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PSYCHE 1
final
| QUESTION | ANSWER |
|---|---|
| Yes---uh hum---I follow what you said. Nodding. | Yes---uh hum---I follow what you said. Nodding. Yes, accepting |
| Good morning, Mr. Bean. I notice you've combed your hair. | Good morning, Mr. Bean. I notice you've combed your hair. Yes, giving recognition |
| I'll sit with you for a while. I'll stay here with you. I'm interested in your comfort. | I'll sit with you for a while. I'll stay here with you. I'm interested in your comfort. Yes, offering self |
| Is there something you'd like to talk about? What are you thinking about? Where would you like to begin? | Is there something you'd like to talk about? What are you thinking about? Where would you like to begin? Yes, giving broad openings (clarify) |
| Go on. And then? Tell me more about it. | Go on. And then? Tell me more about it. Yes, offering general leads (allow pt. to take direction) |
| What does this seem to lead up to....? Was this before or after? | What does this seem to lead up to....? Was this before or after? Yes, placing the event in time & sequence |
| You appear tense. Are you comfortable when... ? I notice that you're biting your lips. It makes me uncomfortable when.... | You appear tense. Are you comfortable when... ? I notice that you're biting your lips. It makes me uncomfortable when.... Yes, making observations (attention to behavior) |
| Tell me when you feel anxious. What is happening? What does the voice seem to be saying? | Tell me when you feel anxious. What is happening? What does the voice seem to be saying? Yes, encouraging description of perceptions |
| Was this something like....? Have you had similar experiences? | Was this something like....? Have you had similar experiences? Yes, encouraging comparison |
| Pt: I can't sleep. I stay awake all night. Rn: You have difficulty sleeping? | Pt: I can't sleep. I stay awake all night. Rn: You have difficulty sleeping? Yes, restating (rephrasing the main idea) |
| Pt: My brother has the nerve to ask for more money. Rn: That makes you angry? | Pt: My brother has the nerve to ask for more money. Rn: That makes you angry? Yes, reflecting (focus the feelings back to the patient) |
| This point seems worth looking at more closely. | This point seems worth looking at more closely. Yes, focusing (used when patient has flight of ideas) |
| RN: Tell me more about that. Would you describe it more fully? | RN: Tell me more about that. Would you describe it more fully? Yes, exploring |
| Rn: My name is..... visiting hours are..... My purpose of being here is ........ | Rn: My name is..... visiting hours are..... My purpose of being here is ........ Yes, giving information |
| I'm not sure that i follow. What would you say is the main point of what you said? | I'm not sure that i follow. What would you say is the main point of what you said? Yes, seeking clarification |
| Rn: I see no one else in the room. That sound was a car backfiring. Your mother is not here; i'm a nurse. | Rn: I see no one else in the room. That sound was a car backfiring. Your mother is not here; i'm a nurse. Yes, presenting reality |
| RN: Isn't that unusual? Really? | RN: Isn't that unusual? Really? Yes, voicing doubt |
| Tell me whether my understanding of it agrees with yours. Are you using this word to convey the idea....? | Tell me whether my understanding of it agrees with yours. Are you using this word to convey the idea....? Yes, seeking consensual validation |
| Pt: I can't talk to you or to anyone. It's a waste of time Rn: Are you feeling no one understands? Pt: My wife pushes me around just like my mother & sister did. Rn: Is it your impression that women are domineering? | Pt: I can't talk to you or to anyone. It's a waste of time Rn: Are you feeling no one understands? Pt: My wife pushes me around just like my mother & sister did. Rn: Is it your impression that women are domineering? Yes, verbalizing the implied |
| What are your feelings, in regards to.....? Does this contribute to your discomfort? | What are your feelings, in regards to.....? Does this contribute to your discomfort? Yes, encouraging evaluation |
| Pt: I'm dead. Rn: Are you suggesting that you feel lifeless? | Pt: I'm dead. Rn: Are you suggesting that you feel lifeless? Yes, attempting to translate feelings |
| Everything will be alright. Don't worry about that. You did all that you could. | Everything will be alright. Don't worry about that. You did all that you could. No, giving reassurance |
| I am glad that you..... That is really good..... You did quite well.... | I am glad that you..... That is really good..... You did quite well.... No, giving approval |
| I do not wish to discuss this further. Let us talk of something else. | I do not wish to discuss this further. Let us talk of something else. No, rejecting |
| I wish you did not..... How many times did i tell you not to..... | I wish you did not..... How many times did i tell you not to..... No, disapproving |
| I agree that..... You did it..... | I agree that..... You did it..... No, agreeing |
