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NSG 212 Psyche
Final exam Fentress ECTC
| Question | Answer |
|---|---|
| Test whose purpose is the study of human behavior based on accurate measurements. Goal is to plan a happier, successful future. | AIMS test aptitude inventory measurement service test |
| Disorder in which patient experiences swings between manic and major depression | Bipolar I |
| Disorder in which patient has experienced major depression but has experienced a hypomanic episode rather than a full manic | Bipolar II |
| Unconscious interruption in train of thought | Blocking |
| Freudian method of freeing the mind by recall of patients memory, the events that were the original cause of the psychoneurosis | Catharsis |
| Phase of schizophrenia in which patient is unresponsive, tendency to remain in a fixed position- unable to talk or move; stupor | catatonic |
| Digression of inappropriate thoughts into ideas, eventually reaching desired goal | circumstantiality |
| D/O characterized by more serious violations of social standards: aggression, vandalism, cruel to animals, stealing, lying, truancy | conduct d/o |
| Organic mental d/o related to alcohol abuse | Korswkoff's syndrome |
| Unstable | Labile |
| Enduring pattern of disobedience, argumentativeness, explosive angry outbursts, low frustration tolerance, tendency to blame others for quarrels or accidents | ODD |
| This person plead insane after 4 years, stated he wasn't receiving treatment. This patient right came from what court case? | Rouse V Cameron |
| "Not guilty for reason of insanity" | The McNaughten Rule 1843 |
| Sued Alabama mental institution for inadequate treatment. Patients were used for labor prior to this ruling. | Wyatt V. Stickney |
| This law came into effect after the court case related to alerting those in danger if the patient threatens murder. | Tarasoff V The Regents of the University of California |
| The patient recently admitted to OLAP was led into their room and locked in prior to signing themselves into the facility. What patient right has been violated? | Illegal confinement The patient has to sign themselves in PRIOR to being locked into a room or wing |
| Unconscious refusal to admit and unacceptable behavior: Mr. Davis, alcoholic, believes he can control his drinking if he wants to. | Denial |
| Unconscious/involuntary forgetting of painful ideas/events | Repression |
| Consciously excluding anxiety-producing feelings, ideas, situations "I'm not ready to talk about my divorce" | Suppression |
| Conscious/unconscious attempts to prove that feelings or behaviors are justifiable | Rationalization |
| Conscious/uncons. using only logical explanations without feeling or an affective component | Intellectualization |
| Unconscious separation of painful feelings from an unacceptable situation | Dissociation |
| Conscious/Uncon. attempt to model self after a respected person | Identification |
| Unconsciously incorporating values of others as if they were your own | Introjection |
| Consciously covering up a weakness by overemphasizing a desirable trait | Compensation |
| Conscious/uncon channeling instinctual drives into acceptable activities | Sublimation |
| Conscious behavior that is the exact opposite of unconscious feeling | Reaction formation |
| Consciously doing something to counteract or make up for a wrongdoing | Undoing |
| Unconsciously discharging pent up anger to a less threatening object "Husband yells at wife because he had a bad day at work" | Displacement |
| Blaming someone else for your own mistakes | Projection |
| Unconscious expression of intrapsychic conflict thru physical emotions. "A student awakens with a headache the morning of the exam and feels too ill to take the test. She doesn't realize that 2 hours of cramming left her unprepared." | Conversion |
| Unconscious return to an earlier stage of life | Regression |
| Akathisia Akinesia Dystonia Drug-Induced Parkinsonism Pisa syndrome Tardive dyskinesia NMS Are all symptoms of what? | Extrapyramidal side effects |
| What drug counteracts an OD on Benzodiazapines? | Romasicon IV |
| Patient uses body to gain control of a situation A woman who thinks her husband no longer loves her becomes ill in order to retain his presence, instead of talking to him about the problem. | Somatization |
| Axis 1- Axis 2- Personality Axis 3- Physical Axis 4- Axis 5- | 1- Mental 4- Stressors 5- Level of function |
| What personality D/O? Difficulty trusting Does NOT lose touch with reality Questions loyalty Mainly men have this Possibly genetic related Successful in careers requiring secrecy | Paranoid TX with Thorazine, Mellaril |
| NOT Schizophrenic Impaired relationships In touch with reality Unable to relate warmly to others Reclusive Active fantasy life Most likely learned behavior | Schizoid TX with slow involvement into mileu |
