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Pop Health 2 > Unit 2 Mja > Flashcards

Unit 2 Mja Flashcards

1
Q

What is a somatic disorder

A

Somatic disorders are characterized by physical symptoms suggesting medical disease but without demonstratable organic pathology
The inability of modern medicine to determine the existence of pathophysiology to explain a client’s symptoms is not sufficient to diagnose with a mental illness

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2
Q

What is dissociative disorders

A

Defined by a destruction in the usually integrated functions of consciousness, memory and identity
Dissociate responses occur when anxiety becomes overwhelming and the personality becomes disorganized

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3
Q

What conditioning is is called when you add something to modify behavior

A

Positive conditioning

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4
Q

What is conditioning is taking something away to modify behavior

A

Negative conditioning

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5
Q

What is the difference between punishment and reward

A

Punishment-want to discourage the behavior
Reward-want to encourage the behavior

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6
Q

What is an example of positive punishment

A

Something is added to discourage behavior

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7
Q

What is negative reward

A

Something is subtracted to encourage behavior

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8
Q

What the numonic “my friend Sarah gets angry when she can’t smoke dope”

A

Serotonin and dopamine are associated with anger and agression in low amounts

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9
Q

What is the numonic for “patient is upset I took the fifth”

A

1/5 of patients get violent

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10
Q

What are the three risk factors in order:

A

Past history
Patient diagnosis
Patient behavior

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11
Q

What is the numonic for I’m super exited about my new drones emerging

A

Prodomal syndrome—emerging condition
Anger/aggression characterized by verbal, profanity, anxiety, etc

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12
Q

What are some medications for anxiety

A

Ativan, SSRIs

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13
Q

What is the numonic my psycho friends Val and lily

A

Medications for psychosis- Valium or lithium

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14
Q

What is the numonic for poor people fight

A

Impending violence more associated with low SES

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15
Q

What is Milieu

A

The environment factors contributing to violence
Staff coverage
Skill level
Severity of symptoms

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16
Q

Bigger the number, bigger the risk

A

Danger assessment- used to assess danger

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17
Q

What are the hormonal changes during anxiety

A

GABA- my aunt gabby is feeling kinda low
E, NE, D all increase

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18
Q

What is generalized anxiety disorder

A

Chronic and unrealistic anxiety

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19
Q

What is the first med treatment for anxiety

A

SSRIs
The first IRS agent
May take weeks to see results
How slow the IRS is

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20
Q

What are the progression of alcohol abuse

A

Withdraw-begins within 4-12 hours (4 drinks and you leave the party/withdraw——delirium tremens are severe from of withdraw lasts 4-8hrs
Starts with drinking to relieve stress

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21
Q

What is wenicke’s encephalopathy/wet brain

A

Thiamine deficiency

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22
Q

What is a major side effect of depressants

A

Respiratory depression

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23
Q

What numonic is ten nurse

A

10% of nurses have substance abuse disorders

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24
Q

What are some signs for phase 1 DV

A

Can last weeks, months, years,
Ensign escalates
Victim takes blame for perpetrator behavior
Minor battering may begin

25
Q

What are qualities for phase 2 acute battering

A

Shortest and most violet stage
Up to 24 hours
Victim may provide abuser

26
Q

What are the numeric scores for a DA assessment

A

Variable 0-7 kids are ok
Increased 9-13 kids get mouthy pre teens
Severe danger 14-17 teenage pregnancy
Extreme 18+ college experience

27
Q

What are the Rs for trauma informed care

A

Realize— realize impact on trauma screen for trauma history
Recognize-recognize signs and symptoms
Respond—policies, precedures and practices
Resist—resist retaumatization

28
Q

Why type of groups are AA

A

Self-help group

29
Q

What is catharsis in curative factors of groups

A

Group members can express positive and negative feelings

30
Q

“I never thought that other people had the same problem that i have”
What curative factor of groups is this

A

Universality

31
Q

What is a democratic leadership style

A

Focuses on members of the groups
Members participate
Production is somewhat lower than autocratic style
Marble is much higher
Input allows members of the group the potential for individual creativity

32
Q

“Ill handle this matter, we need to move on”
What kind of leader ship is this

A

Autocratic

33
Q

What are hypnotics used for in addicts

A

Sedative-hypnotics
Commonly used for preventing seizures, treating insomnia, pre anesthesia
Anciolytic drugs are among the most widely prescribed