| Maybe you should..... This is the best way to.... | Maybe you should..... This is the best way to.... No, giving advice |
| Now tell me about... How is your sex life? | Now tell me about... How is your sex life? No, probing (persistent personal question) |
| How can you be the Prime Minister? If you are depressed, how can you function? | How can you be the Prime Minister? If you are depressed, how can you function? No, challenging |
| Do you know what place this is? Do you still feel that you are the Prime Minister? Where are you now? | Do you know what place this is? Do you still feel that you are the Prime Minister? Where are you now? No, testing |
| Things will be better. It's really nice outside. How are you? You are looking great. | Things will be better. It's really nice outside. How are you? You are looking great. No, making stereotype comments |
| Pt: I am a disciple sent by God. Rn: St. Peter or St. Paul? | Pt: I am a disciple sent by God. Rn: St. Peter or St. Paul? No, giving literal responses |
| Why do you think that you are a disciple? Why do you feel that way? Why did you do that? | Why do you think that you are a disciple? Why do you feel that way? Why did you do that? No, requesting an explanation |
| I know what you mean. I feel that way sometimes. Everybody feels depressed every now and then. | I know what you mean. I feel that way sometimes. Everybody feels depressed every now and then. No, belittling expressed feelings |
| What you are saying is... Perhaps unconsciously you want to..... | What you are saying is... Perhaps unconsciously you want to..... No, interpreting |
| Pt: I wonder if my husband will be here for the surgery? Rn: Did you go away for the summer? | Pt: I wonder if my husband will be here for the surgery? Rn: Did you go away for the summer? No, introducing unrelated topics |
| Pt: Perhaps i have cancer. Rn: Don't be silly. Not all surgery is for cancer. | Pt: Perhaps i have cancer. Rn: Don't be silly. Not all surgery is for cancer. No, using denial |
| An involuntary, automatic submerging of painful unpleasant thoughts and feelings into the conscious. a) Repression b) Supression | An involuntary, automatic submerging of painful unpleasant thoughts and feelings into the conscious. a) Repression b) Suppression a) Repression |
| Intentional exclusion of forbidden ideas and anxiety producing situations from the conscious level: a voluntary forgetting or postponing. This is the only defense operating in the conscious level. a) Repression b) Suppression | Intentional exclusion of forbidden ideas and anxiety producing situations from the conscious level: a voluntary forgetting or postponing. This is the only defense operating in the conscious level. a) Repression b) Suppression b) Suppression |
| Assuming attitudes and behaviors that one consciously regrets. a) Reaction Formation b) Justification | Assuming attitudes and behaviors that one consciously regrets. a) Reaction Formation b) Justification a )Reaction Formation |
| Diversion of unacceptable instinctual drives into personally and socially acceptable areas to help channel forbidden impulse into constructive activities. a) Sublimation b) Projection | Diversion of unacceptable instinctual drives into personally and socially acceptable areas to help channel forbidden impulse into constructive activities. a) Sublimation b) Projection a) Sublimation |
| Attempting to justify or modify unacceptable needs and feelings to the ego, in an effort to maintain self respect and prevent guilt. | Attempting to justify or modify unacceptable needs and feelings to the ego, in an effort to maintain self respect and prevent guilt. Rationalization |
| Attributing ones own unacceptable feelings and thoughts to others. | Attributing ones own unacceptable feelings and thoughts to others. Projection |
| Actual or symbolic attempt to erase a previous consciously intolerable experience or action in an attempt to repair feeling and actions that have created guilt and anxiety. | Actual or symbolic attempt to erase a previous consciously intolerable experience or action in an attempt to repair feeling and actions that have created guilt and anxiety. Undoing |
| Retreat to an earlier, more comfortable level of adjustment. | Retreat to an earlier, more comfortable level of adjustment. Regression |
| Attempting to make up for or offset deficiency; either real or imagined by concentrating or developing other attributes. | Attempting to make up for or offset deficiency; either real or imagined by concentrating or developing other attributes. Compensation |
| Blocking out or disowning painful thoughts or feelings. | Blocking out or disowning painful thoughts or feelings. Denial |
| Attempting to pattern or resemble the personality of an admired, idealized person. | Attempting to pattern or resemble the personality of an admired, idealized person. Identification |
| Feelings are transferred, re-directed or discharged from the appropriate person or objects to less threatening person or object. | Feelings are transferred, re-directed or discharged from the appropriate person or objects to less threatening person or object. Displacement |
