The Final Final Exam Flashcards
What are the 12 Cranial Nerves?
Olfactory Optic Oculomotor Trochlear Trigeminal Abducens Facial Vestibulocochlear
What is sensitivity?
Likelihood of true positive results with the disease
What is specificity?
Likelihood of a true negative result in those who are healthy (disease-free)
Cognitive behavioral therapy seeks to blank dysfunctional thoughts and behaviors.
modify
psychodynamic therapy seeks to discover unconscious blank or blank impulses
sexual and aggressive
Motivational interviewing seeks to blank motivation to blank behavior
increase and change
Valproate therapeutic level? how often?
50-120 mcg/ml, Monthly for the first several months and subsequently every 6-24 months
Common in blank poisoning with this antiseizure medication: thrombocytopenia and neutropenia, easy bruising, bleeding that won’t stop, slow healing wounds, high fever, liver failure and dysfunction, abdominal pain, nausea, vomiting, and jaundice
Valproate and select antiepileptic drugs (carbamazepine)
Screening for this allele with geentic testing in patients with Asian ancestry is recommended prior to starting carbamazepine
HLA-B 1502 allele
Lithium therapeutic level? how often?
acute treatment 0.8-1.2 mmol/L; maintenance 0.6-1.0 mmol/L. Check 12 hour post dose after 4 days on medications and then every 4-5 days during initial therapy
Blank explains changes in self-understanding, social relationships, and one’s relationship to society from infancy through later life. Erik Erikson is the primary theorist
Psychosocial theory
Blank psychology is a perspective that emphasizes looking at the whole individual and stresses concepts such as free will, self efficacy, and self actualization. Rather than concentrating on dysfunction, blank psychology strives to help people fulfill their potential and maximize their well-being
Humanistic psychology
blank explains personality in terms of unconscious psychological process (for example, wishes and fears of which we’re not fully aware), and contends that childhood experiences are crucial in shaping adult personality. The concepts of transference, counter transference, and defense mechanisms are all components. Sigmund Freud, Carl Jung, and Alfred Adler are well known for their development of psychodynamic theories.
Psychodynamic theory
blank are characterized by their focus on the idea that how and what people think leads to the arousal of emotions and that certain thoughts and beliefs lead to disturbed emotions and behaviors and others lead to healthy emotions and adaptive behavior.
Cognitive theories
This blank model posits that health behavior change involves progress through six stages of change: precontemplation, contemplation, preparation, action, maintenance, and termination
transtheoretical model
The mother of psychiatric nursing
Hildegard E Peplau
Patient/Population, intervention, comparison, and outcomes. What abbreviation is used?
PICO
Blank is a substance which initiates a physiological response when combined with a receptor
agonist
Blank is a substance that interferes with or inhibits the physiological action of another
Antagonist
Blank is the unsolicited repetition of vocalizations made by another person (when repeated by the same person, it is called palilalia)
Echolalia
Blank is derived from the amino acid tryptophan and is synthesized in the raphe nuclei of the brain stem. Is implicated in the regulation of sleep, mood, pain, and appetitie.
Serotonin
Blank is an excitatory neurotransmitter necessary for learning and memory
glutamate
blank is a potent inhibitory neurotransmitter that has an effect on motor control and vision. It also regulates anxiety
Gamma-Glutamate
Dopamine, norepinephrine, and epinephrine are all blank.
Catecholamines
Blank is characterized by acute onset (over 1-3 days) development of symptoms including mental status changes, hyperthermia, muscular rigidity, diaphoresis, tachycardia, labile blood pressure, and dysrhythmias. Laboratory findings commonly include an elevated serum creatine phosphokinase and an elevated white blood cell count as well as electrolyte abnormalities.
Neuroleptic malignant syndrome
Blank is a potentially life threatening and is characterized by mental status changes as well as neuromuscular alteration/abnormalities. Common physical findings include hyperthermia, rigidity, agitation, akathisia, tremor, dry mucus membranes, increased bowel sounds, dilated pupils, and hyperreflexia. Neuromuscular symptoms are more commonly experienced in the lower extremities. Hypertension and tachycardia are also common physicals findings.
Selective serotonin syndrome
Blank1 is characterized by “lead-pipe” rigidity, whilst blank2 is characterized by hyperreflexia and clonus (involuntary muscle contractions)
blank1 Neuroleptic malignant syndrome
blank 2 serotonin syndrome
Diagnosis of blank are met when the clinical presentation is dominated by at least three of the following criteria: stupor, catalepsy, wavy flexibility, mutism, negativism, posturing, mannerisms, stereotypy, agitation or excessive motor activity, grimacing, echolalia, and echopraxia.
catatonia
There are no specific laboratory tests used in the diagnosis of blank, however in malignant blank the white blood cell count may be elevated, creatinine kinase may be elevated, and the serum iron level may be decreased.
catatonia
Serum bicarbonate levels are not affected by malignant catatonia but may be decreased in patients with blank
selective serotonin syndrome
In blank catatonia, common signs and symptoms include staring, posturing, mutism, inhibited movement and negativism. Speech and spontaneous movement may be reduced and in severe cases stupor may occur.
retarded
blank catatonia is characterized by hyperkinesis, restlessness, frenzy, and combativeness.
Excited
blank catatonia is a potentially life-threatening condition characterized by fever, delirium, rigidity, and autonomic instability. The symptoms of blank may also mimic those of neuroleptic malignant syndrome
malignant
Signs and symptoms of what toxicity? nausea, vomiting, diarrhea, prolonged QTc interval, bradycardia, sluggishness, ataxia, confusion, tremors, and agitation. In severe cases, seizures and encephalopathy occurs
Lithium toxicity
Medications with the potential to increase this drug level include NSAIDs, thiazide diuretics, ACE inhibitors, metronidazole, and tetracycline antibiotics
Lithium
Potassium sparing diuretics and theophylline have the potential to decrease this medication level
Lithium
blank is a lower adaptive defense mechanism defined as reacting to unacceptable thoughts or impulses as if outside of oneself
Projection
blank is defined as reshaping external reality, for example, hallucinations or delusions
distortion
blank is the absence of conscious awareness of behaviors of the coexistence of separate mental systems or identities
dissociation
blank is the excessive use of intellect to avoid feelings or experiences
intellectualization
Blank is the inability to recognize familiar objects by touch alone
astereognosis
blank is the inability to recognize letters or numbers when traced on the skin
agraphesthesia
MAO A or B: is responsible for the metabolization of phenylethylamine
MAO-B
MAO A or B: is responsible for the breakdown of serotonin and norepinephrine
MAO-A
Food and beverages that should be strictly avoid include draft beers, vermouth, all aged cheeses including any food items that contain aged cheeses, all aged smoked, pickled or cured meats, fish or poultry, soy products, fava or broad beans, any over ripened or dried fruit including avocado and bananas and all aged or fermented soy and yeast products
MAOs
The six principles include safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment, choice and voice, and cultural, historical and gender issues
SAMHSA Trauma Informed Principles
Allows parents to access their minor’s educational records
The family Educational Rights and Privacy Act, FERPA.
Blank is a motor speech disorder in which the muscles that are used to produce speech are damaged, paralyzed, or weakened.
Dysarthria
Blank is a genetic disorder in which excess copper builds up in the body. Symptoms are typically related to the brain and liver. Liver-related symptoms include vomiting, weakness, fluid build up in the abdomen, swelling of the legs, yellowish skin and itchiness
Wilson’s disease
