Psych Unit 4 Flashcards
____ is a chronic depression that lasts 2 years or longer but may not include some of the other characteristics of major depressive disorder.
Persistent Depressive Disorder
aka
Dysthymia
____ is the inability to enjoy life
Anhedonia
What type of therapy helps the client recognize errors in the way they think and to learn new ways of thinking?
Cognitive Therapy
____ is an electric shock that is applied to the brain of a pt who is highly suicidal, refusing food, or exhibiting psychotic depression.
Electro Convulsive Therapy
____ 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.
Refeeding
Symptoms of refeeding.
Tachycardia, confusion, seizures, etc.
____ occurs when the pt takes one fact and makes a general rule of it?
Over Generalization
Nursing dx for Anorexia Nervosa.
Imbalanced Nutrition
Decreased Cardiac Output (refeeding)
Risk for injury
Disturbed body image
Nursing dx for Bulimia
Decreased Cardiac Output
Disturbed body image
anxiety
chronic low self-esteem
Anorexic pt tend to be____. They think they have to be perfect at everything they do.
Inflexible
Nurses must take what type of stance with certain pt’s?
What kinds of pt’s can does it not work well with?
Authoritative
What type of side effects cause dry type of side effects in clients?
Cholinergic
what type of therapy allows the client to take incorrect or negative thought processes and learn how to correct those?
Cognitive Based Therapy
____ is an anti depressant med that is used for more than one reason. It is also used for insomnia.
Trazodone
____ is believing everything is to difficult to accomplish?
Helplessness
Side effects of TCA’s?
Cant see, can’t pee, can’t spit, can’t shit
blurred vision, urinary retention, dry mouth, constipation
Side effects of SSRI’s?
agitation, anxiety, slew disturbance, tremor, sexual dysfunction, headache. Also serotonin syndrome.
When does Serotonin Syndrome have the greatest risk of occurring?
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.
Biggest concern of MAOI’s?
Hypertensive Crisis
What is the substance in foods that people have to beware of when taking MAOI’s?
Tyramine
____ is an exaggerated elevated, expansive, or irritable mood, accompanied by a persist anent increase in activity and or energy.
mania
Signs and symptoms of mania?
Excessive and constant motor activity poor judgment lack of rest and sleep loud, profane demanding behaviors rage
____ is a term for its treated with more than one mental health diagnosis.
Dual Diagnosis
Positive reinforcements provided when a client participates in their own care, takes their meds, or remains drug free are called?
Motivational Incentives
CNS depressant drugs include ____, ____, and ____.
Alcohol, Benzo’s, and barbiturates
Can you die from depressants?
Yes
Side effects of depressants?
slurred speech, drowsiness, decreased b/p, impaired judgement
What class of substances cause symptoms like depersonalization, hallucinations, grandiosity,and synesthesia?
Hallucinogens/Opiates
Withdrawal effects of alcohol?
insomnia, runny nose, diaphoresis, n/v/d fever, chills
med used in alcohol detox to manage cravings.
Naltrexone
First line of treatment in depression.
SSRI
What would a nurse teach pt’s about SSRI’s?
Lack of sex drive, insomnia, anxiety, nervousness, should not be taken within 14 days of MAOI’s.
Side Effects: nausea, diarrhea, dry mouth, fatigue
____ is a syndrome developed by alcoholics due to malnutrition and they will need treated with vitamins, especially B1?
Wernicke-Korsakoff
Common symptoms of what class are, disinhibition, relaxation of voluntary muscles, and anterograde amnesia?
Roofies
____ is another class of meds that is commonly prescribed for mania?
Anticonvulsants
Tegretol, Depakote, Lamictal, Trileptal, Topamax
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?
Inhalants
____ is a technique used by clients to turn nursing staff against each other?
Splitting
Expected ranges for lithium?
- 5-1.5
1. 5-2.0-signs of toxicity
Signs and symptoms of lithium toxicity?
tremors, n/v/d, thirst, etc.
____ is an antidepressant the can cause priapism.
Trazodone
____ is a sustained and painful erection that needs immediate treatment and d/c of the drug.
Priapism
Side effects of MAOI’S.
Daytime sedation, insomnia, dry mouth, orthostatic hypotension, Hypertensive Crisis.
Side effects of antidepressants?
dry mouth sedation, ha, anorexia, agitation, insomnia diaphoresis.
