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Nursing > Unit 1 Pyschiatric > Flashcards

Unit 1 Pyschiatric Flashcards

0
Q

Sedative Hypnoics

A

GABA/Melatonin

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1
Q

Antianxiety Agents

A

GABA

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2
Q

Antidepressants

A

Monoamines

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3
Q

Mood stabilizers

A

Glutamate

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4
Q

Antipsychotics

A

Dopamine

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5
Q

Anticholinesterase

A

Norepinephrine

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6
Q

Medications used to treat social phobias and how do they work?

A

SSRIs
Work by blocking the reuptake of serotonin”more serotonin available” enhancing its transmission at the serotonergic synapse

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7
Q

What type of antipsychotics would be prescribed for an overweight patient and why?

A

Typical/Conventional/1st Generation

These do not cause weight gain like the atypical/2nd generation

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8
Q

Therapeutic uses of anti anxiety medications

A

Used therapeutically for insomnia, also OCD, social anxiety disorder, generalize anxiety, panic disorder, an PTSD

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9
Q

List the stages of the nurse patient relationship, and what happens at each stage

A

Orientation
Working
Termination

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10
Q

Cultural Filter

A

Cultural filters are a form of cultural bias or cultural prejudice that determines what we pay attention to and what we ignore

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11
Q

Levels of anxiety

A

Mild
Moderate
Severe
Panic

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12
Q

ECT therapy

A

Used in:
Pts who are suicidal
No response to other treatment
4 or more manic episodes per year

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13
Q

Manic nursing interventions

A

Use a firm and calm approach
Maintain a low level of stimuli
Monitor I&Os as well as VS
Encourage frequent rest periods

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14
Q

Ideas of reference

A

Giving personal significance to trivial events, perceiving events as relating to you when they are not

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15
Q

Auditory hallucinations

A

Hearing voices or sounds that do not exist in the environment but are mister epitome of inner thoughts or feelings

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16
Q

Echoloia

A

The pathological repeating of another’s words

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17
Q

Wavy flexibility

A

The extended maintenance of posture

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18
Q

Depersonalization

A

A nonspecific feeling that a personas lost his/her identity and that the self is different or unreal

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19
Q

Neologism

A

Made up words that have meaning for the patient but a different or nonexistent meaning to others

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20
Q

Clanging

A

The choice of words based in their sound rather than their meaning, often rhyming and sometimes having a similar beginning sound

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21
Q

Alogia

A

Poverty of speech:

Reduced amount of speech; responses range from brief to one word answers

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22
Q

Anhedonia

A

Inability to experience pleasure in activities that usually produce it

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23
Q

Dystonia

A

Abnormal muscle tonicity resulting in impaired voluntary movement

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24
Q

Akathisia

A

Regular rhythmic movements, usually of the lower limbs; constant pacing may be seen

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25
Q

Tardive dyskinesia

A

A serious and irreversible side effect of phenothiazines and related drugs; consists of involuntary tonic muscle spasms typically involving the tongue, fingers, toes, neck, trunk or pelvis

26
Q

Bulimic Symptoms

A 
Does not appear ill
Often near normal weight
Tooth erosion 
Parotid swelling
Gastric dilation
Calluses on hands
Peripheral edema
Muscle weakening
Abnormal EKG
Cardiac failure
Abnormal labs
27
Q

Anorexia symptoms

A 
Severely underweight
May have fine hair on face and back(lanuge)
Mottled, cool skin
Low BP, temp, pulse
Amenorrhea
Yellow skin
Peripheral edema
Impaired renal function
28
Q

Delirium

A

Acute

Reversible

29
Q

Dementia

A

Gradual

Permanent

30
Q

Alcohol dependence

A

Needing to drink

31
Q

Alcohol abuse

A

Drinking too much

32
Q

Tolerance

A

A persons physiological reaction I alcohol decreases with administration of the same dose

33
Q

Alcohol Withdrawal Delirium

A 
Anxiety
Insomnia
Anorexia
Delirium
Autonomic hyperactivity
Sensory disturbances
Perpetual disturbances
Fluctuating levels of consciousness
34
Q

Conversion disorder

A

Presence of deficits in voluntary motor or sensory functions

35
Q

Fugue

A

An altered sate o consciousness involving both memory loss and travel away from home or from ones usual work locale

36
Q

Hypochondriasis

A

Misinterpretation of physical sensation

37
Q

Somatization disorder

A

A person chronically and persistently complains of multiple physical problems that have no physical origin and interfere with day-to-day functioning

38
Q

Pain disorder

A

Diagnostic testing rules out organic cause, discomfort leads to impairment

39
Q

Body dysmorphic disorder

A

Preoccupation with an imagined defective body part

40
Q

Factitous disorder

A

Consciously pretend to be ill I get emotional met and attain status of “patient”

41
Q

Crisis intervention

A

A short term therapeutic process that focuses on the rapid resolution of an immediate crisis or emergency

42
Q

Schizophrenic medication problems

A 
Dry mouth
Urinary retention
Constipation
Blurred vision
Photo sensitivity
Dry eyes
Inhibition of ejaculation
Anticholinergic toxicity
Akathisia
Tachycardia
43
Q

Incidence

A

Number of new cases

44
Q

Prevalence

A

Total number of cases, existing a new, in a given population during a specific period of time

45
Q

Typical antipsychotics

A

Pinkish/brown urine

3-6 weeks full therapy to effects

46
Q

Neuroleptic Malignant Syndrome

A 
Muscle rigidity
Sudden high fever
AMS
Renal failure
Coma
47
Q

Agranulocytosis

A

Large amount of WBC

Blood draws

48
Q

Kava kava

A

Increases the sedative effects of anxiolytics

49
Q

SNDIs
Serotonin
Norepinephrine
Disinhibitors

A

Increase norepinephrine and serotonin transmission

50
Q

Lithium

A

Mood stabilizer

Toxicity level 0.5-1.5

51
Q

PTSD

A

3months

52
Q

Acute

A

Usually resolves in a week

53
Q

GAD

A

Last 6months

54
Q

PET Scans

A

Shows altered globose metabolism
Schizophrenia
Depression

55
Q

Compensation

A

Used to make up for perceived deficiencies and cover up shortcomings related to these deficiencies to protect the conscious mind from recognizing them

56
Q

Conversion

A

Unconscious transformation of anxiety into a physical symptom with no organic cause. Often the symptom functions to gain attention or as an excuse

57
Q

Denial

A

Involves escaping unpleasant, anxiety-causing thoughts, feelings, wishes, or needs by ignoring their existence

58
Q

Displacement

A

Transference of emotions associated with a particular person, object, or situation to another non threatening person, object, or situation

59
Q

Dissociation

A

Disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment

60
Q

Identification

A

Attributing to oneself the characteristics o another person or group

61
Q

Intellectualization

A

Process in which events are analyzed based on remote, cold facts and without passion, rather than incorporating feeling and emotion into the process

62
Q

Introjection

A

Process by which the outside world is incorporated or absorbed into a person’s view of the self

Nursing (5 decks)

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