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Behavioral Health > Final Exam > Flashcards

Final Exam Flashcards

1
Q

What is trichtillomania?

A

Hair pulling disorder
Ex: pulling hair from scalp, eyebrows, or other areas of the body

Treatment: antidepressants

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2
Q

What is mutism?

A

The inability or willingness to speak
Can happen due to a traumatic event

*Selective Mutism is only talking in certain situations.

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3
Q

Phobia?

A

The intense fear of a specific item or situation

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4
Q

How do you know someone with anorexia is getting better

A

Gaining weight
No compulsive actions
Vitals return to normal
Absence of cognitive distortions

They are eating something
observe patient while eating and 1-3 hrs after

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5
Q

Borderline personality disorder: What to do if they get angry?

A

Low stimuli
Separate from the room
Change of scenery

Want to prevent self mutilation & self harm
- these ppl are often self injurious & suicidal

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6
Q

What is the purpose of the SANE nurse

A

Sexual assault nurse examiner

-Trust & security

They also provide compassion

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7
Q

Main symptoms for someone clinically depressed ?

A

Anedonia- loss of pleasure in things they used to love doing

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8
Q

The theory of Freud what is meant under “id”

A

Pleasure motivated
Instant gratification
Impulsivity
Devil

This is where sexual desire, jealousy, greed, and self preservation come from

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9
Q

What does behavior therapy focus on ?

A

Change maladaptive behaviors

Examples of maladaptive behaviors: avoidance, withdrawal (avoiding stressful situations)

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10
Q

How would you describe Milieu Therapy?

A

Low stimuli
Structured
safe - no hazards or weapons, & having supervision
Increase self esteem
Decrease isolation

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11
Q

Warning signs of suicide

A

Giving away possessions
More energy but still having depressive episodes
Sudden change in mood

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12
Q

What kinds of food to ignore when taking methylphenidate?

A

Stimulants

Ex: caffeine, coffee, tea, cola, energy drinks

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13
Q

Medications for anorexia

A

Olanzepine
Fluoxetine

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14
Q

Which medications to avoid with anorexia

A

laxatives and diuretics

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15
Q

Symptoms of depression?

A

Loss of appetite
Flat affect
Loss of energy
Insomnia or hypersomnia
No motivation
low self esteem
irritable
somatic pains

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16
Q

How to prevent a relapse?

A

Try to identify what the clients triggers are

This is in regards to relapse of schizophrenia, eating disorders, substance abuse, etc.

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17
Q

What is reactive attachment disorder?

A

Doesn’t respond to comfort or seek comfort
- does not show response when given comfort

This can be due to emotional neglect or abuse at a certain age

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18
Q

Medications for paraphilia (abnormal sexual desires)

A

Naltrexone [normally to prevent relapse into alcohol or drug abuse
Antidepressants
- Lithium
- SSRIs
Mood stabilizers
- Valproate, valproate acid, divalproex, depakote, carbamazepine, lamotrigine
2nd Gen antipsychotics
- Risperidone
- olanzepine
- clozapine

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19
Q

What is a poor coping skill?

A

Drinking alcohol

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20
Q

Someone refusing medication, what do you do first?

A

-assess identify the reasons why they don’t want the medication
-Then document

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21
Q

Who would be placed on an involuntary legal hold?

A

Someone who is a harm to themselves or others
Greatly disabled

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22
Q

Someone panicking, how would you communicate

A

Short, simple commands

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23
Q

If someone looks sad, not answering questions, and makes no eye contact then what are you concerned about?

A

Worried if they are going through some type of abuse

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24
Q

If taking care of a child who needs to care for younger siblings that are not going to school.

A

We can consider this as neglect

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25
Q

When can you breach confidentiality

A

-When someone has been threatened
-STDs (since they are a threat to infect someone else)

26
Q

Why does someone act on an impulse with an impulse control disorder?

A

-achieving relief
-they get a sense of pleasure

27
Q

Medications to treat ADHD

A

Methylphenidate
Amphetamine salts
Lisadexafetamine

Atomoxetine
Bupropion

28
Q

If someone wants to end their life what do you want to ask ?

A

Ask what their plan is

29
Q

Best therapy for depression

A

Cognitive behavioral therapy

30
Q

If someone is inattentive, impulsive, hyperactive; what class of meds are best

A

CNS stimulants

31
Q

If someone is having delusions & hallucinations what meds are best?

