Tenta 2 Flashcards

1
Q

You work as a nurse at a health center and will now have an ECG (EKG) on a patient who has been diagnosed with PTSD after sexual abuse. You know that every individual with PTSD is unique. But what do you need to consider in the encounter with this specific patient?

What is the most common psychological therapy for PTSD as well as other anxiety disorders?

What is the most common pharmacologic Therapy for patient suffering from anxiety disorders?

A

Trygghet - knacka på dörren, be om tillåtelse att komma in, och visa respekt, ge det tid.
Information - se till att noggrant berätta vad som ska göras och varför, bygger förtroende.
Kontroll - fråga alltid patienten om lov, speciellt att röra.

KBT - kognitiv beteendeterapi.

SSRI - Selective serotonin reuptake inhibitors.

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2
Q

Choose the correct statement about anxiety!

Anxiety is a symptom in several psychiatric disorders
Anxiety must be treated with pharmacological therapies
Anxiety is always a pathologic and psychiatric condition

A

Anxiety is a symptom in several psychiatric disorders

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3
Q

Choose the correct symptoms and conditions related to Bipolar II Disorder
Select one alternative:

Periods of depression, euthymia/neutral mood, hypomania and mania

Periods of depression, euthymia/neutral mood and hypomania

A

Periods of depression, euthymia/neutral mood and hypomania

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4
Q

The Diagnostic and Statistical Manual of Mental Disorders, DSM-5, is a scale used in suicide assessment
Select one alternative:

True
False

A

False!

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5
Q

Symptoms and conditions associated with Major Depressive Disorder
Select one alternative:

  • Period of hypomania and mania
  • Period of depression
  • Period of mania
A
  • Period of depression
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6
Q

Describe psychosis and schizophrenia and how the concepts are related to eachother! (4p)

A

Psykos är ett tillstånd där någon har tappat kontakten med verkligheten. Dess två huvudsymptom är hallucinationer och vanföreställningar. Psykoser kan ha flera orsaker, såsom psykiska störningar, medicinska tillstånd eller missbruk.
Schizofreni är en psykiatrisk sjukdom som inkluderar perioder av paranoia och psykoser. Sjukdomen beror till största del på anlag och olika miljöfaktorer.
Dessa relaterar till varandra då schizofreni är en psykiatrisk sjukdom där psykoser kan vara ett symptom.

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7
Q

Treating elder persons with SSRI is associated with…
Select one alternative:

  • Risk of addiction
  • Risk of fractures and fall injuries
  • Risk of hyponatremia
A
  • Risk of hyponatremia
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8
Q

True or false statement?

Depressions are more common among men compared to women of physiological and psychosocial reasons?

False
True

A

False

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9
Q

Hallucinations are common symptoms in several psychotic disorders. Choose the correct statement (påstående) regarding hallucinations!

Hallucinations are involuntary (ofrivilliga) movements and extrapyramidal sensations

Hallucinations are false fixed beliefs and can not be corrected by reasoning.

Hallucinations are sensatory perceptions without external stimulus related to sight, hearing, smell, taste
and/or touch

A

Hallucinations are sensatory perceptions without external stimulus related to sight, hearing, smell, taste
and/or touch

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10
Q

Sad persons scale is a scale to illustrate what can be called statistic risk factors for suicide. It covers 10 points whose initials form the word SAD PERSONS.
Name six of these words and describe what they mean. (A description must be available for each word for full points).

A

S Sex – kön, män oftare än kvinnor
A Age – ålder, över 45-50 år oftare än under
D Depression – med känslor av hopplöshet, värdelöshet, hjälplöshet och frånvaro
av framtidsplaner
P Previous Attempt – tidigare försök medför ökad risk
E Ethanol and Drug Abuse – missbruk
R Rational Thinking Loss – tankestörningar
S Social Supports Lacking – socialt stödnät saknas
O Organized Plan – aktiva suicidplaner
N No Spouse – ogift, bor ensam
S Sickness – kronisk, allvarlig, smärtsam fysisk sjukdom

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11
Q

In your roll as a nurse, what is important to consider when meeting a patient with Autism Spectrum Disorder?
Select one alternative:

To palpate the patient’s extremities with a firm grip and avoid strong odors and sudden sounds.

To speak with loud voice.

To provide all information quickly so that the patient maintain concentration.

Use a lot of body language.

A

To palpate the patient’s extremities with a firm grip and avoid strong odors and sudden sounds.

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12
Q

Side effects of first generation antipsychotics are…
Select one alternative:

  • Tardive dyskinesia and parkinsonism
  • Extreme weight gain and hypertension
  • Agranulocytosis and extrapyramidal symptoms
A
  • Tardive dyskinesia and parkinsonism
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13
Q

Select the anxiety disorder characterized by persistent, intense and irrational fear of a specific object, activity or
situation and high level of anxiety in response to the object, activity or situation
Select one alternative:

  • Obsessive Compulsive Disorder
  • Phobia
  • Generalized Anxiety Disorder
  • Posttraumatic Stress Disorder
  • Panic Disorder
A
  • Phobia
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14
Q

You have been working in the emergency room for some time and have met a patient named Kenny several times. Kenny is 36 years old and works as a warehouse worker but has lately had a hard time managing his work. He has been to the emergency room several times with high levels of ethanol in his blood and has now been diagnosed with alcohol abuse.

a) What is the definition of substance abuse 2p:

b) Kenny is depressed and afraid of losing his job. Name two other consequences that long-term use of psychoactive substances can cause 1p:

c) 50 percent of the individuals with substance used disorder have another cooccurring (samtidigt förekommande) psychiatric disorder. But there is also common with medical and physical (fysisk) comorbidity (samsjuklighet). What diseases can Kenny experience if he continue using alcohol? 1p

d) Kenny does not think he has any problems with alcohol and he tells you that he has never had alcoholwithdrawl (alkoholabstinens). You are now going to tell Kenny what the symptoms of alcoholwithdrawl are, what do you tell him? 2p

A

a) Med drogmissbruk avses skadlig eller farlig användning av psykoaktiva ämnen, inklusive alkohol och olagliga droger som leder till beroende.

b) Hjärt-kärlsjukdom, andningssvårigheter, njur- eller leverskador.

c) Kroniska sjukdomar och andra allvarliga problem, inklusive: högt blodtryck, hjärtsjukdomar, stroke, leversjukdomar och matsmältningsproblem.

d) Ökad hjärtrytm
Ökat blodtryck
Temperaturökning
Kramper
Kräkning
Anfall

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