| Psychotic Mechanism (common before the age 5) | Psychotic Mechanism (common before the age 5) Delusional projection, Denial, Distortion |
| Immature Mechanism (common in ages 13-15) | Immature Mechanism (common in ages 13-15) Projection, Schizoid fantasy, Hypochondriasis, Passive-Aggressive Behavior, Acting Out |
| Neurotic Defenses (common in ages 3-90) | Neurotic Defenses (common in ages 3-90) Intellectualization, Repression, Displacement, Reaction, Formation, Dissociation |
| Mature Mechanisms | Mature Mechanisms Altruism, Humor, Sublimation |
| Intense anxiety with sympathetic arousal: shortness of breath, dizziness, diaphoresis, palpitations, chest pain and paresthesia, sense of doom, depersonalization, maybe with fear of being in open space (agoraphobia). | Intense anxiety with sympathetic arousal: shortness of breath, dizziness, diaphoresis, palpitations, chest pain and paresthesia, sense of doom, depersonalization, maybe with fear of being in open space (agoraphobia). Panic Disorders |
| Persistent fear and avoidance of being exposed to embarrassing and humiliating situation. | Persistent fear and avoidance of being exposed to embarrassing and humiliating situation. Social Phobia |
| Intrusive, recurrent and persistent thoughts (obsessions) or images or excessive worries with ritualistic repetitive behaviors such as handwashing, hoarding (compulsion). | Intrusive, recurrent and persistent thoughts (obsessions) or images or excessive worries with ritualistic repetitive behaviors such as handwashing, hoarding (compulsion). Obsessive Compulsive Disorder (OCD) |
| Persistent recurrent and intrusive thoughts and flashbacks of intense psychological distress with biological responses of emotional numbing, hyper vigilance and autonomic hyperarousal. | Persistent recurrent and intrusive thoughts and flashbacks of intense psychological distress with biological responses of emotional numbing, hyper vigilance and autonomic hyperarousal. Post Traumatic Stress Disorder (PTSD) |
| Apprehensive worrying of pervasive, frequent uncontrollable worrying, tensions, restlessness and free floating anxiety with autonomic arousal. | Apprehensive worrying of pervasive, frequent uncontrollable worrying, tensions, restlessness and free floating anxiety with autonomic arousal. Generalized Anxiety Disorder |
| A technique which assess client's belief systems and challenge (with aim to alter) distorted or negative thoughts and self-defeating behavior through internal dialogue or self-talk. | A technique which assess client's belief systems and challenge (with aim to alter) distorted or negative thoughts and self-defeating behavior through internal dialogue or self-talk. Cognitive Behavior Techniques |
| Slowly and progressively exposing clients to situation that evoke anxiety and teaching clients to maintain relaxation to neutralize response. | Slowly and progressively exposing clients to situation that evoke anxiety and teaching clients to maintain relaxation to neutralize response. Systematic Desentization |
| Visual imagery that follows relaxation in response to stress and anxiety. | Visual imagery that follows relaxation in response to stress and anxiety. Progressive Relaxation |
| Loss of interest in things that were once pleasurable with disturbance in sleep, appetite (and weight), energy and concentration. Twice more common in females with poorer prognosis in older adults. | Loss of interest in things that were once pleasurable with disturbance in sleep, appetite (and weight), energy and concentration. Twice more common in females with poorer prognosis in older adults. Depression |
| The two extreme mood states of mania (ranging from euphoria or elation to dysphoria or unpleasant mood) and depression. | The two extreme mood states of mania (ranging from euphoria or elation to dysphoria or unpleasant mood) and depression. Bipolar Disorder |
| Maladaptive traits that produce or influence considerable psychological and emotional disturbance and impair relationship. Enduring pattern of feeling, thinking, and behaving that become rigid, pervasive and stable over time. | Maladaptive traits that produce or influence considerable psychological and emotional disturbance and impair relationship. Enduring pattern of feeling, thinking, and behaving that become rigid, pervasive and stable over time. Personality Disorder |
| Suspicious, secretive, jealous and distrustful. | Suspicious, secretive, jealous and distrustful. Paranoid |
| Exploitation of others, violate laws and rights of others, impulsive risky behaviors, lack of loyalty, honesty and fidelity. | Exploitation of others, violate laws and rights of others, impulsive risky behaviors, lack of loyalty, honesty and fidelity. Antisocial |
| Fears criticism and rejection, escapes intimate relationship, avoidance of positive social events, reluctant to engage in new activities. | Fears criticism and rejection, escapes intimate relationship, avoidance of positive social events, reluctant to engage in new activities. Avoidant |
