Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Psych Test 2 Fuck it Up. > Study Info ;) > Flashcards

Study Info ;) Flashcards

1
Q

What is most important when taking Lithium?

A

Need to have normal sodium range

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Your patient is on an MAOI which diet is the best?

A

The one that doesn’t have processed meat, avocados, bananas, wine, cheese- no old or mold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

You have a bi-polar patient, who is very manic, which food is best?

A

Finger food, so sandwich, apple ect.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Chronic depression over two years

A

dysthymic disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

You have a very anxious patient, which drug is a good drug for PRN?

A

You want a benzo- quick acting, not Buspar, 4 weeks. Think xanax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cognitive theory

A

a cognitive question involves a client changing THINKINK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Patient recently had knee surgery, feels as though will never recover, is depressed. Which should be the nursing Dx?

A

Risk for hopelessness (doesn’t think suicide was listed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

There is an adolescent patient that has suicidal ideations, which is priority?

A

I have a neck tie and will hang myself tonight. (has plan, plan is lethal, and has means to carry out plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When assessing for suicide what is the best question to ask the client?

A

One of these: do you have any firearms in your house. or are you having suicidal thoughts; if not suicidal who cares if they are a hunter.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If your patient has frontal lobe injury, what would you teach patient?

A

Know that frontal lobe is where judgement and decision making happens, they may need to get an opinion about choices from a family member

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Your patient is on lithium and an anti-psychotic med, why would the be on both?

A

Agitation relief ( a small dose will slow down mania)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Central Serontonin syndrome

A

cardiac collapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is important for a nurse to do with a patient with mania?

A

Set limits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Know these three things about suicide;

A

specifics of detail, lethality of proposed method, availability of means to carry out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Know the symptoms of the different levels of anxiety

A

(patients cant think straight if severe panic, they think they are dying- this is when you WOULD GIVE ADVICE or even give directions, they need guidance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

severe panic attack example

A

their house burned to ground they have nothing you would tell then what shelter to go to and help arrange Red Cross for clothings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

A patient leaves his home and winds up in another state and cant remember how the got there, what is their problem?

A

Dissociative Fugue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

PTSD

A

flashbacks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What family teaching would be best for family?

A

That stress will increase the symptoms of OCD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The nurse yelled at the doctor, then yells at family members

A

this is called displacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Stop, divert, and reframe, which are these?

A

I need to stop thinking i am going to do poorly, i can do it and i will
think about someplace nice like the beach
i will read the question, find the key word, and select the correct answer
this is just a test if i flunk i will do better nest time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which neurotransmitters are involved with SSRI’s?

A

seratonin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

My patient states he falls asleep 6-10 times per day for 20 minutes at a time which nursing intervention is appropriate?

A

suggest a sleep study consult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A patient tells the nurse they are feeling better and no longer need to be on suicide watch, what does nurse ask patient?

