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ATI Flashcards

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1
Q

Mild anxiety

A

Heightened perceptual field

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2
Q

Moderate anxiety

A

Difficulty concentrating

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3
Q

Panic level anxiety

A

Shortness of breath

Sense of impending doom

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4
Q

Remote memory

A

Distant past

Ex, year graduated high school- older adult

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5
Q

Resent memory

A

Past few days

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6
Q

Clients orientation

A

Date

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7
Q

Projection

A

Blaming traits of self on others

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8
Q

Undoing

A

Client makes up unacceptable action

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9
Q

Compensation

A

Client focus strength to compensate for a perceived weakness

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10
Q

Identification

A

Taking on characteristics of another person

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11
Q

Introjection

A

Adopting values and beliefs on another person

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12
Q

Sublimation

A

Conversion of unacceptable drives into socially sanctioned activities

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13
Q

Somatic delusion

A

Body part is no longer functioning realistically or expected

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14
Q

Reference delusion

A

Occurrences in environment are about or because of themselves

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15
Q

Persecutory delusion

A

Someone or something wants to intentionally harm them

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16
Q

Grandiose delusion

A

Client believes he is superior to others

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17
Q

Suppression

A

Conscious denial of disturbing feeling

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18
Q

Countertransference

A

Consciously attributing feelings positive or negative about another towards the client

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19
Q

Transference

A

Unconscious displacement of feelings toward the nurse

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20
Q

Assertiveness

A

Expression of feelings without denying those of others

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21
Q

First stage of grief

A

Denial

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22
Q

Regression

A

Dysfunctional attempt to reduce anxiety and conflict

Less mature behaviors

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23
Q

Repression

A

Unconscious removal of thoughts or memories from ones awareness

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24
Q

Splitting

A

Inability to integrate positive and negative qualities of oneself or others into a combined idea

