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Psych Nursing > Psych Final > Flashcards

Psych Final Flashcards

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1
Q

What is transference

A

When the patient sees the nurse as someone from their life

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2
Q

What is counter transference

A

When the nurse sees the patient as someone from their life

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3
Q

What is the most common hallucination patients experience

A

Auditory

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4
Q

What is formal status

A

Patients in hospital under law

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5
Q

What is informal status

A

Patients on units at their own will

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6
Q

What was the main goal of deinstitutionalization

A

Least restrictive treatment options

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7
Q

What criteria is used to determine a patient as formal

A

Has mental illness
Could benefit from treatment
Harm to themself or others
Unsuitable for care at any other facility other than psych

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8
Q

Depressive melancholic features

A

No outside influence. Biological depression

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9
Q

Depressive atypical features

A

Vegetative signs: eating, sleeping, sex drive

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10
Q

Depressive catatonic features

A

Motor retardation

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11
Q

What is anhedonia

A

The inability to experience pleasure

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12
Q

Why is suicide such a high risk once medication is started for depression

A

Patients will get the energy they did not have previously to actually go through with it

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13
Q

What is the number 1 top priority in all patients

A

Safety

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14
Q

Which mental illness tends to run in families

A

Bipolar disorder

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15
Q

What is cyclothymic disorder

A

Hypomania and depression that shifts quickly

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16
Q

Which mental illness is MOST likely to have a concurrent substance use disorder

A

Bipolar disorder

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17
Q

Focusing on sleep and eating/hydration is needed by the nurse for which mental illness

A

Bipolar disorder-MANIA

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18
Q

Which mental illness causes endless energy and impulsive choices

A

Bipolar disorder

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19
Q

Which mental illness often has thoughts of grandiosity

A

Bipolar disorder

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20
Q

Which mental illness will require the patient to be secluded and sedated as treatment

A

Bipolar disorder

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21
Q

What causes patients to have the inability to take responsibility for their actions

A

Borderline personality disorder

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22
Q

Cluster A

A

Psychotic spectrum. Odd and eccentric behaviour

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23
Q

Cluster C

A

Dependent personality
Avoidant
Obsessive

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24
Q

Cluster B

A

BPD
Narcissistic
Histrionic
Antisocial

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25
Q

Splitting occurs most commonly in which patients

A

Borderline personality disorder

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26
Q

Alterations in perception, thought, language, emotions, social behaviour describe which mental illness

A

Schizophrenia

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27
Q

When a patient cannot determine what is real and what is not it is called

A

Psychosis

28
Q

What are the 5 key features of schizophrenia

A

Delusions
Hallucinations
Disorganized thinking
Abnormal motor behaviour
Negative symptoms

29
Q

What is psychogenic polydipsia

A

Excessive water intake

30
Q

In what mental illness in psychogenic polydipsia observed

A

Schizophrenia

31
Q

How do we monorail psychogenic polydipsia

A

Weigh the patient daily

32
Q

Why is it important to start treatment for schizophrenia early in children

A

If not some of their social and cognitive abilities will be lost

33
Q

What are positive symptoms in schizophrenia

A

Presence of something that should not be there ex. Hallucinations

34
Q

What are neologisms

A

Made up words

35
Q

In what mental illness do we see neologisms

A

Schizophrenia

36
Q

What are negative symptoms in a patient with schizophrenia

A

Absence of something that should be present ex. No motivation

37
Q

In patients with schizophrenia the nurse must focus on

A

As much independence for the patient as possible

38
Q

What is anosognosia

A

Inability to recognize one’s own illness

39
Q

In which mental illness is anosognosia experienced

A

Schizophrenia

40
Q

Excess of this neurotransmitter causes psychosis

A

Dopamine

41
Q

In which mental illness do thyroid labs need to be checked

A

Depression

42
Q

What are the 3 things to assess when doing a suicide assessment

A

Lethality
Intrusivity
Means

43
Q

What is the number 1 priority for a patient that just attempted suicide

A

Safety

44
Q

What causes thiamine to be low

A

Alcoholism stores thiamine in liver instead of in blood for brain availability

45
Q

Which vitamin is thiamine

A

B1

46
Q

What is needed from the nurse in trauma informed care

A

Collaboration
Choice for the patient

47
Q

Who had the theory of interpersonal relationships

A

Peplau

48
Q

Peplau identified what as the foundation of nursing practice

A

Nurse patient relationship

49
Q

How did Peplau’s theory change nursing

A

Changed from what nurses do to their patients with what nurses do WITH their patients

50
Q

What are the 6 nursing roles according to Peplau

A

Stranger
Resource person
Teacher
Leader
Surrogate
Counselor

51
Q

What are the 3 skills of psych nurses

A

Observation
Interpretation
Intervention

52
Q

Which 2 neurotransmitters are primarily effected and cause addiction

A

Dopamine
Endorphins

53
Q

What causes Wernicke’s encephalopathy

A

Deficiency in thiamine due to alcoholism

54
Q

What is an example of primary addiction prevention

A

Labelling
Taxation

55
Q

What is an example of secondary addiction prevention

A

Injection sites

56
Q

What is an example of tertiary addiction prevention

A

Detox
Recovery

57
Q

When a patient has a witnessed or unwitnessed fall what is the priority of the nurse

A

Neuro Vitals

58
Q

What is recovery oriented care

A

Ability to work, live and participate in the community

59
Q

Torsades de pointes from low magnesium is a lethal result of

A

Extreme alcoholism

60
Q

What is anergia

A

Lack of energy

61
Q

Which organ needs to be monitored in patients taking lithium

A

Kidneys

62
Q

What is avolition

A

Severe lack of motivation

63
Q

What is the number one sign of neuroleptic malignant syndrome

A

Spiked temperature

64
Q

What is negativism

A

The patient does the opposite of what is asked of them

65
Q

What part of the brain is primarily effected by schizophrenia

A

Frontal lobe
Cortex
Ventricles

66
Q

What part of the brain is primarily effected by PTSD

A

Amygdala
Hippocampus
Frontal cortex

Psych Nursing (2 decks)

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