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335 Exam 3
335 Blueprint 3
| Term | Definition |
|---|---|
| antisocial | pattern of socially irresponsible , exploitative and guiltless behaviors reflecting a disregard for others |
| borderline | patterns of intense and chaotic relationships out of fear of abandonment; self destructive behaviors - splitting, self injuries and suicide attempts |
| histrionic | want to be the center of attention, colorful and extroverted behavior; seductive and flirtatious; self dramatizing (my problems are worse than yours) |
| delirium | develops rapidly, abrupt |
| main causes of delirium | being hospitalized, medications, UTI's, infection, electrolyte imbalances |
| dementia | slow progression |
| anxiety medication preferred | SSRI/ SNRI; because they do not have addictive properties; long term treatment |
| benzodiazepines for anxiety | can be used for short term; think panic attacks; form physical dependence - diazepam; work on GABA |
| crisis | levels of anxiety rise to the point where the individual cannot function; symptoms are time limited and resolve within 6 weeks |
| dissociative disorder history | trauma |
| therapeutic goal for dissociative identity disorder | safety and integration of all personalities into one |
| therapeutic relationship with cluster B | be assertive and professional, remain neutral, provide clear boundaries, be aware of manipulative behaviors |
| fluoxetine | acts by decrease the craving for carbs; indicated for binge eating associated with bulimia |
| behavior modification for anorexia | allow client to maintain control over eating behaviors |
| binge eating behaviors | feeling guilty after overeating, feeling disgust with oneself |
| somatoform disorder | express psychological stress through somatic symptoms |
| dissociative disorder | stress related disruptions in memory, consciousness or identity |
| anorexia treatment | fluoxetine; prozac, has weight gain tendency |
| bulimia treatment | TCA's, SSRI's; limit vomiting |
| bulimia signs | hoarding, stealing food, eating in secret, avoiding social situations with food |
| binge eating risk | substantial weight gain; obsession with recording weights |
| binge eating symptoms | eating until uncomfortably full, eating to ease stress, self disgust, depression |
| binge eating treatment | CNS stimulants, lisdexamfetamine |
| adjustment disorder | maladaptive reaction to a stressor leads to behavioral symptoms; symptoms occur because of an inability to use coping skills |
| somatic symptom disorder | syndrome of multiple vague symptoms that cannot be explained medically; long term seek for health care professionals |
| illness anxiety disorder | unrealistic or inaccurate interpretation of physical symptoms becomes disabling; preoccupied with everything in their bodies |
| conversion disorder | loss or change in body function that cannot be explained by a medical disorder |
| generalized anxiety disorder | excess worry about everyday problems lasts for at least 6 months |
| gad symptoms | restless or being keyed up and on edge, easily fatigued, difficulty concentrating, irritability and muscle tension |
| anxiolytic | buspirone |
| ptsd symptoms | feelings of helplessness, dissociative events, diminished participation |
| therapeutic goal of crisis | psychological resolution and restoration to baseline and reduce feelings of stress |
| antidepressants for ptsd | sertraline and paroxetine |
| second generation antipsychotic for ptsd | que - reduced re experiencing |
| alpha adrenergic receptor blocker for ptsd | zosin - promotes sleep, reduces nightmares |
| differentiating delirium and dementia | use CAM |
| cholinesterase inhibitors for dementia | aricept, donezepil is most effective in early stages and slows progression |
| NMDA receptor antagonist for dementia | memantine, namenda regulates glutamate and improves memory function |
| antipsychotic for dementia | haldol; elderly vulnerable to side effects |
| topiramate | for binge eating episodes and causes weight loss by altering brain chemistry |
| interventions to prevent anxiety and fear for a future stressful situation | include role playing in plan of care |
| anticipatory performance anxiety | dry mouth, sweaty palms, trembling hands |
| interventions for anorexia client with imbalanced nutrition | keep strict record of intake and output, enforce restriction if weight loss is noticed |
| restricting type anorexia | engaging in physical activity |
| hypovolemia from anorexia | excess use of laxatives |
| outcomes for someone experiencing a crisis | reduced levels of anxiety, gained psychological resolution of immediate crisis, level of function restores to pre crisis state |
| action performed in first phase of crisis intervention | level of pre crisis functioning should be determined |
| effective intervention of gad | recognizes escalating anxiety, manages anxiety, able to make independent decisions |
Created by:
ahommel
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