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PNLE > PSYCHIA > Flashcards

PSYCHIA Flashcards

1
Q

Five Stages of GRIEF

A 
D - ENIAL
A - NGER
B - ARGAINING
D - EPRESSION
A - CCEPTANCE
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2
Q

SKIPPING from one topic to another

A

FLIGHT OF IDEAS

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3
Q

LACK OF CONCERN for a profound disability such as blindness or paralysis in a pt with Conversion Disorder

A

LA BELLE INDIFFERENCE

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4
Q

What is the HIGHEST treatment priority in a patient with Anorexia Nervosa?

A

CORRECTION OF NUTRITIONAL AND ELECTROLYTE IMBALANCES

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5
Q

What is the MAIN PRIORITY when dealing with Psychiatric Patients?

A

SAFETY!

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6
Q

4-6 week period of SEVERE EMOTIONAL DISORGANIZATION d/t failure

A

CRISIS

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7
Q

Type of Crisis:

Related to EXPECTED life events; sense of GAIN from experience

(Ex. First job, first baby, etc.)

A

MATURATIONAL/DEVELOPMENTAL

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8
Q

Type of Crisis:

Related to UNEXPECTED life events; sense of LOSS from experience

(Ex. Loss of job)

A

SITUATIONAL/ACCIDENTAL

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9
Q

Type of Crisis:

The ENTIRE SOCIETY is involved

(Ex. Natural calamities, heinous crimes)

A

SOCIAL/ADVENTITIOUS

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10
Q

Anxiety Disorder:

Excessive and persistent anxiety or fear concerning SEPARATION FROM HOME or to those whom the individual us attached to

A

SEPARATION ANXIETY

MGT: Family therapy/Support system, CATHARSIS (verbalization of feelings)

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11
Q

Anxiety Disorder:

A person normally capable of speech does not speak in specific situations or to specific people; Most common in CHILDREN

A

SELECTIVE MUTISM (extreme shyness or strong social anxiety)

Mgt:

Anxiolytics
Encourage child to speak SLOWLY
Therapy: PLAY, FAMILY, GROUP

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12
Q

REPEATED EXPOSURE to stimulus that triggers anxiety or fear until pts are no longer triggered by it;

A

DESENSITIZATION

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13
Q

Anxiety Disorder:

Intense IRRATIONAL fear of objects, things, place, events, situation, animals and even a person;

SEVERE ANXIETY to PANIC

A

PHOBIA

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14
Q

Fear of being alone in an open/public space where ESCAPE IS IMPOSSIBLE

A

AGORAPHOBIA

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15
Q

Fear of being ALONE

A

MONOPHOBIA

“MONO” - single - only one

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16
Q

Fear of situation that may cause SHAME or EMBARRASSMENT

A

SOCIAL PHOBIA

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17
Q

Fear of HEIGHTS

A

ACROPHOBIA

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18
Q

Fear of SPIDERS

A

ARACHNOPHOBIA

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19
Q

Fear of STRANGERS

A

XENOPHOBIA

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20
Q

Fear of CLOSED SPACES

A

CLAUSTROPHOBIA

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21
Q

Fear of FEMALES

A

GYNOPHOBIA

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22
Q

Fear of SEXUAL INTERCOURSE

A

GENOPHOBIA

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23
Q

What should you do for the pt during PHOBIA ATTACKS?

A

STAY WITH THE CLIENT

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24
Q

BEHAVIORAL THERAPY methods to treat Phobia

A
  1. SYSTEMATIC DESENSITIZATION (gradual exposure to phobia)

2. FLOODING (exposed to phobic stimulus immediately)

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25
Q

ANXIOLYTICS are given to

A

LESSEN PANIC ATTACKS

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26
Q

SSRIs are given to

A

PREVENT OCCURRENCE OF PANIC ATTACK

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27
Q

Unwanted repetitive THOUGHTS;

INCREASES anxiety

A

OBSESSION

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28
Q

Unwanted repetitive ACTIONS;

DECREASES anxiety

A

COMPULSION (Rituals)

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29
Q

What should you INITIALLY do for a pt with OCD?

