Exam #1 Flashcards by All Kpop

What are the diffrent components of an MSE?

A, B/PA, ATI, M/A, S+T, PD, O/C, M+I, R,J/I, MFT

appearance
behavior/ psychomotor activity
attitude towards interviewer
mood and affect
speech and thought
perceptual disturbances
orientation and consciousness
memory and intelligence
reliability, judgement and insight
motivation for treatment

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What falls under behavior and psychomotor activity?

excessive or limited body movements
eye contact
eval excessive or limited eye movement, gestures

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What falls under speech and thought

Speech: rate, volume, speed
Ex. Slurring, stuttering

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What falls under reliability, judgement and insight?

Reliability: credibility and trustworthiness
Judgement: good or poor
Insight: understanding of the situation they are in

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What is the diathesis stress model and what does it represent?

Stress model that suggests that nature and nurture causes mental health conditions

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What is the role of a psychiatric RN?

CC, HT/HM, MT, P, B, IT,

coordinate care ( advocating for family and pt)
health teaching and maintenance ( building coping skills)
oversee mililieu therapy
pharmacological, biological, and integrative therapies

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What is the HEADSS assesment used for?

Psychosocial interview technique that can be used to identify risk factors

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What does HEADSSS stand for?

Home environment (relationship w/ parents + siblings)
Education and employment ( school employment)
Activities (sports, music, etc.)
Drug, alcohol, or tobacco use
Sexuality (sexually active or practice safe sex)
Suicide risk
safety

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What is the purpose of a psychiatric mental health nursing assessment?

build trust w/ pt
review physical status and baseline vitals
asses medical conditions that may mimic psych disorders
asses risk factors
Preform MSE
Asses psychosocial status
identify goals
document

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What are the three levels of psychological awareness?

consciousness ( currently living)
preconsciousness ( memories)
unconsciousness ( repressed memories)

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What are the three major personalities?

ID ( @ birth)
EGO (facing reality)
Superego ( moral compass)

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What does Peplau define as a professional nurse-patient relationship?

a nurse who has skills and expertise who wants to alleviate suffering, find solutions to the pt problems, increase QOL

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what is the goal of a nurse- patient relationship?

FC, AW/P, HW/R, PSC/I, PE, PH

Facilitate communication, assist pt w/ problem solving, help pt reflect and examine behaviors, promote self care and independence, provide education, promote pt healing

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What is the difference between personal and a therapeutic relationship?

personal relationships initiated for the purpose of friendship, socialization, enjoyment, etc.
for pt’s growth and healing, focuses on the pt only, the nurses needs are not addressed

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What is transference?

The pt is reminded of her deceased mother when she looks at her nurse

The patient is reminded of a figure in their life which negatively or positively affects care

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What is counter transference?

The nurse is reminded of her youngest son when engaging with the patient

When the nurse is reminded of someone in her life which can positively or negatively affect care

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What is psychoanalytic therapy used for?

Focus on uncovering unconscious conflicts

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What is the interpersonal theory?

Daddy/ mommy issues

Emphasizes the importance of early relationships with the primary parenting figure

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What is interpersonal therapy?

Focuses on reducing or eliminating psych symptoms by improving interpersonal and social relationships

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What are the different kind of behavioral therapies?

M, OC, SD, AT, BF

modeling
operant conditioning
systematic desensitization
aversion therapy
biofeedback

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What is modeling therapy?

provides a positive behavior that the pt is supposed to imitate

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What is operant conditioning therapy?

The desired behavior is rewarded

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What is aversion therapy?

Op. Of operant conditioning

Pairing a neg stimulus with a specific behavior

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What is biofeedback?

Used to control the body’s physiological response to stress and anxiety

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What is cognitive behavioral therapy?

- patients are taught to challenge their own negative thinking

What is the biological model of mental illness?

Abnormal behavior is the result of a physical problem ( focuses on neuro, chemical, bio, and genetic issues)

what are the diffrent kinds of biological therapies?

- medication and brain stimulation therapies such as ECT

What are the three stages for general adaption syndrome ( GAS)? AS, RS, ES

- alarm stages: a strong reaction to the presented stressor - resistance stages: the person adapts to the stressor - exhaustion: the person doesn’t have the resources or energy to overcome the stressor and it becomes chronic

What are some examples of effective stress reduction interventions? DBE, PR, M, PE, CR, J

- deep breathing exercises - progressive relaxation - meditation - physical exercise - cognitive reframing ( replacing negative phrase like I will not to I will) - journaling

What are the differences between maladaptive and adaptive defense mechanisms?

