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Psych Nursing > Exam 1 > Flashcards

Exam 1 Flashcards

(89 cards)

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1
Q

incidence

A

new number of cases diagnosed in a given timeframe

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2
Q

prevalence

A

new and chronic cases in a timeframe

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3
Q

spiritual

A

internal phenomenon, beliefs, values, ideals, purpose

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4
Q

religion

A

external system that includes beliefs, patterns, symbols

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5
Q

tardive dyskinesia

A

abnormal body movements

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6
Q

labile affect

A

affect changes drastically in a short time

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7
Q

normal thought process

A

logical, linear, goal directed, coherent

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8
Q

circumstantial

A

providing extra detail that are somewhat related but they never answer question. circle the answer over and over

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9
Q

tangential

A

eventually answer question but talk about other stories along the way (other stories do have some connection)

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10
Q

flight of ideas

A

jumping from unrelated topic to unrelated topic

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11
Q

thought blocking

A

responding to internal stimuli. stop in mid-sentence. may be hearing voices

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12
Q

delusion

A

false belief about something

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13
Q

obsessions

A

intrusive thoughts

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14
Q

illusion

A

misinterpreting external stimuli

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15
Q

insight

A

ability to identify issue at hand, such as their own mental illness

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16
Q

judgement

A

ability to ma ke good, safe decisions

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17
Q

conditions to keep someone involuntarily

A

threat to themselves, threat to others, gravely disabled

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18
Q

completed suicide

A

person who osuccessfully dies

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19
Q

suicide behavior

A

any behavior related to suicide such as ideation, self-harm

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20
Q

suicidal ideation

A

thoughts of taking own life.
active - thoughts of ending your own life
passive - thoughts of dying, not wanting to live anymore
indirect- i want to go to sleep and never wake up
direct - i want to end my own life

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21
Q

suicide intent

A

what did they want to happen from suicide attempt. do they actually want to die or want attention

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22
Q

Joiners theory of suicide

A

specific set of circumstances that allow people to be suicidal.

  1. I am alone
  2. I am a burden
  3. I am not afraid to die
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23
Q

major suicide risk factors

A

major depressive disorder, other mental health disorder, substance abuse, access to lethal means, prior suicide attempts.

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24
Q

populations at risk for suicide

A

LGBT, youth, American Indians, Alaska Natives, veterans, chronic medial conditions, bereaved by suicide

