Psych review/ study guide Flashcards
what symptoms would you see for hypomania
crude or sexual talk, pressured speech, mood persistently elevated, euphoric inappropriate, grandiose, judgement is poor, decreased attention span, over active, hypersexual, decreased need for sleep, financially extravagant
what symptoms would you see for acute mania
good humor to rage, intrusive, demanding of attention, profane, sexually crude remarks, flight of ideas and clang association, lack of attention, no time for anything they are too busy
what are the symptoms of delirious mania
out of touch with reality, clanging speech, destructive, aggressive, may have hallucinations/delirium, aimless hyperactivity, too disorganized to do anything
what are the nursing interventions when someone is experiencing mania
dehydration, cardiac status, exhaustion, unable to care for themselves, inappropriate sexual/finical activity, hospitalization
what are the symptoms of depression
Worthlessness, Exaggerated guilt, Suicidal thoughts, Low self-esteem, Powerlessness, Helplessness, Agitation, Loss of interest in pleasurable activities, Exaggerated fatigue
what are the nursing interventions for depression
listen to the patient, assess for suicide risk, form therapeutic relationship, encourage patient to talk about their negative beliefs about self, activities to raise self esteem, formation of supportive relationship
What are the interventions for someone experiencing anorexia
small high calorie/protein foods, encourage family to stay with patient while they eat, ask the client what they like to eat, weigh the patient weekly and observe eating patterns
what are the nursing interventions for someone with insomnia
rest periods after activities, encourage patient to get up and stay out of bed, use relaxation measures in the evening, reduce stimulis in the evening
What can help with constipation
high fiber foods more fluid
what are some low tyramine foods
- Non fermented foods
- No pickled foods
- Grains
- Non-aged meats
- Fruits and veggies
- Eggs
- Legumes
- Sauces
- Coffee, tea, soft drinks
- Bourbon, rum, vodka, gin
what are some ss of grief
Sadness, despair, mourning, Fatigue, low energy, Tears, Loss of appetite, Poor sleep, Poor concentration, Happy/sed memories, Mild feelings of guilt
what are some ss of depression
Worthlessness, Exaggerated guilt, Suicidal thoughts, Low self-esteem, Powerlessness, Agitation, Loss of interest in previously pleasurable activities, Exaggerated fatigue
what are the 5 stages grief
Denial, Anger, Bargaining, Depression, Acceptance
what are the 4 defense behaviors for Alzheimer’s
- Denial (cover up)
- Confabulation (making up answers in unconscious attempt to maintain self-esteem)
- Perseveration (repetition of phrases or behavior)
- Avoidance of questions
what is Cholinesterase inhibitors for
Alzheimer’s
what does Cholinesterase inhibitors do
Delay and prevent symptoms from becoming worse for a limited time
what is Catatonia
A group of symptoms that usually involve a lack of movement and communication, and also can include agitation, confusion, and restlessness
what is neologism
Words that have meaning only to the person who uses them, independent of their common meaning
what is a olfactory hallucination
Smelling odors that are not present in the environment
what is a gustatory hallucination
Tasting sensations that have no stimulus in reality
what is a tactile hallucination
Feeling strange sensations where no external objects stimulate such feelings; common in delirium tremens
what is an example of a extrapyramidal symptom
tardive dyskinesia
what is tardive dyskinesia and who is it most seen in
Consists of involuntary tonic muscular spasms of the face and jaw, Most frequently seen in older women and older patients and varies from mild to moderate
what are some disorders for cluster B personality traits
Antisocial personality disorder, Borderline personality disorder, Narcissistic personality disorder, Histrionic personality disorder
what are cluster B traits
Emotional reactivity, Poor impulse control, Manipulations, Unclear sense of identity
what is dependent personality disorder
belief they cannot survive on their own, excessively submissive, if relationship ends they need to find another one, needs reassurance
what does dialectical behavioral therapy do
Helps to change self-destructive behaviors associated with Borderline Personality Disorder
what are the 4 things used for dialectical behavioral therapy
mindfulness, interpersonal effectiveness, distress tolerance, emotional regulation
what is mindfulness for DBT
living in the moment
what is interpersonal effectiveness for DBT
skills that maximize the change of achieving a goal w/o damaging a relationship or one’s self respect
what is distress tolerance for DBT
learning to bear emotional pain skillfully by accepting self and current situation
what is emotional regulation for DBT
recognizing and coping with negative emotions in a healthy manner
What personality traits are true of most personality disorders?
Avoidance and fear of rejection, Blurring boundaries between self and others, Inability to trust, Lack of individual accountability, Insensitive to others needs, Demanding, Passive-Aggressive traits, Fault finding, Tendency to evoke intense interpersonal conflict
what is Voyeuristic
Sexual gratification from observing unsuspecting persons in sexually arousing situations (e.g., undressing or engaging in sexual activity)
what is Frotteuristic
Obtaining sexual arousal and gratification from rubbing one’s genitals against unsuspecting others in public places
what is exhibitionistic
The achievement of sexual arousal or pleasure by exposing one’s genitals, usually to an unsuspecting stranger
Exhibitionism usually starts in _________ and seems to taper off by age ______
adolescence
40
what is transvestic
Deriving sexual gratification by dressing as a person of the opposite gender, Enjoys dressing in a gender-incongruent manner.
what are some ss of neglect
Speech disorders, Lag in development, Malnourished, stealing food, Poor hygiene, Clothing inappropriate: sized, soiled, School problems, tardiness, truancy, Not supervised
what are the physical sings of sexual abuse
Difficulty walking, sitting, Itching in private areas, Bleeding, bruising of genitals/rectum, Swelling or discharge, Sexually transmitted infection (STI), Bloody stained/torn underclothing
What precautions do we take to prevent in the hospital for abuse
Suicide observation, Provide a safe environment, Document activity q 15min, Verbal or written no-suicide contract, Encourage talking about feeling
