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Mental Test 3

important abnormals

QuestionAnswer
a cognitive disorder that is characterized by sudden onset and is usually reversible Delirium
Restless "picking" is associated with which cognitive disorder? delirium
what are the two most important lab values to check for a person experiencing delirium? WBC to check for infection and electroyltes
What cognitive disorder is characterized by being gradual, progressive, and permanent? Dementia
progressive dementia related to thiamine or b1 deficiency, usually caused by long-term alcohol abuse? Korsakoff's syndrome
Which stage of Alzheimer's disease is characterized by confabulation, aphasia, agnosia, frequently repeating oneself, and regularly misplacing items? Mild alzheimer's
Which stage of alzheimer's is characterized by a decrease ability to perform ADL's, accidents due to visual perception difficulties, and sundowing? Moderate alzheimer's
Which stage of alzheimer's is associated with complete incontinence and almost complete memory loss? severe alzheimer's
What is the drug of choice for treating mild to moderate alzheimer's? Aricept
Intensve cravings are associated with withdrawal from which drugs? Opiods
Rule of 100 is how you diagnose what? alcohol withdrawal
marijuana and alcohol are considered what? gateway drugs
Ativan, a benzodiazepine, is used in which drug withdrawals? alcohol and opiods
Catapress is used for opiod withdrawal to treat which symtpom? cravings
Hallucingoens cause what when withdrawing? flashbacks lasting for months or years
Sedative, hypnotic, anxiolytic valium, ativan, Xanax
stimlants amphetamines and cocaine
which drug causes decrease in intraoccular pressure and stays in the system for 5 weeks? marijuana or cannabis
which drug withdrawal is characterized by rhinorrhea? opiod
intoxication of opiods cause what? constricted pupils
which drug is used to help people maintain sobriety? Antabuse
what is a key factor of taking antabuse? no alcohol including mouthwash and cough syrups for 48 hours prior to taking med.
What electrolyte is depleted with vomitting? potassium
If patients who purge use Ipecac to do so, what would it cause and what would you assess? could cause CHF and you would assess for wet breath sounds
what is the primary goal of the nurse when assessing someone with anxiety? determining the level of anxiety
how long does a panic state or panic attack last? peaks within 10 minutes and last for 30 minutes.
how long is alcohol withdrawal? peaks in 2 days and last for 5 days
what is the most effective tool for determining if an intervention for a patient with anxiety was successful? observe the patient's behavior change and ask them to rate their anxiety on a scale of 1-10
characterized by excessive worry more of the day than not for more days than not for at least 6 months generalized anxiety disorder
what is the best method for treating phobias? desensitization
people with recurrent panic attacks that causes them to change their behavior in response to the attack for at least one month? panic disorder
What characterizes OCD? recurrent obsessions/compulsions that take more than one hour per day or causes significant impairment or distress
when is the best time for interactions and teaching for a person with OCD? right after a ritual
which drug is a long term treatment for anxiety? SSRIs/Prozac
which drug is used for it's immediate effect for treatment of anxiety disorders? Benzodiazpines/Xanax
Which drug is not first line treatment for a patient with anxiety that is also experiencing suicidal ideations? Tricyclic agents/Elavil
which drug is used for palpitations and shortness of breath associated with anxiety? Inderal
Odd or eccentric personalities Cluster A
dramantic or emotional personalities cluster B
fearful and anxious personalities cluster C
indifferent to social relationships, few pleasures, rich and extensive familiy life schizoid personality disorder
social anxiety, extreme discomfort and intolerance for close relationships, ideas of reference or delusions of reference schizotypal
confidence schemes, no remorse, abusive, behavior problems, and manipulative antisocial personality disorder
suspicious, defense mechanisms of projection, few friends paranoid
what is the most important intervention for someone with antisocial personality disorder? setting limits on manipulative behavior
splitting and chronic dysphoria is associated with which disorder? borderline personality disorder
what is the key intervention for a patient with borderline personality disorder? safety due to suicide precautions
what is the best therapy for borderline pd? decatastrophizing
exaggerates relationships and is overreactive and loud, seductive, flirty, and immature, speech and conversation is superficial historonic personality disorder
