These are FACTS front and back - not question and answer
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| Ritualistic behavior is any repetitive act performed by a patient who has OCD | Five type of hallucinations occur : visual, auditory, tactile, gustatory, olfactory
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| As many as 90% of substance abusers have relapses | A lithium level of greater than 2 mEq/L is toxic
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| A patient who is taking an MAOI should avoid tyramine-rich foods suchas aged cheese, chocolate and monosodium glutamate (MSG) | Patients who have OCD can't control their behavior and receive no pleasure from it
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| A pt who has nihilistic delusion denies the reality or existence of the self, part of the self or some external object | The most common adverse effect of ECT is post shock amnesia
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| When working with a schizophrenic patien the nurse msut gain the patients trust | During the fight or flight response the release of glucagon and epinephrine is responsible for the conversion of glycogen to glucose
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| A patient who is recieving lithium should maintain adequate intake of salt and fluids | In a patient who is taking antipsychotic medications, constant motor activity is a classic sign of akathisia
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| To prevent self induced vomiting the nurse should monitor the patient with anorexia nervosa for 45 to 90 minutes after meals | Disulfiram serves as aversion therapy for patients who intend to abstain from alcohol (antabuse)
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| The nurse should administer lithium with meals to minimize GI upset | Fixation is arrested development of the personality at a particular stage because of anxiety
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| the nurse should warn the patient who is receiving antipsychotic drug therapy to avoid activities that require alertness or good psychomotor control and to apply sunscreen before engaging in otudoor daylight activities | Alcohol detox is most effective when it takes place in a structured environment with supportive nonjudgment staff
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| When caring for a patient who is experiencing alcohol withdrawal, the nurse should maintain a calm environment and minmize intrusions | An alcoholic patient requires folic acid, oral thiamine, MVI and adequate food and fluid intake
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| A blood sample used for serum lithium measurement should be drawn immediately before the patient is to recieve the next lithium dose or 8 - 12 hours after the last dose | Desensitization therapy is a process of slowly exposing the patient to a feared stimuli and is used to treat phobic disorders
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| In rare cases ECT causes arrhythimias and even death | confusion and memory loss are among the most common mental status changes that occur after ECT
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| During the manic phase of bipolar affective disorder, the nurse should protect the pt from self injury or exhaustion | When caring for a pt who is receiving ECT maintaining a patent airway is the nurses highest priority
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| The MD may prescribe Benadryl to relieve EPS | psychotropic meds are used to relieve symptoms and allow the pt to participate in therapy
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| through behavior the manipulative patient is asking to be controlled | A pt who has s/sx of lithium toxicity should be instructed not to take any additional doses and should be examined by an MD
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| AA teaches members that untreated chemical dependency is progressive | Setting consistent limits is the most effective way to control a pts manipulative behavior
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| violent outbursts are common in pts who have a borderline personality disorder | when caring for a depressed pt the nurse should explore meaningful losses
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| an illusion is a false interpretation of sensory stimulus | EPSE are common in patients who take antipsychotic medications
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| anxiety is a vague sense of impending doom or apprehension without a cause | Confabulation is a speech pattern and is unconsious filling in of memory gaps with fabricated information
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| the goal of any therapy is to bring about a positive change | Catharsis is the therapuetic relase of pent-up feelings and emotions by open discussino of ideas and thoughts
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| a basic assumption of psychoanalytic theory is that all behavior has a cuase and can be explained | In group therapy each member of the group has an opportunity to examine interactions, learn and practice successful interpersonal communication skills and explore emotional conflicts
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| A pt who has paranoid personality disorder shows pervasive long standing suspicions that relfect a lack of basic trust | A person who has antisocial personality disorder perceives others and the world in general as hostile and harmful
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| the most common psychiatric disorder is depression | adverse effects of tricyclic antidepressant drugs include tachycardia and orthostatic hypotension
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| family therapy focuses on the family as a whole rather than on an individual member | a person may use defense mechanisms to protect the ego during periods of anxiety
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| Projectcion is an unconscious defense mechanism in which the person transfers an emotion from its original object to a substitute | displacement is a defense mechanism in which the person transfers an emotion from its orginal object to a substitute
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| the child with ADHD commonly has difficulty learning | a person who has agorophobia is afraid of being alone in a public area where excape would be difficult or help would be unavailable
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| Dementia is a progressive organic mental disorder characterized by memory and intellectual deficits, disorientation and decreased cognitive function | a pt who has schizophrenia commonly has an absent flat blunted or inappropriate affect
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| crisis intervention focuses only on the patient's immedicate problems | A pt who is admitted to a psychiatric hospital involuntarily doesn' t have the right to sign out AMA
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| "People who live in glass houses shouldn't throw stones" and "a rolling stone gathers no moss" are examples of proverbs that may be used during a psychiatric interview to evalute the pts abstract reasoning ability | a labile affect is characterized by a rapid shift of emotions and mood
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| amnesia is memorly loss that results from an organic or inorganic cause | borderline personality disorder is marked by pervasive instability of self image, mood and interpersonal relationships
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| reframing provides the patient with alternative ways to view a situation | in the early stage of Alzheimer's disase short term memory loss occurs
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| profound changes in personal relationships occur dufig the middle and advanced of Alheimers disease | during the final stage of Alzheimers disease total memory loss occurs
