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ABSN > Psychology I > Flashcards

Psychology I Flashcards

1
Q

What is the fundamental component of Milieu?

A

BALANCE between independence and dependance - seclusion and restraint are only used for safety reasons

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2
Q

Which comes first; seclusion or medication?

A

medication (with client consent)

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3
Q

What is fidelity?

A

do no wrong

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4
Q

What is veracity?

A

telling the truth (verdad)

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5
Q

What kind of law would “pleading insanity” fall under?

A

common law

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6
Q

What kind of laws are federal and state legislatures?

A

statutory law

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7
Q

what is a tort?

A

an act or failure to act that brings harm to another

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8
Q

What is Susto?

A

sickness following a frightening event that causes the (susto) soul to leave the body - Latino

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9
Q

What is Koro?

A

genitals get Koro-ed off

fear of genitals and nipples disappearing into the body - Asia

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10
Q

What’s the weird part of the classification of postpartum depression?

A

it is “culture bound” to the US

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11
Q

What are the 4 worldviews?

A

RACE

Relational
Analytic
Community
Ecologic

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12
Q

What tool do we use to diagnose psychiatric issues in the US?

A

DSM-5

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13
Q

What does the “behavior” domain of the MSE encompass?

A

speech - rate, rhythm, volume, spontaneity

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14
Q

What does the “affect” domain of the MSE encompass?

A

the observed range, intensity, lability, appropriateness and quality of the patient’s mood

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15
Q

Failure of orientation usually occurs in this order:

A
  1. time
  2. place
  3. person
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16
Q

What is tangentiality?

A

the THOUGHT PROCESS of digressing multiple times throughout a story

“I was walking my dog and then I saw a squirrel. That reminds me, last year I bought a blender.”

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17
Q

What is circumstantiality?

A

the THOUGHT PROCESS of talking in a circle/circumference - unnecessary retelling of details

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18
Q

What is flight of ideas?

A

the THOUGHT PROCESS of moving quickly from one idea to another

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19
Q

What is blocking?

A

the THOUGHT PROCESS of stoping mid sentence

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20
Q

What are loose associations?

A

the THOUGHT PROCESS of speaking works at random and not in sentences.

cat…
blender…
Mexico…

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21
Q

What is preservation?

A

the THOUGHT PROCESS of not being able to move on to another topic.

“preserving” the topic

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22
Q

What are delusions?

A

the THOUGHT CONTENT of fixed false beliefs

“my baby is spying on me, I’m sure of it, and you’re not changing my mind”

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23
Q

What are ideas of reference?

A

the THOUGHT CONTENT that people are talking about me

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24
Q

What is being paranoid?

A

the THOUGHT CONTENT that people are after me

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25
Q

What is grandeur?

A

the THOUGHT CONTENT that you are the king of the world

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26
Q

What is being nihilistic?

A

the THOUGHT CONTENT that things are disappearing (my body is disappearing/the earth is disappearing)

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27
Q

What portion of the THOUGHT CONTENT domain leads patients to believe they’ve always been the victim/are always angry/lose everyone?

A

life themes

28
Q

What does the thought control domain encompass?

A

broadcasting - thinking their thoughts are being read by others
insertion - thinking their thoughts are being inserted by someone else
withdrawal - thinking their thoughts are being stolen

29
Q

What form of COGNITION determines how people interpret things - can they understand that bananas and oranges are both fruit?

A

level of abstraction

30
Q

What is executive function?

A

a form of COGNITION that gives you your checklist

how to dial a phone number
how to order coffee

31
Q

What is the first memory to be lost?

A

recent

32
Q

What is the difference between hallucinations and illusions?

A

hallucinations - perceiving something in the absence of a stimulus
illusions - perceiving something incorrectly (seeing a cat and thinking it’s a phone)

33
Q

How do you score the MSE?

A

25-30 normal
21-24 mild impairment
10-20 moderate impairment
< 10 severe impairment

34
Q

What are the HEALTHY MATURE defense mechanisms?

A

HASS (avocados are healthy and I’m mature enough to have the money to buy them)

Humor
Altruism
Suppression - intentional
Sublimation - former addicts start an anonymous meeting

35
Q

What are the NEUROTIC (intermediate) defense mechanism?

A

SURF RIDRs are neurotic

Somatization
Undoing
Reaction Formation

Repression - unintentional
Intellectualization
Displacement
Rationalization

36
Q

What are the two most used defense mechanisms by substance abusers?

