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Nursing > Psych Unit 5 > Flashcards

Psych Unit 5 Flashcards

1
Q

Pt taking antipsychotic meds often have problems with what?

A

Weight Gain

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2
Q

What specific antipsychotic meds are more problematic for weight gain?

A

SGA’s

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3
Q

Name some concerns regarding weight gain the nurse should teach a pt on SGA’s.

A

Monitor Glucose (diabetes)
Monitor Cholesterol (Hypercholesterolemia)
Monitor B/P (Hypertension)
Diminished self esteem r/t weight gain usually causes problems in medication regime adherence

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4
Q

____ are permanent involuntary muscle spasms of the face, truck or pelvis.

A

Tardive Dyskinesia

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5
Q

How do you treat Tardive Dyskinesia?

A

There is no known treatment, it is irreversible. Pt’s on FGA’s should be screened every 3 months

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6
Q

____ is the excessive maintenance of posture for long periods?

A

Waxy Flexibility

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7
Q

A pt who makes up stories in order to maintain self esteem when they cannot remember is performing____?

A

Confabulation

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8
Q

What phase of schizophrenia includes signs and symptoms that “precede” the acute phase, fully manifested disease like social withdrawal, depressive mood, and peculiar behavior.

A

Prodromal Phase

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9
Q

A pt who repeats phrases or behaviors to maintain self-esteem when they cannot remember is performing ____?

A

Perseveration

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10
Q

Decreased LOC, increased muscle tone, autonomic instability, hyperpyrexia, and elevated CPK are all s/s of ____.

A

Neuroleptic Malignant Syndrome (NMS)

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11
Q

____ is a term for made up words that have special meaning for he pt.

A

Neologisms

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12
Q

____ is extreme motor function restlessness.

A

Akathesia

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13
Q

____ two common drugs used to treat EPS’.

A 
benzotropine mesylate (Cogentin)
diphenhydramine hydrochloride (Benadryl)
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14
Q

In what phase of schizophrenia does the pt experience positive/negative symptoms.

A

Acute Phase (Phase 1)

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15
Q

In what phase of schizophrenia does the pt’s symptoms decrease in severity. Specifically the positive.

A

Stabilization (Phase 2)

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16
Q

In what phase of schizophrenia do the pt’s symptoms go into remission?

A

Maintenance (Phase 3)

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17
Q

Describe positive and negative symptoms of schizophrenia.

A

Positive: more developed. Hallucinations & Delusions, disorganized speech, and bizarre behavior.
Negative: Lack of motivation, no grooming, apathy, withdrawal, blunt affect, a logia, abolition, and anhedonia

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18
Q

____ is a condition that develops slowly, is progressive, and base multiple cognitive deficits.

A

Dementia

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19
Q

____ is a state of mental confusion that develops quickly and has an underlying cause.

A

Delirium

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20
Q

These symptoms of schizophrenia include blunt affect, a logia, abolition, and anhedonia.

A

Negative symptoms

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21
Q

____ are sensory perceptions for which no external stimulus exists?

A

Hallucinations

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22
Q

5 types of hallucinations.

A 
Auditory
Visual
Olfactory
Gustatory
Tactile
23
Q

____ is different from a hallucination in that it s a misperception or misinterpretation of a real experience.

A

Illusion

24
Q

____ are hallucination that may command a person to hurt themselves or others.

A

Command hallucinations

25
Q

____ is a complex disease that begins to damage the brain long before the symptoms appear. Consists of 4 stages.

A

Alzheimers

26
Q

In stage 1 (Mild) of Alzheimer’s the pt will experience____.

A

Forgetfulness.

Pt shows short-term memory loss, loses things, forest. Uses memory aids and is aware of the problem

27
Q

In stage 2 (Moderate) of Alzheimer’s the pt will experience ____.

A

Confusion.

Pt shows progressive memory loss, withdrawn from social activities, decline in ADL’s. Denial is common.

28
Q

In stage 3 (Moderate to Sever) of Alzheimer’s the pt will experience ____.