| Unable to perform social relationship as the person is cold and aloof, seclusive and withdrawn, loner and passive. | Unable to perform social relationship as the person is cold and aloof, seclusive and withdrawn, loner and passive. Schizoid |
| Chronic feelings of emptiness, lack of control, impulsive and self-damaging, neurotic, gestures threats self mutilation. | Chronic feelings of emptiness, lack of control, impulsive and self-damaging, neurotic, gestures threats self mutilation. Borderline |
| Passively allows others to assume responsibility for his/her life, marked dependence, lacks self confidence. | Passively allows others to assume responsibility for his/her life, marked dependence, lacks self confidence. Dependent |
| Isolated, hypersensitive, limited peer relationship, bizarre fantasy, odd magical thinking with peculiar language and thought patterns. | Isolated, hypersensitive, limited peer relationship, bizarre fantasy, odd magical thinking with peculiar language and thought patterns. Schizotypal |
| Keep self the center of attention, self dramatization (flamboyant), pose seduction and intimacy. | Keep self the center of attention, self dramatization (flamboyant), pose seduction and intimacy. Histrionic |
| Pervasive rigidity and preoccupation with control and power and an exaggerated fear of losing control, perfectionist. | Pervasive rigidity and preoccupation with control and power and an exaggerated fear of losing control, perfectionist. Obsessive Compulsive |
| Sense of grandiose self importance, excessive self admiration, lacks empathy but arrogant, fantasies of unlimited power, beauty or brilliance. | Sense of grandiose self importance, excessive self admiration, lacks empathy but arrogant, fantasies of unlimited power, beauty or brilliance. Narcissistic |
| Sexual arousal involving exposure of genitals to an unsuspecting stranger. | Sexual arousal involving exposure of genitals to an unsuspecting stranger. Exhibitionism |
| Use of non-living objects by the person. | Use of non-living objects by the person. Fetishism |
| Cross dressing. | Cross dressing. Transvestic Fetishism |
| Touching and rubbing against a non-consenting person. | Touching and rubbing against a non-consenting person. Frotteurism |
| Sexual activity involving a pre-pubescent child or children. | Sexual activity involving a pre-pubescent child or children. Pedophilia |
| Sexual arousal involving real acts of being humiliated, beaten, bound or otherwise made to suffer. | Sexual arousal involving real acts of being humiliated, beaten, bound or otherwise made to suffer. Sexual Masochism |
| Sexual arousal involving real acts in which psychological or physical suffering and humiliation of the victim is sexually exciting to the person. | Sexual arousal involving real acts in which psychological or physical suffering and humiliation of the victim is sexually exciting to the person. Sexual Sadism |
| Peeping tom with sexual arousal involving observing an unsuspecting person who is naked, disrobing or engaging in sexual activity. | Peeping tom with sexual arousal involving observing an unsuspecting person who is naked, disrobing or engaging in sexual activity. Voyeurism |
| Deficient or absent sexual fantasy and desire. | Deficient or absent sexual fantasy and desire. Hypoactive Sexual Desire Disorder |
| Avoidance of genital sexual contact with sexual partner. | Avoidance of genital sexual contact with sexual partner. Sexual Aversion Disorder |
| Partial or complete failure to attain or maintain lubrication-swelling response of sexual excitement until completion of the sexual act with lack of subjective sense of sexual excitement and pleasure. | Partial or complete failure to attain or maintain lubrication-swelling response of sexual excitement until completion of the sexual act with lack of subjective sense of sexual excitement and pleasure. Female Sexual Arousal Disorder |
| Partial or complete failure to attain or maintain erection until completion of the sexual act with lack of subjective sense of sexual excitement and pleasure. | Partial or complete failure to attain or maintain erection until completion of the sexual act with lack of subjective sense of sexual excitement and pleasure. Male Erectile Disorder |
| Delay in, or absence of orgasm following a normal sexual excitement phase, although one may experience orgasm during non-coital stimulation. | Delay in, or absence of orgasm following a normal sexual excitement phase, although one may experience orgasm during non-coital stimulation. Inhibited Female Orgasm |
| Delay in or absence of orgasm following sexual excitement phase with possible orgasm with other types of stimulation like masturbation. | Delay in or absence of orgasm following sexual excitement phase with possible orgasm with other types of stimulation like masturbation. Inhibited Male Orgasm |
| Ejaculation with minimal sexual stimulation or before, upon or shortly after penetration and before the person wishes it. | Ejaculation with minimal sexual stimulation or before, upon or shortly after penetration and before the person wishes it. Premature Ejaculation |
