Psych review/ study guide

Question 1

what symptoms would you see for hypomania

Answer 1

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

Question 2

what symptoms would you see for acute mania

Answer 2

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

Question 3

what are the symptoms of delirious mania

Answer 3

out of touch with reality, clanging speech, destructive, aggressive, may have hallucinations/delirium, aimless hyperactivity, too disorganized to do anything

Question 4

what are the nursing interventions when someone is experiencing mania

Answer 4

dehydration, cardiac status, exhaustion, unable to care for themselves, inappropriate sexual/finical activity, hospitalization

Question 5

what are the symptoms of depression

Answer 5

Worthlessness, Exaggerated guilt, Suicidal thoughts, Low self-esteem, Powerlessness, Helplessness, Agitation, Loss of interest in pleasurable activities, Exaggerated fatigue

Question 6

what are the nursing interventions for depression

Answer 6

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

Question 7

What are the interventions for someone experiencing anorexia

Answer 7

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

Question 8

what are the nursing interventions for someone with insomnia

Answer 8

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

Question 9

What can help with constipation

Answer 9

high fiber foods more fluid

Question 10

what are some low tyramine foods

Answer 10

• Non fermented foods
• No pickled foods
• Grains
• Non-aged meats
• Fruits and veggies
• Eggs
• Legumes
• Sauces
• Coffee, tea, soft drinks
• Bourbon, rum, vodka, gin

Question 11

what are some ss of grief

Answer 11

Sadness, despair, mourning, Fatigue, low energy, Tears, Loss of appetite, Poor sleep, Poor concentration, Happy/sed memories, Mild feelings of guilt

Question 12

what are some ss of depression

Answer 12

Worthlessness, Exaggerated guilt, Suicidal thoughts, Low self-esteem, Powerlessness, Agitation, Loss of interest in previously pleasurable activities, Exaggerated fatigue

Question 13

what are the 5 stages grief

Answer 13

Denial, Anger, Bargaining, Depression, Acceptance

Question 14

what are the 4 defense behaviors for Alzheimer’s

Answer 14

• Denial (cover up)
• Confabulation (making up answers in unconscious attempt to maintain self-esteem)
• Perseveration (repetition of phrases or behavior)
• Avoidance of questions

Question 15

what is Cholinesterase inhibitors for

Answer 15

Alzheimer’s

Question 16

what does Cholinesterase inhibitors do

Answer 16

Delay and prevent symptoms from becoming worse for a limited time

Question 17

what is Catatonia

Answer 17

A group of symptoms that usually involve a lack of movement and communication, and also can include agitation, confusion, and restlessness

Question 18

what is neologism

Answer 18

Words that have meaning only to the person who uses them, independent of their common meaning

Question 19

what is a olfactory hallucination

Answer 19

Smelling odors that are not present in the environment

Question 20

what is a gustatory hallucination

Answer 20

Tasting sensations that have no stimulus in reality

Question 21

what is a tactile hallucination

Answer 21

Feeling strange sensations where no external objects stimulate such feelings; common in delirium tremens

Question 22

what is an example of a extrapyramidal symptom

Answer 22

tardive dyskinesia

Question 23

what is tardive dyskinesia and who is it most seen in

Answer 23

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

Question 24

what are some disorders for cluster B personality traits

Answer 24

Antisocial personality disorder, Borderline personality disorder, Narcissistic personality disorder, Histrionic personality disorder

Question 25

what are cluster B traits

Answer 25

Emotional reactivity, Poor impulse control, Manipulations, Unclear sense of identity

Question 26

what is dependent personality disorder

Answer 26

belief they cannot survive on their own, excessively submissive, if relationship ends they need to find another one, needs reassurance

Question 27

what does dialectical behavioral therapy do

Answer 27

Helps to change self-destructive behaviors associated with Borderline Personality Disorder

Question 28

what are the 4 things used for dialectical behavioral therapy

Answer 28

mindfulness, interpersonal effectiveness, distress tolerance, emotional regulation

Question 29

what is mindfulness for DBT

Answer 29

living in the moment

Question 30

what is interpersonal effectiveness for DBT

Answer 30

skills that maximize the change of achieving a goal w/o damaging a relationship or one’s self respect

Question 31

what is distress tolerance for DBT

Answer 31

learning to bear emotional pain skillfully by accepting self and current situation

Question 32

what is emotional regulation for DBT

Answer 32

recognizing and coping with negative emotions in a healthy manner

Question 33

What personality traits are true of most personality disorders?

Answer 33

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

Question 34

what is Voyeuristic

Answer 34

Sexual gratification from observing unsuspecting persons in sexually arousing situations (e.g., undressing or engaging in sexual activity)

Question 35

what is Frotteuristic

Answer 35

Obtaining sexual arousal and gratification from rubbing one’s genitals against unsuspecting others in public places

Question 36

what is exhibitionistic

Answer 36

The achievement of sexual arousal or pleasure by exposing one’s genitals, usually to an unsuspecting stranger

Question 37

Exhibitionism usually starts in _________ and seems to taper off by age ______

Answer 37

adolescence

40

Question 38

what is transvestic

Answer 38

Deriving sexual gratification by dressing as a person of the opposite gender, Enjoys dressing in a gender-incongruent manner.

Question 39

what are some ss of neglect

Answer 39

Speech disorders, Lag in development, Malnourished, stealing food, Poor hygiene, Clothing inappropriate: sized, soiled, School problems, tardiness, truancy, Not supervised

Question 40

what are the physical sings of sexual abuse

Answer 40

Difficulty walking, sitting, Itching in private areas, Bleeding, bruising of genitals/rectum, Swelling or discharge, Sexually transmitted infection (STI), Bloody stained/torn underclothing

Question 41

What precautions do we take to prevent in the hospital for abuse

Answer 41

Suicide observation, Provide a safe environment, Document activity q 15min, Verbal or written no-suicide contract, Encourage talking about feeling