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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| show | 18 inches - 3 feet
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| show | 10-18 inches
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| social space | show 🗑
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| 3 Phases of the Nurse-Patient Therapeutic Relationship | show 🗑
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| what are some things a nurse discusses in the orientation period | show 🗑
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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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| what are three things you do during the termination phase of a relationship | show 🗑
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| show | Boundary violation
Sympathy
Encouraging dependency
Non-acceptance
Avoidance
Not being genuine
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| show | resistance
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| congruent | show 🗑
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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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| show | promotes self care, assist w/ADLs communication, interpersonal relations
examine behaviors, test alternatives
teach meds/ tx’s
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| show | altering risk factors to hinder the development of MI
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| show | reduce the effect of Mental Illness: screening crisis intervention
suicide prevention
counseling
short term hospitalization
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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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| show | Denial, Displacement, Intellectualization, passive-aggression, projection, reaction formation, regression, repression, suppression, undoing
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| show | mental illness
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| lying on a couch and talking to therapist | show 🗑
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| show | learned behavior:shaped by environment
reward and punishment
change environment, change behavior
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| Cognitive framework | show 🗑
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| show | neurotransmitters and receptors
serotonin
norepinephrine
dopamine
GABA
psychotropics
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| milieu therapy | show 🗑
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| family therapy | show 🗑
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| show | group therapy
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| show | forming, storming, norming, conforming, adjourning
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| show |
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| show |
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| r/t group therapy: | 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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| show | crisis
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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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| show | clinical d/o, substance abuse (major depression)
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| R/T DSM-IV: Axis II | show 🗑
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| show | medical conditions (HTN, DM)
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| show | Psychosocial stressors (Severe r/t chronic financial stress, loss of job)
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| show | Global Assessment of Functioning (Current GAF 30, past year GAF 70)
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| show | DANG DRUGS!!
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| what is hardiness? | show 🗑
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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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| unrealistic, excessive, persistent anxiety about 2 or more life events. Coping is inadequate. | show 🗑
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| show | increased HR & BP, rapid, shallow respirations, dry mouth, tight feeling in throat, tremors, muscle tension, anorexia, urinary frequency, and palmar sweating
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| persistent, intrusive thought, emotion or urge, unable to ignore | show 🗑
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| performance of repetitious, uncontrollable purposeful act to prevent some future event | show 🗑
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| show | allow time for rituals (initially):
then set limits, gradually dec. time
Explore meaning of the ritual
encourage socially acceptable outlets non confrontational
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| interventions r/t panic | show 🗑
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| Somatoform Disorders | show 🗑
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| Dissociative Disorders | show 🗑
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| pattern of behavior relating to self or others | show 🗑
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| show | inflexibility, inaffective relationships, maladaptive coping
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| 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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| show | BEHAVIOR: ODD OR ECCENTRIC
1. Paranoid
2. Schizoid
3. Schizotypal
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| show | SUSPICIOUS
MISTRUSTS OTHERS,
HYPERSENSITIVE
LACK SENSE OF HUMOR,
SECRETIVE, ARGUMENTATIVE
AFFECT COLD, SARCASTIC, ALOOF
CONTROLLING
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| interventions r/t a paranoid pt | show 🗑
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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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| show | ODDITY OF THOUGHT,
PERCEPTION, SPEECH,
AFFECT
ECCENTRIC
MAGICAL THINKING
HIGHLY ANXIOUS
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| interventions r/t schizotypal | show 🗑
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| what d/o are in cluster B? | show 🗑
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| characters of an antisocial pt | show 🗑
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| interventions r/t antisocial pts | show 🗑
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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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| show | GRANDIOSE
EGOTISTICAL
LIKES ATTENTION
EXAGGERATES
LACK OF EMPATHY
EXPLOITS OTHERS, FEEL DESERVES SPECIAL TX
SUPERIOR ATTITUDE
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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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| Cluster C d/o.... | show 🗑
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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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| show | Help verbalize feelings
Id strengths
Help with daily living/functions
Teach p/s and d/m skills
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| characters of a avoident pt | show 🗑
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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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| what is the tx goal for anorexia | show 🗑
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| long term goals r/t anorexia | show 🗑
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| meds r/t eating d/o | show 🗑
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| desired outcomes r/t anorexia | show 🗑
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| show | no binge/purge, normal eating pattern, comfort w/ body
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| show | depression
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| type I bipolar d/o | show 🗑
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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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| show | creating new words
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| word salad | show 🗑
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| false, fixed belief that cannot be changed by reason | show 🗑
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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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| look at slides 145 - 150 | show 🗑
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| effects of hallucinogens | show 🗑
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| show | ABG’s, blood & UDS
O2,intubation,ventilator
Cardiac monitor/EKG
Restraints
Induce vomiting/gastric lavage if drug ingested
Activated charcoal
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| show | Naltrexone
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| what med can be used for Heroin abstinence | show 🗑
