1 Flashcards

(63 cards)

1
Q

Don’t use open-ended questions to clients with what psychiatric disorder?

A

Rape and Manic patients

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2
Q

Therapeutic use of self requires “Clear understanding of one’s self” as stated by who?

A

Hildegard Peplau (1952)

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3
Q

Methods used to increase self awareness includes role playing, which means?

A

put self in clients situation

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4
Q

Methods used to increase self-awareness includes introspection, which means?

A

Reflection, spend time conscientiously

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5
Q

Basic, innate desire, pleasure principle.

Id
Ego
Superego

A

Id

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6
Q

If a person has a strong id what cluster of personality disorder arises?

A
B
C

A

B

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7
Q

What are the three personality disorders under cluster B?

A

Narcissistic
Boarderline personality disorder
Antisocial

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8
Q

Reality principle, balancing, mediating force.

Id
Ego
Superego

A

Ego

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9
Q

If a person has a strong ego, what cluster of personality arises?

A
B
C

A

A

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10
Q

Cluster A personality disorder has what personality disorders?

A

Schizotypal
Magical thinking

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11
Q

Moral, ethical concept, value principle. Parental and social expectations.

Id
Ego
Superego

A

Superego

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12
Q

If a person has strong superego, what cluster of personality arises?

A
B
C

A

C

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13
Q

Cluster C personality disorder includes what three personality disorders?

A

OCD
Avoidant
Dependent

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14
Q

What are the three levels of consciousness?

A

Conscious
Pre-conscious
Unconscious

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15
Q

Ideas and reactions partially forgotten.
Slip of the tongue

Conscious
Pre-conscious
Unconscious

A

Per-conscious

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16
Q

Repressed
Cannot be recalled at will
Unconsciously forgotten

Conscious
Pre-conscious
Unconscious

A

Unconscious

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17
Q

Client dismiss to therapist
Empathy

Transference
Counter transference

A

Transference

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18
Q

Therapist displace into client.
Sympathy.

Transference
Counter transference

A

Counter transference

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19
Q

Distance of

Intimate
Personal
Social
Public

A

Intimate: 1.5 ft
Personal 1.5 - 3 ft
Social 3 - 5 ft
Public 5 ft onwards

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20
Q

What distance is too near for nurse - patient relationship?

Intimate
Personal
Social
Public

A

Intimate and personal

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21
Q

“That’s good” “that’s bad” are examples of

A. Therapeutic communication
B. Non-therapeutic communication

A

B. Non-Thera

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22
Q

Proper sequence commenting to a client.

A. Acknowledge, present reality, know what the patient hears.
B. Present reality, acknowledge, know what the patient hears
C. Know what the patient hears, acknowledge, present reality.

A

A. Acknowledge, present reality, know what the patient hears.

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23
Q

Always, never, none, all are examples of

A. Thera com
B. Non- Thera com

A

B. Non-Thera com

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24
Q

Characterized as having 6 months of continued anxiety.

A

GAD

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25
Characterized as having flashbacks.
PTSD
26
“You need to” “You must” “you should” are examples of A. Thera com B. Non-Thera com
B. Non-Thera com
27
“Tell me, how do you feel” is an example of A. Thera com B. Non-Thera com
A. Thera com
28
“Tell me, how do you feel” is an example of A. Thera com B. Non-Thera com
A. Thera com
29
Closed ended questions are for what disorders only?
1. Manic: to discourage them to control the conversation. 2. Rape/Crisis victim: may misconstrue open ended question with prying.
30
Who is the theorist that states, nurse must assist the patient to attain positive behavioral change.
Hildegard Peplau
31
Begins when a nurse is assigned to a patient Pre-orientation Orientation Working Termination
Pre-orientation
32
The most important aspect in orientation phase.
Contract signing Rationale: to set up expectation.
33
Longest, most productive phase. Pre-orientation Orientation Working Termination
Working
34
The three S in working phase.
Safety and security Stay with the client Set limits
35
Gradual weaning off Pre-orientation Orientation Working Termination
Termination
36
8 year old and above is considered as late behavioral changes. True False
True
37
Alcoholic Anonymous is an example of what type of therapy? One on one By Pair Group
Group
38
Dopamine, Norepinephrine, and Epinephrine are produced by what gland?
Adrenal medulla
39
Dopamine, norepinephrine, and epinephrine are excitatory hormone. True False
True
40
Controls complex movement, motivation, cognition, and regulate emotional response. Dopamine Norepinephrine Epinephrine
Dopamine
41
Contradicts serotonin Dopamine Norepinephrine Epinephrine
Norepinephrine
42
Changes in attention, learning, and memory, sleep and wakefulness, mood. Dopamine Norepinephrine Epinephrine
Norepinephrine
43
Fight or flight response Dopamine Norepinephrine Epinephrine
Epinephrine / adrenaline
44
Serotonin has inhibitory action. True False
True
45
Control of food intake, sleep and wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotions. Serotonin Histamine Acetylcholine
Serotonin
46
Histamine is a neuromodulator. True False
True
47
Alertness, control of gastric secretions, cardiac stimulation, peripheral allergic response. Serotonin Histamine Acetylcholine
Histamine
48
Acetylcholine can be both excitatory and inhibitory. True False
True
49
Sleep and wake cycle, signal muscles to become alert. Serotonin Histamine Acetylcholine
Acetylcholine
50
In cognitive therapy, the nurse let the patient decide. True False
True
51
In schizophrenia, there is an increase in what neurotransmitter? Dopamine Epinephrine Serotonin Histamine Acetylcholine
Dopamine
52
a type of brain surgery that involves severing the connection between the frontal lobe and other parts of the brain. Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
Lobotomy
53
Uses large doses of insulin to decrease glucose level to induce hypoglycemia to depress the levels of excess epinephrine. Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
Insulin shock therapy
54
Impulses of electrical energy stimulate the vagus nerve. Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
Vagus nerve stimulation
55
Use of drugs to treat psychiatric condition. Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
Clinical psychopharmacology
56
Uses Electric current to induce convulsive seizures in neuron top cause temporary amnesia, and to alleviate symptom Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
ECT
57
The use of biological treatment for mental disorder Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
Somatic therapy
58
The use of biological treatment for mental disorder
Somatic therapy Lobotomy / psychosurgery Insulin shock therapy Vagus nerve stimulation Clinical psychopharmacology ECT
59
ECT voltage
70-150
60
ECT length
0.5 - 2 sec Other books 8 sec
61
ECT frequency
6-12 treatments with 48 hours apart
62
Indications for ECT
Depression Mania Catatonic Schizophrenia
63
Contraindications for ECT
Fever Increased ICP TB with hex of hemorrhage Cardiac condition Recent fracture Retinal detachment Pregnancy