Final Exam
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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| show | -Genuineness:aware of one's feelings w/in the relationship; ability to meet person to person
-Empathy: seeing from other person's perspective; communicating this understanding
-Positive Regard: respect, assume patient's goodwill
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| Empathy | show 🗑
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| Sympathy | show 🗑
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| Barriers | show 🗑
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| show | -Speak briefly
-When you don't know what to say, say nothing
-When in doubt, focus on feelings
-Avoid advice
-Avoid relying on questions
-Pay attention to nonverbal cues
-Keep the focus on the client
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| show | -Unconscious process of transferring past childhood emotions onto individuals in the present
-Accelerated toward a person in authority
-Desire for affection or respect, gratification of dependency needs
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| show | -Nurse displaces onto the patient's feelings in nurse's past
-Over identification with the patient
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| Countertransference Reactions | show 🗑
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| show | -Axis I - mental disorder
-Axis II - personality and mental retardation
-Axis III - general medical disorder
-Axis IV - psychosocial and environmental problems
-Axis V - Global Assessment of Functioning
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| Diathesis-Stress Model | show 🗑
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| Behavioral Therapy | show 🗑
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| Maslow's Hierarchy of Needs | show 🗑
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| Cognitive Theories | show 🗑
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| show | -Admissions reserved for: suicidal, homicidal and extremely disabled in need of short term acute care
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| Inpatient Admission | show 🗑
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| show | -Intensive, short term tx w/pt
-able to return home each day
-Pts receive 5-6h of tx daily
-Typically 5d a wk
-Average length of stay 2-3wks
-Multidisciplinary team
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| show | 4 Requirements
-Homebound status of pt
-Presence of psychiatric dx
-Need for skills of RN
-Plan of care under physician
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| Assertive Community Treatment | show 🗑
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| show | -Emergency adult and children's services for those who have no access to private care
-Med admin, indiv therapy, psychoeducational and therapy group, family therapy, dual dx tx
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| Primary Drug Classifications | show 🗑
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| show | -Immediate inactivation at the postsynaptic membrane by an enzyme
-Reuptake into the presynaptic cell where it is recycled or inactivated by an enzyme in the cell
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| Anxiety | show 🗑
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| Mild Anxiety | show 🗑
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| show | -Focus on immediate concerns
-Narrow perceptual field
-Selective inattention
-Butterflies in stomach, facial twitches, trembling lips
-ex: 1st day of clinical
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| Severe Anxiety | show 🗑
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| show | -Sense of awe,dread, and or terror
-Loss of control
-Disorganization of the personality
-Sweating,restlessness, chest pain, body shaking, N, poor motor coordination
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| Mature Defenses | show 🗑
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| show | -Intellectualization: events are analyzed based on remove cold fact w/out passion
-Repression: temp/long term exclusion of unpleasant/unwanted experience emotions/ideas from conscious awareness
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| show | -Reaction-Formation:unacceptable feelings are controlled and kept out of awareness by developing opp behavior
-Undoing:make up for an act
-Rationalization:justify illogical ideas actions or feelings by developing acceptable explanations
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| show | -Displacement: transference of emotion associated with a particular person to another nonthreatening person,object or situation
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| Immature Defenses | show 🗑
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| show | -Denial: escaping unpleasant anxiety, causing thoughts feelings wishes or needs by ignoring their existence
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| show | -Sudden onset of extreme apprehension or fear
-Usually associated w/feeling of impending doom
-Palpitations,Chest pain,Breathing difficulties,N,Feeling of choking, Chills, Hot flashes
-Many believe they're losing their minds
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| Interventions for panic Attack | show 🗑
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| OCD | show 🗑
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| OCD: Pharmacological Interventions | show 🗑
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| Generalized Anxiety Disorder | show 🗑
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| show | -Unresolved conflicts
-Cognitive misinterpretation (everything is always awful)
-Life stressors
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| GAD Interventions | show 🗑
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| PTSD | show 🗑
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| show | -Traumatic incidents in past
-Children
-Rescue workers
-Military
-Poor social support
-Hx of mental illness
-Regard reaction as sign of weakness
-Believe others aren't responding sympathetically
-Fearing it will happen again
-Ruminating
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| show | -Occurs one month after incident
-Subjective sense of numbing, detachment or absence of emotional responsiveness
-Reduction of awareness of surroundings
-Depersonalization
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| Phobias | show 🗑
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| show | -Experience of somatic symptoms for which no physiological basis can be found
-Symptoms aren't considered under voluntary control indiv believes the symptoms are real
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| show | -Malingering: faking a disorder to achieve some gain
-Factitious Disorders: deliberately inducing physical symptoms with no apparent incentive
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| show | -Primary: relief from anxiety, used to get attention
-Secondary: relief from role function, don't have to do something
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| Conversion Disorder | show 🗑
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| Pain Disorder | show 🗑
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| show | -Preoccupation w/an imagined physical defect in a normal appearing person or an excessive concern w/ a slight physical defect
-Common concerns-hair, nose, face, eyes
-Frequent checking in mirror, consultation with plastic surgeons,activity limitations
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| show | -Persistent preoccupation with fears of having a serious disease even in the face of physical evaluations that reveal no organic problems
-Pt appear to be oversensitive to physical sensations
-Often occurs with anxiety and mood disorders
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| Dissociative Disorders | show 🗑
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| Suicide Risk Factors | show 🗑
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| show | -1st 24h after admission
-Immediately preceding discharge: don't want to be discharged
-Most common: hanging
-Antidepressant: approx 2 wks after beginning antidepressant = increase risk
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| Warning Signs of Suicide | show 🗑
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| Crisis | show 🗑
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| Types of Crisis | show 🗑
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| show | -Adventitious: an event that is not part of everyday life (natural disaster, crimes)
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| Schizophrenia | show 🗑
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| show | -does NOT mean split personality
-are NOT unusually prone to violence
-NOT caused by family dysfunction
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| DSM-IV Diagnostic Criteria: Schizophrenia | show 🗑
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| show | -Paranoid:Delusions of persecution/grandeur
-Disorganized:Regressed,silly,inappropriate behav
-Catatonic:motor immobility, stupor,excessive purposeless motor activity
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| Schizophrenia Subtypes | show 🗑
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| Schizophrenia: Neuroanatomical | show 🗑
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| show | -Withdrawn from others
-Depressed
-Anxious
-Phobias
-Obsessions and Compulsions
-Difficulty concentrating
-Preoccupation with self
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| Symptoms of Schizophrenia | show 🗑
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| show | -Delusions (religious, ideas of reference,persecution,grandeur, somatic)
-Hallucinations
-Looseness of association
-Echolalia
-Concrete thinking
-Tangentiality
-Neologisms
-Circumstantiality
-Clang assoc
-Word salad
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| show | -Extreme motor agitation
-Catatonia
-Stereotyped Behavior (do what see someone else doing)
-Waxy flexibility (make movement and once start they can't stop)
-Automatic obedience (no matter what anyone says, do behavior)
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| Negative Symptoms | show 🗑
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| show | -Chlorpromazine HCL, Thoridazine, Fluphenazine, Thiothixene, Haloperidol
-Block dopamine
-Tx of pos symptoms, not neg
-Higher incidence of EPS
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| show | -Sedation
-Orthostatic Hypotension
-Alt. in sex
-Increase appetite
-Decrease tolerance to alcohol/sedatives
-Seizures
-Galactorrhea/Amennorhea
-Gynecomastia
-Jaundice, Agranulocytosis
-NMS
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| show | -Hyperthermia
-Muscular rigidity (stiffness)
-Altered Consciousness
-Autonomic dysfunction: HTN, tachycardia, diaphoresis, incontinence
-Stop drug and treat symptoms
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| Treatment of NMS | show 🗑
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| EPS: Acute | show 🗑
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| EPS: Late | show 🗑
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| show | -Benztropine, Trihexphenidyl, Diphenhydramine
-Side effects: dry mouth,blurred vision, decrease lacrimation,mydrasis,photphobia, constipation, urinary hesitancy/retention
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| show | -Blocks D2 receptors(low) and serotonin blockage (high)
-Less incidence of EPS
-Effective in treating both of the pos and neg symptoms
-Risperidone,Olanzapine,Quetiapine,Siprasidone,Apriprazole,Clozapine, Paliperidone
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| Atypical Antipsychotics: Side Effects | show 🗑
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| show | -Wernike's encephalopathy
-Korsakoff's psychosis
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| Alcohol and GI | show 🗑
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| Alcohol and Pregnancy | show 🗑
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| Alcohol and Cardiovascular | show 🗑
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| Alcohol and Infections | show 🗑
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| Alcohol and Respiratory | show 🗑
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| show | -TB
-Accidents
-Suicide
-Homicide
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| Medical Comorbidities: Cocaine, Crack, Narcotics (Heroin), PCP | show 🗑
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| What is Addiction? | show 🗑
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| Substance Abuse | show 🗑
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| Substance Dependence | show 🗑
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| Tolerance and Withdrawal | show 🗑
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| Blackouts | show 🗑
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| CNS Depressants | show 🗑
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| show | -Slurred speech
-Uncoordinated -Ataxia
-Drowsy
-Decreased BP
-Decreased inhibitions (risk)
-Impaired judgment
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| show | -CV depression/arrest
-Coma
-Shock
-Convulsions
-Death
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| CNS Depressants: Treatment of OD | show 🗑
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| show | -N/V
-Tachycardia
-Diaphoresis
-Anxiety
-Tremors
-Insomnia
-Grand mal sz
-Delerium
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| show | -Tiltrated detox with similar drug
-Abrupt withdrawal can lead to death
-Only withdrawal that can truly be deadly
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| show | -Associated with severe morbidity and mortality unlike withdrawal from other drugs
-Develop w/in a few hours after cessation (2-8h)
-Peak at 24-48h after stop using
-Disappear rapidly after peak
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| show | -Anxiety
-Anorexia
-Insomnia
-Hand Tremor
-"Shaking Inside"
-N/V
-Vivid nightmares
-Illusions
-Sweating
-I HR/BP
-Psychomotor agitation
-Grand mal seizures
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| Alcohol Withdrawal Delirium Tremens | show 🗑
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| show | -Cocaine
-Crack
-Amphetamines
-Caffeine
-Nicotine
-Accelerate normal body function
-Dependence develops rapidly
-Highs followed by deep depression
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| show | -Pupil dilation
-Dryness oronasal
-Excessive motor activity
-Tachycardia
-I BP
-Twitching
-Insomnia
-Anorexia
-Grandiosity
-Impaired judgment
-Paranoid thinking
-Hallucinations
-Hyperpyrexia
-Convulsions
-Death
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| show | -Dilated pupils
-Dryness of oronasal cavity
-Excessive motor activity
-N/V
-Insomnia
-Grandiosity
-Impaired judgment
-Euphoria
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| show | -Paranoid
-Delusions (may last for months)
-Psychosis
-Hallucinations
-Panic level anxiety
-Potential for violence
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| show | -Resp. Distress
-Ataxia
-Fever
-Convulsions
-Coma
-Stroke
-MI
-Death
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| CNS: Tx of Overdose | show 🗑
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| CNS: Withdrawal | show 🗑
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| show | -Antidepressant
-Dopamine agonists
-Bromocriptine
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| show | -From Indian hemp plant
-THC active ingredient
-Depressant/Hallucinogenic
-Usually smoked
-Desired effects euphoria, detachment,relaxation
-Long term:lethargy,anhedonia, trouble concentrating,loss of memory,D motivation
-OD&w/drawal rare
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| show | -Opium
-Heroin
-Demerol
-Morphine
-Codeine
-Methadone
-Fentanyl
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| show | -Constricted pupils
-D resp.
-Drowsiness
-D BP
-Slurred speech
-Psychomotor retardation
-Initial euphoria followed by dysphoria
-Impaired attention, judgment, memory
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| show | -Possible dilation of pupils