A

OFFER AND ALLOW RITUALS INITIALLY

After:

  1. Contract: TAPERING (setting limits; gradually decreasing)
  2. DIVERSIONAL ACTIVITIES
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30
Q

Characterized by IMAGINARY DEFECT which appears normal to others;

Common in FEMALES

A

BODY DYSMORPHIC DISORDER

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31
Q

Uncontrolled and repetitive SCRATCHING of the skin because of high anxiety and boredom

aka SKIN PICKING DISORDER

A

EXCORIATION

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32
Q

What can you do to prevent scratching or arms in pt with EXCORIATION?

A

UNNA SLEEVES

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33
Q

Uncontrolled and repeated PULLING OUT of one’s own hair resulting in hair loss for at least 6 months

A

TRICHOTILLOMANIA

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34
Q

Common RITUAL in patients with Trichotillomania

A

EATING THE HAIR

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35
Q

Persistent difficulties with DISCARDING or PARTING with possession, regardless of their actual value

A

HOARDING DISORDER

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36
Q

Depressed Mood + Anhedonia (inability to feel pleasure) =

A

MAJOR DEPRESSION

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37
Q

Depressed mood + Mood elevation =

A

BIPOLAR DISORDER

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38
Q

Defense Mechanism:

REFUSAL to accept reality

A

DENIAL

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39
Q

Defense Mechanism:

REVERSION to an earlier stage of development

A

REGRESSION

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40
Q

Defense Mechanism:

Performing an EXTREME behavior to express thoughts or feelings the person feels incapable of otherwise expressing

(Ex. Instead of saying “i’m angry with you” pt throws a book or punches a hole through a wall)

A

ACTING OUT

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41
Q

Defense Mechanism:

Person loses track of time/and or person and instead finds ANOTHER REPRESENTATION of themselves in order to continue in the moment

(Ex. Multiple personality disorder)

A

DISSOCIATION

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42
Q

Defense Mechanism:

Misattribution of a person’s undesired thoughts and feelings onto another person who DOES NOT have those thoughts, feelings or impulses

(Ex. Husband is angry at wife for not listening, when in fact it is the husband who does not listen)

A

PROJECTION

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43
Q

Defense Mechanism:

Converting unwanted thoughts and feelings to their exact OPPOSITE

(Ex. Woman who is angry at her boss and wants to quit may instead be overly kind and generous to her boss)

A

REACTION FORMATION

44
Q

Defense Mechanism:

UNCONSCIOUS forgetting or blocking of unacceptable thoughts, feelings, and impulses

A

REPRESSION

45
Q

Defense Mechanism:

CONSCIOUS forgetting or blocking of unwanted thoughts, feelings and impulses

A

SUPRESSION

46
Q

Defense Mechanism:

REDIRECTING of feelings, thoughts and impulses for one person or object but is taken out upon ANOTHER person or object

(Ex. Mad at boss but can’t express his anger to his boss so he kicks his dog and starts an argument with his wife)

A

DISPLACEMENT

47
Q

Defense Mechanism:

Overemphasis on THINKING when confronted with an unacceptable impulse, situation or behavior WITHOUT employing emotions

A

INTELLECTUALIZATION

48
Q

Defense Mechanism:

Offering EXPLANATIONS

A

RATIONALIZATION

49
Q

Defense Mechanism:

Attempting to TAKE BACK an unconscious behavior that is unacceptable or hurtful

(Ex. After insulting significant other unintentionally, you spend the next hour showering her with praises)

50
Q

Defense Mechanism:

Counterbalancing one’s weaknesses by EMPHASIZING strength in other areas

A

COMPENSATION

51
Q

EARLY SIGNS of Alcohol Withdrawal

“No Alcohol, Ligtas ang ATAI”

A

ANXIETY, TREMORS, ANOREXIA, INSOMNIA

52
Q

Normal Lithium Level

A

0.5-1.2mEq/L

53
Q

SUPPORT GROUP for families of Alcoholics

A

ALCOHOL ANONYMOUS/AL-ANON

54
Q

Where is an ECT performed?

