Psychosocial Integrity Flashcards
Early signs and symptoms of this type of withdrawal include anxiety, anorexia, tremors, and insomnia. They may begin up to 8 hours after the last intake of this substance? [. . .]
recovering alcoholic
An alcoholic who achieves sobriety is called? [. . .]
2.0 mEq/L
A serum lithium level that is considered toxic when it exceeds? [. . .]
irritability.
The mood most often experienced by a patient with organic brain syndrome is ? [. . .]
Methylphenidate (Ritalin)
What is the drug of choice for treating attention deficit hyperactivity disorder (ADHD) in children? [. . .]
illusion
Its a misinterpretation of an actual environmental stimulus. [. . .]
Catharsis
Its the expression of deep feelings and emotions? [. . .]
Conversion
What is a mental condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation. [. . .]
Chlordiazepoxide (Librium)
Its the drug of choice for treating alcohol withdrawal symptoms? [. . .]
Alcoholic
Detoxification is most successful when carried out in a structured environment by a supportive, nonjudgmental staff for what patients ? [. . .]
Thought broadcasting
Its a type of delusion in which the person believes that his thoughts are being told for the world to hear. [. . .]
silence and active listening
What can nurses use [as far as technique] to promote interactions with a depressed patients? [. . .]
ego
According to psychoanalytic theory, its the part of the psyche that controls internal demands and interacts with the outside world at the conscious, preconscious, and unconscious levels. [. . .]
electroconvulsive therapy
For therapy to be effective, the patient usually receives 6 to 12 treatments at a rate of 2 to 3 per week. [. . .]
disulfiram (Antabuse)
Ingestion of alcohol by a patient who is taking this medication can cause severe reactions, including nausea and vomiting, and may endanger the patient’s life. [. . .]
Suppression
Its a voluntary exclusion of stress-producing thoughts from the consciousness? [. . .]
Amnesia
Its loss of memory from an organic or inorganic cause? [. . .]
Disulfiram (Antabuse)
What drug shouldn’t be taken at the same time as metronidazole (Flagyl) → [. . .]
electroconvulsive therapy
A patient who is scheduled for [ANSWER] should receive nothing by mouth after midnight to prevent aspiration while under anesthesia? [. . .]
Electroconvulsive therapy
Its normally used for patients who have severe depression that doesn’t respond to drug therapy ? [. . .]
Hypochondriasis
What is the name associated with morbid anxiety about one’s health associated with various symptoms that aren’t caused by organic disease? [. . .]
Korsakoff’s syndrome
A patient with what syndrome may use confabulation (made up information) to cover memory lapses or periods of amnesia? [. . .]
Obsessive-compulsive
Its a common, chronic, and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts and/or behaviors compulsions? [. . .]
Clozapine (Clozaril)
Which medication is contraindicated in pregnant women and in patients who have severe granulocytopenia or severe central nervous system depression? [. . .]
Hypnosis
Its used to treat psychogenic amnesia? [. . .]
Creatine kinase (CK)
Intracellular enzymes that are released into circulation after an MI, can also be elevated after other intracoronary procedures ? [. . .]
Therapeutic Communication
Verbal and nonverbal interactions between health care providers and clients for a goal-directed purpose [. . .]
Therapeutic Communication
Communication is the primary tool used in the delivery of psychiatric nursing care and all nurse–client interactions. Its practiced via which type ? [. . .]
Treatment Modalities
Psychiatric and mental health treatment modalities used to promote mental health? [. . .]
Milieu therapy
The planned use of people, resources, and activities in the environment to assist in improving interpersonal skills, social functioning, and performing the activities of daily living (ADLs) is called? [. . .]
Milieu therapy
What kind of therapy focuses on the here and now (i.e., assisting the client in dealing with the realities of today rather than focusing on situations and behaviors of the past). [. . .] — It uses limit setting— It involves the client in making decisions about her or his own care.
Treatment Modalities
Wich type of treament modality has nursing interventions that support client privacy and autonomy and provide clear expectations. [. . .]
Behavior modification
This process is used to change ineffective behavior patterns; it focuses on the consequences of actions rather than on peer pressure. Its a type of treatment (TX) modality ? [. . .]