-Resp. Depression/arrest
-Coma
-Shock
-Convulsions
-Death
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| show | -Narc antagonist (Narcan)
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| Opiates: Withdrawal | show 🗑
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| Opiates: Withdrawal Tx | show 🗑
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| show | -Trip: slowing of time, lightheadedness, images in intense colors, visions in sound
-BAD trip: severe anxiety, paranoia, terror, distortions in time and distance
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| Hallucinogens: Phencyclidine Piperidine | show 🗑
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| show | -Result in dulled thinking, lethargy, loss of impulse control, poor memory, and depression
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| Flashbacks | show 🗑
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| Hallucinogens: Intoxication and OD | show 🗑
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| Hallucinogens: Tx | show 🗑
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| Inhalants | show 🗑
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| show | -Excitation followed by drowsiness
-Disinhibition
-Lightheaded
-Agitation
-Enhancement of sexual pleasure
-Giggling, laughter
-Damage to nervous system
-Death
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| Inhalants: Tx | show 🗑
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| Club Drugs | show 🗑
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| show | -Euphoria
-I energy
-I self-confidence
-I socialability
-Psychedelic effects
-Dehydration
-Fever
-Rhabdomyolysis
-Acute renal failure
-Hepatotoxicity
-CV collapse
-Depression
-Panic attacks
-Psychosis
-Death
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| show | -Flunitrasepam (Rohypno) or Roofies
-GHB-y-Hydroxybutyric acid
-Rapidly produce: disinhibition, relaxation of voluntary muscles, retrograde amnesia
-Alcohol synergistic drug
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| Asst. Guidelines | show 🗑
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| Quick Screening Tools (CAGE) | show 🗑
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| BAL | show 🗑
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| Mood | show 🗑
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| Affect | show 🗑
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| show | -Symptoms interfere with usual functioning
-Severe emotional, cognitive, behavioral,and physical symptoms
-Hx of one or more major depressive episodes
-No hx of manic or hypomanic episodes
-At least 60% can expect to have 2nd episode
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| show | -5+ occur nearly every day in 2 wk period:Depressed,anhedonia,wt loss/gain,Insomnia/hypersomnia,anergia,motor activity,guilt,indecisiveness,death SI
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| MDD Subtypes | show 🗑
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| show | -Chronic depressive syndrome
-Present for most of the day
-More days than not
-At least 2 years
-Hosp. rare
-Early age of onset, still able to function
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| show | -Leading cause of disability in the US
-More common in Females
-Prevalence unrelated to: ethnicity, edu, income, marital status
-Dominates symptom in adolescents- irritability
-Depression in elderly - major problem
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| Depression Comorbidity | show 🗑
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| Depression Etiology | show 🗑
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| Three Phases in Treatment and Recovery | show 🗑
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| show | -Use of electrically induced sz for the tx of severe depression
-Indications:Elderly,non responsive to drug therapy
-80% effective
-Contraindications:severe cardiac disease,HTN,lesions of brain/spinal cord
-Side Effects:memory loss transient,confusion
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| ECT Procedure | show 🗑
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| Bipolar Disorder | show 🗑
|
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| Epidemiology | show 🗑
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| Etiology | show 🗑
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| Bipolar: Lithium Carbonate | show 🗑
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| show | -Sleep Deprivation: not getting an optimal amount of sleep every night
-Leads to: chronic fatigue, memory problems, energy deficits, mood difficulties, feeling out of sorts
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| show | -Excessive sleepiness
-Serious enough to: impact social, vocational functioning, increase risk for accident/injury
-Comorbidity: sleep apnea - HTN, HF - fewer antibodies can't fight infection, obesity, diabetes; addiction
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| show | -Varies from individual to individual; most adults require 7-8h each night
-Long sleepers: require more than 10h each night
-Short sleepers: can function effectively on few than 5h per night
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| show | -Complex interaction b/w CNS and environment
-Non-REM sleep:composed of 4 stages, peaceful, restful
-REM Sleep: reduction and absence of skeletal muscle tone,bursts of REM, myoclonic twitches of facial and limb musc, dreaming, ANS variability