A

denial

rationalization

37
Q

What are the IMMATURE defense mechanism?

A

PPADDS - I need to pad my brain so I don’t feel anything

Passive agression
Projection
Acting out 
Denial 
Dissociation 
Splitting
38
Q

What are the 6 subroles of the nurse according to Hildegard Peplau? (Interpersonal Psych Model)

A

my mother is managing the technician and the teacher but she’s using a socializing agent with the counselor

Mother 
Manger 
Technician 
Teacher (Health)
Socializing agent
Counselor
39
Q

What are the 4 phases of interpersonal process according to Hildegard Peplau? (Interpersonal Psych Model)

A

Orientation
Identification
Working
Resolution

40
Q

Who is the mother of psychiatric nursing?

A

Hildegard Peplau

41
Q

Who developed the psychoanalytic psych model? Describe it.

A

Freud

Id - me me me
Ego - px solver
Super Ego - morality (age 5)

Consciousness - info the person is aware of
Unconscious - memories that have been repressed and can not be recalled at will
Preconscious - memories that can be recalled with some effort

42
Q

Who developed the developmental psych model? Describe it.

A

Erikson

Trust vs Mistrust
Infancy (birth to 1 year)

Autonomy vs S&D
Infancy (1 to 3 years)

Initiative vs guilt	                
Early childhood (3 to 6 years)
Industry vs inferiority	
School age (6 to 12 years)

Identity vs ID confusion
Adolescence (12 to 18 years)

Intimacy vs isolation	
Early adulthood (20s, 30s)
Generativity vs stagnation	
Middle adulthood (40s, 50s)
Integrity vs despair	
Late adulthood (60s onward)
43
Q

Who developed the cognitive-behavioral psych model? Describe it.

A

Beck

therapy focuses on thinking and behavior rather than expressing feelings

44
Q

what is transference?

A

unconscious emotional reaction in a situation based on previous experience

45
Q

what is countertransference?

A

nurse places feelings on to the patient from people in the patient’s past

46
Q

how should the nurse interact with a patient having hallucinations?

A

COMMENT on the behavior
ASK for more information and ASSESS if there are themes of powerlessness/guilt/etc.
DISTRACT

47
Q

how should the nurse interact with a patient having delusions?

A

CLARIFY the meaning
DO NOT ARGUE
MONITOR to prevent harm

48
Q

What is universality?

A

felling of relief because “I am not alone”

49
Q

What should a group therapy session revolve around?

A

the here and now

50
Q

When assessing a family, what must a psychiatric nurse know?

A

the stage of family development and how the family is coping with the stage

51
Q

Can an RN provide family therapy?

A

no - beyond our scope

52
Q

What is the most common site of drug metabolism?

A

liver

53
Q

What effect does protein binding have on psych drugs?

A

drugs bound to proteins can NOT leave the bloodstream and affect psych function

54
Q

what is “down regulation” as it applies to pharmacodynamics?

A

chronic exposure to a drug causes decreased receptor sensitivity

55
Q

What mental disorder is associated with HIGH DOPAMINE?

A

Schizophrenia

56
Q

What mental disorder is associated with HIGH GLUTAMATE?

A

Excitotoxicity leading to neuron death

57
Q

What mental disorder is associated with LOW GLUTAMATE?

A

Psychotic thinking

58
Q

What mental disorder is associated with LOW NOREPINEPHERINE?

A

Depression

59
Q

What mental disorder is associated with LOW SEROTONIN?

A

Depression

60
Q

What mental disorder is associated with LOW ACETYLCHOLINE?

A

Alzheimer’s

61
Q

What mental disorder is associated with LOW GABA?

A

Anxiety

62
Q

What is the number 1 goal of milieu management?

A

safety

63
Q

Who wrote the book on milieu therapy?

A

Maxwell Jones

64
Q

Who would be admitted to a “dual-diagnosis” unit?

A

someone with a substance abuse px and a psychiatric px (NOT anxiety + depression)

65
Q

What is the most restrictive of therapeutic environments?

A

forensic hospitals

66
Q

What percentage of Americans have some type of mental disorder?

A

25%

67
Q

What is reality testing?

A

“benefit of the doubt”

before you let your guilt/paranoia run away with you, give the situation you’re in the benefit of the doubt

ABSN (18 decks)

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