| Genital pain before, during or after sexual intercourse. | Genital pain before, during or after sexual intercourse. Dyspareunia |
| Involuntary spasm of musculature of the outer third of the vagina that interferes with coitus. | Involuntary spasm of musculature of the outer third of the vagina that interferes with coitus. Vaginismus |
| Trust vs. Mistrust | Trust vs. Mistrust Infancy (0-18 mos) |
| Autonomy vs. Shame & Doubt | Autonomy vs. Shame & Doubt Early Childhood (18mos-3yrs) |
| Initiative vs. Guilt | Initiative vs. Guilt Preschool (3-6yrs) |
| Industry vs. Inferiority | Industry vs. Inferiority Schoolage (6-12yrs) |
| Identity vs. Role Confusion | Identity vs. Role Confusion Adolescence (12-18yrs) |
| Intimacy vs. Isolation | Intimacy vs. Isolation Young Adult (18-25yrs) |
| Generativity vs. Stagnation | Generativity vs. Stagnation Adulthood (25-45yrs) |
| Integrity vs. Despair | Integrity vs. Despair Late Adulthood (45-death) |
| Teaching that is Dependent on environment Needs security | Teaching that is Dependent on environment Needs security Infant (0-18mos) |
| Teaching focused on Separation anxiety Self exploration Environment | Teaching focused on Separation anxiety Self exploration Environment Infant (0-18mos) |
| Teaching focused on Natural curiosity Separation Intrusive procedure | Teaching focused on Natural curiosity Separation Intrusive procedure Toddler (18mos-3yrs) |
| Teaching focused on Ego Body mutilation (pain) believes illness is self caused & punitive | Teaching focused on Ego Body mutilation (pain) believes illness is self caused & punitive Preschooler (3-6yrs) |
| Teaching focused on Limited time Active imagination (animistic thinking, fearful) | Teaching focused on Limited time Active imagination (animistic thinking, fearful) Preschool (3-6yrs) |
| Teaching focused on Reality Objectivity Separation anxiety (tries to appear brave) | Teaching focused on Reality Objectivity Separation anxiety (tries to appear brave) School Age (6-12yrs) |
| Teaching focused on Cause & effect Concrete Information (passive coping strategy) | Teaching focused on Cause & effect Concrete Information (passive coping strategy) School Age (6-12yrs) |
| Teaching focused on Abstract hypothetical thinking Logic & scientific principles | Teaching focused on Abstract hypothetical thinking Logic & scientific principles Adolescence (12-18yrs) |
| Teaching focused on Body image Self esteem & identity (feel invincible) | Teaching focused on Body image Self esteem & identity (feel invincible) Adolescence (12-18yrs) |
| Teaching focused on Autonomy Self direction Critical thinking | Teaching focused on Autonomy Self direction Critical thinking Young adult (18-25yrs) |
| Teaching focused on Competency based learner (can make decision personally & socially) | Teaching focused on Competency based learner (can make decision personally & socially) Young Adult (18-25yrs) |
| Teaching focused on Physical changes Alternative lifestyle Sense of well developed (questions achievements & contributions to family & society, confident) | Teaching focused on Physical changes Alternative lifestyle Sense of well developed (questions achievements & contributions to family & society, confident) Middle Adult (25-45yrs) |
| Teaching focused on Cognitive & physical changes No formal learning (decreased S.T.M., risk taking, easily fatigue) | Teaching focused on Cognitive & physical changes No formal learning (decreased S.T.M., risk taking, easily fatigue) Older Adult (45-death) |
| For a hospitalized Child, focus on | For a hospitalized Child, focus on Separation |
| For a hospitalized Toddler, focus on | For a hospitalized Toddler, focus on Separation Intrusive procedure |
| For a hospitalized Preschooler, focus on | For a hospitalized Preschooler, focus on Body mutilation Pain |
| For a hospitalized Schoolage, focus on | For a hospitalized Schoolage, focus on Loss of control |
| For a hospitalized Adolescent, focus on | For a hospitalized Adolescent, focus on Body image |
| Nurse-Patient relationship Pre-Orientation | Nurse-Patient relationship Pre-Orientation Self awareness |
| Nurse-Patient relationship Orientation | Nurse-Patient relationship Orientation Contract, Assessment, Rapport |
| Nurse-Patient relationship Working | Nurse-Patient relationship Working Problem solving Preservation of life |
| Nurse-Patient relationship Termination | Nurse-Patient relationship Termination Independent More contact with reality |
| Blaming | Blaming Projection |
| Transfer of aggression or hostility | Transfer of aggression or hostility Displacement |
| Justifying | Justifying Rationalization |
| Failure to acknowledge a fact | Failure to acknowledge a fact Denial |
| Going back to an earlier stage | Going back to an earlier stage Regression |
| Acting the opposite of what one truly feels | Acting the opposite of what one truly feels Reaction formation |
| Voluntary forgetting | Voluntary forgetting Suppression |