A

(this is when you would watch patient closely just enough energy to harm themselves.) Do you feel like hurting yourself?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is a good tool to assess potential for mental issues?
Holmes and Rahe Life Stress inventory
26
Which meds would an RN assess that may affect quality of sleep?
Opiates, amphetamines, antidepressant, alcohol select all
27
What would an RN advise a patient taking a benzo to avoid?
grapefruit juice, alcohol,
28
Patient starting a MAOI what would you assess first?
Their cognitive ability to avoid tyramine.
29
Which is the correct nursing outcome for PTSD with sleep disturbance?
(not intervention) Client states he has a good night rest without nightmares
30
Which is the correct nursing diagnosis for a client that states they are worthless?
suicide prevention
31
Student is taking a test and everything goes blank, cant remember anything, what is the student's anxiety level?
Severe (moderate is when you are in a good test taking place
32
What is the best way to approach a client in a manic state, for the RN
calm using a steady tone of voice.
33
Patient comes in to ER wearing a green bathing suit singing loudly, what is the nurse's primary concern?
finding out the patients need for food water rest (maslows first priority)
34
A patient was in a bad car accident, he saw his friend die, now he cannot see at all and isnt concerned about it, what is this diagnosis
Conversion disorder with la belle indifferance
35
A client has hypochondriasis what would you expect the to say?
I am sure my headache is a brain tumor
36
What would you expect to hear from a patient whose cognitive therapy is working?
My depression is due to chemicals in my brain
37
Cognitive therapy is working when a patient states
i can control my reaction to anxiety
38
Which of the following exhibits internal locus of control
I need to manage my money to stay out of debt
39
If your patient cant take lithium, what is a good replacement?
Tegretol
40
Which diet is good for MAOI patient?
Pork chop with green beans, stay away from old and mold
41
If your patient is in the beginning stages of Serotonin Syndrome what symptoms would you expect to see?
Nausea, diarrhea, raised blood pressure, bradychardia, confusion, orthostatic hypotension?
42
Your patient states that they take melonine and herbal teas to help sleep at home, they ask you if its good for them. What is an acceptable answer?
there are no guidelines for herbals, therefor the preparations are all different, so i cannot answer that.
43
Your client says they are feeling a lot better, they no longer feel suicidal what should the RN do?
Suggest increase monitoring
44
After 3 weeks of taking Zoloft, client has increased energy, what is the nursing intervention?
Suicide prevention
45
What are early signs of Serotonin Syndrome?
Confusion and agitation
46
A bipolar patient is acting out in hall pacing, what is going on?
Psychomotor agitation
47
when choosing nursing interventions
be descriptive, action oriented, not nondescriptive and weak
48
interventions have the greatest influence when they are
focused toward etiologies that accompany an actual diagnosis or when the nurse aims them at the risk factors or a risk diagnosis
49
Serotonin Syndrome
results from High Doses of SSRI's (including tricyclic antidepressants), serotonin precursors, serotonin agonists, MAOI's or other medications that influence serotonin levels ( cold and allergy meds/ cocain/ lithium/ ginseng. St. Johns Wart)
50
Symptoms of Serotonin Syndrome
abdominal pain, elevated BP, tachycardia, irritability, hostility. increased motor activity, and mood change.
51
Severe reactions of Serotonin Syndrome
high fever, cardiovascular shock, and death
52
Patients need to avoid what when taking MAOI antidepressants to prevent what
foods containing tyramine; hypertensive crisis
53
What meds to avoid while using MAOI's
over the counter cold meds, appetite suppresants, muscle relaxants, allergy remedies, hay fever remedies, narcotics, analgesics, and several prescription medications.
54
repression
The unconscious exclusion of painful impulses, desires, or fears from the conscious mind.
55
suppression
Conscious exclusion of unacceptable desires, thoughts, or memories from the mind.
56
In major depressive patient they may have
Insomnia or hypersomnia nearly every day
57
dyssomnia
sleep disorders that occur as a result of abnormalities of the physiologic mechanisms that regulate sleep and wakefulness.
58
parasomnias
primary sleep disorders that occur as a result of the activation of physiologic systems at incorrect times during the sleep wake cycle, thereby resulting in abnormal behavior or physiologic events during the sleep state.
59
cataplexy
sudden loss of muscle tone and voluntary muscle movement
60
sleep paralysis
not able to speak or move just before onset of or upon awakening from a brief sleep attack
61
sleep apnea
the temporary cessation or absence of breathing
62
Narcolepsy
sudden onset or brief sleep attacks that last 10 to 20 minutes and that typically takes place two to six times per day
63
Good tool to assess for potential mental illness
Holmes and Rahe Life Stress inventory
64
rapid withdrawal from Benzos may result in
restlessness, irritability, insomnia, and seizueres
65
Mild anxiety
feelings of relative comfort and safety; relaxed and calm appearance and voice; performance automatic;habitual behaviors occur
66
Moderate anxiety
feelings of readiness and challenge; energized; engages in competetive activity and learns new skills; voice and facial expression interested or concerned
67
Severe
feels threatened and startles with new stumuli feels overloaded; activity increases or decreases ( may pace, stutter, shake) appears and feels depressed; demonstrates denial; complains of aches or pains; is agitated or irritable; need for space increases
68
Panic
feels helpless, with a total loss of control; patient is angry or terrified; becomes combative or totally withdrawn, cries or runs away; completely disorganized; behavior is usually extremely active or inactive
69
beginning stages of serotonin syndrome, what symptoms would you expect to see?
abdominal pain, elevated blood pressure, tachycardia, irritability, hostility, increased motor activity, and mood change.
70
defense mechanisms
``` humor sublimation suppression displacement dissociation repression devaluation denial projection splitting of the self image or of the image of others ```
71
humor
comedian talking making fun of himself for laughs
72
sublimation
kid gets bullied becomes a cop
73
suppression
me thinking of school instead of hiam
74
displacement
dad gets yelled at at work, yells at kids when he gets home
75
dissociation
feeling out of body
76
repression
forgotten sexual abuse as a child
77
devaluation
finds everything stupid
78
denial
drunk thats not an alcoholic
79
projection
patient angry at nurse so he says shes being angry with him
80
splitting of self image or self image of others
patient can only identify negatively with others cant see the positive; sees things in only black and white not shades of grey

Psych Test 2 Fuck it Up. (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions