Test 6/11/2014
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Psychotic Disorders | Characterized by a gross distortion of reality
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| Hallucination | Distortion of 1 of the 5 senses. Auditory and Visual most common.
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| Delusion | Fixed false belief
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| Paranoid Schizophrenia Feeding | Give sealed container of food, unpeeled fruits, unpeeled hardboiled egg, and more time to eat in dining room or unit
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| Catatonia Schizophrenia | Don’t really hallucinate often (more of mood disorder). Frenzy movement or absence of movement. Provide high caloric supplements (protein drink, shakes), finger foods for frenzy type (soft food, risk for choking)
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| Water intoxication | Need 1:1 observation, Weigh patient twice daily (morning wake up and before sleep at night), Monitor liquid intake, Lab. 2-3 times a week
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| Affective Disorders | characterized by an exaggerated mood state.
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| Chronic Depression | indigenous, suffer from loss
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| Bipolar disease | mood swing from manic to depressed
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| Seasonal Affective Disorder (SAD) | type of depression that occurs at the same time every year
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| Intervention for Affective Disorders | High caloric food intake (beef steak, dairy products, peanut butter, multi-vitamin)
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| Neurological Disorders | Brain damage caused by trauma or disease. Can affect nutrition due to: stroke, birth defects, drugs and alcohol, or dementia. Can change the smell and taste of food
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| Intervention for Constipation | take high fiber foods, Increase fluid intake, Give prune juice, Increase peristalsis (do exercise), Monitor bowel movement, Drug to drug interaction – medication to be taken with food
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| Electroconvulsive Therapy (ECT) | A procedure in which a brief application of electric stimulus is used to produce a generalized seizure. It is not known how or why ECT works. ECT treatment is generally administered in the morning, before breakfast
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| ECT has been used continuously for more than | 50 years, longer than any other physical treatment available for mental illness.
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| Role of Serotonin | Effects mood, appetite, libido, arousal, and sleep
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| The exact mechanism by which ECT affects a therapeutic response is | Unknown
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| The typical client for ECT is | White people, Females, Middle age (40 to 60), Middle class to Upper class
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| ECT preparation | Informed consent, lab reports, Take vital signs one hour before procedure, and remove glasses dentures and jewelry. Administer atropine (anti-cholinergic) 30 minutes before NPO
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| Absolute Contraindication for ECT | Intracranial Pressure, will cause hemorrhage in the brain
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| Most common side effects of ECT | Confusion and Short Term Memory Loss
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| Main clinical indication for ECT | Chronic/Severe Depression
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| The mortality rate from ECT therapy | 2 per 100,000 treatments
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| ECT post treatment period | Monitor pulse, respiration, and blood pressure every 15 minutes for the first hour, client should be in bed. Position on side to prevent aspiration. Orient to time and place.
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| Which of the following describes the average number of ECT treatments given and the timing of administration? | One treatment every other day for a total of 6 to 12.
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| Which of the following conditioned is considered to be the only absolute contraindication for ECT? | Increase intracranial pressure
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| Electroconvulsive therapy is thought to effect a therapeutic response by | Increasing the levels of serotonin norepinephrine and dopamine
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| The most common side effects of ECT are | Temporary memory loss and confusion.
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| Therapeutic Use of self | Ability to use one's personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions
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| Beliefs | Ideas that one holds to be true
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| Attitudes | Frames of reference around which an individual organizes knowledge about his world
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| Values | Abstract standards, positive or negative, that represent an individual's ideal mode of conduct and ideal goals.
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| Rapport | Special feelings based on warmth and acceptance
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| Trust | Confidentiality
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| Respect | Unconditional positive regard
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| Genuineness | Truth and honesty, real
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| Empathy | Ability to see something from the client's perspective
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| Sympathy | Share emotion
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| Pre-interaction phase | Obtain information about the client from chart, significant others, or other health team members
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| Orientation (introductory) phase | Create an environment for trust and rapport, formulate nursing diagnosis, and set mutually agreeable goals
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| Working phase | Maintain trust and rapport, promote client's insight, perception of reality, and use problem solving model to work toward achievement of established goals
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| Transference | When client transfers feelings developed earlier toward someone onto the nurse
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| Countertransference | When the nurse transfers feelings formed earlier onto the client
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| Termination phase | Progress made toward goals, plan adaptive coping with stressful situations, feelings terminating relationship are recognized and explored
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| Meth affects | appetite suppressant, lose weight, lose teeth by stripping enamel off
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| Social relationship | for actual friends
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| Values | are action producing
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| Attitudes and beliefs become values when | done with action
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| Johari Window: Private Self | Known to self; Unknown to others
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| Johari Window: Public Self | Known to self; Known to others
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| Johari Window: Unknowing Self | Unknown to self; Known to others
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| Johari Window: Unknown Self | Unknown to self; Unknown to others
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