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ABSN > Psych III > Flashcards

Psych III Flashcards

1
Q

What developmental screening test is used for preschoolers?

A

Denver II

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2
Q

What IQ is severe IDD described by? mild? moderate? profound?

A

50-70 = mild IDD
35-50 = moderate IDD
20-35 = severe IDD
< 20 = profound IDD

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3
Q

What drugs are given for autism spectrum?

A

Risperidone

SSRIs

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4
Q

What is the most common pediatric behavioral disorder?

A

ADHD

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5
Q

What is prescribed for ADHD? What side effects may occur?

A

CNS Stimulants = Adderall, Ritalin, Focalin

SE = sleep problems, delayed growth, moodiness, decreased appetite

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6
Q

How many essential features does a child need to present with to be diagnosed with ADHD?

A

6

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7
Q

What do ADHD and Bipolar manifestations have in common?

A

irritability
hyperactivity
restlessness
impulsiveness

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8
Q

What percentage of older adults in the US live in long-term care facilities?

A

5%

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9
Q

What do we use to diagnose depression in older adults?

A

15 question Geriatric Depression Scale

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10
Q

What should we assess before diagnosing an older adult with dementia?

A

depression - it can manifest as forgetfulness, agitation, irritability, etc.

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11
Q

1st line tx for antidepressants in older adults? 2nd line? side effects?

A

1st line - SSRIs watch bone density

2nd line - Tricyclics watch cardiac function

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12
Q

What is the rule of thumb for prescribing medications for older adults?

A

start low and go slow

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13
Q

What are the BEERS criteria?

A

it examines potential inappropriate medication use in older adults

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14
Q

Which has a worse prognosis, type 1 alcoholism or type 2?

A

TYPE I has a worse prognosis than type II

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15
Q

What is a type I alcoholic? type II?

A

1 - long time drinker that is aging (worse prognosis)

2 - late life drinker (better prognosis)

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16
Q

What tool can we use to screen older adults for alcoholism?

A

MAST-G (Michigan Alcohol Screening Test - Generic)

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17
Q

What are some “hidden” symptoms of alcoholism in older adults?

A

bruising/falls
malnutrition
blurred vision
confusion

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18
Q

When will alcohol withdrawal set in after the last drink?

A

8 hours

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19
Q

What is the treatment for alcohol withdrawal?

A

5-7 day detox
Naltrexone (long term)
Diazepam

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20
Q

How do you score a Mini-Cog exam?

A

0 = dementia
1-2 words remembered and abnormal clock = dementia
1-2 words remembered and normal clock = NO dementia

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21
Q

What is the difference between addiction and dependence?

A

addiction - brain disease

dependence - physical condition

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22
Q

What qualifies as binge drinking?

A

4 drinks for women
5 drinks for men
in 2 hours (23% of drinkers)

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23
Q

What qualifies as heavy drinking?

A

5 or more drinks on the same occasion on 5 or more days in the past 30 days (6.5% of drinkers)

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24
Q

What are the top 5 used psychoactive substance es in the DSM-5?

A
  1. alcohol
  2. caffeine
  3. cannabis (most widely used illicit drug in the world)
  4. hallucinogens
  5. inhalants
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25
Q

What is the leading drug problem in North America?

A

alcohol misuse

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26
Q

Is genetic predisposition a determinant to alcohol use?

A

NO

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27
Q

What happens if you OD on alcohol?

A

CNS depression and death

28
Q

What is the enzyme we have that breaks down alcohol?

A

Alcohol Dehydrogenase

29
Q

What drug blocks the alcohol dehydrogenase in the body and is “enforced sobriety”

A

Antabuse (Disulfiram) - causes vomiting, pain, h/a

30
Q

What qualifies as “one drink”

A

beer - 12oz
wine - 5oz
80 proof liquor - 1.5oz
malt liquor - 9oz

31
Q

What’s the big deal about drinking?

A

anxiety, vitamin B mabsorption, breast/colon/esophageal/larynx/liver/rectal cancers

32
Q

What do we use to manage alcohol withdrawal?

A

CIWA scoring

33
Q

What drugs are given based on CIWA criteria?

A

Lorazepam, Librium, Mag Sulfate, Vitamins

34
Q

What should you NOT give during alcohol withdrawal if the pt develops delirium tremens 2-3 days post last drink?

A

HTN, tremors, fever

NO benzos

35
Q

What is the treatment for alcoholism?

A

Naltrexone - reduces craving
Acamprosate - abstinence
Disulfiram - makes alcohol an instant hangover

36
Q

What happens when you OD on CNS stimulants? What do you give for withdrawal?