A

Ambulatory Dementia.
Shows ADL losses: willingness and ability. Shows loss of reasoning and verbal communication. Frustration. Family recognition disappears, may not recognize self.

29
Q

In stage 4 (Late) Alzheimer’s the pt will experience ____.

A

End Stage.

Nonambulatory, mute, forgets how to eat, swallow, chew, etc. Incontinence. Infantile.

30
Q

What type of care is provided by a team to a person who is generally within 6 months of dying, to provide holistic care to that person and family.

A

Hospice

31
Q

What is the focus of care with hospice?

A

Pain management and trying to provide the best quality of life during the remainder of time the pt has left.

32
Q

____ is the pathologic repeating of anthers words.

A

Echolalia

33
Q

____ is the mimicking of the movements of another.

A

Echopraxia

34
Q

____ is the meaning less rhyming of words.

A

Clang associations

35
Q

____ is a treatment modality for kids that is used to deal with specific issues in the child’s life and is performed based upon the child’s age group.

A

Group Therapy

36
Q

____ is the most serious of the tic disorders and may have periods of remission.

A

Touretes Disorder.

37
Q

____ is a loss that is not publicly sanctioned, openly acknowledged, or publicly mourned.

A

Disenfranchised Grief

38
Q

What med is used to treat aggression in autism and also used for Tourettes?

A

Guanfacine

39
Q

When a person is suffering ____ grief, they may have been very dependent on the one who died, or it may have been a child, they may have poor coping skills, or the deceased person may have died from a condition that had a stigma.

A

Complicated Grief

40
Q

____ is a condition that children exhibit extreme anxiety when they are separated from their familial surroundings.

A

Separation Anxiety.

41
Q

____ is persistent pattern of negativity, disobedience, defiance, and hostility directed toward authority figures.

A

Oppositional Defiant Disorder.

42
Q

Symptoms of Oppositional Defiant Disorder

A 
Excessive arguing with authority figures
Actively defying or refusal to comply 
Spiteful attitude and revenge seeking
Touch/easily annoyed
Loses temper often
Anger and resentment
Blaming
43
Q

____ is a serious behavioral and emotional disorder characterized by a persistent pattern of behavior in children and adolescents in which the rights of others and society rules are violated.

A

Conduct Disorders

44
Q

Symptoms of Conduct Disorders.

A

Aggressive behavior toward others (Cruelty to others/animals)
Forcing others into sexual acts
Destructive behavior (vandalism)
Deceitfulness (conning, lying)
rule violations (running away, sexually active very young)
antisocial personality disorder

45
Q

What is the most common class of medications for kids with ADHD?

A

CNS stimulants.
methylphendiate (Ritalin)
Adderall
Guanfacine for aggression

46
Q

4 EPS’s.

A

Pseudoparkinsonism
Acute Dystonic Reactions
Akathisia
Tardive Diskinesia

47
Q

____ is an eps that consists of mask like facies, stiff and stooped posture, shuffling gait, drooling, tremor, and pill-rolling.
(Anticholinergic agent: benztropine or trihexyphernidyl)

A

Pseudoparkinsonism

48
Q

____ is an eps that consists of acute contractions of tongue, face, neck, and back.
(Diphenhydramine hydrochloride first, 2nd benztropine)

A

Acute Dystonic Reactions

49
Q

____ is tetanic heightening of the entire body, head and belly up.

A

Opisthotonos

50
Q

____ is the term for when the eyes are locked upward.

A

Oculogyric crisis

51
Q

____ is an eps that consists of motor inner driven restlessness.
(MD may change antipsychotic or may give antiparkinsonian. Also may receive beta blocker or anti anxiety)

A

Akathisia

52
Q

____ is an eps that consists of protruding and rolling tongue, blowing, smacking, licking, spastic facial distortion, smacking movements.
(No treatment)

A

Tardive diskinesia

53
Q

____ is a needed defense that lasts for a few days and protects the person emotionally from a painful loss.

A

Denial

54
Q

a child with ____ has inattention, impulsivity and hyperactivity. Often has problems at school.

A

ADHD

Nursing (21 decks)

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