Psych Final Flashcards
What is transference
When the patient sees the nurse as someone from their life
What is counter transference
When the nurse sees the patient as someone from their life
What is the most common hallucination patients experience
Auditory
What is formal status
Patients in hospital under law
What is informal status
Patients on units at their own will
What was the main goal of deinstitutionalization
Least restrictive treatment options
What criteria is used to determine a patient as formal
Has mental illness
Could benefit from treatment
Harm to themself or others
Unsuitable for care at any other facility other than psych
Depressive melancholic features
No outside influence. Biological depression
Depressive atypical features
Vegetative signs: eating, sleeping, sex drive
Depressive catatonic features
Motor retardation
What is anhedonia
The inability to experience pleasure
Why is suicide such a high risk once medication is started for depression
Patients will get the energy they did not have previously to actually go through with it
What is the number 1 top priority in all patients
Safety
Which mental illness tends to run in families
Bipolar disorder
What is cyclothymic disorder
Hypomania and depression that shifts quickly
Which mental illness is MOST likely to have a concurrent substance use disorder
Bipolar disorder
Focusing on sleep and eating/hydration is needed by the nurse for which mental illness
Bipolar disorder-MANIA
Which mental illness causes endless energy and impulsive choices
Bipolar disorder
Which mental illness often has thoughts of grandiosity
Bipolar disorder
Which mental illness will require the patient to be secluded and sedated as treatment
Bipolar disorder
What causes patients to have the inability to take responsibility for their actions
Borderline personality disorder
Cluster A
Psychotic spectrum. Odd and eccentric behaviour
Cluster C
Dependent personality
Avoidant
Obsessive
Cluster B
BPD
Narcissistic
Histrionic
Antisocial
Splitting occurs most commonly in which patients
Borderline personality disorder
Alterations in perception, thought, language, emotions, social behaviour describe which mental illness
Schizophrenia
When a patient cannot determine what is real and what is not it is called
Psychosis
What are the 5 key features of schizophrenia
Delusions
Hallucinations
Disorganized thinking
Abnormal motor behaviour
Negative symptoms
What is psychogenic polydipsia
Excessive water intake
In what mental illness in psychogenic polydipsia observed
Schizophrenia
How do we monorail psychogenic polydipsia
Weigh the patient daily
Why is it important to start treatment for schizophrenia early in children
If not some of their social and cognitive abilities will be lost
What are positive symptoms in schizophrenia
Presence of something that should not be there ex. Hallucinations
What are neologisms
Made up words
In what mental illness do we see neologisms
Schizophrenia
What are negative symptoms in a patient with schizophrenia
Absence of something that should be present ex. No motivation
In patients with schizophrenia the nurse must focus on
As much independence for the patient as possible
What is anosognosia
Inability to recognize one’s own illness
In which mental illness is anosognosia experienced
Schizophrenia
Excess of this neurotransmitter causes psychosis
Dopamine
In which mental illness do thyroid labs need to be checked
Depression
What are the 3 things to assess when doing a suicide assessment
Lethality
Intrusivity
Means
What is the number 1 priority for a patient that just attempted suicide
Safety
What causes thiamine to be low
Alcoholism stores thiamine in liver instead of in blood for brain availability
Which vitamin is thiamine
B1
What is needed from the nurse in trauma informed care
Collaboration
Choice for the patient
Who had the theory of interpersonal relationships
Peplau
Peplau identified what as the foundation of nursing practice
Nurse patient relationship
How did Peplau’s theory change nursing
Changed from what nurses do to their patients with what nurses do WITH their patients
What are the 6 nursing roles according to Peplau
Stranger
Resource person
Teacher
Leader
Surrogate
Counselor
What are the 3 skills of psych nurses
Observation
Interpretation
Intervention
Which 2 neurotransmitters are primarily effected and cause addiction
Dopamine
Endorphins
What causes Wernicke’s encephalopathy
Deficiency in thiamine due to alcoholism
What is an example of primary addiction prevention
Labelling
Taxation
What is an example of secondary addiction prevention
Injection sites
What is an example of tertiary addiction prevention
Detox
Recovery
When a patient has a witnessed or unwitnessed fall what is the priority of the nurse
Neuro Vitals
What is recovery oriented care
Ability to work, live and participate in the community
Torsades de pointes from low magnesium is a lethal result of
Extreme alcoholism
What is anergia
Lack of energy
Which organ needs to be monitored in patients taking lithium
Kidneys
What is avolition
Severe lack of motivation
What is the number one sign of neuroleptic malignant syndrome
Spiked temperature
What is negativism
The patient does the opposite of what is asked of them
What part of the brain is primarily effected by schizophrenia
Frontal lobe
Cortex
Ventricles
What part of the brain is primarily effected by PTSD
Amygdala
Hippocampus
Frontal cortex