34
Q

How much more potent is fentanyl

A

50-100 times more potent than morphine
As little as 2 mg is considered a lethal dose

35
Q

Narcan is used for what intoxication

A

Naloxone (narcan) is used for opiate intoxication

36
Q

What is a normal BMI

A

20-24.9

37
Q

What BMI is obesity

A

30+

38
Q

Eating disorder therapy
What must the program be to be successful

A

The client must perceive that they are in control of the treatment
Behavior modification—issues of control are central to the etiology of these disorders

39
Q

T F no medications are specifically indicated for eating disorders

A

T
Various medication have been prescribed for anxiety and depression but not specific to eating disorders

40
Q

What is the definition of social anxiety disorder

A

Excessive fear of situations in which the person might do something embarrassing or be evaluated negatively by others

41
Q

What are compulsions in anxiety

A

Repetitive behavior of thoughts, the purpose of which is to prevent or reduce distress or to prevent some dreaded event or situation

42
Q

What are some physiological responses for GAD

A

Increased heart and RR, insomnia and fatigue

43
Q

When caring for a patient who is experiencing a panic attack, which of the following nursing actions should be implemented

A

Communicate with simple words and brief messages

44
Q

Evaluation of the nursing actions for the patient w anxiety, OCD, may be facilitated by asking:
Can the patient

A

Recognize the signs and symptoms of escalating
Used learned skills to interrupt escalating
Maintain anxiety WO medication
Verbalize a long term plan for prevention
Discuss phobic object wo anxiousness
Function in presence of phobic object
Refrain from performing rituals
Demonstrate substitute behaviors
Recognize relationship escalating anxiety

45
Q

What is Buspirone (BuSpar)

A

RX for long term treatment for anti anxiety agent
—anxiolytic-not associated risk for dependence

46
Q

What should the nurse plan to teach a patient who is taking aplrazolam three times a day

A

That there is a potential for dependence and tolerance

47
Q

What is a fictitious disorder

A

Attention seeking, gets emotional needs met, intentional, sick role, external incentives (avoidance of responsibilities), malingering (to not go to prison)

48
Q

What is illness anxiety disorder

A

Unrealistic interpretation of physical symptoms or sensations, leading to fear of having serious disease
Extremely conscious of bodily sensations
Doctor shopping
Anxiety and depression are common, and OCD traits accompany

49
Q

What is conversion disorder in somatic symptom disorders

A

A loss of or change in body function that cannot be explained by medical disorder
Affects voluntary motor or sensory functioning suggestive neurological disease
Precipitated by psychological stress

50
Q

What is factious disorder

A

Consciousness, intestinal feigning of physical psychological symptoms
Pretends to be ill to receive care

51
Q

A client experiencing lower extremity paralysis, is admitted to unit. Extensive tests confirm disability but tule out underlying pathology. The nurse concludes that this is most suggestive of which disorder

A

Conversion disorder

52
Q

T F conversation disorder may represent emotions associated with traumatic event that are too unacceptable to express and so are converted into physical symptoms

A

T

53
Q

What is learning theory

A

Somatic complains are often reinforced when the sick person learns that they:
May avoid stressful obligations (Primary gain)
May become the prominent focus of attention (secondary gain)
May relieve conflict within the family as concern is shifted to the ill person and away rom the real issue (tertiary gain)

54
Q

A client is experiencing pain that has no organic etiology. This pain allows the client to avoid going to work at that job he hates. What best describes this client

A

Primary gain

55
Q

When working with a client diagnosed with somatic symptom disorder, which is the most appropriate nursing action

A

Gradually minimize time focusing on physical symptoms
Attention should be on the client’s social and personal problems, which are the underling cause of somatic symptom disorder. Time focused on physical symptoms should be minimized to avoid reinforcement

56
Q

What are the attributes of evidence

A

Replicability—findings are verified when repeated in other studies
Reliability—findings are consistent
Validity—accuracy of application and findings

57
Q

Alcoholic myopathy, what may result from what vitamin deficiency that contributes to peripheral neuropathy?

A

Thought to result for same B vitamin deficiency that contributes to peripheral neuropathy

58
Q

What are three drugs to treat alcohol abstinence

A

Naltrexone (ReVia)
Acamprosate (Campral)
N-actylcysteine (over the counter)
Think: the RV we took camping, the counter fell off
Think the Trex camped in cystole

Pop Health 2 (5 decks)

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