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Nursing > Mental health final > Flashcards

Mental health final Flashcards

1
Q

disorder is characterized by episodes of major depression with at least one episode of manic or hypomanic behavior.

A

Bipolar 1

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2
Q

is characterized by one or more depressive episodes with at least one episode of hypomania, a hyperinflated or irritable mood lasting for at least 4 days that does not involve psychosis

A

Bipolar 2

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3
Q

Things in a banana bag pg 1112

A

Normal saline, magnesium sulfate, folic acid, multivitamins, thymine

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4
Q

is recurrent or intrusive thoughts that they cannot stop thinking about

A

obsession

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5
Q

is an act that the person feels compelled to perform

A

compulsive act

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6
Q

Levels of anxiety pg 1090

A

Mild, moderate, severe, panic

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7
Q

of schizophrenia are those that should not be there. Examples include hallucinations, delusions, disordered thinking or loose associations between thoughts and hearing voices that tell the person what to do

A

positive symptoms

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8
Q

What are Psychoactive substances pg 1109

A

Are any mind altering agents capable of changing a person’s mood, behavior, cognition, level of consciousness, or perceptions

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9
Q

What is a dual diagnosis 1109

A

Indicates that a patient has been diagnosed with a substance use problem as well as a mental health disorder

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10
Q

What are substance abuse disorders 1108

A

A cluster of cognitive, behavioral, and physiologic symptoms that contributes to an individual’s continual use of a substance, have the potential for causing medical problems and death

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11
Q

What is elderspeak 1085 safety alert

A

A style of speech that includes baby talk, exaggerated tones and slow speed, elevated pitch and volume, and simplified vocabulary

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12
Q

Withdrawal from cannabis 1118

A

There is no particular withdrawal syndrome for cannabis, so treatment must focus on issues related to the general dangers of substance abuse

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13
Q

Alcohol serving sizes pg 1111

A

A 12oz bottle of beer, a 6oz glass of wine, and a 1.5oz of a single shot of whiskey contain the same amount of alcohol. It takes approximately 1 hour for the body to metabolize one standard drink

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14
Q

haloperidol

A

Haldol

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15
Q

Ages that schizophrenia develops 1128

A

15-25

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16
Q

an individual who believes he is a king

A

Delusions of grandeur:

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17
Q

believe that they are being persecuted by agencies, by other people, or by supernatural beings

A

Delusions of persecution:

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18
Q

Genetic link for alcohol use disorder pg 1108

A

50%

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19
Q

Risk factors for suicide pg 1102

A

Family history of suicide, history of a previous attempt; terminal illness; addiction to drugs or alcohol; diagnosis of borderline personality disorder, major depressive disorder, or bipolar disorder; and excessive stress

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20
Q

CAGE questionnaire pg 1119

A

A quick and simple assessment tool for alcohol abuse is the CAGE questionnaire, which includes four questions regarding the patient’s feelings about their drinking and specific habits. A ‘yes’ answer to two or more of the four questions has a 90% correlation with alcohol abuse. Cut down, annoyed, guilty, eye opener.

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21
Q

1108 when was alcoholism recognized as a disease

A

1956

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22
Q

1117, what year was the warning placed on cig packs

A

1966

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23
Q

1094 alternative therapy to decrease stress

A

Essential oils like lavender, yoga, massage

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24
Q

(know) binge eating is the most common eating disorder

A

…

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25
Q

(know) alzheimer’s moderate to severe involves wandering

A

…

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26
Q

What are the benefits of pet therapy 1076

A

Improve memory, coordination, object identification, language, and attention

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27
Q

What is dementia care mapping 1081

A

When caring for confused patients, evidence based practice supports the need for careful observation and documentation of patterns of behavior.

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28
Q

People most at risk for PTSD 1091

A

Cumulative experience such as immigration, military combat, detention as a prisoner of war, exposure to natural diasters, plane or train accidents, assault, and rape

