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behavioral health > week 5 notes > Flashcards

week 5 notes Flashcards

1
Q

depersonalization/derealization disorder is when

A

a client experiences feeling detached from themselves or that the outside world is unreal

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2
Q

client has a new diagnosis of dissociative identity disorder. which meds should the nurse expect the doctor to prescribe

A

fluoxetine (ssri)
bensodiazepenes
beta blockers

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3
Q

somatization

A

physical manifestations that cannot be explained medically

*not under conscious control

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4
Q

illness anxiety disorder is treated with..

A

*hypochondriac

antidepressants (ssri’s-fluoxetine)

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5
Q

factitious disorder

A

gypsy rose
*** conscious control
falsifying symptoms to oneself or others even w/o reward

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6
Q

malingering

A

intentional reporting of symptoms for personal gain

drug seeking

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7
Q

dissociation

A

mental state of discnnecting from one’s thoughts memories or feelings

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8
Q

positive dissociative symptoms

A

identity
depersonalization, derealization, & division of identity

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9
Q

negative dissociative symptoms

A

mental issues
lack of control/access to mental functions, amnesia

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10
Q

functional neurologic disorder

A

neurological manifestations are present (blindness, paralysis, inability to swallow) w/o identifiable medical causes

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11
Q

grounding techniques

A

shower, exercising, holding an object & focusing, 5 x see, 4x feel, 3x hear, 2x smell, & 1x taste

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12
Q

withdraw from alcohol is usually treated with and includes

A

benzodiazepenes

agitation, high temp, increased respirations, irritability, & confusion

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13
Q

stage 2 withdraw of alcohol may include

A

anxiety
diaphoresis
increased BP & body temp
tachypnea
mood disturbances

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14
Q

stage 3 withdrawl of alcohol includes

A

hallucinations
disorientation
SEIZURES

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15
Q

sets of lab data that indicates chronic use of alcohol

A

liver panel
compressive metabolic panel
BAL/BAC
magnesium

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16
Q

hallucinogen withdrawal symptoms

A

headaches
increased appetite
sleepiness
depression

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17
Q

opiod withdrawal symptoms

A

*occurs 12 hrs after
n/v/d
generalized body pain
insomnia
low energy
irritability
hot & cold sweats
restlessness
muscle & bone pain

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18
Q

stimulant withdrawal symptoms

A

vivid dreams
slowness
restlessness
insomnia
depression
fatigue
increased appetite

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19
Q

screening tool to determine severity of alcohol withdrawal

A

CIWA-AR

score > 19 = severe

20
Q

cluster A personality disorders

A

ODD & ECCENTRIC behavior

  1. Paranoid
  2. Schizoid
  3. Schizotypical

focus on relationships

21
Q

cluster B personality disorders

A

*DRAMATIC, ERRATIC, & EMOTIONAL behavior

  1. Antisocial
  2. Borderline
  3. Histrionic
  4. Narcissistic

focus on boundaries

22
Q

Cluster C personality disorders

A

*ANXIOUS & FEARFUL behavior

  1. Avoidant
  2. Dependent
  3. Obsessive-Compulsive

focus on decreasing anxiety

23
Q

paranoid personality disorder

A

suspicious & distrustful of others
holds grudges
unwilling to forgive
social withdrawal

cluster a

24
Q

Schizoid Personality Disorder

A

AVOID

**solitud preferred
**animals > humans

socially withdrawn w/ little to no interest in close relationships

emotional coldness
enjoy math

depersonalization
does not occur with schizophrenia

*nurse should respect need for isolation – cluster a

25
Q

Schizotypical Personality Disorder

A

eccentric & peculiar thoughts, behaviors & speech

*blames others for social isolation
suspicious
supernatural powers
trouble w relationships

*nurse should respect need for isolation – cluster a

26
Q

Antisocial Personality Disorder

A
  • lack of remorse
  • dismiss rules & disregard others
  • reckless disregard for safety
  • do not fear rejection and believe they are correct

