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Nurs 729 Psych Nursing > Test 1 Terms and Definitions > Flashcards

Test 1 Terms and Definitions Flashcards

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1
Q

What is narcolepsy?

A

A chronic neurological disorder that affects the brain’s ability to control the sleep-wake cycle. Patients may feel rested after waking, but then feel very sleepy throughout much of the day

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2
Q

What is neuroleptic malignant syndrome?

A

Life threatening reaction to antipsychotic drugs with symptoms that include high fever, stiffness of muscles, altered mental status (paranoid behavior), and autonomic dysfunction

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3
Q

What is serotonin syndrome?

A

Life threatening drug reaction where there is too much serotonin in the brain with
Mild symptoms: chills, diarrhea
Severe: muscle rigidity, fever, seizures, fatiality

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4
Q

What is Antidepressant discontinuation syndrome?

A

A syndrome that occurs with sudden termination of most antidepressant medications

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5
Q

What are the side effects of antidepressant discontinuation syndrome for SSRIs?

A

Dizziness
Headache
Dysphoria
GI upset
Sleep problems
Lethargy
Hyperarousal/anxiety

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6
Q

What are the side effects of antidepressant discontinuation syndrome for TCAs?

A

Hypersalivation
Diarrhea
Urinary urgency
Abdominal cramping
Sweating

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7
Q

What are the extrapyramidal side effects?

A

Dysonia
Akathisia
Psuedoparkinsonism
Tardive Dyskinesia

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8
Q

What is Dysonia?

A

Spasms of muscles of the tongue, face, neck, back and upper eyes

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9
Q

What is Akathisia?

A

Compulsive, restless movements, anxiousness and agitation

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10
Q

What is Psuedoparkinsonism?

A

Symptoms include bradykinesia, masked face, tremors, rigidity, shuffle, drooling and cogwheeling

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11
Q

What is tardive dyskinesia?

A

Inability to control facial movements that involve facial grimacing, sticking out of the tongue, sucking or fishlike movements of the mouth

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12
Q

What are delusions?

A

False beliefs not based in reality that are considered positive symptoms of schizophrenia

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13
Q

What is metabolic syndrome?

A

A cluster of problems such as high blood pressure, high blood glucose, excess body fat around the waist, and abnormal cholesterol levels that may lead to heart disease, stroke, and diabetes

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14
Q

What are the phases of schizophrenia?

A

Prodromal
Acute
Stabilization
Maintaince

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15
Q

What occurs during the prodromal phase of schizophrenia?

A

the onset of symptoms including magical thinking

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16
Q

What occurs during the acute phase of schizophrenia?

A

Exacerbation of symptoms

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17
Q

What occurs during the Stablization phase of schizophrenia?

A

symptoms diminish and move towards previous level of functioning

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18
Q

What occurs during the maintenance (or residual) phase of schizophrenia?

A

New baseline of functioning is established

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19
Q

What are the positive symptoms of schizophrenia?

A

Hallucinations
Delusions
Paranoia
Altered thinking behavior and Speech

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20
Q

What are positive symptoms of schizophrenia treated with?

A

Dopamine receptor antagonists

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21
Q

What are the negative symptoms of schizophrenia?

A

anhedonia
avolition
social withdrawl

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22
Q

What is anhedonia?

A

Loss of ability to feel pleasure

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23
Q

What is avolition?

A

A total lack of motivation that makes it hard to get anything done

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24
Q

What are the cognitive symptoms of schizophrenia?

A

Disorganized thinking, memory, attention, judgement, problem-solving

25
Q

What are the affective symptoms of schizophrenia?

A

emotions, expression (often diminished)

26
Q

What is AIMS testing? What does it stand for?

A

The Abnormal Involuntary Movement Scale is used to identify, monitor, and assess involuntary movement of facial/oral, extremities, trunk, global judgement (distress) and dental involvement

27
Q

What are the types of restraints?

A

Chemical or physical

28
Q

What are the policies that govern restraints?

A

1-Must assess every 15-30 minutes
2-Requires WRITTEN rx, and must be placed within 30 minutes of emergency use
3-Renewed every 24 hours
4-D/C when client is exhibiting behavior that is safer
5-New RX required is restraints are reapplied

29
Q

What is a tort?

