RN Program test 2 - Psych
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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| personal space | show 🗑
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| intimate space | show 🗑
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| social space | show 🗑
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| 3 Phases of the Nurse-Patient Therapeutic Relationship | show 🗑
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| show | establish contact
define roles and rules
confidentiality
ID pt. needs
ID goals
ID strengths/weaknesses
establish trust rapport
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| show | put plan into action
work together to solve problems and meet goals
evaluate and revise plan
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| show | clarification
validation
confrontation
empathy
respect
genuineness
advocacy
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| what are the goals for the working phase of a therapeutic relationship? | show 🗑
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| show | D/C plans, summerize experiences, say good-byes
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| show | Boundary violation
Sympathy
Encouraging dependency
Non-acceptance
Avoidance
Not being genuine
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| when you ask someone to do something and they don't want to | show 🗑
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| show | appearance and internal mood match; crying and feeling sad.
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| incongruent | show 🗑
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| show | personal appearance, facial expressions ,posture and gait, gestures, proxemics, touch, eye contact
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| show | 1950's - Lithium Thorazine
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| what year did the Community Mental Health Act pass and become effective | show 🗑
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| during direct care, what are some of the roles and responsibilities | show 🗑
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| Primary level of care | show 🗑
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| secondary level of care | show 🗑
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| show | minimizing long term effects of MI; rehab
vocational training
aftercare programs IOP partial hospitalization/ day tx
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| look at chart on page 324 in HESI book | show 🗑
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| show | mental illness
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| lying on a couch and talking to therapist | show 🗑
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| Behavioral framework | show 🗑
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| show | Changing expectations, beliefs, memory, thinking - treatment: changes in thinking = changes in behavior
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| show | neurotransmitters and receptors
serotonin
norepinephrine
dopamine
GABA
psychotropics
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| show | planned use of people, resources, and activities in the environment to assist in improving interpersonal skills, social functioning & ADLs. Here and now. Realities of today, limit setting, client makes decisions ~ healthcare.
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| show | goal is to decrease family confilct and anxiety and to develope appropriate role relationships.
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| Patients interact within group: roles, rules established. Act out conflicts and solutions Types: education, supportive, psychotherapy, self-help | show 🗑
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| show | forming, storming, norming, conforming, adjourning
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| show |
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| r/t group therapy: review pg 325 | show 🗑
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| show |
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| r/t group therapy: | show 🗑
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| show |
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| show | ECT
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| event that overwhelms previously useful coping behaviors | show 🗑
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| show | problem-solving, trial and error, relief behaviors, severe disorginization
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| show | ID the problem, list alternatives, choose an alternate, implement the plan, evaluate
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| what you are feeling on the INSIDE | show 🗑
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| your outward display of emotions | show 🗑
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| R/T DSM-IV: Axis I | show 🗑
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| R/T DSM-IV: Axis II | show 🗑
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| R/T DSM-IV: Axis III | show 🗑
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| R/T DSM-IV: Axis IV | show 🗑
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| show | Global Assessment of Functioning (Current GAF 30, past year GAF 70)
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| review slides for drug information - 74-82 | show 🗑
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| show | how the event is perceived: commitment, challenge, control
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| Process of learning how to live with the inevitable life stressors people encounter by learning how to cope effectively and positively | show 🗑
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| show | anxiety
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| show | panic d/o - more common in women
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| show | anxiety d/o
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| common physiologic responses to anxiety | show 🗑
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| persistent, intrusive thought, emotion or urge, unable to ignore | show 🗑
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| show | compulsions
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| r/t OCD, what are some interventions | show 🗑
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| show | stay with patient/ protect
remain calm
short simple sentences
quiet environment
physical activity may release tension
meds
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| Somatoform Disorders | show 🗑
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| show | Amnesia
Fugue
Dissociative Identity
Depersonalization
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| pattern of behavior relating to self or others | show 🗑
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| personality d/o are when traits become what? | show 🗑
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| 4 areas that deviate r/t maladaptive coping | show 🗑
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| when do people with a personality d/o seek tx? | show 🗑
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| Personality d/o is an Axis ___ problem | show 🗑
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| always be on alert for _____ | show 🗑
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| show | power struggles
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| r/t personality d/o help the pt identify ___ ___ | show 🗑
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| r/t PD, the RN should do what? | show 🗑
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| 4 reasons why you would not tx PD in an outpatient setting | show 🗑
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| Axis II is grouped into three clusters. What is in Cluster A? | show 🗑
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| characteristics of a paranoid pt: | show 🗑
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| show | formal approach, straightforward, on time, involve in care plans, validate ideas before taking action
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| show | INTROVERT, LONER, SHY,
INDIFFERENT TO PRAISE / CRITICISM.
