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Nursing > Psych Unit 4 > Flashcards

Psych Unit 4 Flashcards

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1
Q

____ is a chronic depression that lasts 2 years or longer but may not include some of the other characteristics of major depressive disorder.

A

Persistent Depressive Disorder
aka
Dysthymia

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2
Q

____ is the inability to enjoy life

A

Anhedonia

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3
Q

What type of therapy helps the client recognize errors in the way they think and to learn new ways of thinking?

A

Cognitive Therapy

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4
Q

____ is an electric shock that is applied to the brain of a pt who is highly suicidal, refusing food, or exhibiting psychotic depression.

A

Electro Convulsive Therapy

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5
Q

____ is a process in anorexia that can cause a replenished circulatory system to overwhelm the capacity of a depleted cardiac muscle, leading to cardiovascular collapse.

A

Refeeding

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6
Q

Symptoms of refeeding.

A

Tachycardia, confusion, seizures, etc.

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7
Q

____ occurs when the pt takes one fact and makes a general rule of it?

A

Over Generalization

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8
Q

Nursing dx for Anorexia Nervosa.

A

Imbalanced Nutrition
Decreased Cardiac Output (refeeding)
Risk for injury
Disturbed body image

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9
Q

Nursing dx for Bulimia

A

Decreased Cardiac Output
Disturbed body image
anxiety
chronic low self-esteem

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10
Q

Anorexic pt tend to be____. They think they have to be perfect at everything they do.

A

Inflexible

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11
Q

Nurses must take what type of stance with certain pt’s?

What kinds of pt’s can does it not work well with?

A

Authoritative

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12
Q

What type of side effects cause dry type of side effects in clients?

A

Cholinergic

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13
Q

what type of therapy allows the client to take incorrect or negative thought processes and learn how to correct those?

A

Cognitive Based Therapy

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14
Q

____ is an anti depressant med that is used for more than one reason. It is also used for insomnia.

A

Trazodone

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15
Q

____ is believing everything is to difficult to accomplish?

A

Helplessness

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16
Q

Side effects of TCA’s?

A

Cant see, can’t pee, can’t spit, can’t shit

blurred vision, urinary retention, dry mouth, constipation

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17
Q

Side effects of SSRI’s?

A

agitation, anxiety, slew disturbance, tremor, sexual dysfunction, headache. Also serotonin syndrome.

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18
Q

When does Serotonin Syndrome have the greatest risk of occurring?

A

When an SSRI is administered in combination with another serotonin enhancing agent, MAOI. Should wait at least 2 weeks before starting fluoxetine thereby if been on an MAOI.

19
Q

Biggest concern of MAOI’s?

A

Hypertensive Crisis

20
Q

What is the substance in foods that people have to beware of when taking MAOI’s?

A

Tyramine

21
Q

____ is an exaggerated elevated, expansive, or irritable mood, accompanied by a persist anent increase in activity and or energy.

A

mania

22
Q

Signs and symptoms of mania?

A 
Excessive and constant motor activity
poor judgment
lack of rest and sleep
loud, profane demanding behaviors
rage
23
Q

____ is a term for its treated with more than one mental health diagnosis.

A

Dual Diagnosis

24
Q

Positive reinforcements provided when a client participates in their own care, takes their meds, or remains drug free are called?

A

Motivational Incentives

25
Q

CNS depressant drugs include ____, ____, and ____.

A

Alcohol, Benzo’s, and barbiturates

26
Q

Can you die from depressants?

A

Yes

27
Q

Side effects of depressants?

A

slurred speech, drowsiness, decreased b/p, impaired judgement

28
Q

What class of substances cause symptoms like depersonalization, hallucinations, grandiosity,and synesthesia?

A

Hallucinogens/Opiates

29
Q

Withdrawal effects of alcohol?

A

insomnia, runny nose, diaphoresis, n/v/d fever, chills

30
Q

med used in alcohol detox to manage cravings.

A

Naltrexone

31
Q

First line of treatment in depression.

A

SSRI

32
Q

What would a nurse teach pt’s about SSRI’s?

A

Lack of sex drive, insomnia, anxiety, nervousness, should not be taken within 14 days of MAOI’s.
Side Effects: nausea, diarrhea, dry mouth, fatigue

33
Q

____ is a syndrome developed by alcoholics due to malnutrition and they will need treated with vitamins, especially B1?

A

Wernicke-Korsakoff

34
Q

Common symptoms of what class are, disinhibition, relaxation of voluntary muscles, and anterograde amnesia?

A

Roofies

35
Q

____ is another class of meds that is commonly prescribed for mania?

A

Anticonvulsants

Tegretol, Depakote, Lamictal, Trileptal, Topamax

36
Q

The use of this class of substance cause symptoms like dizziness, confusion, violent behavior and physical damage to the oral cavity due to contact with caustic substances?

A

Inhalants

37
Q

____ is a technique used by clients to turn nursing staff against each other?

A

Splitting

38
Q

Expected ranges for lithium?

A
  1. 5-1.5

1. 5-2.0-signs of toxicity

39
Q

Signs and symptoms of lithium toxicity?

A

tremors, n/v/d, thirst, etc.

40
Q

____ is an antidepressant the can cause priapism.

A

Trazodone

41
Q

____ is a sustained and painful erection that needs immediate treatment and d/c of the drug.

A

Priapism

42
Q

Side effects of MAOI’S.

A

Daytime sedation, insomnia, dry mouth, orthostatic hypotension, Hypertensive Crisis.

43
Q

Side effects of antidepressants?

A

dry mouth sedation, ha, anorexia, agitation, insomnia diaphoresis.

Nursing (21 decks)

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