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29
Q

Alprazolam

A

xanax

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30
Q

Chlordiazepoxide

A

librium

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31
Q

Lorazepam

A

ativan

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32
Q

person most at risk for suicide

A

Old white men

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33
Q

ignoring reality and refusing to be swayed by evidence

A

Denial

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34
Q

justifying a behavior or action by making an excuse or an explanation

A

Rationalization

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35
Q

Common categories of CNS stimulants 1116

A

Amphetamines, cocaine, and bath salts.. Also caffeine

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36
Q

misinterpretations of reality

A

Illusions

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37
Q

seeing or hearing things that are not there

A

Hallucinations

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38
Q

belief in a false idea

A

Delusion

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39
Q

Vascular dementia on pg 1074

A

Caused by multiple small blood clots that cause brain tissue damage

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40
Q

Polysubstance abuse 1111

A

Concurrent abuse of other substance as well as DOC

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41
Q

Co-occuring problems for schizophrenia 1129

A

Anxiety, depression, substance abuse, suicidality

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42
Q

Date rape drug 1114

A

rohypnol

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43
Q

Biggest concern related to opiate use 1115

A

respiratory depression

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44
Q

Citalopram

A

celexa

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45
Q

Escitalopram

A

lexapro

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46
Q

Fluoxetine

A

paxil

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47
Q

Sertraline

A

zoloft

48
Q

(know) Anorexia wants a sense of control 1104

A

…

49
Q

inability to remember the names of things

A

Anomia

50
Q

misuse of objects due to failure to identify them

A

Apraxia

51
Q

inability to recognize familiar objects, taste, sound and other sensations

A

Agnosia

52
Q

memory loss

A

Amnesia

53
Q

inability to express one’s self through speech

A

Aphasia

54
Q

What’s cheeking 1103

A

A behavior to avoid taking medication by holding the pill in the cheek pouch rather than swallowing it

55
Q

Know the meds that cause delirium 1075

A

Anesthetics, analgesics, sedative-hypnotics, tricyclic antidepressants, antihistamines, theophylline derivatives, antipsychotics, famotidine, cimetidine, ranitidine, beta blockers, NSAIDS

56
Q

Know confabulation 1076

A

Making up words or experiences to fill conversational gaps

57
Q

Know about diet related to alzheimer’s disease 1076

A

Fish, omega 3 polyunsaturated fats, fruits and vegetables, curcumin, traditional mediterranean diet

58
Q

Alzheimer’s disease, who is most affected by it

A

hispanic, african american

59
Q

Know the action of the drugs for cognitive disorders 1077

A

Causes elevated acetylcholine levels in the brain and slows progression of Alzheimer disease symptoms.

60
Q

Patient education related to cognitive drugs 1077

A

Take with food to decrease GI distress, slows progression of symptoms but is not a cure. Take frequent drinks of cool liquids

61
Q

10 early signs of alzheimer’s 1078

A

Memory loss that disrupts daily life, challenges in planning or solving problems, difficulty completing familiar tasks at home, at work, or at leisure, confusion with time or place, trouble understanding visual images and spatial relationship. New problems with words in speaking or writing, misplacing things with inability to retrace steps, decreased or poor judgment, withdrawal from work or social activities, changes in mood or personality

62
Q

Mini mental status exam 1082, what are you monitoring

A

Assess orientation, memory, and ability to follow commands

63
Q

Know global amnesia 1084

A

The patient will not be able to remember family, friends, or events, regardless of how many times you repeat the information

64
Q

Know about restraints 1084

A

Check the area distal to the restraint every 2 hours for circulation and function

65
Q

What are you going to teach the family about the patient with alzheimers

A

keep doors locked, keep consistent schedule etc..

66
Q

Generalized anxiety disorder, how do you diagnosis it pg 1090

A

A person who experiences persistent, unrealistic, or excessive worry about two or more life circumstances for 6 months or longer

67
Q

Know what a phobia is

A

Experiences excessive, irrational fear of a specific activity, situation, or object

68
Q

Know the symptoms related to PTSD 1091

A

Typically begin within 3 months of the trauma, but onset may not occur until months or years later

69
Q

Know what an EMDR is 1091

A

Involves a process in which the patient is asked to think about the distressing event and shift their gaze from one side to the other. As unpleasant feelings are uncovered, the therapist redirects the eye movements using EMDR, thus helping the patient to release the emotions

70
Q

Know about benzos in old people 1092

A

Ativan and xanax can cause confusion, oversedation, or disinhibition

71
Q

(know) romazicon , you give it to counter benzos

A

…

72
Q

Know what you are going to document before discharging a patient if their symptoms are not completely resolved yet 1094

A

If symptoms are not totally resolved, clearly document that the patient’s level of anxiety is not a threat to self or others at the time of discharge

73
Q

Medications that cause symptoms that mimic anxiety 1094 under older adult care points

A

Levothyroxine or theophylline

74
Q

Differentiate between subject and objective 1094

A

Subjective you cannot prove, it is what the patient says they are feeling and objective you can prove and they are facts like vital signs

75
Q

What is the only subjective vital sign?

A

Pain scale

76
Q

Know about herbal alternatives 1095

A

St. johns wort has been used for mild to moderate depression and anxiety. People with major depression are receptive to music therapy

77
Q

Know about ECT 1095

A

Oldest form of brain stimulation therapy used for severe depression. This shock artificially induces a grand mal seizure lasting 30 to 90 seconds. The patient typically receives 8 to 12 treatments spread over several weeks

78
Q

Know serotonin syndrome 1095

A

Potentially life threatening condition that can start 30 minutes to 48 hours after taking the medication. Symptoms include change of mental status, increase in pulse and fluctuation in blood pressure, loss of muscular coordination, and hyperthermia. Treatment include stopping the medication, administering IV fluids, and decreasing the patients temperature

79
Q

Amitriptyline

A

elavil …. overdose includes Cardiac dysrhythmia

80
Q

Imipramine

A

tofranil … overdose includes Cardiac dysrhythmia

81
Q

MAOI dietary interactions and patient teaching regarding those

A

Instruct to avoid foods high in tyramine, such as turkey, aged cheeses; red wine, sherry, and beer; pickled or smoked fish; fermented meats; and artificial sweeteners because drug-food interactions can cause a life-threatening hypertensive crisis. If the medication is discontinued for any reason, dietary restrictions should continue for at least 14 days.