ALOOF
INABILITY TO FORM SOCIAL. REL.
FOCUS ON OBJECTS RATHER THAN PEOPLE
RICH FANTASY LIFE
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| show | Improve community functioning
Referrals
Case management: 1 person
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| characteristics r/t a SCHIZOTYPAL | show 🗑
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| interventions r/t schizotypal | show 🗑
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| show | antisocial, borderline, narcissistic, Histrionic
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| characters of an antisocial pt | show 🗑
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| show | limit setting, matter of fact, anger management, time outs/leave the situation, positive feedback
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| show | prob w/identity & mood, unstable interpersonal relationships, "splitting" , "pits" staff, manipulation, abandonment issues, self mutilization, suicidal
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| show | maintain safety, coping strageties, reshape thinking, structured time
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| characters of a NARCISSISTIC pt | show 🗑
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| show | straight forward, consistent, limit setting
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| characters of a HISTRIONIC | show 🗑
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| interventions r/t histrionic | show 🗑
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| show | ANXIOUS OR FEARFUL
1. Dependent
2. Avoidant
3. Obsessive-compulsive
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| show | LACKS SELF- CONFIDENCE
ALLOWS OTHERS TO MAKE DECISIONS
SUBMISSIVE, PASSIVE
LIKES TO PLEASE OTHERS
LOW SELF- ESTEEM
ANXIOUS
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| interventions r/t dependent pts | show 🗑
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| show | TIMID, WITHDRAWN
HYPERSENSITIVE TO CRITICISM
DESIRES RELATIONSHIPS BUT
AFRAID
FEARFUL
RELUCTANT TO GET INVOLVED
LO SELF ESTEEM
INHIBITED
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| interventions with an avoident pt | show 🗑
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| show | PREOCCUPIED W/ RULES
ORGANIZATION, TRIVIA, DETAILS
PERFECTIONIST, INFLEXIBLE, FORMAL
CONTROLLING, HARSH, UNFORGIVING
CAN’T EXPRESS EMOTIONS
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| show | Cognitive restructuring
Realistic goal setting
Take risks
Practice negotiation
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| issues r/t anorexia | show 🗑
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| show | restore healthy weight, restore healthy eating patterns, correct electrolyte imbalances
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| show | IMPROVE SELF ESTEEM
IMPROVE BODY IMAGE
PARTICIPATE IN LONG TERM THERAPY
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| show | SSRI's (Prozac-60-80mg/day), Lithium(lessens the "denial"), TCA(Imiparamine-decrease bing), Elavil(>weight gain), Zyprexa, Avoid antianxiety meds & Wellbrutrin(lowers seizure threshold)
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| show | ideal wt, adeq calories, good turgor, normal menstrual cycle
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| show | no binge/purge, normal eating pattern, comfort w/ body
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| Persistent, pervasive, intense lowering of mood | show 🗑
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| show | 1 or more acute manic episodes with depression
Both: hi income, hi educated, intelligent, creative, artistic
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| type II bipolar d/o | show 🗑
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| flight of ideas: | show 🗑
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| psychotic disorder involving difficulty with reality testing and relatedness | show 🗑
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| show | affect, associations, autism, ambivalence(hard time making decisions)
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| Features of Schizophrenia (+) | show 🗑
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| neologisms | show 🗑
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| show | jumbled words that together make no sense
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| show | delusion
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| false SENSORY perception | show 🗑
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| (-) features of schizophrenia | show 🗑
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| show | 4-12 hours after last drink
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| define delirium tremens | show 🗑
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| medication r/t alcohol withdrawal | show 🗑
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| show | meds
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| effects of hallucinogens | show 🗑
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| general nursing care r/t drug overdose include | show 🗑
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| what med can block the effects of opiates | show 🗑
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| show | Methadone
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| this modification changes ineffective behavior patterns, focuses on consequences of actions rather than peer pressure | show 🗑
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| unconscious faiulure to acknowledge an event, thought, or feeling that is too painful for conscious awareness | show 🗑
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| show | displacement
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| using reason to avoid emotional conflicts | show 🗑
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| attributing one's own thoughts or impulses to another person | show 🗑
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| show | reaction formation
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| show | repression
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| intentional exclusion of feelings and ideas | show 🗑
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| show | headache, nausea, muscle soreness
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| day to day stressors, allows for logical thought and problem solving, pt will appear calm and in control = ____ anxiety | show 🗑
