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adult 2 > psych final > Flashcards

psych final Flashcards

1
Q

what is the antidote for benzodiazepine overdose?

A

flumazenil

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2
Q

what is administered for benzodiazepines withdrawal?

A

librium

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3
Q

what is given for benzo and alcohol use?

A

ativan and valium

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4
Q

OCD interventions

A
  • allow pt to do rituals
  • assess if ritual done in safe manor
  • washing hands can cause abrasions from dryness
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5
Q

what is systematic desensitization

A

nurse needs to acknowledge fear and establish trust with pt

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6
Q

what is agoraphobia

A

excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing

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7
Q

repression

A

the unconscious blocking of unpleasant feelings and events from one’s awareness over time

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8
Q

primary crisis intervenion

A

giving hem coping mechanisms, med management

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9
Q

secondary crisis intervention

A

screening for depression

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10
Q

tertiary crisis intervention

A

therapy, counseling

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11
Q

mild anxiety s/s

A

restlessness, irritable (tap feet, bite nails)
SNS not intact yet

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12
Q

moderate anxiety s/s

A

selective inattention, clear thinking tampered
- attention focus/problem solving -> not optimal
- person needs assistance with symptoms
- n/v, tachy

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13
Q

severe anxiety s/s

A
  • blood moved to core, increased irritability, anger, lack of concentration, less problem solving, tremors, pacing, confused
  • perceptual field greatly reduced
  • difficulty concentrating
  • somatic symptoms increase
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14
Q

panic s/s

A

running, shouting, screaming, pacing, unable to process reality, impulsivity, hallucinate

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15
Q

SE of anti anxiety medications

A

sedation, drowsiness
do not take St. John’s wort on top of HIV meds

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16
Q

medications of anxiety

A

SSRIS, SNRI, anti anxiety

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17
Q

OCD: Obsessions

A

thoughts, impulses or images that persist and reoccur

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18
Q

OCD: compulsions

A

ritualistic behavior an individual feels driven to perform in an attempt to reduce anxiety

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19
Q

what is the DSM-5 criteria for OCD

A
  • obsessions, compulsions or both
  • not due to a substance or condition
  • not explained by another disorder
    time consuming (>1 hr)
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20
Q

OCD risk factors

A
  • child abuse and trauma
  • post-infectious autoimmune syndrome
  • genetics: 1st degree relative
  • comorbidity with anxiety - disorders, eating disorders, tic disorders
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21
Q

biological treatment for OCD

A
  • SSRI for OCD
  • clomipramine (TCA)
  • venlafaxine (SNRI)
  • none for body dysmorphic disorder, hoarding, trichotillomania
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22
Q

surgical treatment for OCD

A
  • gamma knife: creates lesions to form a disconnect of overactive circuits
  • deep brain stimulation (DBS): implanted pulse generator uses low-dose current to reduce symptoms
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23
Q

paranoid personality disorder

A

defensive, jealous as adults

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24
Q

paranoid personality disorder treatment

A

adhering to schedules

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25
Q

schizoid personality disorder characteristics

A

loner
- little desire for intimacy

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26
Q

schizoid personality disorder treatment

A

psychotherapy, group therapy, antidepressants

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27
Q

schizotypal characteristics

A

intermittent hallucinations, anxiety in social settings
paranoia, suspicious

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28
Q

schizotypal treatment

A

check cult involvement
low dose antipsychotics
psychotherapy

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29
Q

borderline characteristics

A

splitting: can’t see the good or bad in others
- severe impairments in functioning

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30
Q

borderline treatment

A

pharm: psychotropics towards symptom relief
psychotherapy: CBT, DBT, schema-focused therapy

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31
Q

narcissistic characteristics

A
  • entitlement
  • lack of empathy
32
Q

narcissistic treatment

A

CBT to deconstruct faulty thinking
group therapy
lithium for mood swings
antidepressants PRN

