity vs despair

74
Q

which of yalom’s 11 primary factors is defined as hope is required to keep patients in therapy

A

instillation of hope

75
Q

which of yalom’s 11 primary factors is defined as finding out that others have similar problems

A

universality

76
Q

which of yalom’s 11 primary factors is defined as didactic instruction about mental health, mental illness, and so on

A

imparting information

77
Q

which of yalom’s 11 primary factors is defined as learning to give to others

A

altruism

78
Q

which of yalom’s 11 primary factors is defined as assuming some of the behaviors and characteristics of the therapist

A

imitative behavior

79
Q

which of yalom’s 11 primary factors is defined as analogue of therapeutic factors in individual therapy, such as insight, working through the transference, and corrective emotional experience

A

interpersonal learning

80
Q

which of yalom’s 11 primary factors is defined as group members relationship to therapist and other group members

A

group cohesiveness

81
Q

which of yalom’s 11 primary factors is defined as open expression of affect to purge or “cleanse” self

A

catharsis

82
Q

which of yalom’s 11 primary factors is defined as pts ultimate concerns of existence: death, isolation, freedom, and meaninglessness

A

existential factors

83
Q

what is OARS

A

open ended questions
affirmations
reflective listening
summaries

84
Q

process of understanding ones own beliefs, thoughts, motivations, biases, and limitations and recognizing how they affect others

A

self- awareness

85
Q

what is motivational interviewing

A

talking with patient to make them motivated to improve

86
Q

what are the stages of change

A

pre-contemplation
contemplation
determination/preparation
action
maintenance
relapse

87
Q

what is SOLER

A

sit squarely
open posture
lean foreward
eye contact
relax

88
Q

how much of each is one drink?
beer, wine, malt liquor

A

beer- 12oz
wine- 5oz
malt liquor - 8.5oz

89
Q

how many drinks/day and /week are recommended

A

men: 4/day 14/week
women: 3/day 7/week

90
Q

what are the AUDIT score interpretations

A

0-3 no/low risk
4-13 at risk
14+ high risk

91
Q

what are the 4 steps of motivational interviewing

A

engage
focus
evoke reasons for change
plan options

92
Q

addiction definition

A

continued use of substances despite the consequences

93
Q

use definition

A

ingestion, smoking, sniffing, or injection of mind altering substance

94
Q

abuse definition

A

use for wrong purpose or beyond intended use

95
Q

withdrawl definition

A

symptoms that occur after stopping a substance

96
Q

detoxification definition

A

process of SAFE withdrawl

97
Q

what is the 1st and 2nd most abused substances

A

1st- alc
2nd- marijuana

98
Q

disulfiram (antabuse)

A

med for alc use disorder
helps pt not drink bc it’ll make then sick
watch for dizziness

99
Q

naltrexone

A

helps reduce cravings of alc and opioids

100
Q

methadone

A

helps with opioid use disorder
its a lower level opioid to help quit

101
Q

buprenorphine

A

1st option for opioid use disorder but weaker than methadone

102
Q

naloxone

A

reversal agent for opioid use

103
Q

clonidine

A

BP med used for opioid use disorder
monitor BP

104
Q

bupropion

A

antidepressant med used for smoking cessation

105
Q

determine which are stimulants and depressants:
inhalents
steroid
alcohol
cocaine
nicotine
caffeine

A

inhalents - depressant
steroid - stimulant
alcohol - depressant
cocaine - stimulant
nicotine - stimulant
caffeine - stimulant

106
Q

what are the alc induced permanent brain disorders

A

wernicke encephalopathy
korakoff’s amnestic syndrome
wernicke-korsakoff syndrome