A

A civil wrongdoing, in which monetary damages can potentially be awarded to the plantiff, collected from the defendant

30
Q

What are intentional torts?

A

False imprisonment
Assault
Battery

31
Q

What is considered a false imprisonment tort?

A

Confining a client using verbal, physical or chemical restraints when NOT part of the treatment plan

32
Q

What is considered a assault tort?

A

Making a threat to a client that can include approaching the client in a threatening way

33
Q

What is considered a battery tort?

A

Touching a client in a harmful or offensive way; including giving injection against client’s will/permission

34
Q

What are the unintentional torts?

A

Negligence
Malpractice

35
Q

What is considered a negligence tort?

A

failing to provide adequate care in a personal or professional situation when one has an obligation to do so

36
Q

What is considered a malpractice tort?

A

Professional negligence; most would not have done

37
Q

What are the criteria for inpatient mental health care?

A

-Reserved for those who are risk to self or others
-May not be physical risk
-Entry to acute inpatient care

38
Q

What is considered outpatient mental health care?

A

Primary care providers that are often the first point of contact that treat stable/uncomplicated psychiatric problems

39
Q

What is assertive community treatment for mental health?

A

Focuses on chronically mentally ill who may not be compliant that has an RN who usually visits 3-5 times per week in an attempt to reduce inpatient psychiatric resources

40
Q

What are partial hospitilization programs for mental health?

A

Programs held 4-6 hours daily that include medication management, therapy, and case management

41
Q

What is primary prevention?

A

Actions taken to prevent the disease/illness from ever occuring (education)

42
Q

What is secondary prevention?

A

Actions taken to detect disease/illness in early stages, implementation of treatment (screenings)

43
Q

What is tertiary prevention?

A

Reduce effects of disease/illness, prevention from advancing complications (Consults)

44
Q

What are the steps in Milieu Therapy?

A

1-Orient client to physical setting
2-Identify rules/boundaries
3-Ensure safe enviroment
4-Assisting client to participate in appropriate activities

45
Q

What does the HOPE assessment stand for?

A

H-Source of hope
O-Organized religon
P-Personal Spirituality
E-Effects on Care

46
Q

What is informal admission to a psychiatric facility?

A

Least restrictive
Pt does not pose a threat to themselves or others
May leave freely

47
Q

What is Voluntary admission to a psychiatric facility?

A

Patient or guardian request treatment
May refuse treatments. however a physican can elevate them to involuntary commitment

48
Q

What are the requirements for involuntary commitment to a psychiatric facility?

A

Commitment without pt’s consent (usually 24-96 hours)
Pt needs to be:
-Mentally ill
-Danger to themselves or others
-Unable to acquire basic necessities
-Requires psychiatric and legal review
-Requires 2 physicians

49
Q

What are the 6 patient’s rights?

A

Right to:
Treatment
Refuse treatment
Informed consent
Regarding involuntary commitment
Regarding restraints/seclusion
Confidentiality

50
Q

What are the exception to the 6 patient rights?

A

Duty to warn and protect third parties
Child and elder abuse reporting status

51
Q

What is beneficence?

A

The quality of doing good, can be described as charity

52
Q

What is autonomy?

A

Right to make one’s own decisons, however the pt must accept the consequences of those decisions/respect the decisions of others

53
Q

What is justice?

A

fair and equal treatment for all

54
Q

What is fidelity?

A

Loyal and faithfulness to the client and to one’s duty

55
Q

What is veracity?

A

honestly when dealing with a client

56
Q

What are the steps in a suicide inquiry?

A

Ask:
Ideation-when, frequency, intensity, duration
Plan-How lethal? Means? Preparation?
Intent

57
Q

What are the nonpharmacological interventions for depressive disorders?

A

Electroconvulsive Therapy
Transcranial Magnetic Stimulation

58
Q

What are the protective factors for suicide?

A

Cultural, spiritual beliefs
Stable relationships
Access to care
Social support
Coping skills

59
Q
A

Nurs 729 Psych Nursing (2 decks)

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