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25
situational risk factors
stress you are under. family/marital conflict, unemployment, social withdrawal/isolation, medical problems, loss, recent discharge from inpatient unit
26
warning signs
threatening suicide, seeking means to die, talking or writing about suicide, dramatic mood changes, sudden change in sleep, increased drug use, hopelessness
27
IS PATH WARM | mnemonic for suicide assessment
``` Ideation Substance Use Purposelessness Anxiety Trapped feeling Hopelessness Withdrawn Anger Recklessness Mood changes ```
28
protective factors
reasons for living, family, spirituality, connectedness, hope for future, engagement with a helper, problem solving skills, availability of physical and mental health care
29
DICB
Suicidal desire: Factors that make people want death Intent: Motivation for suicide Capability: Ability to engage in suicide Buffer: Factors that protect
30
cortex
top part of brain, intelligent, "human" part, who we are. higher functioning. 4 different lobes
31
subcortical/brainstem
bottom part of brain, primitive, automatic, reacts. survival
32
frontal lobe
intellect, insight, judgment, expression of emotion
33
parietal lobe
reading, writing, sensory perceptions, maintain attention, process motor activities
34
temporal lobe
auditory and olfactory senses, emotion, learning and memory
35
occipital lob
vision and visual memory, integration between vision and other sensory information
36
prefrontal cortex
front part of frontal lobe. differentiates conflicting thoughts, determines good/bad, same/different, future consequences, social control, impulsivity. Not mature until early to mid 20s
37
limbic system structures
amygdala, cingulate gyrus, fornix, hippocampus, hypothalamus, olfactory cortex, thalamas
38
limbic system functions
controls emotions, emotional response, memory storage, hormonal secretions, mood, motivation, pain and pleasure sensations
39
basal ganglia
impacts complex motor responses
40
peripheral nervous system
nerves and ganglia outside of CNS, muscles and glands. relay/communication network, brings in sensory info. composed of somatic nervous system and autonomic nervous system (includes sympathetic nervous system and parasympathetic nervous system)
41
SNS
excitatory, fight or flight. rapidly mobilizes body systems. activates epinephrine and norepinephrine
42
PSNS
calming, resets autonomic nervous system, rest and digest. slow system. innervates cranial nerves 3, 7, 9, 10
43
neuroglia
glial cells. support, protect and insulate. do not communicate
44
neurons
sensory (afferent), motor (efferent) and interneurons. communicate cell to cell via AP/nerve impulse. made up of dendrites, soma and axon
45
acetylcholine
NT responsible for learning, memory, wakefulness, attention and movement
46
histamine
NT responsible for allergic responses, gastric acid secretion, modulating CNS transmission, affects wakefulness
47
serotonin / 5HT
responsible for temp regulation, sleep, appetite, sexual interest, fear, depressive, anxious mood, pain perception
48
norepinephrine
NT responsible for response to stress, awareness of environment, attention, learning, memory, sleep, arousal.
49
dopamine
NT responsible for motor movement, learning, memory, judgment, insight, pleasure, motivation
50
glutamate
amino acid NT. excitatory
51
GABA
amino acid NT. inhibitory
52
euthymic
normal mood
53
SSRI's
selective serotonin reuptake inhibitors. ASE - serotonin syndrome
54
SNRI's
serotonin norepinephrine reuptake inhibitors
55
NDRI's
norepinephrine dopamine reuptake inhibitors. Wellbutrin
56
TCA's
tricyclic antidepressants. for sleep, pain, migraine. lethal in overdoses
57
MAOI's
monoamine oxidase inhibitors. inhibit enzymes (monoamine oxidase) that breakdown NT's, many drug interactions, requires tyramine restricted diet.h
58
serotonin syndrome
fever, sweating, increased HR and BP, hyperreflexia. mental status changes, agitation, shivering, N/D, pain. caused by opioids, antidepressants (esp 2 of same class), CNS stimulants and triptans, OTC herbal supplements
59
Food with tyramine
aged cheese, avocado, figs, yeast extracts, deli meat, liver, beer/wine, fermented food
60
EPS / extrapyramidal symptoms
dystonia, pseudoparkinsonism, akathisia
61
dystonia
abnormal muscle movements
62
akathisia
restlessness, pacing, rocking, anxiousness
63
neuroleptic malignant syndrome / NMS
caused by antipsychotics. medical emergency. occurs suddenly after dose increase or new med. labile HTN, increased HR/RR, fever, diaphoresis, drooling, increased muscle tone, decreased LOC. elevated WBC, CK
64
second generation
EPS reduced because these drugs do not bind as tight to D2 receptors. monitor wt, cholesterol and BG. can cause DM2
65
mood stabilizers
stabilize mood in bipolar and anticonvulsants/antiepileptics. reduce threshold of AP and reduce glutamate. lithium, valproic acid, carbamazepine, lamotrigine
66
benzodiazepines
only for short term use. less than 2 weeks. lorazepam, clonazepam, alprzaloam
67
transference
patient projecting past on to health professional. can be good or bad. (pt treating me as her son)
68
countertransference
professional projecting feelings on to patient
69
boundary crossing
self disclose when you shouldn't, calling pt from home. crosses boundary of nurse-patient relationship
70
boundary violation
crosses boundary of nurse-patient relationship and causes patient harm. ex. sex
71
empathy
ability to understand how another person is feeling
72
sympathy
feeling sorry
73
Hildegard Peplau
Mother of psychiatric nursing. Theorist who said we should attempt to understand patient's story and their feelings. Being empathetic is the healing part for the patient
74
genuine
when your verbal and nonverbal communication is congruent
75
DSM-V
criteria used to diagnose/classify mental health disorders. used worldwide. helps people be on the same page.
76
unconditioned positive regard
regardless of patient's situation, you are empathetic and treat them with respect. being nonjudgmental
77
beneficience
ethical principle that addresses the idea that a nurse's actions should promote good. Doing good is thought of as doing what is best for the patient.
78
paternalism
action limiting a person's or group's liberty or autonomy which is intended to promote their own good.
79
justice
Fair and equal treatment of patients
80
fidelity
being dedicated to patients and faithful in the performance of his/her duties
81
anxiolytics
antidepressants, benzodiazepines, buspirone
82
psychosocial assessment
subjective patient perceptions, chief complaint, hx of violent behaviors, substance use, legal, family history, past psychiatric history, stressors and coping methods, social background, support system, spiritual beliefs, religious, cultural
83
rambling
scrambled, not staying on topic. similar to flight of ideas
84
illogical
no logical connection
85
loose associations
ideas loosely associated with each other. ex. the picture has a headache.
86
mesocortical pathway
thinking, planning, reasoning
87
mesolimbic pathway
schizophrenic s/s
88
nigrostriatal pathway
movement
89
tuberoinfundibular
maintain prolactin level

Psych Nursing (2 decks)

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