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25
PTSD
Avoidance of talking of event Difficulty sleeping Hypervigilant Feeling of isolation
26
Paroxetine should not be taken with
St. John’s wort Increase risk for serotonin syndrome
27
Classical psychoanalysis
Assessing unconscious thoughts and feelings Talking with psychoanalyst
28
Free association
Spontaneous Uncensored verbalization of what comes to clients mind
29
Transference
Feelings client developed toward therapist Similar to feelings of sig person in childhood
30
Psychodynamic psychotherapy
Focuses on clients present state rather than past
31
Interpersonal psychotherapy (IPT)
Address specific problems Improve interpersonal relationships, communication, role relationship and bereavement
32
Cognitive therapy
Thoughts and behaviors to solve current problems Treats depression, anxiety, eating disorders, etc
33
Systematic desensitization
Planned, progressive, graduated exposure to anxiety-provoking stimuli Real life or imagination
34
Aversion therapy
Maladaptive behavior paired with punishment or unpleasant stimuli Promote change in behavior
35
Operant conditioning
Client receives rewards for positive behavior
36
Flooding
Exposing client when with therapist
37
Manifestations of alcohol withdrawal
``` Abdominal cramping Vomiting Tremors Restlessness Inability to sleep Tachycardia Hallucinations or illusions Anxiety Hypertension Hyperthermia Tonic clonic seizures ```
38
Bulimia nervosa
Binge eating (lack of control) Maintain weight or slightly higher 18.5-30 BMI Low calorie “diet” foods
39
Binge eating risk factors
Common between 46-55 Increased risk for type 2, hypertension and cancer
40
Eating disorders expected findings
``` Hypotension Bradycardia Hypothermia Hypertension- binge eating Muscle weakness Decreased energy Loss of bone density Constipation/ diarrhea (lax use) Menstrual irregularities ```
41
Anorexia nervosa findings (weight and integumentary)
Less than 85% expected Fine hair on face and back Yellowed skin Cool extremities Poor skin turgor
42
Bulimia integumentary, neck, mouth findings
Calluses or scars on hand (Russell’s sign) Enlargement of parotid glands Dental Erosion
43
Acute care: eating disorders
Rapid weight loss greater than 30% over 6 mo Unsuccessful weight gain in outpatient trtmt
44
Lab findings: anorexia
``` Hypokalemia Anemia Leukopenia Impaired liver function (increased enzymes) Hypoalbuminemia Elevated cholesterol Elevation BUN (dehydration) Increase carotene (yellow skin) Decreased bone density Increase(vomiting) or decrease bicarbonate (lax) ```
45
Lab findings: bulimia
``` Hypokalemia Hyponatremja Hypocholoremia Hypomagnesemia Hypophosphatemia Decreased estrogen decreased testosterone ```
46
Referring syndrome
Potentially fatal Fluids, electrolytes, carbs introduced to severely malnourished client Monitor serum electrolytes!
47
Adventitious crisis
Natural disaster Crime National disaster
48
Family focus therapy
Needs within family dynamics Improve understanding among family members Maximize positive interaction
49
Group therapy focus
Share common feelings, experiences and thoughts Interaction and feedback
50
Family: placating
One member takes responsibility for problems to keep peace
51
Family: generalizing
Members use overall descriptions “always” and “never”
52
Scapegoating
Member of fam with little power is blamed for family problems Ex. Not going out to din because one didn’t do laundry
53
Triangulation
Third party drawn into relationship with two members who relationship is unstable
54
Family: enmeshed boundaries
Thoughts, roles, feelings blend Individual roles unclear
55
Family: rigid boundaries
Rules and roles completely inflexible Family members isolate themselves
56
Tricyclic antidepressants
Amitriptyline ``` imipramine Doxepin Nortriptyline Amoxapine Trimipramine ```
57
Selective serotonin reuptake inhibitors
Fluoxetine ``` Citalopram Escitalopram Paroxetine Sertaline Vilzaodone ```
58
Therapeutic use of tricyclic antidepressants
``` Neuropathic pain Fibromyalgia Anxiety Insomnia Bipolar ```
59
Therapeutic use of SSRIs
``` Depression OCD bulimia Premenstrual disorder Panic PTSD BIpolar ```
60
Light therapy
First line for SAD Inhibits nocturnal secretion of melatonin Face exposed to 10,000 lux light box 30 min /day once or in two divided doses
61
Beneficence
Quality of doing good
62
Autonomy
Clients right to make their own decisions Client accepts consequences of decisions
63
Fidelity
Loyalty and faithfulness to client and ones duty
64
Veracity
Honesty when dealing with a client
65
ADHD
Inattettention Hyperactivity Impulsitivity (not waiting turn, interrupting) Risk for injury
66
Conduct disorder
Bullying Threats of suicide Law breaking activities
67
Depression manifestations
Substance abuse Weight loss Irritability Aggressiveness
68
Anger management nursing interventions
Discuss ways for client to keep control of cycle Encourage client to talk about incident and what triggered them Debrief staff to evaluate effectiveness
69
12-step program
Abstinence is necessary for recovery Higher power is needed to assist with recovery Clients are not responsible for their disease but are for their recovery Other people cannot be blamed, must acknowledge their feelings and problems
70
First generation antipsychotic purpose
Control positive symptoms Used if concerned about cost of second generation Ppl who can tolerate adverse effects Low, medium or high potency
71
First generation antipsychotic: low potency
Low EPS High sedation High anticholinergic
72
First generation antipsychotic: medium potency
Moderate EPs Moderate sedation Low anticholinergic effects
73
First generation antipsychotic: high potency
High EPs Low sedation Anticholinergic adverse effects
74
Second generation antipsychotic
First-line schizophrenia Relieve both positive and negative symptoms Improve memory Less relapse
75
Third generation antipsychotic
Positive and negative symptoms Improve cognitive function Decrease risk of EPs or tardive dyskinesia Lower risk for weight gain and anticholinergic effects
76
Antipsychotics prototype
Chlorpromazine
77
First generation antipsychotic use
``` Psychotic disorder Schizophrenia Bipolar Tourette Agitation Prevention of nausea and vomiting ```
78
First generation antipsychotic complications
Agranulocytosis Anticholinergic Acute dystonia (spasms in tongue, neck, face, back) Pseudo Parkinsonism(shuffling,drooling,tremors) Akathisia (agitation, inability to sit still) Tardive dyskinesia (involuntary Mvmts) Gynecomastia, weight gain, menstrual irregularities Neuroleptic malignant syndrome Ortho hypo Sedation Photosensitivity Seizure Dysrythmia
79
Neuroleptic malignant syndrome
``` Sudden high fever Blood pressure fluctuation Diaphoresis Tachycardia Muscle rigidity Drooling Decreased level of consciousness Coma Tachypnea ```
80
Pseusoparkisonism
``` Bradykinesia Rigidity Shuffling gait Drooling Tremors ```
81
Akathisia
Inability to sit or stand still Continual pacing and agitation
82
Tardive dyskinesia (TD)
Late EPs Involuntary movement of tongue and face, arms, legs, trunk
83
Antipsychotics second and third generation prototype
Risperidone
84
Antipsychotics second and third generation therapeutic use
Negative and positive symptoms of schizo Psychosis Impulse control disorders
85
Antipsychotics second and third generation complications
``` Metabolic syndrome Orthostatic hypo Anticholinergic Agitation, dizz,sedation, insomnia Mild EPs (tremor) Elevated prolactin Sexual dysfunction ```
86
Anhedonia
Inability to feel pleasure Negative symptom of schizo
87
Positive symptoms of schizo
Delusion Neologism Echopraxia
88
Dissociative amnesia
Traumatic event Ex. Injured under influence of alcohol
89
Delirium
Acute onset
90
Dementia
Slow Progressive
91
Aphasia
Manifestation of dementia
92
Hospitalization criteria for weight loss
30% in 6 months
93
Operant conditioning
Positive reinforcement Desired behavior Refraining from manipulative behavior
94
Benztropine
Shuffling gait Parkinson’s
95
Methylphenidate adverse effects
Weight loss Tachycardia Dry mouth
96
Borderline personality disorder
Emotional lability (one emotion to another)
97
Narcissistic personality disorder
Feelings of grandiosity Exploitive Filled with rage Sensitive to criticism
98
ECT
Induced short seizure Adverse effects: disorientation, confusion, memory loss Monitor cardiac rhythm
99
Antisocial personality disorder
Don’t be friendly to them Set realistic limits Can Control behavior Criminal misconduct Aggressive Exploitative
100
Bereavement grief
Person feels guilt after someone death
101
Preoccupation grief
Image of deceased Expected during bereavement
102
Complicated grief
Difficulty carrying on normal activities following a loss
103
Acute mania
Insomnia
104
Manic phase bipolar
Obsessive attention to detail Talk and joke incessantly Highly interactive
105
Situational crisis
Unexpected event
106
Adventitious crisis
External disaster Ex. Tornado
107
Rhinorrhea
Yawning Coughing Sneezing Opioid withdrawal
108
Alcohol withdrawal
``` Cramping Vomiting Tremors Restlessness Insomnia Tachycardia Hallucinations or illusions Anxiety Hypertension Tachypnea Fever Tonic-clinic seizures ```
109
Opioid withdrawal
``` Sweating Rhinorrhea Weakness Diarrhea Fever Insomnia Dilation N/v Pain in muscles and bones Muscle spasms Piloerection (gooseflesh)-bristling Jair’s ```

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