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| Regulation of Sleep | show 🗑
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| show | -Primary insomnia
-Primary hypersomnia
-Narcolepsy
-Breathing-related sleep disorders
-Circadian rhythm disorders
-Dyssomnias not otherwise specified (restless leg syndrome)
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| show | -Most common sleep complaint
-Difficulty with sleep initiation
-Sleep maintenance
-Early awakening
-Non-refreshing nonrestorative sleep
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| show | -Benzo (promote sleep, crisis/short term therapy)
-Sonata, Ambien, Lunesta (Atypical): less addcitive, longer term
-Antidepressants - sedative effects
-Barbiturates - short term
-Antihistamines
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| Herbals: Pharmacological Interventions | show 🗑
|
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| Parasomnias | show 🗑
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| Depression | show 🗑
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| Predictors of Suicide in Elderly | show 🗑
|
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| show | -Apprehension
-Fearful
-Feelings of dread
-Irritable
-Intolerant
-Panicky/preoccupied
-Tense/worried
-Phobic
-Paranoia
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| show | -GI/GU:ab pain, anorexia, butterflies, D,V, urinary freq
-CV: chest discomfort, diaphoresis, dyspnea, flushing, HTN, pallor
-MS: backache, fatigue, musc tension
-Neuro: tremolos, dizziness, paresthesia
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| Alcohol and Substance Abuse: Potential Alcohol-related problems | show 🗑
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| show | -Disturbance in consciousness and a change in cognition
-Develops over a short period of time
-Usually reversible if underlying cause identified
-Serious, should be treated as a medical emergency
🗑
|
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| show | -Impairment in consciousness***
-Elderly - most common in this group, often mistaken as dementia
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|
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| show | -Complex and usually multidimensional
-Most commonly identified causes: variety of brain alterations, infections, meds, fluid/electrolyte imbalance
-Reduction in cerebral functioning
-Damage of enzyme systems, bbb or cell membranes
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|
||||
| show | -Reduced brain metabolism: instead of using gray matter use white
-Imbalance of neurotransmitters
-Raided plasma cortisol level
-Involvement of white matter
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| Delirium: Priorities | show 🗑
|
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| show | -Pay special attention to CBC, BUN, creatinine, electroylytes, liver function and O2 saturation
🗑
|
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| Delirium: Pharmacological | show 🗑
|
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| Delirium: Psychological Assessment | show 🗑
|
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| show | -Environmental perceptions altered
-Illogical thought content
-Behavior change: Hyperkinectic - psychomotor, hyperactivity, excitability, hallucinations; Hypokinetic - lethargic, somnolent, apathetic
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| Dementia: Alzheimer's type | show 🗑
|
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| Stages of AD | show 🗑
|
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| show | -Essential feature-multiple cog deficit
-1or more:Aphasia(trouble forming words),Apraxia(cant perform purposeful movements),Agnosia(cant recognize familiar objects),Disturbance of exec func,
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| Later stages of Dementia | show 🗑
|
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| show | -Neuritic Plaques (extracellular lesions)
-Neurofibrillary tangles
-CHolinergic hypothesis - ACh is reduced
-Genetic factors - roles of chromosome 1, 14, 21
-Oxidative stress and free radicals
-Inflammation
🗑
|
||||
| show | -Priorities will change throughout the course of the disorder
-Initially, delay cognitive decline
-Later, protect patient from hurting self
-Later, physical needs become the focus of care (nutrition, hydration)
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|
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| Dementia: Pharmacological Interventions | show 🗑
|
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| show | -Memantine
🗑
|
||||
| show | -Mood Changes: depression, anxiety, catastrophic reactions
-Behavioral responses: apathy, withdrawal, restelessness, agitation, aggression, aberrant motor behavior, disinhibition, hypersexuality
-Stress and coping skills
🗑
|
||||
| show | -a disturbance in the sexual response cycle or pain on sexual intercourse
-Nonmedical/ non physiological, it's all mental
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|
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| Types of Sexual Dysfunction | show 🗑
|
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| show | -Orgasm Disorder:Female orgasmic disorder(inhibited female orgasm or anorgasmia);Male orgasmic disorder (inhibited orgasm, retarded ejaculation); Premature Ejaculation
🗑
|