- positive use of defense mechanism - when the defense mechanism is used in excess

What are the health conditions that can occur with chronic stress?

- increase in mental health diagnosis - increased respiratory and cardiac illnesses - suppression of the immune system

What are the diffrent coping skills for stress? HSH, WLB, SS

- health sustaining habits - work life balance - social supports

What are the diffrent types of crisis? MC, SC, AC

- maturational crisis - situational crisis - adventitious crisis

What is maturational crisis?

- when a person reaches a new dev stage of life and hasn’t developed new coping skills

What is situational crisis? Divorce, job loss

- unanticipated events that are external

What is an adventitious crisis? Natural disasters, school shootings

A unplanned event

What are the diffrent phases of crisis?

- confronted by conflict causes an increase in anxiety - functioning becomes disorganized - problem solving fails s anxiety increases to severe or panic level - if coping remains ineffective anxeity manifests into depression, violent behavior, SI/ attempts

What are the 4 phases of disaster response? M, P, R, REC

- mitigation - preparedness - response - recovery

What are examples of monoamine neurotransmitters? D, NE, S

- Dopamine - Norepinephrine - Serotonin

What are examples of amino acid neurotransmitters?

- glutamate - GABA

What are examples of neuropetides CRH, E

Cortico releasing hormone Endorphins

What is the diagnosis is linked to a monoamine neurotransmitters imbalance?

Depression and schizophrenia

What is the diagnosis that is linked to a amino acid neurotransmitters imbalance?

Schizophrenia and anxiety

What is the diagnosis that is linked to a neuropeptides imbalance?

PTSD and major depressive (CRH) Stress/ pain ( endorphins)

What is the diagnosis that is linked to acetylcholine imbalance?

Alzheimer’s

What is the difference between an agonist and an antagonist?

- agnostic mimics the effects of neurotransmitters - antagonist block neurotransmitters

What does a decrease GABA level indicate?

Increased anxiety

What antianxiety medication is highly addictive?

Benzos

What is an SSRI? Blocks

- blocks the reputable of serotonin and makes neurotransmitters more available

What are SNRI’s?

They increase both serotonin and norepinephrine

Why aren’t tricyclic antidepressants the first line of treatment?

- can be lethal in an OD and causes sedation

What are examples of benzo’s? Pam is with Val, Klon, xan, and Ati

- diazepam ( Valium) - clonazepam (klonopin) - alprazolam (Xanax) - lorazepam ( Ativan)

What are examples of SSRI’s? What lay lay takes

- fluoxtentine Prozac - sertraline Zoloft - citalopram Celexa - escitalopram lexapro

What are examples of SNRI’s? Cymbals

Duloxetine ( cymbalta)

What are second generation antipsychotics associated with? BS, WG, hyperLD

Metabolic side effects

What is assertive community treatment?

- intensive type if case management developed to treat hard to engage community living people w/ serious psych symptoms

What functions as an intermediate step between inpatient and outpatient care? IOPs and PHPs

Intensive outpatient programs and hospitalization programs

What are the different ethical principles? B, A, J, F, V, NM

- Beneficence - autonomy - justice - Fidelity - veracity - nonmaleficence

What is fidelity?

Maintaining loyalty and commitment to the pt while doing no wrong

What is veracity?

The duty to communicate in truth

What are examples of medications used to treat Alzheimer’s? Don and Rev

- Donepezil ( aricept) - revastigmine ( exelon)

What are the short acting sedative hypnotic sleep agents? Logic: “ and the haters that love gonna pop an..”

- zolpidem ( ambien ) - zaleplon ( Sonata) - eszopiclone (Lunesta)

What are examples of orexin receptor agonist? S, L (-exant)

- suvorexant (Blesomra) - lemborexant (Davigo)

What are examples of atypical antipsychotics? S, Z, G, A, L

(Seroquel) quetapine (Zyprexa) Olanzapine (Geodon) Ziprasidone (Latuda) Lurasidone (Abilify) apripirazole

What do typical antipsychotics cause? EPSE

Extrapyramidal side affects like TD, dystonia, and Parkinsonism