82
Q

Know about trazodone

A

priapism

83
Q

(know) Wellbutrin = seizures

A

…

84
Q

what medications cause agranulocytosis

A

Remeron and clozaril

85
Q

(know) When antidepressants start working you need to worry about suicide 1098

A

…

86
Q

(know) Lithium = blood draws, dietary restrictions(tyramine), no diuretics, no caffeine 1098-1099

A

…

87
Q

Disuse syndrome because of short half life is

A

paxil

88
Q

Know about taking care of patients who are in a manic episode 1099-1100

A

Keep the patient safe, providing a high calorie intake, administering mood stabilizer medications, and providing for a restful sleep

89
Q

What is the number one priority in mental health

A

safety

90
Q

Know what russell’s sign is involving bulimia patients

A

Calasses on the knuckle

91
Q

What puts you at greater risk for substance abuse 1108

A

Have parents who use or used drugs and alcohol, have psychiatric disorders, live in areas of poverty and violence, have easy access to substances

92
Q

use of a psychoactive substance in a nontherapeutic manner or illicit use of prescription drugs

A

abuse

93
Q

Presence of physical and psychological symptoms of addiction

A

dependency

94
Q

craves or feels compelled to use a substance to feel good

A

Psychological dependence

95
Q

needs the substance to prevent symptoms of withdrawal, not merely to sustain the feeling of euphoria that was present with early use of the drug

A

Addiction or physical dependence

96
Q

need for increased amounts of substances to achieve the desired effect

A

tolerance

97
Q

stopping the drug results in a group of symptoms

A

withdrawal

98
Q

involves allowing a person to continue in the behavior of using substances by lessening consequences for the behavior.

A

Enabling

99
Q

overcompensates and tries to fix the situation or to control the person who uses substances

A

Co dependent

100
Q

Know the health problems related to alcoholism 1111

A

Cirrhosis, cardiomyopathy, GI bleeding, pancreatitis, hypertension, stroke, sleep disturbances, malnutrition, peripheral neuropathies,, cognitive impairment, leukopenia, thrombocytopenia, chronic infection

101
Q

Know about alcohol withdrawal and treatment 1111

A

Occurs when a person with a physical dependence on alcohol stops drinking. Early symptoms of withdrawal may manifest in 6 to 12 hours after the last drink, these include anxiety, irritability, and agitation.

102
Q

(know) Flagyl, do not drink AT ALL with it

A

…

103
Q

(know) To prevent someone from having seizures when withdrawing you are going to give magnesium but if you are actively seizing you will get benzos

A

…

104
Q

Know diagnosing alcoholism 1111

A

Presence of withdrawal, significant impairment in family relationships, impact on occupational productivity, presence of blackouts, drinking despite serious personal and professional consequences, and evidence of tolerance

105
Q

Naltrexone

A

vivitrol

106
Q

(Know) antabuse, wait 14 days after antabuse to drink again

A

….

107
Q

(know) Naran, why are you going to give it, know symptoms patient is going to have if you do give them narcan, yawning, running nose, tremors, vomit, repeat doses1112

A

…

108
Q

is a life threatening yet reversible medical emergency that arises from thiamine deficiency, with symptoms that include confusion, gait ataxia, and abnormal involuntary eye movements.

A

Wernicke

109
Q

is a chronic irreversible, memory disorder that arises after a severe lack of thiamine

A

Korsakoff syndrome

110
Q

Naloxone

A

narcan

111
Q

Buprenorphine

A

suboxone

112
Q

(know) Hallucinogens have impaired judgment

A

…

113
Q

Know about withdrawal from opiates 1116

A

Abdominal cramps, irritability, profuse sweating, muscle aches, fever and chills, and cravings

114
Q

(know) withdrawal from nicotine withdrawal begins as soon as 24 hours after

A

…

115
Q

Know diseases related to tobacco use

A

Heart disease, stroke, many cancers, hypertension, premature wrinkling of the skin, bad breath, and discoloration of the fingernails

116
Q

are abilities or personal characteristics that are absent or lost to the patient with schizophrenia. The results are apathy, social withdrawal, psychomotor retardation, flat affect, alogia, avolition, anhedonia

A

negative symptoms

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