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| headache and restlessness are early indicators of delirium tremens | according to most experts the acute stage of alcohol detoxification encompasses the first 72 horus after consumption ends
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| flight of ideas is an latered thought process that is marked by skipping from one topic to an unrelated topic | a pt who has conversion disorder may display la belle indifference - a lack of concern about an overwhelming disorder such as blindness or paralysis
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| the ego is the rational element of the personality that maintains conscious contact with reality | the superego is the partly conscious portion of the psyche that represents internalization of parental conscience and societal rules. It evaluates thoughts and actions rewarding the good and punishing the bad
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| the id is the unconscious part of the psyche that serves as the resource of instinctual energy, impulses and drives | a compulsion is an irresistible urge to perform an irrational act such as walking in a clockwise circle before leaving a room
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| the therapeutic serum level for lithium is 0.6 to 1.2 mEq/L | bestiality is sexual relations between a human being and an animal
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| a stable environment helps minimize confusion in the patient with organic brain syndrome | typically the patient with organic brain syndrome loses recent memory first
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| When two psychiatric pts are engaged in escalating hostilities the nruse should diffuse the situation by sending both pts to their rooms and providing one on one therapy | an alcoholic pt typically receives thiamine to slow the progression of peripheral neuropathy
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| a pt who is experienceing alcohol withdrawal may receive sedatives to prevent delirium tremens | alcohol lowers the seizure threshold in some people
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| dysfunctional grief is grief that s abnormal or distorted and may be inhibited or unresolved | Desensitization therapy gradually exposes the pt to anxiety provoking or emotionally distressing stimuli
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| infantile anxiety is manifested by frequent crying | according to the self help group AA the first step toward recovering is admitting that youre an alcoholic and the first step in the treatment of alcoholism is detoxification
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| inflammation of the eyes is common in the person who recently smoked marijuana | when treating a person who is accused of a "crime against nature" sexual abuse, or child abuse, the nruse should maintain a non judgemental attitude
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| often the best nursing intervention for the anxious patient is to simply sllow the patient to express his anxiety | in communicating with the anxious pt the nurse should use short simple sentences
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| avoidance is the common defense mechanism used by patients who have a phobia | art therapy is a therapeutic technique that may help a person share a thought that is too painful to discuss
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| any person who survives a catastrophic event or a very unusual expeience is at risk for PTSD | delirium tremens usually causes progresion deterioration of mental processes and oreitnation to person place and time
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| Abstract reasoning is compromised in schizophrenics who often think in concrete terms | thought broadcasting is a type of delusion in which the person believes that his thoughts are being broadcast for the world to hear
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| cottage cheese, cream cheese and yogur are permitted in the diet of a patient who is taking an MAOI for depression | In a psychiatric setting a pt who has both a substance abuse problem and a major psychiatric disorder has a dual diagnosis
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| On readmission to a mental health unit the pts compliance with med orders should be assessed | conduct disorder is manifested by extreme behavior such as hurting people and animals
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| during the tension building phase of an abusive relationship the abused person feels helpless | in the emergency management of a pt with alcohol intoxication his blood alcohol level is measured to determine how much medication he needs
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| adverse effects of the med Prozac include diarrhea, decreased libido, weight loss and dry mouth | before ECT is performed the muscle relaxant succinlycholine is given by IV injection
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| When a psychotic pt is admitted to an inpatient facility the primary concern is providing safety followed by establishing trust | an effective way to decrease the risk of suicide is to make a suicide contract with the pt for a specifiec period
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| a depressed pt should be offered sufficient portions of favorite foods but shouldnt be overwhelmed by being given too much food | A pt on lithium should report diarrhea, vomiting, drowsiness, muscular weakness or lack of coordination to the MD immediately
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| OCD is an anxiety based disordre | Al Anon is a self help group for families of alcoholics
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| After ECt the pt is placed in the lateral position with head turned to his side | a delusion is a fixed false belief
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| giving away personal possessions is a sign of suicidal ideation other signs include writing a suicide note and talking about suicide | a pt who has a paranoid personality disorder projects hostilities onto others
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| to assess a pts judgment the nurse should ask the pt what he would do if he found a stamped addressed envelope | after ECT the pt should be monitored for post shock amnesia
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| a mother continues to perform CPR after a MD pronounces the child dead is exhibiting denial | transvestism is a desire to wear clothes commonly worn by members of the opposite sex
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| TD produces excessive blinking, unusual movements of the tongue, and involuntary sucking and chewing. it is caused by LT use of antipsychotics | Artane and Cogentin are administered to counteract EPS
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| to prevent hypertensive crisis a pt who is taking an MAOI should avoid eating aged cheese, caffeine, beer, yeast, chocolate, liver, processed foods and MSG | EPS include parkinsonianism, dystonia, akathisia and TD
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| One theory that supports the use of ECT suggests that it resets the brain circuits to allow normal function | the pt who has OCD usually recognizes the senselessness of his behavior but is powerless to stop it
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| In helping a pt who has been abused, physical safety is a priority | Cylert is used to treat ADHD
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| repression is the inability to recall painful or unpleasant thoughts or feelings | projection is shifting of unwanted characteristics or shortcomings to others
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| hypnosis is used to treat psychogenic amnesia | improved concentration is a sign that lithium is taking effect
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| behavior modification including time outs, and reward system is a treatment for ADHD | (blank)
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