| Sicker than schizoid Severe disturbance Doesn't decompensate to schizophrenia Strange behavior/bizarre speech Episodes come/go quickly Most commonly have relatives who have schizophrenia | Schizotypal TX with Thorazine, Mellaril, Haldol, Navane |
| Illegal behavior Unable to trust Ok to use others Immediate pleasure, want it now School/work not worth effort MOST studied of the personality D/Os | Antisocial TX with setting firm limits psychotherapy NOT effective Does well in groups where other patients will confront |
| affected group primarily women "Feels empty" Quick mood shift Self mutilation Can't tolerate stress Want instant gratification | Borderline TX with Lithium anticonvulsants DILANTIN NOT EFFECTIVE |
| Depressed over 2 years | Dysthymia |
| Mood swings from manic depression to manic NOT bipolar | Cyclothymia |
| What foods would be beneficial to give to a bipolar patient? | Finger foods |
| What drug is given to tx mania? | Lithium |
| What nursing implications do we need to know about LIthium? Therapeutic level? Toxic level? How often are levels checked? Dietary changes? | Therap- 0.6-1.2 Toxic- 1.5 or higher Monitor levels at least monthly Instruct not to decrease dietary salt Avoid excess exercise in warm weather |
| Drugs in the Anticonvulsant category? | Tegetrol Valproic Acid Topamax Zyprexa (only as mood stabilizer) |
| What drug should NOT be given with MAOI's? | Demerol |
| Why are depot injections beneficial? | Time released form of medication |
| Potentially fatal idiosyncratic reaction to a antipsychotic drug presents as High fever Unstable BP Diaphoresis/pallor Delirium Elevated enzymes (creatinine phosphokinase) Confusion | NMS |
| Permanent involuntary movements Tongue protrusion/ inappropriate movement Lip smacking/blinking/grimacing | Tardive dyskinisia |
| Drugs that are used to treat EPS | Symmetrel Congentin Valium Benadryl Ativan Inderal Artane |
| Antipsychotic drugs | Thorazine Mellaril Prolixin Stelazine Navane Haldol Loxitane Clozaril Zyprexa Seroquel Risperdal |
| These foods should be avoided when taking what group of antidepressants? Aged cheese Salami Sauerkraut Beer containing yeast Yeast extracts Wine containing yeast Avocados (over ripe) Caviar | MAOIs |
| What kind of drug interactions would be seen if taking MAOI's and SSRI's? | Agitation, sweating, fever Tachycardia, hypotension, rigidity Coma or death |
| SSRI's should be taken when? Cyclics? | SSRI's First thing in AM unless they cause sedation Tricyclics- at night |
| Side effects of Lithium? | Mild nausea/diarrhea/anorexia/fine hand tremor/polydipsia/polyuria Metallic taste in mouth Fatigue Wt. gain Acne |
| If patient has Lithium Toxicity what would the nurse expect to do to correct the situation? | Early s/s Decrease/stop dose for 24-48 hours LATE s/s gastric lavage, restore F&E balance Increase excretion by giving aminophylline, mannitol |
| What drugs fall into the Hypnotic/sedative category? | Dalmane Versed Restoril Halcion Ambien Buspar |
| Beta blockers would be used for? Antihistamines? | Beta: sedation, fatigue, occasional depression Antihistamines: sedative effect |
| Four primary symptoms of Schizophrenia according to Bleurer | Affective disturbance Autism- like signs Associative looseness Ambivalence |
| One theory to the cause of schizophrenia is a vitamin deficiency- what vitamins? | Vit B: B1, B6, B12 Vit C |
| Which drug has the potential side effect of: Agranulocytosis- rapid onset of sore throat/fever | Closoril (unsure of spelling) Dose would be held, call MD |
| Human equivalent of Mad Cow Rare disorder Long incubation period Slow acting virus Death within a year Causes holes in brain | Creutzfeld-Jakob Disease |
| Stages of Alcohol withdrawal 1st- what would be seen? 2nd- " " 3Rd- " " | 1st- tremors, headache, elevated BP, Nausea, anorexia, nervousness Can last 36hrs- several days 2nd: All from first stage and, visual/auditory hallucinations 3rd: MOST SEVERE, DT's, 1-7 days after last drink |
| What is the legal limit in Ky? | 0.08 |
| What BAC% would be expected in a person who is showing exaggerated behavior. Reduced inhibitions,impaired reacting time? | 0.05-0.10 4-6 hours to metabolize |
| Slight change in feelings, relaxed and euphoric. Decreased alertness Bac%? | 0.00-0.05 2-3 hours to metabolize |
| Unsteadiness in walking and standing. Loss of peripheral vision. Legally drunk in all states at what level? | 0.10-0.15; 6-10 hours to metabolize 0.15 is DRUNK in US |
| Staggering gait, slurred speech. Feeling no pain | 0.15-0.30 10-24 hour metabolization time |
| 0.30+ S/S? | Stupor/unconscious. Death possible at 0.35. More than 24 hour metabolization time |
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