A

Antipsychotics

Examples:

32
Q

Labs that indicate sexual abuse

A

STI
Children:
Bruising
Swelling and bleeding in genital area
Hard time sitting

33
Q

Signs of emotional abuse

A

Harsh criticism
*Low self esteem
Humiliation
*Rationalizing for abuser

34
Q

If a suicidal person is being discharged how to know if they are safe

A
  • They have a safety plan
    knowing they have resources outside
    Ability to reach out
35
Q

Someone having auditory hallucinations

A

Ask what they are saying
Beware of command hallucinations

36
Q

How long does it take for antidepressants to start working

A

Few weeks 2-4 weeks

37
Q

What antipsychotics give extrapyramidal symptoms

A

First gen antipsychotics
Chlorpromazine
Loxapine
Fluphenazine
Haloperidol

38
Q

What disorder has a hard time following directions, disorganized, and hard time at work.

A

ADHD
- starts in adolescence

39
Q

Specific meds for major depression

A

SSRIs
— Citalopram
— Escitalopram
— Fluoxetine
— Paroxetine
SNRIs
*– Venlafaxine
– Desvenlafaxine
– Duloxetine
– Levomalinacipran *

TCAs
*— Amitriptyline
— Doxepine
— Imapramine
— Nortriptyline *
MAOIs
— Phenelzine
— Isocarboxazid
— Tranylcypromine
— Selegiline

40
Q

What does attending mean for our patients

A

Being there for patient
The intensity of presence

41
Q

Most common mental illness

A

Anxiety

42
Q

Alcohol intolerance- how is it seen ?

A

No affect with high BAC level > 0.08

43
Q

Interventions for Alzheimer’s disease

A

Remind them to do ADLs
Short instructions in step by step
- break activity into short time frames
Encouraging
Keep consistent daily routine
Minimize need for decision making to avoid frustration

44
Q

Pavlov- Behavioral theory

A

Conditioning: dog example

45
Q

B.F skinner - behavioral theory

A

Behaviors are learned through both positive or negative reinforcement

46
Q

Aversion therapy

A

Punishment through pain

Ex: pedophile with electrodes on his penis

47
Q

Peplau- Interpersonal theory

A

Nurse-patient relationship influences patient outcomes

48
Q

Neglect signs

A

Underweight
Poor hygiene
School problems
Stealing food
Early or late to school
Psychosomatic complaints
* Headache
* backpain
* muscle pain
* stomach pain

49
Q

Cycle of violence

A

Honeymoon phase
Tension-building phase
Serious battering phase
(Can then go back to honeymoon phase)

50
Q

Honeymoon phase

A

Abuser: Loving behavior, regretful, sorry, makes promises to change

Victim: trusting, hoping for change, wants to believe partners promises

51
Q

Tension-building phase

A

Abuser: edgy, has minor explosions, may become verbally abusive, minor hitting, and other incidents

Victim: Feels tense and afraid, walking on eggshells, feels helpless, and blames themself

52
Q

Serious battering phase

A

Abuser: serious battering incident

Victim: may cover up injury (wear turtleneck) or may look for help. The victim may provoke an incident to get it over it

53
Q

Why do people stay when being abused?

A

Being afraid of being murdered
Lack of exposure to violence
Dependence for financial need

54
Q

Interventions for Intimate partner violence (IPV)

A

Assess in nonthreatening manner
Do they have a safe place?
Remind them that it is not their fault

55
Q

Who’s at higher risk for elder abuse

A

Those with psychiatric illnesses
Women
80+

*Abuser usually son or nephew *

56
Q

Sexual violence

A

Completed or attempted penetration of a victim
Even just talking about it
Unwanted sexual contact
act of violence, power and hate
93% of perpetrators are someone they know

57
Q

Vulnerable individuals for sexual violence

A

Women
Ages 16-19 higher rate
Higher risk —> history of sexual violence
Ethnicity: Native Americans, Alaskan

58
Q

Sexual violence-Young adults

A

Afraid to report
Cannot remember incident clearly

59
Q

Interventions for violent patient

A

Always make sure you have access to an exit
Let patient yell, listen attentively
Set clear limits
“What will help now”
Distraction
Leave room ‘

60
Q

Psychopharmacology for anger, agression, and violence

A

Fast acting: Olanzepine, chlorpromazine
Other: haloperidol and diphenhydramine

Behavioral Health (8 decks)

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