A

OD - agitation, tachycardia, arrhythmias, convulsions (NOT fatal)

W/D - benzos

37
Q

What happens when you OD on hallucinogens? What do you give for withdrawal?

A

OD - intense trips/panic

no tx when coming down

38
Q

What happens when you OD on synthetics (opiates)? What do you give for withdrawal?

A

OD - respiratory depression and PINPOINT pupils (life threatening)

W/D - DILATED pupils (NOT life threatening)

39
Q

What is the opioid withdrawal scale?

A

COWS

40
Q

What drug blocks withdrawal symptoms of opiates?

A

Buprenorphine

41
Q

What drug is the antidote for opioids?

A

Naloxone

42
Q

What drug is the detox (synthetic opioid) tool to helps get someone off opiates?

A

Methadone

43
Q

What percent of patents with PTSD recover?

A

30%

44
Q

What is a non-pharmacological intervention for PTSD?

A

EMDR - eye movement desensitization and reprocessing

45
Q

Diagnosis of PTSD requires that symptoms last LONGER than _______.

A

30 days

46
Q

What criteria must be present to dx anorexia nervosa?

A

1 - restricting calories that leads to significantly low body weight
2 - intense fear of gaining weight
3 - disturbed body image

47
Q

What is often a symptom of anorexia but is NOT part of the DSM-5 criteria?

A

amenorrhea

48
Q

Describe the 2 subtypes of anorexia.

A

restricting (never purged or binged in the last 3 months)

purging

49
Q

Which type of anorexia usually is diagnosed when the pt was overweight first?

A

purging

restricting anorexics usually have normal weight

50
Q

How much food does a purging anorexic usually eat? Bulimic?

A

anorexic - normal amount of food

bulimic - larger than normal amounts of food

51
Q

A low amount of this hormone may lead to bulimia.

A

serotonin

52
Q

What are the DSM-5 criteria for bulimics?

A

1 - binge eating larger than normal amounts of food
2 - recurrent compensatory behavior (ipecac syrup, vomiting, laxatives, etc.)
3 - evaluation of self is based on weight
4 - at least 1x/week for 3 months

53
Q

What are some objective signs of bulimia?

A

Russell’s sign - calluses on knuckles
loss of tooth enamel
HYPOnatremia
HYPOkalemia

54
Q

What is the initial goal to manage anorexia and bulimia?

A

medical stabilization - get them to 90% of average body weight

55
Q

What two drugs are often given to recovering bulimics?

A

Zyprexa, Abilify

56
Q

What condition may ipecac syrup cause?

A

cardiomyopathy

57
Q

What kind of food is eaten during a binge?

A

high carbs

58
Q

How long do feeding disorders like Pica and Rumination disorder have to last to be diagnosed?

A

at least 1 month

59
Q

Personality vs. Temperament.

A

personality - product of environment (nurture) that is shaped later in development but is still permanent

temperament - biologically determined (nature) that is shaped early in childhood

60
Q

When do personality traits become disorders?

A

when they become maladaptive and rigid

61
Q

What personality disorder is in each cluster?

A

Cluster A (3) - paranoid, schizoid, schizotype

Cluster B (4) - antisocial, borderline, histrionic, narcissistic

Cluster C (3) - avoidant, dependent, obsessive-compulsive

62
Q

Which personality disorders are in Cluster A - give the mnemonic and general overview of each

A

Paranoid - SUSPECT - highly suspicious and unforgiving

Schizoid - DISTANT - they don’t really care about anyone and do not work well with others (not as odd as schizotype)

Schizotypal - ME PECULIAR - these guys are odd, think magically, don’t have close friends and 10% COMMIT SUICIDE

63
Q

Which personality disorders are in Cluster B - give the mnemonic and general overview of each

A

Antisocial - CORRUPT - childhood history before 15 years old of conduct disorder. Suicide threats and recklessness.

Borderline - I DESPAIRR - suicidal and self harming (75% female), emptiness and rage

Histrionic - PRAISE ME - drama queen, attention seeking, “I’m broken and fragile and I’m okay with that”

Narcissistic - SPEEECIAL - grandiose thinking, entitled, arrogant

64
Q

Which personality disorders are in Cluster C - give the mnemonic and general overview of each

A

Avoidant - CRINGES - avoids all relationships and social situations for fear of rejection

Dependent - RELIANCE - neediness is the hallmark, can’t be alone

Obsessive-Compulsive - LAW FIRMS - OCD behavior that is acceptable to the person

65
Q

What test captures and groups data for dx of personality disorders?

A

MMPI-2

60-90 minutes to complete and difficult to cheat

ABSN (18 decks)

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