| Emotions transferred in the intellectual sphere | Emotions transferred in the intellectual sphere Intellectualization |
| Burying alive mechanism/involuntary | Burying alive mechanism/involuntary Repression |
| Separate emotions from thought forgetting | Separate emotions from thought forgetting Isolation |
| Ingesting philosophy (becoming) | Ingesting philosophy (becoming) Introjection |
| Imitating (copy, emulating) | Imitating (copy, emulating) Identification |
| Channel unwanted impulses to socially accepted behavior | Channel unwanted impulses to socially accepted behavior Sublimation |
| Make up for inadequacy | Make up for inadequacy Compensation |
| Transfer of emotional conflict to physical symptom | Transfer of emotional conflict to physical symptom Conversion |
| Detach emotional conflict from consciousness | Detach emotional conflict from consciousness Dissociation |
| Mental images (day dreaming) | Mental images (day dreaming) Fantasy |
| Representation | Representation Symbolization |
| Replacement (choosing end best) | Replacement (choosing end best) Substitution |
| Negation of a previous intolerable action to alleviate or reduce guilt | Negation of a previous intolerable action to alleviate or reduce guilt Undoing |
| False belief | False belief Delusion |
| False sensory perception | False sensory perception Hallucinations |
| Misinterpreting reality | Misinterpreting reality Illusion |
| Shifting from one topic to another - with connection | Shifting from one topic to another - with connection Flight of ideas (manifested by Manic/Bipolar) |
| Shifting from one topic to another - no connection | Shifting from one topic to another - no connection Associative Looseness (manifested by Schizophrenia) |
| Filling in memory gaps with fantasy | Filling in memory gaps with fantasy Confabulation |
| Vague feeling of apprehension | Vague feeling of apprehension Anxiety |
| Increased perception & problem solving ability | Increased perception & problem solving ability Mild Anxiety |
| Narrowing of perceptual field, selective inattention, with some physical s/s | Narrowing of perceptual field, selective inattention, with some physical s/s Moderate Anxiety |
| Greatly narrowed perceptual field, scattered attention, marked physical s/s | Greatly narrowed perceptual field, scattered attention, marked physical s/s Severe Anxiety |
| Management of anxiety | Management of anxiety Reduction of Anxiety |
| On anxiety, a nursing intervention is to make it | On anxiety, a nursing intervention is to make it K.I.S.S. Safety |
| Anti-anxiety drugs: Benzodizepines & Barbiturates are | Anti-anxiety drugs: Benzodizepines & Barbiturates are Fast acting & addictive |
| Anti-anxiety drug: Buspirone (Buspar) | Anti-anxiety drug: Buspirone (Buspar) Slow acting & non-addictive |
| State of disequilibrium, where one's usual coping are not enough to deal with the present situation. It is self limiting, lasts to 4-6 weeks | State of disequilibrium, where one's usual coping are not enough to deal with the present situation. It is self limiting, lasts to 4-6 weeks Crisis |
| Caused by expected life transitions (internal factors) | Caused by expected life transitions (internal factors) Maturational or Developmental Crisis |
| Caused by a specific external factors | Caused by a specific external factors Situational Crisis |
| Caused by fate of providence | Caused by fate of providence Adventitious Crisis |
| Return the client to the pre-crisis level. Assess perception, level of anxiety, defense or coping mechanisms & support system | Return the client to the pre-crisis level. Assess perception, level of anxiety, defense or coping mechanisms & support system Crisis Intervention |
| Impulsivity, hyperactivity, inattention medz: Methylphenidate (Ritalin), Dextroamphetamine (Dexedrine/Dextrostat) avoid: finger foods, sugar & food additives | Impulsivity, hyperactivity, inattention medz: Methylphenidate (Ritalin), Dextroamphetamine (Dexedrine/Dextrostat) avoid: finger foods, sugar & food additives A.D.H.D. |
| A childhood disorder that is antisocial behavior, aggression to people/animal, lying, stealing, deceit, destruction of properties & serious violations | A childhood disorder that is antisocial behavior, aggression to people/animal, lying, stealing, deceit, destruction of properties & serious violations Conduct Disorder |
| Regression is present | Regression is present Anxiety disorder |
| Underlying tension | Underlying tension Stereotype Movement Disorders |
| Impaired social interaction, communication, stereotypical behavioral pattern. Diet should be Casein & Gluten free | Impaired social interaction, communication, stereotypical behavioral pattern. Diet should be Casein & Gluten free Autism |
| Play therapy for 2 yrs. old | Play therapy for 2 yrs. old Parallel |
| Play therapy for 3 yrs. old | Play therapy for 3 yrs. old Association |
| Play therapy for 4 yrs. old | Play therapy for 4 yrs. old Cooperative, Imitative |
| Play therapy for 5 yrs. old | Play therapy for 5 yrs. old Fighting |
| Play therapy for 6 yrs. old | Play therapy for 6 yrs. old Mutual Sharing |
