Psych Final

Question 1

Somatic Dz (3)

Answer 1

unexplainable symptoms
r/t psychosocial distress and seeking of care
Intervention - distract

Question 2

Illness Anxiety Dz (2)

Answer 2

exaggerated interpretation of S/S

r/t anxiety/depression and OCD

Question 3

Conversion Dz (3)

Answer 3

↓ body fx w/out patho. mechanism
Classically: neurological dz
Precipitated by stress

Question 4

Factitious Dz (2)

Answer 4

Intentional S/S for care

aka. Munchausen Syndrome

Question 5

Masochism

Answer 5

sexy being hurt

Question 6

Sadism

Answer 6

sexy hurting others

Question 7

Exhibitionistic

Answer 7

sexy surprise genitals

Question 8

Fetishistic

Answer 8

sexy inappropriate objects like feet

Question 9

Frotteuristic

Answer 9

sexy non-consenting rubbing

Question 10

Tranvestic

Answer 10

sexy cross-dressing

Question 11

Voyeuristic

Answer 11

sexy reconnaissance

Question 12

Is Gender Identity a paraphilia?!

Answer 12

NO, but ↑r/o suicide and depression in adolescents (early as 4 y/o!!!)

Question 13

Psychological Nanda vs. Psych Social Nanda

Answer 13

imbalanced nutrition vs. disturbed body image

Question 14

Anorexia (3)

Answer 14

↓ appetite and fear of obesity.
♀ 12 - 30 y/o
S/S disturbed body image and refusal to eat

Question 15

Bulimia (5)

Answer 15

insatiable appetite followed by binging to rid of calories
↑ parotid gland size
>% anorexia
onset late adolescent/early adulthood
concern over physical appearance

Question 16

Binging (2)

Answer 16

when stressed, secretly eat till sick

r/in d/comfort, ↓sleep, social interruption, self-induced vomitting

Question 17

Purging

Answer 17

Excess rid of calories via vomit, laxatives, diuretics, etc.

Question 18

Eating disorder hospitalization reqs. (3)
and monitor (2)

Answer 18

↓ 85% body weight, ↓ temp, ↓ BP

weight and electrolytes

Question 19

Eating Dz care goals (6)

Answer 19

Ø die
hydrate
ID stressors
↑ esteem
control environment
see normal body weight in mirror

Question 20

ADHD
3 S/S
Primary intevention?

Answer 20

↓ concentration
↓ hyperactive
↓ disruptive

REMOVE AND OCCUPY ELSEWHERE

Question 21

ADHD Drugs (2)

Answer 21

Adderal and Ritalin (stimulants!)

Question 22

Autistic Spectrum (3)

Answer 22

↓ empathy
↓ social interaction/language development
↑ ritualistic behavior

Question 23

Tourrettes (4)

When S/S begin/end?

Answer 23

↑ outbursts
↑ tics
↑ grimaces
↑ animal noises

Begin: early childhood (6-7) early as 2
End: adolescence/adulhood

Question 24

Antisocial (3)
Conduct
Oppositional Defiant

Answer 24

irresponsible, exploitative, guiltless punks!
for attention!
for anarchy!

Question 25

Aging r/t metabolism (3)

Answer 25

↓ speed of... thinking peristalsis visual acuity

Question 26

Old people are @ r/o? (3) Most successful...? Benefit best from...?

Answer 26

``` depression falls suicide Old single alone white dudes with guns. Home health care. ```

Question 27

DDD

Answer 27

Depression Dementia Delirium

Question 28

Depression (3)

Answer 28

↓ concentration, ↓ ADLs, S/S worse in MORNING

Question 29

Dementia (3)

Answer 29

↓ cognition, S/S worse at NIGHT, gradual onset

Question 30

Delirium (3) onset? Hows that MMSE score?

Answer 30

↑ confusion, agitation, could be from UTI/substance. Sudden onset crappy

Question 31

Substance Abuse Dz | Best fix/withdrawal time

Answer 31

Need to overcome substance/accept responsibility | Alcohol withdrawal 4 - 12 hours, peaks 1 - 3 days

Question 32

S/S alcoholism (3) | S/S withdrawal (3)

Answer 32

pain, burning, acute hepatits | tremors, diaphoresis, anxiety

Question 33

Alcohol Phases (4)

Answer 33

Prealch - use to relieve stress Early alch - blackouts! Crucial - loss of control Chronic - ↓ emotional/physical integration. Intoxicated more than sober

Question 34

Alch. Detox goals (4)

Answer 34

Prevent deizures Correct B12 Benzos (Ativan, Valium) CIWA protocol - determines benzo admin.

Question 35

S/S opiate abuse (3) S/S opiate withdrawal (3) 3 examples

Answer 35

constricted pupils, drowsy, slurred speech dilated pupils, insomnia, aches/cramps Heroin, morphine, Dilaudid

Question 36

S/S amphetaines (3) and 2!! S/S amphetamine withdrawal (3) and 2!! 3 examples

Answer 36

aggressive, impulsive, ↑ vitals signs R/o suicide. ALWAYS r/o injury. dysphoria, fatigue, sleep disturbance ↑ r/o suicide/depression Cocaine, meth, ecstasy

Question 37

Hallucinogens and pupils

Answer 37

dilation!!!

Question 38

Substance assessment (3)

Answer 38

Hx Amount use Last time used (to predict withdrawal)

Question 39

Fetal alcohol syndrome!!! (5)

Answer 39

``` Hyperactive poor cognition pathophysiological problems (sleep, vision, hearing, ♥, kidneys, and bones. Small head Ab. facial features ```

Question 40

Education Primary Secondary Tertiary

Answer 40

prevention acute tx long term prevention of relapse