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| show | -Sexual Pain Disorders (not due to med condition):Dyspareunia (pain in labia or vagina during intercourse), Vaginismus (contraction/spasm of vaginal during intercourse)
-Sexual dysfunction due to a general medical condition
🗑
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||||
| show | -Substance-Induced Sexual Dysfunction: alcohol and drugs, prescribed meds (antidepressants, antipsychotics)
-Sexual Dysfunction NOS
🗑
|
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| Medication-Induced Sexual Dysfunction | show 🗑
|
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| show | -Recurrent,intense sexually arousing fantasies,sexual urges,or behaviors that involve:preference for use of nonhuman object;sexual activity w/ suffering or humiliation of self or others;repetitive sexual activity w/children or other nonconsenting adults
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| show | -Exhibitionism: intentional display of the genitals in public place
-Fetishism: use of nonliving objects
-Frotteurism: touching or rubbing against a nonconsenting person
🗑
|
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| show | -Pedophilia:sexual activity with a prepubescent child (13 and younger), perp must be at least 16 and 5 y older than victim
-Sexual Masochism (self): sexual satisfaction by being humiliated, beaten, bound or made to suffer
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| show 🗑
|
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| show 🗑
|
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| Gender Identity Disorder | show 🗑
|
||||
| show | -Gender Identity Disorder: in children or in adolescents or adults
-Gender Identity Disorder NOS
-Sexual Disorder NOS
🗑
|
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| Gender Identity Disorder: Interventions | show 🗑
|
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| Central Concepts of Family | show 🗑
|
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| Functions of a Healthy Family | show 🗑
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| Functions of a Healthy Family | show 🗑
|
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| show | -Management:inappropriate member makes decisions
-Boundary:diffuse/enmeshed,thoughts merged together,rigid/disengaged
-Comm:manipulate,distract, general,blaming,placating
-Emotional-Support:conflict/anger
-Socialization:role change difficult, I stress
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| Ecomap | show 🗑
|
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| show | -If there is physical harm being done (family secret by being brought out will do more harm than good)
-If members of family aren't honest
-Family members can't keep confidentiality
🗑
|
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| show | -Clear = balance
-Know where self starts and stops
-Maintains separateness
-Emphasizes belonging to family system
🗑
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| Rigid Boundaries | show 🗑
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| show | -Parent intrusive, overprotective-can't exist without supervision/approval, can't set limits
-Easily distracted
-Can't separate (try to live through kids)
-Enmeshed
🗑
|
||||
| Resiliency | show 🗑
|
||||
| Pervasive Developmental Disorders:Autism | show 🗑
|
||||
| show | -Self-injurious/aggressive behavior
-Impairment in social interaction
-Restricted repetitive pattern
-No sign delays in language,development, self help skills, curiosity
🗑
|
||||
| show | -Normal until about 5 month
-Lack of purposeful hand movement
-Severe social disengagement
🗑
|
||||
| show | -Poorest prognosis
-From few months
-Personality disinegratives before its even formed
-Die at very young age
🗑
|
||||
| Marked Behavior Disorders: Oppositional Defiant Disorder | show 🗑
|
||||
| Marked Behavior Disorders: Conduct Disorder | show 🗑
|
||||
| show | -Sweaty palms
-Trembling
-Muscle aches and tension
-Upset stomach
-Headaches
-Difficulty sleeping
-Change in eating habits
🗑
|
||||
| show | -persistent worry
-irrational fears
-irritability
-lack of social activity
-fits of crying
🗑
|
||||
| show | -Inattention
-Hyperactivity
-Impulsivity (interrupting people, acts without thinking)
🗑
|
||||
| show | -are in constant motion
-squirm and fidget
-don't seem to listen
-are easily distracted
-don't finish tasks
🗑
|
||||
| show | -Stimulant drugs:adderall, ritalin
-physical tolerance can occur
-insomnia,anorexia, wt loss, tachycardia, temporary decrease in rate of growth and development
🗑
|
||||
| show | -Assess mental status
-to reduce anorexia, administer after meals
-prevent insomnia, administer 6h before bedtime
-drug holiday-titrate med during summer when not in school
-avoid OTC
-gradual withdrawal
🗑
|
||||
| show | -Tic Disorders: tourette's syndrome, involuntary movements and utterances especially in head and neck
-Eating disorders
🗑
|
||||
| Elimination and Intake Disorders | show 🗑
|
||||
| show | -Presentation in kids: irritability, boredom, poor motivation; HA, stomaches; poor concentration; not listless, will play with peers
-Teens: hypersomnia, delusions, substance abuse, promiscuity, running away
🗑
|
||||
| show | -Depression or mania
-Antisocial or aggressive behavior
-Hx of suicidal behavior in family
-Availability of firearms
-Incarcerated youths
-Shameful event
🗑
|
||||
| Schizophrenia | show 🗑
|
||||
| show | -Refusal to maintain body wt at or above a minimally normal wt for age and ht (15% wt loss)