| Play therapy for 8 yrs. old | Play therapy for 8 yrs. old Bestfriends |
| Play therapy for 10 yrs. old | Play therapy for 10 yrs. old Gang, Collections |
| Core of psychiatric nursing. | Core of psychiatric nursing. interpersonal process – human to human relationship(both for mentally healthy and ill) |
| Long term mental or behavioral d/o in which contact with reality is retained the condition is recognized by the patient as abnormal.Essentially features anxiety or behavior exagerrated designed to avoid anxiety. | Long term mental or behavioral d/o in which contact with reality is retained the condition is recognized by the patient as abnormal.Essentially features anxiety or behavior exagerrated designed to avoid anxiety. Neurosis (Benefits from Behavior Therap |
| Mental or behavioral disorder wherein patient looses contact with reality. Delusions, hallucinations,severe thought disturbances,alteration of mood, poverty of thought and abnormal behavior. | Mental or behavioral disorder wherein patient looses contact with reality. Delusions, hallucinations,severe thought disturbances,alteration of mood, poverty of thought and abnormal behavior. Psychosis (Benefits from psychoanalysis and antipsychotics) |
| Coining of words that people do not understand | Coining of words that people do not understand Neologism |
| Over inclusion of inappropriate thoughts and details | Over inclusion of inappropriate thoughts and details Circumstantiality |
| Incoherent mixture of words and phrases with no logical sequence | Incoherent mixture of words and phrases with no logical sequence Word salad |
| Meaningless repetition of words and phrases | Meaningless repetition of words and phrases Verbigeration |
| Persistence of a response to a previous question | Persistence of a response to a previous question Perseveration |
| Speech difficulty and disturbance | Speech difficulty and disturbance Aphasia |
| Shifting of one topic from one subject to another in a somewhat related way | Shifting of one topic from one subject to another in a somewhat related way Flight of ideas |
| Sound of word gives direction to the flow of thought | Sound of word gives direction to the flow of thought Clang association |
| Persistent false belief,rigidly held belief | Persistent false belief,rigidly held belief Delusion |
| Primitive thought process thoughts alone can change events | Primitive thought process thoughts alone can change events Magical thinking |
| Regressive thought process-subjective interpretations not validated with objective reality | Regressive thought process-subjective interpretations not validated with objective reality Autistic thinking |
| Disharmony between the stimuli and the emotional reaction. | Disharmony between the stimuli and the emotional reaction. Inappropriate affect |
| Severe reduction in emotional reaction | Severe reduction in emotional reaction Blunted affect |
| Flat affect | Flat affect Absence or near absence of emotional reaction |
| Dulled emotional tone | Dulled emotional tone pathy |
| Feeling of strangeness from one’s self | Feeling of strangeness from one’s self Depersonalization |
| Feeling of strangeness towards environment | Feeling of strangeness towards environment Derealization |
| Lack of sensory stimuli integration | Lack of sensory stimuli integration Agnosia |
| Imitation of posture of others | Imitation of posture of others Echopraxia |
| Maintaining position for a long period of time | Maintaining position for a long period of time Waxy flexibility |
| Loss of balance | Loss of balance Ataxia |
| Extreme restlessness | Extreme restlessness Akathesia |
| Uncoordinated spastic movements of the body | Uncoordinated spastic movements of the body Dystonia |
| Involuntary twitching or muscle movements | Involuntary twitching or muscle movements Tardive dyskenisia |
| Involuntary unpurposeful movements | Involuntary unpurposeful movements Apraxia |
| Filling of memory gaps | Filling of memory gaps Confabulation |
| 2nd time-like feeling | 2nd time-like feeling Déjà vu |
| Feeling of not having been to the place one has been before | Feeling of not having been to the place one has been before Jamais vu |
| Memory loss (inability to recall past events) | Memory loss (inability to recall past events) Amnesia – Retrograde-distant past |
| WHEN TO TERMINATE NPR | WHEN TO TERMINATE NPR GOALS ACCOMPLISHED EMOTIONALLY STABLE GREATER INDEPENDENCE ABLE TO COPE WITH ANXIETY, LOSS , FEAR AND SEPARATION |
| INTERVENTIONS AIMED AT THE PROMOTION OF MENTAL HEALTH AND LOWERING THE RATE OF CASES BY ALTERING THE STRESSORS | INTERVENTIONS AIMED AT THE PROMOTION OF MENTAL HEALTH AND LOWERING THE RATE OF CASES BY ALTERING THE STRESSORS PRIMARY |
| INTERVENTIONS THAT LIMIT THE SEVERITY OF THE DISORDER | INTERVENTIONS THAT LIMIT THE SEVERITY OF THE DISORDER SECONDARY |
| REDUCING THE DISABILITY AFTER A DISORDER | REDUCING THE DISABILITY AFTER A DISORDER TERTIARY |