Behavior modification
Positive reinforcement is used to strengthen desired behavior (e.g., a client is praised or given a token that can be exchanged for a treat or desired activity). [. . .]
Behavior modification
Negative reinforcement is used to decrease or elimi- nate inappropriate behavior (e.g., ignoring undesir- able behavior, removing a token or privilege, giving a “time out”). [. . .]
Behavior modification
This type of treament modality supports role modeling and teaching new behaviors as important nursing interventions. [. . .]
Family therapy
This form of group therapy identifies the entire family as the client. Which TX modality is this? [. . .]
Family therapy
Which TX Modality uses life scripts (living out parents’ dreams) and self- fulfilling prophecies ? [. . .] — fulfilling prophecies → unconsciously following what one thinks should happen, therefore setting it up to happen
Family therapy
It is based on the concept of the family as a system of interrelated parts forming a whole. Which TX modality is this? [. . .] — Congruent and incongruent communication patterns and behaviors are identified.
Family therapy
The goal is to decrease family conflict and anxiety and to develop appropriate role relationships. Which type of treament modality is this ? [. . .]
Crisis intervention
This form of therapy is directed at the resolution of an immediate crisis, which the individual is unable to handle alone. Which type of treament modality is this ? [. . .]
Crisis intervention
In this treatment modality. If a client is in a panic state as a result of the disorganization, be very directive. [. . .] — Focus on the problem, not the cause.— Identify support systems.— Identify fast-coping patterns used in other stressful situations.
Crisis intervention
This treatment modality is usually limited to 6 weeks? [. . .] — The goal is to return individual to pre-crisis level of functioning.
Cognitive therapy
This type of treament modality is directed at replacing a client’s irrational beliefs and distorted attitudes ? [. . .] — It is focused, problem solving therapy.
Cognitive therapy
The therapist and client work together to identify and solve problems and overcome difficulties in this treatment modality ? [. . .] — It involves cognitive restructuring.
Cognitive therapy
This type of treament modality is usually short-term therapy of 2 to 3 months’ duration ? [. . .]
Electroconvulsive therapy (ECT)
In type of treament modality an anticholinergic (e.g., atropine sulfate) is usually given 30 minutes before treatment to dry oral secretions. [. . .]
Electroconvulsive therapy (ECT)
A quick-acting muscle relaxant (e.g., succinylchoine [Anectine]) or a general anesthetic agent such as methohexital sodium is given to client before the ? [. . .] — This helps to prevent bone or muscle damage.
Electroconvulsive therapy (ECT)
Having an emergency cart, suction equipment, and O2 available in the room are important nursing interventions in this type of treament modality ? [. . .]
Electroconvulsive therapy (ECT)
This type of nursing care is to maintain patent airway; client is in an unconscious state immediately following ? [. . .] — Check vital signs every 15 minutes until client is alert.— Reorient client after ECT (confusion is likely upon awakening and short-term memory impairment may occur).
Assess, assess, assess!
What action should the nurse take in a psychiatric situation when the client describes a physical problem ? [. . .]
Acrophobia
Fear of heights [. . .]
Agoraphobia
Fear of crowds or open places ? [. . .]
Claustrophobia
Fear of closed-in places? [. . .]
Hydrophobia
Fear of water ? [. . .]
Nyctophobia
Fear of the dark ? [. . .]
Thanatophobia
Fear of death ? [. . .]
increased heart rate and blood pressure; rapid, shallow respirations; dry mouth, tight feeling in throat; tremors, muscle tension; anorexia; urinary frequency; palmar sweating.
Common physiological responses to anxiety include? [. . .]
Desensitization
This the nursing intervention for phobia disorders? [. . .]
Acknowledgment
Recognizing the client’s opinions and statements without imposing your own values and judgment. [. . .]
Clarifying
The process of making sure you have understood the meaning of what was said [. . .]
Generalized Anxiety Disorders
Unrealistic, excessive, or persistent (lasting 6 months or longer) anxiety and worry about two or more life circumstances. [. . .] Previously learned coping mechanisms are inadequate to deal with this level of anxiety. Multiple theories exist concerning cause, including (but not limited to) neurobiochemical and psychodynamic theories.
Panic Disorders and Phobias
There are discrete periods of intense fear or discomfort that are unexpected and may be incapacitating. [. . .]
