Test #2: Psych Flashcards

1
Q

What is oppositional defiant disorder?

A

Uncooperative, defiant, disobedient and hostile behavior towards authority figures WITHOUT major antisocial violations

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2
Q

What sex is most affected by oppositional defiant disorder?

A

Males

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3
Q

What is conduct disorder?

A

Aggression, deceitfulness characterized by harming people or property

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4
Q

What is intermittent explosive disorder?

A

impulsive, aggressive, violent behavior and angry verbal outbursts, usually lasting less than 30 minutes.

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5
Q

What drugs are given for intermittent explosive disorder?

A

fluoxetine (Prozac), lithium, and anticonvulsant mood stabilizers such as valproic acid (Depakote), phenytoin (Dilantin), topiramate (Topimax), and oxcarbazepine (Trileptal)

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6
Q

What medications are prescribed for oppositional defiant disorder?

A

Medications aren’t given for oppositional defiant disorder

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7
Q

What are symptoms of conduct disorder?

A

Aggression to people and animals, destruction of property, deceitfulness and theft, and serious violation of rules

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8
Q

Will an overdose on benzo’s kill you?

A

No, very rarely fatal

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9
Q

Will OD on barbiuate’s kill you?

A

Possibly

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10
Q

In children with ADHD, abnormalities would be found in which area of the brain?

A

The frontal lobe

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11
Q

Which medication is the most effective treatment for ADHD?

A

Ritalin

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12
Q

What is the diagnostic criteria for mental retardation?

A

IQ less than 70

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13
Q

What are the notable side effects of Ritalin?

A

Growth delays and appetite suppresion

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14
Q

What is the treatment for Wernicke-Korsakoff syndrome?

A

Thiamine/Vitamin B1

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15
Q

What is “splitting”?

A

Seeing people/things as totally good or totally bad

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16
Q

Someone with Bulimia will most likely have what kind of personality?

A

Impulsive

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17
Q

What is the most commonly used antidepressant medications for children and adolescents?

A

Selective Serotonin Reuptake Inhibitors

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18
Q

What is Disulfiram (Antabuse)?

A

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

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19
Q

What is the best response to a patient’s need to complete an OCD ritual?

A

Set aside time for the patient’s anxiety-relieving ritual, communicate acceptance and relieve pressure.

20
Q

A patient with a phobia should be…

A

allowed to avoid the object of their fears.

21
Q

Why does a patient on tricyclic antidepressants need to be monitored for suicidal thoughts?

A

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)

22
Q

What are side effects of Haldol?

A

Constipation and dry mouth

23
Q

A depressed patient complains that her stomach is missing; how should the nurse respond?

A

The nurse should answer with a response that focuses on the patient’s symptoms of depression (rather than the delusion)

24
Q

What is “conversion disorder”?

A

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

25
Q

A patient with a history of substance abuse needs what sort of therapeutic environment?

A

A structured, non-permissive setting; the goal is to allow them to learn to deal with increasing amounts of anxiety without drugs

26
Q

How do clients with conversion disorder usually feel about their symptoms?

A

Indifferent and unconcerned

27
Q

What is “sublimation”?

A

sublimation is a type of defense mechanism where socially unacceptable impulses are consciously transformed into socially acceptable actions or behavior

28
Q

What is “undoing”?

A

An attempt by a client to erase an action; possibly characterized by excessive apologizing

29
Q

What is “projection”?

A

Attributing your feeling to someone else. For instance, saying that someone you can’t stand doesn’t like you.

30
Q

What signs and symptoms would a patient have who has recently shot up heroin?

A

They would have constricted pupils and slowed respirations

31
Q

What is escitalopram?

A

A SSRI

32
Q

What should a nurse watch for after administering escitalopram?

A

dizziness

33
Q

What is “milleu therapy”?

A

The overall environment in the in-patient setting that is designed to have a therapeutic effect on clients

34
Q

What is meant by “biological therapies”?

A

These are medications or procedures; psychoactive drugs, electroconvulsive therapy, nonconvulsive stimulation

35
Q

What is cognitive behavioral therapy?

A

It involves teaching a patient to consciously control their thoughts, find problem-solving strategies, modify negative self-talk, etc

36
Q

What is catharsis?

A

Catharsis includes activities that provide a release of the anger.

37
Q

People addicted to alcohol and drugs have a rate of suicide that is what percentage higher than that of the general population?

A

20%

38
Q

An aggressive, bipolar patient will be treated with what medication?

A

Lithium; to treat the underlying diagnosis of bipolar

39
Q

An aggressive patient with dementia, psychosis or a personality disorder would be treated with what med?

A

carbamazepine (Tegretol) or valproate (Depakote); to treat the underlying disorder

40
Q

What is the therapeutic range of lithium?

A

0.6-1.2; not to exceed 2

41
Q

Research shows that aggression has been linked to low levels of what neurotransmitter?

A

Serotonin

42
Q

What is agnosia?

A

Loss of ability to recognize things

43
Q

What is aphasia?

A

Loss of ability to communicate

44
Q

What is apraxia?

A

Disorder of motor planning; cannot execute what they want to

45
Q

What is coprolalia?

A

Involuntary utterance of obscene words

46
Q

What class of medications would be prescribed for clients with eating disorders?

A

Antidepressants

47
Q

Which of the following is the drug of choice for Tourette’s disorder?

A

Haldol