Test #2: Psych Flashcards
What is oppositional defiant disorder?
Uncooperative, defiant, disobedient and hostile behavior towards authority figures WITHOUT major antisocial violations
What sex is most affected by oppositional defiant disorder?
Males
What is conduct disorder?
Aggression, deceitfulness characterized by harming people or property
What is intermittent explosive disorder?
impulsive, aggressive, violent behavior and angry verbal outbursts, usually lasting less than 30 minutes.
What drugs are given for intermittent explosive disorder?
fluoxetine (Prozac), lithium, and anticonvulsant mood stabilizers such as valproic acid (Depakote), phenytoin (Dilantin), topiramate (Topimax), and oxcarbazepine (Trileptal)
What medications are prescribed for oppositional defiant disorder?
Medications aren’t given for oppositional defiant disorder
What are symptoms of conduct disorder?
Aggression to people and animals, destruction of property, deceitfulness and theft, and serious violation of rules
Will an overdose on benzo’s kill you?
No, very rarely fatal
Will OD on barbiuate’s kill you?
Possibly
In children with ADHD, abnormalities would be found in which area of the brain?
The frontal lobe
Which medication is the most effective treatment for ADHD?
Ritalin
What is the diagnostic criteria for mental retardation?
IQ less than 70
What are the notable side effects of Ritalin?
Growth delays and appetite suppresion
What is the treatment for Wernicke-Korsakoff syndrome?
Thiamine/Vitamin B1
What is “splitting”?
Seeing people/things as totally good or totally bad
Someone with Bulimia will most likely have what kind of personality?
Impulsive
What is the most commonly used antidepressant medications for children and adolescents?
Selective Serotonin Reuptake Inhibitors
What is Disulfiram (Antabuse)?
It is a drug given to alcoholics to help them stop drinking; if they drink while on the drug, they will have a flushing reaction, a throbbing headache, sweating, nausea and vomiting
What is the best response to a patient’s need to complete an OCD ritual?
Set aside time for the patient’s anxiety-relieving ritual, communicate acceptance and relieve pressure.
A patient with a phobia should be…
allowed to avoid the object of their fears.
Why does a patient on tricyclic antidepressants need to be monitored for suicidal thoughts?
Tricyclic antidepressants don’t reach therapeutic levels until 10-14 days of use–they give patients more energy, which may be used to commit the suicide they’ve been thinking of (but didn’t have the energy before)
What are side effects of Haldol?
Constipation and dry mouth
A depressed patient complains that her stomach is missing; how should the nurse respond?
The nurse should answer with a response that focuses on the patient’s symptoms of depression (rather than the delusion)
What is “conversion disorder”?
An anxiety disorder where there are symptoms like blindness or paralysis with no physical basis. Characteristically, the patient will also be indifferent to the symptoms
A patient with a history of substance abuse needs what sort of therapeutic environment?
A structured, non-permissive setting; the goal is to allow them to learn to deal with increasing amounts of anxiety without drugs
How do clients with conversion disorder usually feel about their symptoms?
Indifferent and unconcerned
What is “sublimation”?
sublimation is a type of defense mechanism where socially unacceptable impulses are consciously transformed into socially acceptable actions or behavior
What is “undoing”?
An attempt by a client to erase an action; possibly characterized by excessive apologizing
What is “projection”?
Attributing your feeling to someone else. For instance, saying that someone you can’t stand doesn’t like you.
What signs and symptoms would a patient have who has recently shot up heroin?
They would have constricted pupils and slowed respirations
What is escitalopram?
A SSRI
What should a nurse watch for after administering escitalopram?
dizziness
What is “milleu therapy”?
The overall environment in the in-patient setting that is designed to have a therapeutic effect on clients
What is meant by “biological therapies”?
These are medications or procedures; psychoactive drugs, electroconvulsive therapy, nonconvulsive stimulation
What is cognitive behavioral therapy?
It involves teaching a patient to consciously control their thoughts, find problem-solving strategies, modify negative self-talk, etc
What is catharsis?
Catharsis includes activities that provide a release of the anger.
People addicted to alcohol and drugs have a rate of suicide that is what percentage higher than that of the general population?
20%
An aggressive, bipolar patient will be treated with what medication?
Lithium; to treat the underlying diagnosis of bipolar
An aggressive patient with dementia, psychosis or a personality disorder would be treated with what med?
carbamazepine (Tegretol) or valproate (Depakote); to treat the underlying disorder
What is the therapeutic range of lithium?
0.6-1.2; not to exceed 2
Research shows that aggression has been linked to low levels of what neurotransmitter?
Serotonin
What is agnosia?
Loss of ability to recognize things
What is aphasia?
Loss of ability to communicate
What is apraxia?
Disorder of motor planning; cannot execute what they want to
What is coprolalia?
Involuntary utterance of obscene words
What class of medications would be prescribed for clients with eating disorders?
Antidepressants
Which of the following is the drug of choice for Tourette’s disorder?
Haldol