Obsessive-Compulsive Disorder (OCD)
Anxiety associated with repetitive thoughts (obsession) or irresistible impulses (compulsion) to per- form an action; fear of losing control is a major symptom of this disorder. [. . .]
Obsessive-Compulsive Disorder (OCD)
Recurring intrusive thoughts and recurring, repetitive behaviors that interfere with normal functioning are all characteristic of ? [. . .]
Obsessive-Compulsive Disorder (OCD)
Allow performance of the compulsive activity with attention given to safety and explore meaning and purpose of the behavior with client. [. . .]
Obsessive-Compulsive Disorder (OCD)
These are nursing interventions for what Anxiety disorder— Avoid punishing and criticizing. — Avoid reinforcing compulsive behavior.— Limit the amount of time for performance of ritual,and encourage client to gradually decrease the time. [. . .]
Posttraumatic Stress Disorder
Severe anxiety, which results from a traumatic experience (e.g., war, earthquake, rape, incest) and can be a persistent reexperiencing of the traumatic event. [. . .]
diarrhea, pancreatitis, and burn
Hypomagnesemia can occur as the result of [. . .]
insight and is reality based
A non psychotic person has [. . .]
No Insight and is Not reality based, does not think they are sick
A psychotic person has [. . .]
the fixed, false belief that one is being harmed or persecuted by a particular person or group of people
paranoid delusions [. . .]
false, persistent beliefs that one has superior talents and traits
grandiose delusions [. . .]
a false belief in involving the body or bodily functions
somatic delusions [. . .]
false, fixed belief another person (usually famous or powerful) is in love with them
Erotomanic delusions [. . .]
false, fixed belief that their partner is unfaithful
jealous delusion [. . .]
false, fixed belief of being treated in. malicious way
persecutory delusions [. . .]
false sensory perceptions that are experienced without an external source…. nothing is there
Hallucinations [. . .]
misinterpretations of real external stimuli… something IS there they just misinterpret it
Illusions [. . .]
Thoughts move quickly from one to another
flight of ideas [. . .]
Incoherent mixture of words, phrases, and sentences
word salad [. . .]
making up new words, imaginary words
neologism [. . .]
when a functional psychotic refuses to leave their room or change their clothes (they define who they are based on where they are and what they’re wearing. they dont know who they are if they get undressed it terrifies them
narrow self concept [. . .]
patient thinks everyone is talking about them
ideas of reference [. . .]
a disorder in which a person experiences very specific genuine physical symptoms for which no physiological basis can be found
conversion disorder [. . .]
a class of disorders in which people lose contact with portions of their consciousness or memory, resulting in disruptions in their sense of identity
dissociative disorders [. . .]
a state of near-unconsciousness or insensibility
stupor [. . .]
do not whisper or laugh in front of a client with paranoid personality disorder, because the client will think that you are talking about or laughing at him or this increases the paranoia
what should you not do in front of a paranoid personality disorder [. . .]
decrease stimuli in the environment and provide a calm and quiet environment
what is the immediate nursing action for a client with anxiety [. . .]
clients dealing with cancer may develop post traumatic stress (pts) cancer-related pts can happen anytime before or after treatment. the symptoms of pts are similar to PTSD just not as severe
what is a psych symptom cancer patients can develop and when can it occur [. . .]
providing safe environment
what is priority for alzheimers [. . .]
failure to recognize or identify objects despite intact sensory function
Agnosia [. . .]
inability to speak
aphasia [. . .]
impaired ability to carry out motor activities despite intact motor function
Apraxia [. . .]
an ethical theory that determines right from wrong by focusing on outcomes
Utilitrianism [. . .] .
this type of ethics places value on the intentions of the individual rather than the outcome of an action and the focus is on the rules and obligations
Deontology [. . .]
> 2
Toxic levels for lithium [. . .]
Reflection
Form of therapeutic communication used when the nurse relates the client’s feelings rather than words back to the client [. . .]
open and closedended
Seeking clarification is done using both [. . .] questions.
providing leads
Entails the therapeutic exploration of the client’s feelings and beliefs with some coaching and encouragement by the nurse [. . .]
True
The therapeutic offering of a person requires the nurse’s unconditional presence in a compassionate and caring manner. [. . .]
identifiable
Fear is related to a source which is [. . .]