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| client becomes restless, speech rate increases, client becomes wordy = ____ anxiety | show 🗑
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| stimulate causes fight or flight response, impairs concentration and problem solving ability = ____ anxiety | show 🗑
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| show | Panic
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| show | >HR, >BP, rapid shallow resp, dry mouth, tight feeling in throat, tremors, muscle tension, anorexia, urinary frequency, palmar sweating
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| show | fear of heights
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| agoraphobia | show 🗑
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| show | fear of closed in spaces
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| nyctophobia | show 🗑
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| thanatophobia | show 🗑
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| examples of benzodiazepines | show 🗑
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| what are benzodiazepines used for? | show 🗑
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| show | drowsiness, ataxia,dizziness, irritability, blood dyscrasias
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| show | right after ritual is finished...anxiety is at lowest point
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| what are some anxiety-reducing behaviors that can be taught | show 🗑
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| lack of concern over physical illness | show 🗑
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| decrease in anxiety resulting frfom the ability to deal with a stressful situation | show 🗑
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| rewards obtained from the sick role; sympathy, freedom from certain responsibilities | show 🗑
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| name two NON-benzodiazepines | show 🗑
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| sudden temporary inablity to recall extensive personal information | show 🗑
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| when would you expect to see a case of psychogenic amnesia? | show 🗑
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| show | a person suddenly leaving home or work with the inability to recall his or her identity.
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| fear of "going crazy", temporary loss of one's reality and ability to feel and express emotions | show 🗑
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| the last developmental task for a person. | show 🗑
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| show | natural, sudden, suicide
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| show | denial, anger, bargaining, depression, acceptance
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| show | Shock, disbelief, rejection, or denial, 2.Resolution - up to 1 year or more
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| this PD is socially detaced, shy, and introverted. they avoid interpersonal relationships | show 🗑
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| show | schizotypal personality
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| show | Antisocial personality
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| show | borderline personality
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| show | histrionic personality
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| perceives self as all-powerful and important, is critical of others, arrogant, self-love | show 🗑
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| socially inhibited, feels inadequate, hypersensitive to negative criticism | show 🗑
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| show | dependent personality
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| show | obsessive-compulsive personality
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| show | potassium
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| this is a test used for degree of depression. It is positive if post test levels of _____ is greater than 5mg/dl | show 🗑
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| show | serotonin and norepinephrine
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| show | dry mouth, blurred vision, constipation, urinary retention
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| show | Elavil, Tofranil, Aventyl, Ludiomil
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| examples of side effects r/t MAO-inhibitors | show 🗑
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| there are certain foods that trigger interactions with MAO-inhibitors. What is in the food and name some of the foods. | show 🗑
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| show | Prozac, Paxil, Zoloft, Lexapro
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| show | rapid onset of AMS, agitation, myoclonus, hyperreflexia, fever, shivering, diaphoresis, ataxia, diarrhea
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| show | Wellbutrin, Remeron
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| example of S/NRIs | show 🗑
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| show | sedation, drowsiness
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| common S/E for antidepressants | show 🗑
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| show | HTN Crisis, diet restrictions (tyramine)
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| show | renal function assessment and monitoring
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| show | extrapyramidal effects; tardive dyskinesia, photosensitivity
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| show | euphoric, grandiose, unstable, self-confident
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| symptoms of mania r/t thoughts | show 🗑
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| show | hyperactive, hyperverbal, manipulative, risky behaviors, colorful, poor grooming, wild energy
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| nursing interventions r/t mania | show 🗑
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| show | Lithium
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| show | balances neurotransmitters in brain, regulates nerve impulses and balances mood swings
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| show | D/V, drowsiness, muscle weakness, lack of coordination. Others:slurred speech, confusion, decreased BP.