entitlement, exaggeration of accomplishments, self-centered, inability to empathize, and take advantage of others narcissistic personality disorder
longs for relationships, preoccupied with own shortcomings, and usually have social phobia avoidant personality disorder
excessive need to be taken care of, clinging behavior and fear of seperation, any relationship is better than none dependent personality disorder
preoccupation with efficiency and productivity, hoard worthless objects, can'tn handle negative feedback obsessive compulsive personality disorder
most difficulties with personality disorders occur at what age? usually persist througout young and middle adulthood, but tend to diminish in 40s and 50s
what are the two most common personality disorders? antisocial and borderline
hypervigilence is associated with which somatoform disorder? hypochondriasis
severe preoccupation wtih an imagined deficit in apperance is associated with which somatoform disorder? body dysmorphic disorder
la belle indifference is associated with what disorder? conversion disorder
have many complaints in many body systems over a long period of time somatization disorder
intentional production of false or exaggerated symptoms malingering
may hurt self or others to be seen as a hero or gain attention muchaussen's syndrome
blocking of psychological conflicts from conscious awareness primary gains
receiving attention from others and being released from responsibility secondary gains
people with these disorders will not talk about their feelings, but focus on their symptoms somatoform disorders
how do you handle a patient with somatoform disorder who will only talk about symptoms? withdraw your attention and explain why
what is the most important thing about somatoform disorders? don't dismiss future complaints
disorder in which there are two or more distinct personalities Dissociative identity disorder (DID) or multiple personality disorder
forgetting too much personal information to be forgetfulness dissociative or psychogenic amnesia
leaving home/work for a period of time and forgeting your identity? dissociative and psychogenic fugue
loss of reality and the ability to feel and express emotion depersonalization
what is the difference between downs and Fetal alcohol syndrome? smooth philtrum
detox protocol is determined by who? american society of addictive medicine and center for substance abuse treatment
methaphetamines cause what? psychosis
chest pain is common of what drug intoxication? stimulants (cocaine or amphetamine)
persistent dementia is associated with what drug abuse? inhalants
what are signs and symptoms of relapse? loneliness, thoughts about using
most significant sign of an impaired nurse? very elaborate excuses for missing work
what trait of an elder person makes them most inclined to be abused? social isolation
force-feeding, physical punishment such as making them stay in bed, physical restraints are associated with..? physical abuse
most common sign of physical abuse? caregiver's refusal to allow a visitor to be alone with an elder
elder person who is emotionally upset or agitated, withdrawn, non-communicative or unresponsive, unusual behavior usually attributed to dementia (Sucking, biting, rocking) emotional or psychological abuse
desertion of an elderly person by an individual who has assumed responsibility for providing care abandonment
sudden changes in bank account, inclusional of additional names on elder's account, unpaid bills despite adequate funds, provision of services not necessary signs of financial elderly abuse
most common sign of abuse in an elderly person? many wounds in different stages of healing
dehydration, infection, electrolyte imbalance, head trauma, substance intoxication/withdrawal causes of delirium
Which personality disorders are associated with Cluster A? Paranoid, Schizoid, Schizotypal
Which personality disorders are associated wtih Cluster B? Historonic, Narcissistic, Antisocial, Borderline
Which personality disorders are associated with Cluster C? Avoidant, Dependent, Obsessive-Compulisve Personality Disorder
What are the most important nursing interventions for people with eating disorders? carefully monitor food and fluid intake and encourage family therapy (usually long-term)
psychiatric disorder involving a voluntary refusal to eat and maintain minimal weight for height and age anorexia nervosa
hair loss/dry skin, irregular heart beat, decreased pulse and BP, amenorrhea for at least 3 months Anorexia nervosa
an eating disorder characterized by eating excessive amounts of food followed by self-induced vomiting bulimia nervosa
What are common assessments for someone with bulimia? not usually underweight, may have diarrhea, constipation, or abdominal bloating, dental damage due to excessive vomiting, sore throat and or esophageal inflammation, financial strain related to food budget
Created by: SouthernBelle