-Intense fear of gaining wt or becoming fat even though underwt
-Body image disturbance, denial of the seriousness of current low wt
-Amenorrhea
🗑
|
||||
| DSM-IV Criteria Bulimia Nervosa | show 🗑
|
||||
| show | -Recurrent inappropriate compensatory behaviors in order to prevent wt gain
-Occur on avg at least 2x a wk for 3 mo
-Self evaluation in unduly influenced by body shape and wt
-Does not occur during episodes of anorexia nervosa
🗑
|
||||
| Purging Type: Bulimia | show 🗑
|
||||
| show | -During the current episode the person uses other inappropriate compensatory behaviors such as fasting and excessive exercise
🗑
|
||||
| Anorexia | show 🗑
|
||||
| Bulimia | show 🗑
|
||||
| show | -Recurrent episodes of binge eating at least twice per week for 3 months
-No use of extreme measures to lose weight
-Awareness that eating pattern is abnormal
-Fear of not being able to stop eating
🗑
|
||||
| show 🗑
|
|||||
| show 🗑
|
|||||
| Personality traits of ED patients | show 🗑
|
||||
| show | -Dental concerns
-Ulcers/Colitis
-Esophageal bleeding/trauma/tears/hair/skin/lanugo hair/rashes/menses
-Osteoporosis
-Hypothermia
-Constipation/Diarrhea
🗑
|
||||
| show | -Hypokalemia (most frequently in pts who abuse diuretics and laxatives)
-Fatigue,lassitude
-Paresthesias
-Metabolic alkalosis
-Cardiac arrthmias
-Hypokalemic nephropathy
🗑
|
||||
| Complications of Laxative Abuse | show 🗑
|
||||
| show | -Electrolyte disturbances
-Excessive loss of fluid: dehydration, thirst, dry mucus membranes, tachycardia, poor skin turgor, postural hypotension
-Severe cases: delirium, acute tubular necrosis
🗑
|
||||
| Most Common Patient Complaints | show 🗑
|
||||
| Hospice | show 🗑
|
||||
| show | -Struggle:living&dying are a struggle
-Dissonance:dying isnt living
-Endurance:triumph of inner strength
-Incorporation:beliefs accommodates death
-Coping:working to find a new balance
-Quest:seeking meaning in dying
-Volatile:unresolved,unresigne
🗑
|
||||
| Fears of Dying Person | show 🗑
|
||||
| Four gifts of resolving relationships | show 🗑
|
||||
| show | -Something of value is actually or potentially: changed or gone
🗑
|
||||
| Types of Loss | show 🗑
|
||||
| Circumstances of Loss | show 🗑
|
||||
| show | -Mourning: public rituals, external displays
-Grief: emotional, physical, spiritual
🗑
|
||||
| Bereavement | show 🗑
|
||||
| show | -The culturally patterned behavioral response to loss
-What people see
-People will show this differently
-Process by which people adapt to a loss
🗑
|
||||
| Grief | show 🗑
|
||||
| show | -Physical
-Emotional/Psychological
-Cognitive
-Behavioral
-Spiritual
🗑
|
||||
| show | -Fatigue
-Exhaustion
-Insomnia
-HA
-Tension
-Digestive
-Medical flare ups
-Crying
-Tightness in chest, throat
-Heartache
-Noise sensitivity
🗑
|
||||
| Emotional/Psychological Responses to Grief | show 🗑
|
||||
| show | -Anxiety or sorrow experienced prior to an expected loss or death
-Often unrecognized
-Nurses should be able to recognize
🗑
|
||||
| Delayed Grief | show 🗑
|
||||
| Disenfranchised Grief | show 🗑
|
||||
| Dysfunctional Grief | show 🗑
|
||||
| Grief vs Depression:Grief | show 🗑
|
||||
| Grief vs Depression: Depression | show 🗑
|
||||
| show | -Preschool-fear separation and do not understand finality
-5-6y - death is reversible,magical
-6-9y-accept finality, see death as destructive
-10y-death is inevitable
-Teen-intellectualize, but repress feelings
🗑
|
||||
| Factors Influencing Grief: Early Middle Adult | show 🗑
|
||||
| show | -Loss of health, function and or independence
-Loss of longtime mate
-Multiple losses-control,competence, material possessions, important people
🗑
|
||||
| show | 1)Denial
2)Anger
3)Bargaining
4)Depression
5)Acceptance
🗑
|
||||
| show | -Acute stage (4-8wks)
-Shock and disbelief (denial)
-Development of awareness (somatic symptoms, anger, guilt, crying)
-Restitution
🗑
|
||||
| show | -Long-term stage (1-2y)
-Most people resolve with support
-Broken-heart syndrome (during 1st year of significant other passing, person passes)
-Suicide rates higher
-Dysfunctional/Unresolved grief
🗑
|
||||
| Successful Bereavement | show 🗑
|
||||
| Effective Coping Skills | show 🗑
|
||||
| Ineffective Coping Skills | show 🗑
|
||||
| show | -Behaviors rigidly maintained
-Endure in face of disastrous consequences
-Create significant problems in daily living
-Onset-adolescence/early adulthood
-NOT egosyntonic
🗑
|
||||
| Categories of Personality Disorders | show 🗑
|
||||
| show | -Paranoid Personality Disorder
-Schizoid Personality Disorder
-Schizotypal Personality Disorder
🗑
|
||||
| show | -Suspicious
-Distrusting
-Hypervigilant
-Argumentative
-Humorless
🗑
|
||||
| Schizoid Personality Disorder | show 🗑
|
||||
| Schizotypal Personality Disorder | show 🗑
|
||||
| show | -Histrionic Personality Disorder
-Narcissistic Personality Disorder
-Antisocial Personality
-Borderline Personality
🗑
|
||||
| Histrionic Personality Disorder | show 🗑
|
||||
| show | -Look at me, I'm special
-Demands admiration,recognition, attention
-Insensitive to anyone except self
-Overestimation of abilities and importance
🗑
|
||||
| Antisocial Personality | show 🗑
|
||||
| show | -Set firm, matter of fact limits
-Anger control assistance
-Avoid preaching or moralizing
-Monitor personal feelings
-Focus on behaviors
🗑
|
||||
| Borderline Personality | show 🗑
|
||||
| show | -Tension release
-Return to reality
-Establishing control
-Security and uniqueness
-Influencing others
-Neg perceptions
-Sexuality