| Relieve psychotic symptoms( delusions , hallucinations and looseness of association). Blocks activity of the CNS receptors and sympathetic nervous system ALSO ACTS AS ANTI EMETIC , ANTI CHOLINERGIC AND ANTIHISTAMINIC. | Relieve psychotic symptoms( delusions , hallucinations and looseness of association). Blocks activity of the CNS receptors and sympathetic nervous system ALSO ACTS AS ANTI EMETIC , ANTI CHOLINERGIC AND ANTIHISTAMINIC. NEUROLEPTICS (major tranquilizers) |
| NEUROLEPTICS (major tranquilizers) | NEUROLEPTICS (major tranquilizers) C/I : hypersensitivity , glaucoma , convulsive d/o/ , pregnancy and lactation, elderly clients |
| NEUROLEPTICS (major tranquilizers) | NEUROLEPTICS (major tranquilizers) Phenothiazines: Chlorpromazine ( Thorazine ) Prochlorperazine ( Compazine ) Fluphenazine (Prolixin) |
| NEUROLEPTICS (major tranquilizers) | NEUROLEPTICS (major tranquilizers) CLOZAPINE (CLOZARIL )– 300 – 450(SEIZURES) CARBAMAZEPINE (TEGRETOL)50 – 200 MG / 24 HOURS(SEIZURES) |
| NEUROLEPTICS (major tranquilizers) | NEUROLEPTICS (major tranquilizers) BUTYROPHENONE HALOPERIDOL ( HALDOL ) 2 – 40 MG/24HRS |
| ANTIPARKINSONIAN : ADJUNCT TO ANTI-PSYCHOTIC AGENTS. TO BALANCE DOPAMINE /ACETYLCHOLINE IN THE BRAIN | ANTIPARKINSONIAN : ADJUNCT TO ANTI-PSYCHOTIC AGENTS. TO BALANCE DOPAMINE /ACETYLCHOLINE IN THE BRAIN GLAUCOMA , TACHYCARDIA , HPN , CARDIAC Dx , ASTHMA, DUODENAL UCER |
| ANTIPARKINSONIAN | ANTIPARKINSONIAN AVOID DRIVING CHECK BP-HYPOTENSION ALCOHOL INCREASES SEDATIVE EFFECTS AVOID SUDDEN POSITION CHANGE DRUGS IS NOT WITHDRAWN ABRUPTLY |
| ANTI – ANXIETY: CALLED MINOR TRANQUILIZER MAY LEAD TO DEPENDENCE IF BP, <20 mmHG SYSTOLIC FROM BASELINE – HOLD AND NOTIFY PHYSICIAN | ANTI – ANXIETY: CALLED MINOR TRANQUILIZER MAY LEAD TO DEPENDENCE IF BP, <20 mmHG SYSTOLIC FROM BASELINE – HOLD AND NOTIFY PHYSICIAN WITHDRAWAL 8 MONTHS AND IN HIGH DOSES |
| ANTI – ANXIETY: DIAZEPAM (VALIUM) HYDROXYZINE HCL (ATARAX) ALPRAZOLAM (XANAX) | ANTI – ANXIETY: DIAZEPAM (VALIUM) HYDROXYZINE HCL (ATARAX) ALPRAZOLAM (XANAX) ANTI – ANXIETY: CHLORAZEPATE (TRANXENE) LORAZEPAM (ATIVAN) HYDROXYZINE PAMOATE (VISTARIL0) OXAZEPAM (SERAX) CHLORDIAZEPOXIDE (LIBRIUM) |
| ANTIDEPRESSANTS: MAOI’S – INCREASES APPETITE , ADEQUATE SLEEP | ANTIDEPRESSANTS: MAOI’S – INCREASES APPETITE , ADEQUATE SLEEP ANTIDEPRESSANTS: MAOI’S - AVOID TYRAMINE RICH FOODS:AVOCADO,BANANA,CHEDDAR AND AGED CHEESE,SOYSAUCE AND PRESERVED FOODS |
| ANTIDEPRESSANTS: MAOI’S - TAKES 3-4 WKS TO WORK, 2-3 WEEKS BEFORE INITIAL THERAPEUTIC EFFECTS BECOME NOTICEABLE | ANTIDEPRESSANTS: MAOI’S - AVOID STIMULANTS AVOID TRICYCLICS UNTIL 3 WKS AFTER STOPPING MAOI USE SUNBLOCK BEST TAKEN AFTER MEALS REPORT HEADACHE INDICATIVE OF HYPERTENSIVE CRISIS |
| ANTIDEPRESSANTS: SSRI - TAKE IN AM TO AVOID INSOMNIA TAKES AT LEAST 4 WEEKS TO WORK | ANTIDEPRESSANTS: SSRI - CAN POTENTIATE EFFECTS OF DIGOXIN,COUMADIN AND VALIUM USED FOR ANOREXIA, NOT SUICIDAL OR HOMICIDAL |
| ANTIDEPRESSANTS: TRICYCLICS – PREVENTS REUPTAKE OF NOREPINEPHRINE | ANTIDEPRESSANTS: SSRI’S - INHIBITS UPTAKE OF SEROTONIN,STIMULANT COUNTERACTING DEPRESSION,INCREASING MOTIVATION |
| ANTIDEPRESSANTS: MAOI’S - INTERFERES WITH MONOAMINE OXIDASE ALLOWING INCREASED CONCENTRATION OF NEUROTRANSMITTERS | ANTIDEPRESSANTS: TREATMENT OF MELANCHOLIA,DEPRESSED MOOD, MOOD SWING |
| TRICYCLICS : IMIPRAMINE (Tofranil) AMITRIPTYLINE (Elavil) | SSRI’S : Fluoxetine ( Prozac) Paroxetine ( Paxil) Sertraline ( Zoloft) |
| MAOI’S : Tranylcypromine (Parnate) Phenelizine ( Nardil) Isocarboxazid (Marplan) | ANTI - MANIC : MOOD STABILIZING DRUG, FOR THE CONTROL OF MANIC EPISODES IN THE SYNDROME OF MANIC –DEPRESSIVE PSYCHOSIS- LITHIUM CARBONATE |
| ANTI - MANIC : CARDIOVASCULAR DISEASE, RENAL DISEASE, BRAIN DAMAGE, CLIENTS RECEIVING DIURETICS, CLIENTS ON LOW SODIUM DIETS, PREGNANCY AND LACTATION | ANTI - MANIC : NAVDA (LITHIUM TOXICITY), dizziness , headache, FINE HAND TREMORS, IMPAIRED VISION,MUSCULAR WEAKNESS |
| ANTI - MANIC : INCREASE FLUID INTAKE 3LPD AND SODIUM INTAKE 3 GM./DAY BEST TAKEN AFTER MEALS MONITOR FOR TOXICITY | ANTI - MANIC :AVOID ACTIVITIES THAT INCREASE PERSPIRATION TAKES 10-14 DAYS BEFORE THERAPEUTIC EFFECT BECOMES EVIDENT |
| PANIC ATTACKS : SUDDEN ATTACKS OF INTENSE ANXIETY. INTERVENTIONS? | PANIC ATTACKS : SUDDEN ATTACKS OF INTENSE ANXIETY. INTERVENTIONS? RELAXATION EXERCISE; ANTI ANXIETY |
| RECURRENT AND MULTIPLE SOMATIC COMPLAINTS OF SEVERAL YEARS DURATION AND SEEMINGLY WITHOUT PHYSIOLOGIC CAUSES, USUALLY BEGINS BEFORE 30 TEARS OF AGE, CHRNIC ACCOMPANIED BY ANXIETY AND DEPRESSED MOOD | RECURRENT AND MULTIPLE SOMATIC COMPLAINTS OF SEVERAL YEARS DURATION AND SEEMINGLY WITHOUT PHYSIOLOGIC CAUSES, USUALLY BEGINS BEFORE 30 TEARS OF AGE, CHRNIC ACCOMPANIED BY ANXIETY AND DEPRESSED MOOD SOMATIZATION DISORDER |
| Balance in a persons internal life and adaptation to reality | Balance in a persons internal life and adaptation to reality MENTAL HEALTH |
| State of imbalance characterized by a disturbance in a persons thoughts feelings and behavior | State of imbalance characterized by a disturbance in a persons thoughts feelings and behavior Mental ILL Health |
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akosipidro
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