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Psych Final > Psych Study Session > Flashcards

Psych Study Session Flashcards

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1
Q

Client is to receive halodol - Nurse should

A

-Administer in z-track method

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2
Q

No foods with Tyramine with:

A

-MAOI’s

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3
Q

Client who has taken anti psychotics begins to have lip smacking, facial grimacing. These are signs of:

A

-Tardive dyskinesia

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4
Q

Activities for depressed client

A

-Take more time to complete

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5
Q

Sx of risk for suicide

A
  • Previous attempts
  • Giving away things
  • Feels hopeless
  • Detailed plan
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6
Q

Hospitalized client taken off suicide precautions, found in room with belt around neck
Treatment team needs to:

A

-Debrief

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7
Q

ypo manic client doesn’t have time to eat or drink. Nurse should provide:

A

-Finger foods

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8
Q

Client in ed boyfriend broke up with her, she cut wrists in bathroom
*Initial intervention is

A

-Assess the degree of lacerations

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9
Q

Hx of client with manic episode, behavior prior would be

A
  • Insomnia
  • pressured speech
  • going from one thing to another
  • pacing
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10
Q

Nurse on ip psych unit assesses which first

A
  • Client pacing and irritable

* NOT CLIENT ON CONSTANT SUPERVISION -read question

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11
Q

Lithium fine hand tremors are

A

-Normal side effects

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12
Q

Client receiving lithium

should receive instructions to:

A

-Check blood levels

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13
Q

Lithium toxicity is suspected when clients demonstrates

A
  • coarse tremors
  • ataxia
  • diarrhea
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14
Q

Bipolar client diagnosed with renal failure, lithium discontinued-
Which med would be prescribed:

A

-Tegretol

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15
Q

Recently divorced client pacing - Which characteristics of paranoid client

A
  • Rigid
  • hypersensitive
  • suspicious
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16
Q

People with personality disorders exhibit -

A

-maladaptive coping skills

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17
Q

Nursing care for client with paranoid personality disorder

A
  • Do not touch them

- be simple and be direct - give explanation for what you’re doing

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18
Q

Origins of bpd (Sarah)

A
  • Abuse

- Dysfunctional family

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19
Q

Characteristic of narcissists

A
  • Person who thinks everyone is there to fulfill their needs
  • Entitlement complex
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20
Q

Bpd demonstrates self mutilative behavior mood swings feelings of hopelessness what is the most appropriate nursing dx

A

-Risk for self harm

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21
Q

Appropriate nursing dx for client with personality disorder

A

-Difficulty with -Interpersonal relationships/social interaction

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22
Q

Neglect examples

A

-Parent fails to give prescribed meds

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23
Q

Tourette’s syndrome

A
  • ticks

- vocal outbursts

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24
Q

Eight year old argumentative, defiant, increasingly hostile, problems at home and school is:

A

-ODD

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25
Q

Eight year old been in foster care - regresses to toddler like behavior. Which intervention is most beneficial

A

-Consistent, structured and predictable toilet pattern

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26
Q

Nurse aware primary reason that ADHD children at risk in hospital environment is:

A
  • Risk for injury

- SAFETY

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27
Q

In planning care for child with ADHD

A

-Provide structure in activities

28
Q

Nurse working with child with ADHD, provide might prescribe

A
  • Amphetamine
  • Dexmethylphenidate
  • Methylphenidate
29
Q

In art therapy session , client with anorexia is asked to draw herself

A

-Overweight person

30
Q

Patient with anorexia is

A

-Perfectionist

31
Q

During team meeting, client with bulimia is not responding to treatment -
*Teaching plan for what drug:

A

-Prozac

32
Q

Client with eating disorder asks to be excused to go to bathroom

A

-We can go to bathroom together

33
Q

Nurse working with alcoholic recognizes which defense mechanism

A

-Denial

34
Q

Client states I could get a good high from six , now I need more

A

-Tolerance

35
Q

Which client waiting to be seen in Ed is

A

-Cocaine abuser with chest pains

36
Q

Nurse caring for 17 year old boy addicted to cannibus is risk for

A
  • Lower testosterone
  • Impaired concentration
  • Cellular changes in lungs
37
Q

Admission assessment client with panic disorder says I’m going to die, nurse should:

A

-Reduce immediate stress -make them feel safe

38
Q

Client with GAD wants to stop taking Ativan, which important factor should be discussed

A

-Withdrawal sx

39
Q

Manifestation of post traumatic stress

A
  • Strong startle reflex
  • Lack of impulse control
  • Nightmares
40
Q

Doorknobs are contaminated with virulent bacteria has to was repeatedly touch clean knob:

A

-This is to control/reduce anxiety

41
Q

Which nursing action is therapeutic for client with panic disorder

A
  • Support attempt to discuss feelings
  • Respect personal space
  • Reassure safety
42
Q

Client with chronic anxiety is experiencing chest pain

A

-Obtain vs

43
Q

Patient with agoraphobia refuses to go to group room - what should the nurse do?

A

-I’ll walk with you

44
Q

Which sx with GAD?

A
  • Excessive worry
  • Muscle tension
  • Feeling keyed up and on edge
45
Q

Nurse teaches clients taking anxiety taking alcohol

A

-CNS depression

46
Q

Buspar may not reach full effect for a few weeks

A

-Not used PRN

47
Q

Client refuses meal try thinking it’s poisoned

A

-This is a delusion

48
Q

Nurse is most concerned when client having hallucinations says

A

-The voices are telling me to kill my roommate

49
Q

Family members asks since both of my siblings have schizo, why is the brothers sx so diff than sis

A

-Not all sx are the same

50
Q

Homeless psychotic client , claims he is being bit by insects. What should the nurse do FIRST?

A

-Check for bites

51
Q

Highly suspicious client, everyone is laughing at me - the priority dx would be

A

-Risk for violence towards others

52
Q

Paranoid schizophrenia says all you nurses are blidshears

A

-Neologisms

53
Q

Most appropriate nursing intervention when client states, Voices are telling me to kill myself and others

A

-Nurse should visit client at regular intervals to build trust

54
Q

Client on cogentin shows drug is working when

A

-Gait is stronger

55
Q

After three weeks of therapy with prolixin, trouble chewing and swallowing food. What is happening?

A

-Extra pyramidal reaction

56
Q

Client admitted with … Should be treated with

A

-Thorazine

57
Q

Client dxd with thought disorders antichoinergic side effects:

A
  • See
  • Pee
  • Spit
  • Poop
58
Q

Abusers are:

A
  • From all SES backgrounds
  • Difficulty expressing feelings
  • Jealous and possessive
59
Q

Survivor of childhood abuse, cutting. Intervention of high priority

A

-Setting limits on harmful behavior

60
Q

Woman with missing hair, partner is solicitous

A

-Take him out of the room

61
Q

Sexual assault victim -what do you do?

A

-Explain what you are doing

62
Q

When working with woman who are abused:

A
  • Best for children
  • Physical jeopardy after leave
  • Financially dependent
63
Q

Agitated client gets IM injection of halodol , begins neck up and drooling- signs of:

A

-Dystrophic reaction

64
Q

Because Onset of schizo is generally gradual, they may have a history of

A

-Preoccupation with body parts and staring

65
Q

Nurse knows patient at risk for suicide:

A

-Provide treatment for serious injury

66
Q

She discussing long term effect so rape trauma

A

-Disruption in daily routine

67
Q

With Tourette’s DON’T give

A

-Stimulants

Psych Final (2 decks)

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