A

OPERATING ROOM

Note:

  1. 70-150 VOLTS for 2-8 SECONDS ONLY
  2. Instruct to VOID prior to procedure
55
Q

ECT is best done for what condition

A

MAJOR DEPRESSION

56
Q

What should the nurse obtain PRIOR to ECT?

A

INFORMED CONSENT

57
Q

What medication should you administer PRIOR to ECT?

A

ATROPINE SULFATE - decreases secretions and prevents aspiration

58
Q

Medications given DURING an ECT

A
  1. METHOHEXITAL SODIUM (anesthesia)

2. SUCCINYLCHOLINE (muscle relaxant)

59
Q

What should you ASSESS after an ECT?

A

GAG REFLEX

60
Q

Types of Therapy:

MOTHER OF ALL THERAPY;
Therapist establishes a therapeutic relationship to MODIFY and UNDERSTAND a client’s mind problems

A

PSYCHOTHERAPY

61
Q

Types of Therapy:

“What you believe, you will achieve”

A

COGNITIVE THERAPY

62
Q

Types of Therapy:

MODIFYING client’s maladaptive behavior;

“All behaviors are LEARNED”

A

BEHAVIORAL THERAPY

63
Q

Medication given during Aversion Therapy for Alcoholics

A

DISULFIRAM (ANTABUSE)

64
Q

Types of Therapy:

Therapy used for clients with BULIMIA, MAJOR DEPRESSION, OCD

A

COGNITIVE-BEHAVIORAL THERAPY

65
Q

Types of Therapy:

Focuses on the PAST and REPRESSED feelings that cause maladaptive behavior;

“All behaviors have meaning”

A

PSYCHOANALYSIS/PSYCHODYNAMIC

66
Q

Three Structures of Personality:

Pleasure

67
Q

Three Structures of Personality:

Reality

68
Q

Three Structures of Personality:

Conscience/Morals

69
Q

Types of Therapy:

Manipulation of the ENVIRONMENT to assist the client in his/her recovery

A

MILIEU THERAPY

70
Q

MOST IMPORTANT element of Milieu Therapy

71
Q

Types of Therapy:

Utilization of the “HERE AND NOW” principle

A

GESTALT THERAPY

72
Q

Types of Therapy:

Form of PSYCHOSOCIAL treatment where a small group of pts meet regularly

A

GROUP THERAPY

73
Q

4 Phases of Group Therapy

P-I-W-T

A

P - REGROUP
I - NITIAL
W - ORKING
T - ERMINATION

74
Q

Phases of Group Therapy:

ESTABLISHING goals and objectives

75
Q

Phases of Group Therapy:

There is already TRUST and TEAMWORK

76
Q

Phases of Group Therapy:

There is NO TRUST;
Dropout/Fall out period

77
Q

Phases of Group Therapy:

EVALUATION of group therapy

A

TERMINATION

78
Q

MAIN PRIORITY in a pt with Bipolar Disorder

A

SAFETY (Suicide Precaution!)

79
Q

Loss/Alteration of body functioning WITHOUT physiologic cause

A

CONVERSION DISORDER

80
Q

Anxiety level of the client does not match the level of severity of conversion symptoms

A

LA BELLE INDIFFERENCE

81
Q

Morbid preoccupation that the client is suffering from a severe disease based only on HIS/HER OWN INTERPRETATION; common among HX CARE PROFESSIONALS

“DOCTOR SHOPPING” - going to different doctors until they get a diagnosis

A

HYPOCHONDRIASIS

Note: they seek MULTIPLE diagnostic tests and exams even though they aren’t really sick

82
Q

Characterized by PAIN COMPLAINTS without physiologic cause;

UNRELIEVED by pain medication

A

PSYCHOSOMATIC PAIN DISORDER

83
Q

Recurrent MULTIPLE physiologic complaints for several years without physiologic cause