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| Therapuetic level for Lithium | show 🗑
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| Other nursing implications r/t Lithium | show 🗑
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| show | Depakene, Tegretol, Lamictal. increase GABA in CNS
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| One noted side effect of Lamictal | show 🗑
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| show | noncompetitive physical activities that require use of large muscle groups
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| characterized by a distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days and present for most of the day nearly every day. | show 🗑
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| define grief | show 🗑
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| define mourning | show 🗑
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| show | age, developmental stage, coping ablilities, support systems, culture, spiritual beliefs
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| true or false: the stages of dying are fluid and can be experienced in any order | show 🗑
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| show | sadness, anger, anxiety, guilt, shock, crying ect...
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| what is complicated grief? | show 🗑
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| risk factors for complicated grief | show 🗑
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| show | death is temporary, reversible, magical thinking
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| describe death as seen as a school-age child | show 🗑
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| describe death as seen as a adolescent child | show 🗑
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| show | feel punished, angry, labile
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| show | why me? guilt, fear, vulnerable
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| how does an adolescent react to dying? | show 🗑
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| show | acute process that if tx, is usually reversible. Sudden onset. Tx=correct the causitive d/o (infection, drug reaction, head trauma)
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| show | cognitive impairments characterized by gradual, progressive onset; irreversible. judgement, memory, abstract thinking and social behavior are affected.
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| WERNICKES-KORSAKOFF SYNDROME are due to ___ and ___ | show 🗑
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| show | memory impairment, aphasia, apraxia, agnosia(recognizing everyday objects)
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| show | memory loss, forgets recent events, trouble with words "you know that thingamagig"
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| show | 2-12 years. loss of cognitive, motor skills, past memory is OK-recent memory not good. May start wandering, sleep disturbances(sundowners)
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| there are 3 stages of Alzheimers; stage 3 | show 🗑
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| how/what do you need/see for a diagnosis in a child with a d/o? | show 🗑
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| what are the three impairments of autism spectrum d/o | show 🗑
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| characteristics of autism | show 🗑
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| show | Visual
Predictable
Patterns
Numbers/letters
Computers
Music
Books
Special interests
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| show | multiple deficits after a period of normal development
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| three characteristics of ADHD | show 🗑
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| show | aggression to animals or people, vandalism, lying, theft, breaking the rules, lack empathy
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| show | bipolar d/o.
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| how would a Dr begin to diagnose a child with bipolar d/o | show 🗑
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| True/False: Assault on a patient can be a nurse forcing a pt to take a medication. (without touching the pt-verbally) | show 🗑
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| show | TRUE. touching, with or without the intent to do harm.
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| show | Falls under invasion of privacy.
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| show | Right to: 1.wear own clothes and have money on them. 2.own storage space for use. 3. see visitors daily. 4.access to phone, ability for private calls. 5. get and send mail. 6. refuse shock/lobotomy tx.