-Euphoria
-Venting from anger
-Relief from alienation
🗑
|
||||
| show | -Catastrophizing- make whatever is going on horrible, bigger deal than it is
-Dichotomizing-take things apart without putting it back together
-Self-attribution Errors-believe everything is their fault
🗑
|
||||
| Interventions: Borderline Personality Disorder | show 🗑
|
||||
| show | -Avoidant Personality Disorder
-Dependent Personality Disorder
-Obsessive-Compulsive Personality Disorder
🗑
|
||||
| Avoidant Personality Disorder | show 🗑
|
||||
| Dependent Personality Disorder | show 🗑
|
||||
| Obsessive Compulsive Personality | show 🗑
|
||||
| show | -Content: all that is said in the group
-Process: structural development of the group
🗑
|
||||
| show | Task
-Initiator- offers new ideas/outlook
-Information seeker-clarify group values
-Summarizer-summarize group progress
Maintenance
-Evaluator-measure group work against standard
-Encourager-praise,seeks input
🗑
|
||||
| show | -Gate Keeper-Monitors participation of all members to keep communication open
-Compromiser-group harmony
-Harmonizer-tries to mediate b/w members
🗑
|
||||
| show | -Computer-only gives facts
-Self confessor-always want to talk about themselves
-Big talker-want to hear themselves talk
-Clown-make joke/lighten things
-Withdrawer-sit there,don't say anything
🗑
|
||||
| show | -An emotional response to one's perception of a situation that is threatening to ones needs
-Normal emotion
🗑
|
||||
| Aggression | show 🗑
|
||||
| Violence | show 🗑
|
||||
| show | -Feeling of vulnerability
-Uneasiness
-Anxiety
-Anger
-Aggression
-Violence
🗑
|
||||
| show | -Limit setting by nurse
-Hyperactivity
-Increase in anxiety and tension
-Verbal abuse
-Very loud/soft
-Absolute silence
-Intoxication of alcohol/drugs
-Possession of weapon
-Recent hx of violence
🗑
|
||||
| show | -Preassaultive: de-escalation, meds
-Assaultive:Restraint, meds, seclusion
-Postassaultive: debriefing, documentation
🗑
|
||||
| Seclusion and Restraint | show 🗑
|
||||
| Cycle of Violence | show 🗑
|
||||
| show | -Honeymoon stage: perpetrator feels remorseful, victim believes perp, thinks things will be better
-Tension builds and cycle continues
🗑
|
||||
| Actual Occurrence of Violence requires: | show 🗑
|
||||
| show | -Consider their own needs more important than needs of others
-Poor social skills
-Extreme pathological jealously
-May control family finances
-Likely to abuse alcohol or drugs
-Relationships are usually enmeshed and codependent
🗑
|
||||
| show | -Hx of violence
-Low self esteem
-Isolation/suspicious of others
-in a crisis situation
-rigid expectations
-Harsh punishment
-Violent outbursts
-Substance abuse
-Poor impulse control
🗑
|
||||
| show | -Younger than 3 yrs
-Perceived as different
-Remind parents of someone they don't like
-Product of unwanted pregnancy
-Interference with emotional bonding b/w parent and child
-Don't meet fantasy
-Adolescents also at risk
🗑
|
||||
| show | -Depressive disorders
-PTSD
-Somatic complaints
-Low self esteem
-Phobias
-Antisocial behaviors
-Child/Spouse abuse
🗑
|
||||
| show | -Poor grades
-Difficulty relationships
-Legal problems
-Promiscuity
-Running away from home
🗑
|
||||
| Characteristics of Vulnerable Persons: Older Adults | show 🗑
|
||||
| Self-Assessment | show 🗑
|
||||
| show | -Don't judge or accuse
-Don't use the words abuse or violence
-Don't display horror,anger,shock, or disapproval
-Don't force a child or anyone else to remove clothing
🗑
|
||||
| show | -Any type of sexual activity the victim doesn't want or agree to
-From inappropriate touching to penetration
-Verbal sexual assault can occur by phone/online
-Forced activities: prostitution
🗑
|
||||
| Rape | show 🗑
|
||||
| Characteristics of Incestual families | show 🗑
|
||||
| Sexual Abuse/Incest Perpetrator Characteristics | show 🗑
|
||||
| show | -Typically the oldest daughter
-Age of onset 6-9
-Secret frequently not revealed until older
-Early identification of sexual abuse victims is crucial to the reduction of suffering of abused
🗑
|
||||
| Forensic Nursing | show 🗑
|
||||
| show | -Provide direct services to crime victims&perp
-Consultation services to colleagues in nursing,med&law agencies
-Expert court testimony in cases of trauma and/or ?death
-Adequacy of service delivery
-Specialized dx of specific conditions as r/t nursin
🗑
|
||||
| show | -Care of adult/pediatric victims of sexual assault
-Sexual assault response teams (SARTs)
-Expert care in acute setting
-Advocacy for acute&long-term needs of victim
-Referral for counseling for survivors (D long-term effects from assault)
🗑
|
||||
| Nurse Coroner/Death Investigator | show 🗑
|
||||
| show | -Legal sanity:able to distinguish right from wrong
-Legal insanity:presence of major mental disorder
-Irresistible impulse:knew act was wrong but couldnt control behavior
🗑
|
||||
| show 🗑
|
|||||
| show | -Federal law prohibits persons from being tried if deemed legally incompetent
-Incompetent defendant will be in a mental hospital for treatment to regain competency
🗑
|
||||
| show | -Fact witness – testifies about what was personally seen, heard, performed, or documented regarding a patient’s care
-Expert witness – recognized by the court as having a certain level of skill or expertise in a designated area
🗑
|
||||
| Correctional Nursing: Suicide | show 🗑
|
||||
| Stressors: Client | show 🗑
|
||||
| Stressors: Nurse | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
prettyinpink7
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