(4 GI complaints, 2 pain complaints, 1 sexual complaint, 1 pesudoneurologic conversion)

A

SOMATIZATION DISORDER

84
Q

Characterized by existence of 2 or more UNIQUE and DIFFERENT personalities within a person

A

DISSOCIATIVE IDENTITY DISORDER

85
Q

Characterized by RETROSPECTIVE MEMORY GAPS (inability to recall a traumatic or stressful experience)

A

DISSOCIATIVE AMNESIA

86
Q

Characterized by memory loss when the client TRAVELS away from home;

NEW ENVIRONMENT = NEW IDENTITY

A

DISSOCIATIVE FUGUE

87
Q

Intentionally produces physical or psychological symptoms solely to GAIN ATTENTION

A

FACTITIOUS DISORDER or MUNCHAUSEN’S SYNDROME

88
Q

Parrot-like REPETITION of another person’s words or phrases

89
Q

MAIN TOOL used by the nurse in Psychiatric Nursing

A

THERAPEUTIC USE OF SELF

90
Q

Process by which the nurse gains recognition of his or her OWN feelings, beliefs, and attitudes

A

SELF-AWARENESS

91
Q

Why is it a MUST to be self-aware prior to Nurse-patient interaction?

A

SO THAT THE NURSE’S OWN VALUES, ATTITUDES, AND BELIEFS ARE NOT PROJECTED TO THE CLIENT

92
Q

TOOL helpful in learning about oneself

A

JOHARI’S WINDOW

93
Q

Phases of Nurse-Client Relationship Therapy:

WRITTEN CONTRACT is made which contains the time, place and length of sessions and when sessions will be terminated

A

ORIENTATION

94
Q

Phases of Nurse-Client Relationship Therapy:

Gathering more data, verbalization of feelings, developing COPING MECHANISMS and promoting INDEPENDENCE

A

WORKING PHASE or CONTINUATION PHASE

95
Q

Phases of Nurse-Client Relationship Therapy:

Plan for the CONCLUSION of therapy in the development of relationship

A

TERMINATION PHASE

96
Q

ANTICIPATED PROBLEMS during Termination phase

A
  1. CLIENT MAY BECOME TOO DEPENDENT

2. MAY CAUSE CLIENT TO RECALL PREVIOUS SEPARATION EXPERIENCES

97
Q

Pathological imitating of MOVEMENTS or GESTURES of another person

A

ECHOPRAXIA

98
Q

Maintaining desired position for LONG PERIODS without discomfort even when it is awkward or uncomfortable

A

WAXY FLEXIBILITY

99
Q

Refers to the MAJOR SIDE EFFECTS of Antipsychotic agents

A

EXTRAPYRAMIDAL SYMPTOMS (EPS)

100
Q

Extrapyramidal Symptoms:

Acute muscular rigidity, OPISTHOTONOS, stiff or thick tongue, Torticollis

A

ACUTE DYSTONIA

101
Q

DRUGS to treat Acute Dystonia:

“May Acute Dystonia CBA?”

A
  1. COGENTIN
  2. BENADRYL
  3. AKINETON
102
Q

Extrapyramidal Symptoms:

STIFF STOOPED POSTURE, PILL-ROLLING movements while at rest, MASK-LIKE FACE

A

PSEUDOLARKINSONISM

103
Q

TREATMENT for Pseudoparkinsonism

A

AMANTADINE or ANTICHOLINERGIC AGENTS

104
Q

Extrapyramidal Symptoms:

INABILITY to sit still or stand, RESTLESS

105
Q

Extrapyramidal Symptoms:

MOST FATAL with Rigidity and Fever + Autonomic instability (unstable bp, diaphoresis, pallor, delirium)

A

NEUROLEPTIC MALIGNANT SYNDROME

Note: Watch out for DEHYDRATION

106
Q

TREATMENT for Neuroleptic Malignant Syndrome

A
  1. IMMEDIATE DISCONTINUATION OF ALL ANTIPSYCHOTIC MEDS

2. TREATMENT OF DEHYDRATION AND HYPERTHERMIA

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