33
Q

histrionic characteristics

A

excitable, dramatic
attention-seeking

34
Q

histrionic treatment

A

psychotherapy

35
Q

antisocial characteristics

A

rebels, sociopaths

36
Q

antisocial treatment

A

boundaries, consistency, support, limits, mood stabilizers

37
Q

avoidant characterstics

A

low self-esteem
subject to depression, anxiety, anger

38
Q

avoidant treatment

A

group/individual therapy
antianxiety meds
beta blockers
antidepressants

39
Q

dependent characteristics

A

high need to be taken care of

40
Q

dependent treatment

A

psychotherapy

40
Q

obsessive compulsive

A

unhelathy focus on perfection

41
Q

obsessive compulsive treatment

A

clomipramine, fluoxetine

42
Q

mild dementia

A

does not interfere with ADLs

43
Q

major dementia

A

interferes with daily functioning and independencet

44
Q

delirium s/s

A
  • disturbance in attention
  • abrupt onset with periods of lucidity
  • disorganized thinking
  • anxiety and agitation
  • poor recall
  • delusions and usually visual hallucinations
45
Q

delirium implementation

A

prevent physical harm
minimize use of restraints
supportive measures to relieve distress

46
Q

aphasia

A

loss of language ability

47
Q

apraxia

A

loss of purposeful movement

48
Q

agnosia

A

loss of sensory ability to recognized

49
Q

confabulation

A

creation of stories in place of missing memories to maintain self-esteem

50
Q

preservation

A

repetition of phrases or gestures long after stimulus is gone

51
Q

agraphia

A

diminishing ability to read to write

52
Q

sundowning/sundown syndrome

A

tendency for mood to drop and agitation to rise as light of day diminished

53
Q

alzheimers treatment for cognitive symptoms

A

cholinesterase inhibitors
rivastigmine transdermal system
N-methyl-D-asppartate receptor antagonist

54
Q

alzheimers medication for behavior symptoms

A

none approved, risk is high

55
Q

alzheimers integrative therapy

A

omega-3 fatty acids

56
Q

overt statements

A

“life isn’t worth living anymore”

57
Q

covert statement

A

“its okay now. soon everything will be fine”

58
Q

what are the 3 main elements that must be considered when evaluating lethality?

A
  1. specific plan?
  2. how lethal?
  3. access to method?
59
Q

SAD PERSONS SCALE

A

sex
age
depression
previous attempt
excess alc
rational thinking loss
social supports lacking
organized plan
no spouse
sickness

60
Q

signs of sexual abuse in children

A
  • Precocious sexual behavior/ knowledge/ explicit talk or images/demonstration of sexual aggression
  • PTSD symptoms
  • Somatic complaints: abdominal pain n/v/d, chest pain
  • Feelings of guilt
61
Q

what are the legalities of reporting child and elderly abuse

A

older adult -> full head to toe exam before reporting
suspect -> report

62
Q

risk factors for abuse towards a child

A

lifetime secondary effects: anxiety, depression, suicidal ideation, MDD and PTSD

63
Q

sexual assault assessment five steps

A
  1. head to toe assessment for signs of injury
  2. detailed genital exam (pics will be taken, documentation)
  3. evidence collection and preservation
  4. documentation of physical findings
  5. treatment, discharge, follow-up care (plan b, test of HIV, Hep)
64
Q

rape trauma syndrome

A

emotional reaction: outbursts, crying, laughing, hysteria, anger

control reaction: blunted affect, feeling numb

somatic reaction: HA, muscle tensions, sleep disturbance

65
Q

what is the prophylactic treatment for STIs

A

antibiotics, doxy pep

66
Q

anorexia s/s

A

refusal to eat

vital signs: irregular hr, dec pulse and bp, orothostatic hypo, amenorrhea, dehydration, electrolytes imbalance

intense fear of gaining weight

67
Q

anorexia restricting type

A

individual has not engaged in recurrent episode of binge-eating or purging behavior

68
Q

anorexia binge- eat/purge type

A

individual has engaged in recurrent episode of binge eating or purging

69
Q

bulimia s/s

A

russell’s sign (dorsal lesions on hands caused by vomiting, the acid from stomach gets on hands)

dental damage, cardiotoxicity form syrup of ipecac, hypokalemia, EKG changes

70
Q

bulimia comorbidities

A

depression, anxiety, bipolar, alc use, ptsd, borderline

71
Q

bulimia behaviors

A

recurent episodes of binge eating, inappropriate compensatory behavior

72
Q

grief: feelings

A

emptiness and loss

73
Q

grief: intensity

A

intense sadness and anger that occurs in ways and gradually subsides

74
Q

grief: self-esteem

A

intact, reorganization tasks may impact sense of self

75
Q

grief: thoughts of death

A

may focus on someday reunited with the decrease

76
Q
A

adult 2 (1 decks)

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