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PSYCHIATRIC GEN-ED > PRACTICE 1 > Flashcards

PRACTICE 1 Flashcards

1
Q

Old term for schizophrenia

A

Dementia Praecrox

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2
Q

Who termed Schizophrenia?

A

Eugene Blueler

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3
Q

Fixed false Belief

A

DELLUSION

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4
Q

Sensorial

A

HALLUCINATION

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5
Q

Command Hallucination is also known as

A

AUDITORY HALLUCINATIONS

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6
Q

Disorganized mental state based on EXTERNAL stimuli

A

ILLUSION

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7
Q

3 Biologic Theories of Schizophrenia

A

Genetic
Neuroanatomic
Immunovirologic

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8
Q

The manual used in diagnostic in Psychiatric

A

DIAGNOSTIC MANUAL V

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9
Q

Base on DSM IV (DRCUP)

A

Disorganized
Residual
Catatonic
Undifferentiated
Paranoid

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10
Q

Four main symptoms of Schizophrenia

A

Ambivalence
Autistic thinking
Associative looseness
Affect

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11
Q

Reality vs. fantasy

A

Autistic Thinking

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12
Q

Thoughts are fragmented/ poorly organized

A

ASSOCIATIVE LOOSENESS

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13
Q

Two contradicting emotions

A

AMBIVALENCE

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14
Q

Pertains on how do you present yourself

A

AFFECT

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15
Q

Called positive sign (+) of Schizophrenia

A

Hard

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16
Q

Called negative sign (-) of Schizophrenia

A

Soft

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17
Q

Imitation of movements or gesture

A

ECHOPRAXIA

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18
Q

Continuous verbalization, jumps rapidly from one topic

A

FLIGHT OF IDEAS

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19
Q

Stick/Adherence to one topic

A

PERSEVERATION

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20
Q

Speak very little

A

ALOGIA

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21
Q

No pleasure

A

ANHEDONIA

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22
Q

No motivation

A

AVOLITION

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23
Q

No energy

A

ANERGIA

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24
Q

Other term for ANTIPSYCHOTIC

A

Neuroleptics
Major Tranquilizer

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25
Q

Major function of antipsychotic is to improve

A

THOUGHT PROCESS and
BEHAVIOR

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26
Q

Also known as Traditional or Conventional

A

TYPICAL

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27
Q

Potent: Dopamine only

A

TYPICAL

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28
Q

Used to treat positive signs

A

TYPICAL

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29
Q

Used to treat positive and negative signs

A

Atypical

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30
Q

NEW GEN (3rd Generation) drug

A

ABILIFY (ARIPIPRAZOLE)

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31
Q

Less potent: Dopamine and Serotonin

A

ATYPICAL

32
Q

The only drug can be give in depot 2 combined with anxiolytics

A

HALOPERIDOL

33
Q

Drug of choice for non compliant patients

A

FLUPHENAZINE

34
Q

Drug that causes color blindness

A

CHLORPROMAZINE

35
Q

Drug of choice for elderly due to its lesser effects

A

HALOPERIDOL

36
Q

Term for low WBC

A

AGRUNOLOCYTOSIS

37
Q

Low WBC, nursing diagnosis is…

A

Risk for infection

38
Q

Antipsychotic drug that decreases WBC (AGRUNOLOCYTOSIS)

A

CLOZAPINE

39
Q

Respiridone is given to patients that are…

A

Impulsive
Hyperactive
Inattention

40
Q

Respiridone is given secondly to what type of mental illness

A

ADHD

41
Q

Drug of choice for ADHD patients

A

RITALIN

42
Q

What to prepare during nursing care/ Seizures Pre.

A

Suction
Oxygen (O2)
TRACH KIT/SET

43
Q

Common side effects of antipsychotic drugs

A

Photosensitivity
Anticholinergic
Sedation

44
Q

Anticholinergic effects….

A

GI
Eyes (blurry vision)
Dry mouth

45
Q

Nursing care for anticholinergic in GI

A

FLUID
FIBER
AMBULATION

46
Q

Nursing care for anticholinergic eyes

A

SAFETY!

47
Q

Nursing care for dry mouth…

A

Ice chips
Chewing gum (SUGAR FREE!)

48
Q

Nursing care for SEDATION

A

SAFETY! Raised side rails

49
Q

7 Nursing Consideration

A
  1. Give milk of food
  2. Oral route (preferred as liquid)
  3. Avoid skin contact (contact dermatitis)
  4. Drugs effectivity is 3-6 weeks
  5. Avoid alcohol
  6. Monitor LFT,blood studies, physical ex.
  7. NEVER STOP ABRUPTLY!
50
Q

Rationale for giving milk and food with drugs

A

Meds are GI IRRITANT

51
Q

Observed for ________ 7-10 days

A

Rebound Effects

52
Q

Effectivity of antipsychotic drugs

A

3-6 weeks

53
Q

Other term for SIDE EFFECTS of antipsychotic drugs

A

Extrapyramidal Syndrome (EPS)

54
Q

Long lasting contraction of spasm of musculature develops secondary to the use of antipsychotic drugs

A

ACUTE DYSTONIA

55
Q

Shuffling gait and stiff posture develops secondary to the use of antipsychotic drugs

A

Pseudo Parkinsonism

56
Q

Leaning gait develops secondary to the use of antipsychotic drugs

A

PISA

57
Q

Lower extremities is restless. Describe as feeling of crawling ants

A

Akitishia

58
Q

Spasm of the neck (lateral neck rotation)

A

TORTICOLLIS

59
Q

Forceful eye deviations or upward drifting of the eye. Sclera turns all white

A

Oculogyric crisis

60
Q

Arching of the back

A

OPISTHOTONOS

61
Q

Spasm involving the airways.

A

LARYNGOSPASM

62
Q

Give medications to counter EPS

A

Cogentin
Artane
Benadryl
Akinetone

63
Q

Most fatal! Causes muscles rigidity. Unstable BP.

A

NEUROLEPTIC MALIGNANT SYNDROME
(NMS)

64
Q

What type of medication given to NMS?

A

Muscle Relaxant
Dantrolene or parlodel

65
Q

Fast acting muscle Relaxant for NMS

A

Dantrolene

66
Q

Involuntary movements of tounge, jaw trunk or extremities due to long term effects of conventional (typical) antipsychotics

A

Tardive Dyskinesia

67
Q

Developed ti measure dyskinetic symptoms in patients taking antipsychotic drugs

A

Abnormal Involuntary Movements
(AIMS)

68
Q

Developed to MONITOR the effects of antipsychotic drugs.

A

SIMPSON-ANGUS rating scale for extrapyramidal effects

69
Q

Sound and rhyming with no meaning…

A

CLANG ASSOCIATION

70
Q

Invented new words

A

NEOLOGISM

71
Q

Stereotype repetition of words or phrases with or without meaning

A

VERBIGERATION

72
Q

Imitation of words or language

A

ECHOLALIA

73
Q

Flowery or excessive words

A

STILTED WORDS

74
Q

Jumbled words that are disconnected

A

WORD SALAD

75
Q

How often must clients receiving CLOZAPINE get white blood cells counts drawn?

A

-Every week for the first 6 months and every two weeks thereafter

PSYCHIATRIC GEN-ED (6 decks)

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