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| show | A medical or judicial approval is required to detain anyone over 24 hours
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| according to the HESI book, there are 5 things that a person cannot do if they are delared incompetent. | show 🗑
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| who is responsible to explain a surgical procedure to the pt? | show 🗑
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| show | schizophrenia - TOO MUCH DOPAMINE=TOO many signals
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| which type of schiophrenia is characteried by stupor, rigidity, posturing(waxy flexibility), negativism, potential for violence | show 🗑
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| show | Disorganized
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| type of schiophrenia characterized by delusions, hallucinations r/t a single theme or both, potential for violence if delusions are acted on. | show 🗑
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| show | Residual
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| type of schiophrenia characterized by prominent delusions and hallucinations, incoherence and grossly disorganized behaviors. failure to meet other criteria for other types | show 🗑
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| belief that conversations or actions of others have reference to the client | show 🗑
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| lack of clear connection from one thought to the next | show 🗑
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| show | constantly repeating what is heard
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| show | creating new words
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| show | concrete thinking
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| false sensory perception usually visual or auditory | show 🗑
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| show | Illusions
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| false, fixed beliefs that cannot be changed by reason. | show 🗑
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| show | affect
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| repeating another persons movements | show 🗑
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| nursing interventions r/t a schizophrenic | show 🗑
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| show | encourage recognition of distorted reality, divert attention to reality based object, avoid arguing, no touching, meds(antipsychotics, antiparkisonians)
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| show | protect from injury, pay attn to content of hallucin, avoid arguing, "you appear to be listening to something", make frequent but brief remarks to break up hallucn, antipsychotics, antiparkisonians.
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| use Bleuler's four A's to help remember the important characteristics of schizophrenia, what are the four A's? | show 🗑
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| show | increased motor activity and/or erratic responses to staff and other clients. -increased potential for aggressive behavior.
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| what meds are used to control hallucinations and delusions, and bizzare behavior? | show 🗑
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| side effects for traditional antipsychotics (Phenothiazines) | show 🗑
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| nursing implications r/t phenothiazines | show 🗑
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| what are some side effects of Haldol? | show 🗑
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| show | Prolixin can be given every 7-28 days and can take up to several months to get steady-state drug levels.
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| Clozaril is an atypical antipsychotic drug. What unique side effects do this med have and you should watch for? | show 🗑
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| show | sore throat, fever, chills: gargle, use lozenges, and analgesics
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| characteristics of Parkisonism (1-4 wks after initiation of meds) | show 🗑
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| characteristics of Akathisia (1-6 wks after initiation of meds) | show 🗑
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| show | Limb and neck spasms, uncoordinated, jerky movements, difficulty speaking and swallowing, rigidity and muscle spasms.
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| characteristics of tardive dyskinesia (develops late in tx) | show 🗑
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| characteristics of neuroleptic malignant syndrome? | show 🗑
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| characteristics of serotonin syndrome? | show 🗑
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| show | dry mouth, blurred vision, tachycardia,nasal congestion, constipation, urinary retention, orthostatic hypotension
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|
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| cogentin is an antiparkinsonian drug, what are some side effects of these meds? | show 🗑
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| benzodiazapines have 2 types of dosing strategies, what are they? | show 🗑
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| show | 4-6 hours
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| show | 12-36
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| show | tachycardia, tachypnea, diaphoresis, marked tremors, hallucinations, paranoia, (possible grand mal seizures)
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| _____ syndrome is irreversible and usually follows delirium tremens associated w/alcoholism. | show 🗑
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| a severe d/o occuring in chronic alcoholics that is probably due to lack of Vit B (thiamine). It may escalate Korsakoff syndrome and tx w/ thiamine chloride | show 🗑
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| what is the preferred tx medication for alcoholics? | show 🗑
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| what are the side effects of drinking alcohol while taking Disulfiram(antabuse)? | show 🗑
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| show | high protein diet, limit caffeine, and Vit B1 and B complex
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|
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| what are some examples of antianxiety drugs? | show 🗑
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| show | denial and rationalization are the two most common coping styles used
🗑
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| show | nutrition
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| show | I:tension, II: episode/explosion, III:Honeymoon
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| show | the woman tries to avoid the stressful triggers
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| describe the Explosion stage r/t abuse. | show 🗑
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| describe the "honeymoon" stage of abuse | show 🗑
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| the basic difference between delirium and dementia is that delirium is ___ and ___, whereas dementia is ____ and ____. | show 🗑
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| what are some causes of delirium? | show 🗑
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| show | maintaining pt's health and safety, encouraging self care, reinforce reality("good Monday morning mr smith), engage in simple tasks and activities to build self-esteem
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| what are some things you need to consider r/t a child w/possible ADHD? | show 🗑
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| what are some notable side effects r/t stimulants for an ADHD pt? | show 🗑
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| show | Primary: Headstart, Secondary: Screening, Therapy: family/individual
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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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jrstrader
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