MEN – cluster b
**biggest concern is harm to others

27
Q

Borderline Personality Disorder

A

*PSYCHOTIC
*women

poor boundaries
excessive emotions
impulsive & fears abandonment
*self harm & suicide

begins w rejection or trauma in childhood

cluster b

28
Q

Histrionic Personality disorder

A

attention seeking – SEDUCTIVE, provocative, dramatic, & emotional

superficial & shallow
*THEATRICAL

nurse should model behavior– cluster b

29
Q

Avoidant Personality Disorder

A

fears criticism
inferior to other
anxious & embarrassed
feels inadequate

*cluster c

30
Q

nursing intervention if suspecting factitious disorder by proxy

A

do not leave client alone
be unpredictable
no cluster care – limit ability to cause harm

31
Q

expected outcomes for patients with somatic symptom disorders

A

*live a normal life
*articulate feelings
*resume performance
*can identify ineffective coping patterns

32
Q

Obsessive Compulsive Disorder presents as

A

cant bend/break rules
high achiever
financially stingy

33
Q

implementing the nursing process with Borderline & Antisocial personality disorders consists of

A

limiting abusive language
addressing negative behavior
do not bargain

34
Q

substance induced disorders include

A

intoxication
withdrawal
psychosis / delirium

35
Q

CAGE Assessment tool

A

screen for high tisk of substace abuse **alcohol
C = have you ever felt like you should CUT down on drinking/drug use

A= have people ANNOYED you by criticizing your use

G = ever felt GUILTY for your drug use

E= eye opener

yes to 2+ = need for further evaluation

36
Q

Wernicke-Korsakoff’s syndrome

A

vitamin D deficiency
delirium
cant learn new things

37
Q

Alcohol withdrawal delirium

A

medical emergency that can last 2-5 days

peaks 48 to 72 hours after cessation/reduction

*high risk for seizures
– rails
– aspiration equipment

38
Q

symptoms of opioid overdose

A

respiratory depression
decreased level of consciousness
pinpoint pupils

39
Q

CNS stimulants include

A

cocaine & meth

*homeless population
*kept warm

40
Q

symptoms of CNS stimulants

A

*cocaine & meth

dryness of nasal cavity
dilated pupils
heart issues
increased alertness, energy, & sexual arousal

41
Q

a nurse is caring for a client who has avoidant personality disorder. which of the following statements is expected from a client who has this disorder?

  1. “Im scared that you are going to leave me.”
  2. “I’ll go to group therapy if you let me smoke.”
  3. ” I need to feel that everyone admires me.”
  4. ” I sometimes feel better if I cut myself.”
A
  1. “Im scared that you are going to leave me.”
42
Q

a client has antisocial personality disorder. which of the following findings should the nurse expect?

  1. demonstrates extreme anxiety when placed in a social situation
  2. Often engages in magical thinking
  3. attempts to convince other clients to relinquish their belongings
  4. becomes agitated if personal area is not neat an orderly
  5. blames others for personal, past, & current problems
A
  1. attempts to convince other clients to relinquish their belongings
  2. blames others for personal, past, & current problems
43
Q

a nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. which of the following findings should the nurse expect? sap

  1. bradycardia
  2. fine tremors of both hands
  3. hypotension
  4. vomiting
  5. restlessness
A
  1. fine tremors of both hands
  2. vomiting
  3. restlessness
44
Q

a nurse is planning care for a client who is experiencing a benzodiazepine withdrawal. which of the following intervention should the nurse identify as priority?

  1. orient the client frequently to time. place. and person
  2. offer fluids and nourishing diet as tolerated
  3. Implement seizure precautions
  4. Encourage participation in group therapy sessions
A
  1. Implement seizure precautions
45
Q

a nurse is caring for a client who has alcohol use disorder. the client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol?

  1. Chlordiazepoxide
  2. Buproprion
  3. Disulfiram
  4. Carbamazepine
A
  1. Disulfiram
46
Q

a nurse is providing teaching to the family of a client who has substance use disorder. which of the following statements by a family member indicates an understanding of the teaching? sap

  1. “we need to understand that our sibling is responsible for their disorder.”
  2. “eliminating codependent behavior will promote recovery.”
  3. “our sibling should participate in the Al-anon group to assist with recovery.”
  4. “the primary goal of treatment is abstinence from substance use. “
  5. “our siblings need to discuss personal feelings about substance use to help with recovery.”
A
  1. “eliminating codependent behavior will promote recovery.”
  2. “the primary goal of treatment is abstinence from substance use.”
  3. “our siblings need to discuss personal feelings about substance use to help with recovery.”
47
Q
A

behavioral health (12 decks)

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