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ABSN Cohort 19 > Psych Final > Flashcards

Psych Final Flashcards

1
Q

Somatic Dz (3)

A

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

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2
Q

Illness Anxiety Dz (2)

A

exaggerated interpretation of S/S

r/t anxiety/depression and OCD

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3
Q

Conversion Dz (3)

A

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

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4
Q

Factitious Dz (2)

A

Intentional S/S for care

aka. Munchausen Syndrome

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5
Q

Masochism

A

sexy being hurt

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6
Q

Sadism

A

sexy hurting others

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7
Q

Exhibitionistic

A

sexy surprise genitals

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8
Q

Fetishistic

A

sexy inappropriate objects like feet

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9
Q

Frotteuristic

A

sexy non-consenting rubbing

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10
Q

Tranvestic

A

sexy cross-dressing

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11
Q

Voyeuristic

A

sexy reconnaissance

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12
Q

Is Gender Identity a paraphilia?!

A

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

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13
Q

Psychological Nanda vs. Psych Social Nanda

A

imbalanced nutrition vs. disturbed body image

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14
Q

Anorexia (3)

A

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

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15
Q

Bulimia (5)

A 
insatiable appetite followed by binging to rid of calories
↑ parotid gland size
>% anorexia
onset late adolescent/early adulthood
concern over physical appearance
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16
Q

Binging (2)

A

when stressed, secretly eat till sick

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

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17
Q

Purging

A

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

18
Q 
Eating disorder hospitalization reqs. (3)
and monitor (2)
A

↓ 85% body weight, ↓ temp, ↓ BP

weight and electrolytes

19
Q

Eating Dz care goals (6)

A 
Ø die
hydrate
ID stressors
↑ esteem
control environment
see normal body weight in mirror
20
Q

ADHD
3 S/S
Primary intevention?

A

↓ concentration
↓ hyperactive
↓ disruptive

REMOVE AND OCCUPY ELSEWHERE

21
Q

ADHD Drugs (2)

A

Adderal and Ritalin (stimulants!)

22
Q

Autistic Spectrum (3)

A

↓ empathy
↓ social interaction/language development
↑ ritualistic behavior

23
Q

Tourrettes (4)

When S/S begin/end?

A

↑ outbursts
↑ tics
↑ grimaces
↑ animal noises

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

24
Q

Antisocial (3)
Conduct
Oppositional Defiant

A

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

25
Q

Aging r/t metabolism (3)

A

↓ speed of…
thinking
peristalsis
visual acuity

26
Q

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

A 
depression
falls
suicide
Old single alone white dudes with guns.
Home health care.
27
Q

DDD

A

Depression
Dementia
Delirium

28
Q

Depression (3)

A

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

29
Q

Dementia (3)

A

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

30
Q

Delirium (3)
onset?
Hows that MMSE score?

A

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

31
Q

Substance Abuse Dz

Best fix/withdrawal time

A

Need to overcome substance/accept responsibility

Alcohol withdrawal 4 - 12 hours, peaks 1 - 3 days

32
Q

S/S alcoholism (3)

S/S withdrawal (3)

A

pain, burning, acute hepatits

tremors, diaphoresis, anxiety

33
Q

Alcohol Phases (4)

A

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

34
Q

Alch. Detox goals (4)

A

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

35
Q

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

3 examples

A

constricted pupils, drowsy, slurred speech
dilated pupils, insomnia, aches/cramps

Heroin, morphine, Dilaudid

36
Q

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

3 examples

A

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

Cocaine, meth, ecstasy

37
Q

Hallucinogens and pupils

A

dilation!!!

38
Q

Substance assessment (3)

A

Hx
Amount use
Last time used (to predict withdrawal)

39
Q

Fetal alcohol syndrome!!! (5)

A 
Hyperactive
poor cognition
pathophysiological problems (sleep, vision, hearing, ♥, kidneys, and bones.
Small head
Ab. facial features
40
Q

Education
Primary
Secondary
Tertiary

A

prevention
acute tx
long term prevention of relapse

ABSN Cohort 19 (28 decks)

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