True
Anxiety can result from an unidentifiable source as well as one that is identifiable [. . .]
care settings
Palliative care at the end of life can occur in all [. . .] .
hospice care
Palliative care, also referred to as [. . .]
Narcotic pain
[. . .] medications can be used at the end of life using both the palliative care, or hospice care, philosophy as well as with curative care.
Ineffective coping related to the caregiver role
[. . .] is an appropriate nursing diagnosis for a caregiver who abuses alcohol or drugs to selfmedicate to overcome caregiver stress.
independent
The provision of a therapeutic soothing back massage and giving the client a warm beverage without caffeine are [. . .] sleep hygiene nursing functions used to induce and maintain sleep.
metabolic acidosis
The signs and symptoms of renal failure include [. . .] and hyperkalemia, among many other signs and symptoms.
vomiting
Metabolic alkalosis can occur as the result of [. . .] , Cushing’s syndrome, and other causes
diarrhea
Hypomagnesemia can occur as the result of [. . .] , pancreatitis, and burn, among other causes
milieu therapy
psychotherapy in which the patient’s social environment is controlled or manipulated with a view to preventing self-destructive behavior. [. . .]
laissezfaire
Style of parenting gives the impression that of being lazy and not caring. [. . .]
autocratic
Style of parenting gives impression that the family is rigid and highly structured. [. . .]
democratic
Style of parenting is time consuming but it also allows all members of the family to all have input and a voice that is heard. [. . .]
permissive
Style of parenting facilitates satisfaction among the members of the family. [. . .]
contraindicated
Morphine sulfate is [. . .] among lactating women because morphine sulfate Is excreted in the breast milk, although 90% of morphine sulfate Is excreted in the urine.
placental barrier
Morphine sulfate crosses the [. . .]
mood stabilizer
Which of the following classes of medications best corresponds to lithium? [. . .]
Monitor Plasma Levels
Which of the following is an important consideration in patients taking lithium? [. . .]
Heart Block
Which of the following is a cardiovascular side effect of taking lithium? [. . .]
Pregnancy
Which of the following conditions is most likely a contraindication for a patient to take lithium? [. . .]
Hypothyroidism
Which of the following is a side effect of lithium use relating to endocrine? [. . .]
Bipolar Disorder
the most common indication for lithium? [. . .]
Nephrogenic Diabetes Insipidus
Which of the following is a side effect of lithium use relating to nephrology? [. . .]
Tremor
Which of the following is a neurological side effect of taking lithium? [. . .]
Interstitial Nephritis
During your assessment of a patient taking NSAIDs which of the following side effects is most likely to be seen? [. . .]
Gastric Ulcer
During your assessment of a patient taking NSAIDs which of the following side effects is most likely to be seen? [. . .]
Agoraphobia
[. . .] - is a fear of being outdoors or otherwise being in a situation from which one either cannot escape or from which escaping would be difficult or embarrassing.
Tangentiality
Going from one topic to the next without getting to the point of the original idea or topic is which personality disorder? [. . .]
Child abusers
These individuals often have a history of growing up in an environment of domestic violence and have a sense of low self-esteem? [. . .]
Thiamine
Clients with alcoholism often have which vitamin deficiency? [. . .]
0.6-1.2 mmol/L and greater than > 1.5
The therapeutic range of Lithium and at which level is considered toxic? [. . .]
Zolpidem, Ambien
This is a hypnotic medication that induces sleep for clients with sleep disturbances? [. . .]
dry mouth, blurry vision, and constipation
Olanzapine and other psychotropic medications have the following anti-cholinergic side effects? [. . .]
Neuroleptic malignant syndrome NMS
This syndrome usually presents with mental status changes, fever, muscle rigidity, and autonomic instability after starting antipsychotic medications? [. . .] )
St John’s Wort
Selective serotonin reuptake inhibitors along with this vitamin-like product increase serotonin levels in the brain? [. . .]
Atypical Anti-psychotics
These medication/s carries a risk for QT prolongation leading to torsade de pointes. [. . .]
atypical antipsychotic
Ziprasidone hydrochloride (Geodon) is an [. . .] drug that is used for acute bipolar mania, acute psychosis, and agitation. Its use carries a risk for QT prolongation leading to torsade de pointes.
atypical antipsychotic