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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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| "kick the cat" - transference of feelings to another person or object | show 🗑
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| using reason to avoid emotional conflicts | show 🗑
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| show | projection
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| show | reaction formation
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| show | repression
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| show | suppression
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| 3 common complaints after and ECT | show 🗑
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| show | mild anxiety
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| show | moderate anxiety
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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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| what are some common physiologic responses to stress/anxiety | show 🗑
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| show | fear of heights
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| show | fear of crowds or open places
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| claustrophobia | show 🗑
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| nyctophobia | show 🗑
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| thanatophobia | show 🗑
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| show | valium, xanax, ativan, librium
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| what are benzodiazepines used for? | show 🗑
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| Side effects of Benzodiazepines | show 🗑
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| when is the best time to interact with an OCD pt? | show 🗑
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| show | deep breathing, visualization, meditation, exercise and relaxation.
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| lack of concern over physical illness | show 🗑
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| show | primary gain
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| rewards obtained from the sick role; sympathy, freedom from certain responsibilities | show 🗑
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| show | BuSpar, Ambien
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| show | psychogenic amnesia
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| when would you expect to see a case of psychogenic amnesia? | show 🗑
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| psychogenic fugue | show 🗑
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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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| show | death
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| types of death | show 🗑
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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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| show | schizoid personality
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| this PD has interpersonal deficits, eccentricities and odd beliefs, socially isolated | show 🗑
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| show | Antisocial personality
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| has disturbances r/t self image and sexual, social, and occupational roles. Makes suicidal gestures, overly dependent on others, unable to problem solve. | show 🗑
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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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| show | avoidant personality
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| low self-esteem, sees self as stupid, dependent on others to meet needs | show 🗑
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| cold and rigid towards others, attempts to control self by controlling others or environment | show 🗑
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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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| give examples of anticholinergic effects | show 🗑
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| show | Elavil, Tofranil, Aventyl, Ludiomil
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| show | impotence, tachycardia, dizziness, dry mouth, HTN crisis-severe HTN, headache, chest pain, fever, sweating, N/V
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| show | Tyramine, aged cheese, red wine, beer, beef and chicken liver, yeast, yogurt, sory sauce, chocolate, bananas
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| examples of SSRI's. | show 🗑
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| serotonin syndrome has to have 3 symptoms by definition, name some of the symptoms | show 🗑
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| examples of nontypical antidepressants | show 🗑
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| show | Cymbalta, Effexor
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| show | sedation, drowsiness
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| show | anticholinergic effects, postural hypotension
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| common S/E for MAO's | show 🗑
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| show | renal function assessment and monitoring
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| show | extrapyramidal effects; tardive dyskinesia, photosensitivity
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| symptoms of mania r/t mood | show 🗑
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| show | flight of ideas, pressured speech, paranoid, psychotic
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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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| how does Lithium work? | show 🗑
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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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| examples of anticonvulsant mood stabilizers and what do they do? | show 🗑
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| One noted side effect of Lamictal | show 🗑
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| what activities are good for a manic pt | show 🗑
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| show | hypomania
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| show | personal, individual experience of a loss
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| show | outward appearance of grief
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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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| show | social factors, relationship hx, death of a child, multiple losses, lack of faith system
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| describe death as seen as a preschooler | show 🗑
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| show | irreversible, sad, inevitable, like details ( honesty, avoid cliches, give choices, listen, touch)
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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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| describe dementia | show 🗑
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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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| show | profound dementia, complete nursing care, 8 mos - 5 years. death due to UTI, pneumonia, malnutrition
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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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| show | social impairment, communication impairment, ususual behaviors
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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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| Rett's d/o | show 🗑
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| three characteristics of ADHD | show 🗑
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| examples of conduct d/o | show 🗑
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| s/s: mood instability, impulsivity, irritability, hyperactivity, sleep disturbances; r/t children | show 🗑
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| how would a Dr begin to diagnose a child with bipolar d/o | show 🗑
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| show | TRUE - assault is a mental or physical threat
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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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| 6 rights of a hospitalied pt are discussed in the HESI book. What are they? | show 🗑
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| show | A medical or judicial approval is required to detain anyone over 24 hours
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| show | vote, make contracts or wills, drive a care, sue or be sued, hold a professional license.
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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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| type of schiophrenia characterized by incoherence, flat affect, disorganied, unusual mannerisms, no delusions | show 🗑
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| show | Paranoid
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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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| show | Ideas of reference
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| lack of clear connection from one thought to the next | show 🗑
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| echolalia | show 🗑
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| neologism | show 🗑
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| thinking based on facts vs abstract and intellectual points | show 🗑
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| show | hallucinations
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| show | Illusions
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| false, fixed beliefs that cannot be changed by reason. | show 🗑
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| feelings or mood | show 🗑
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| repeating another persons movements | show 🗑
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| show | stress reality, avoid agreeing with inaccurate communications, assist w/ ADLs, nonjudgemental, set limits, avoid stressful situations,structure time for activities.
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| nursing interventions r/t delusions | show 🗑
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| nursing inverventions r/t hallucinations | show 🗑
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| show | Autism(preoccupied w/self), Affect(flat), Associations(loose), Ambivalence(diff. making decisions)
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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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| show | antipsychotics - block excess dopamine
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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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| Prolixin Decanoate is a long lasting nonphenothiazine, how often would a pt get this medication? | show 🗑
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| show | agranulocytosis. Also: drowsiness and dizziness, GI symptoms, neuroleptic malignant syndrome. Monitor WBC for 1st 6 months then biweekly
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| show | sore throat, fever, chills: gargle, use lozenges, and analgesics
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| show | rigidity, shuffling gait, pill rolling, hand movements, tremors, dyskinesia, mask-like face.
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| show | Restlessness, agitation, and pacing. Sudden difficulty sitting still. (rule out anxiety: ask pt, "are you having trouble sitting still?"
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| Characteristics of dystonia (1-2 days after initiation of tx) | show 🗑
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| characteristics of tardive dyskinesia (develops late in tx) | show 🗑
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| show | high fever, tachycardia, stupor, ^ Respirations, severe muscle rigidity - Emergency situation!
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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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| show | antihcolinergic effects, drowsiness, headaches, urinary hesitancy, memory impairment
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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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| show | Korsakoff
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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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| what kind of diet and Vitamins would you want to give to an alcoholic pt? | show 🗑
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| show | Benzodiazepines: valium, serax, ativan
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| show | denial and rationalization are the two most common coping styles used
🗑
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| what is the basic priority for a chemically dependent pt? | show 🗑
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| what are the three phases of intimate-partner violence? | show 🗑
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| describe the Tension stage of r/t abuse. | show 🗑
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| describe the Explosion stage r/t abuse. | show 🗑
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| show | the abuser is very apologetic, promises change, brings gifts
🗑
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| show | acute and reversible, gradual and permanent
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| what are some causes of delirium? | show 🗑
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| nursing interventions for confused elderly patients should be what? | show 🗑
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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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Created by:
jrstrader
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