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psych > exam 3 > Flashcards

exam 3 Flashcards

1
Q

severe and potentially catastrophic complication, involving a metabolic alteration in serum electrolytes, vitamin deficiency, and sodium retention.

A

refeeding syndrome

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2
Q

Soft, fine downy hair-usually on newborns. Develops with malnutrition

A

lanugo

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3
Q

where is lanugo seen

A

clients with anorexia

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4
Q

Tachycardia, hypertension, peripheral constriction, chest pain, paranoia, psychosis

A

bath salts withdraw

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5
Q

increased energy, decreased appetite, mental alertness, increased heart rate/pressure, dilated pupils

A

short term use of cocaine

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6
Q

irregular heartbeat, chest pains, increased risk of heart attack, panic attacks, depression, delusions/hallucinations, “cocaine bugs”

A

long term use of cocaine

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7
Q

Depression, hypersomnia, insomnia, fatigue, anxiety, irritability, poor concentration, psychomotor retardation, increased appetite, paranoia, drug craving

A

cocaine withdraw

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8
Q

cluster a; odd and eccentric

A

Schizoid Personality Disorder
Paranoid Personality Disorder
Schizotypal Personality Disorder

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9
Q

Suspicious of others
Fear others will exploit, harm, or deceive
Hypervigilant, hostile, aloof
Psychotic episodes in times of stress
Nurse should give straightforward explanations of tests, history taking, and procedures, side effects of drugs, etc. to counteract client fear.

A

paranoid personality disorder

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10
Q

Avoid close relationship
Socially isolated
Poor occupational functioning
cold , aloof, and detached
Social awareness lacking
Relationships generate fear and confusion
Nurses should strive for simplification and clarity to decrease client anxiety

A

schizoid personality disorder

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11
Q 
Ideas of reference 
Magical thinking 
Odd beliefs 
Perceptual distortions 
Vague, stereotyped speech
Frightened 
Suspicious 
Blunted affect
Distant and strained social relationships
Tend to be frightened/suspicious in social situation
A

schizotypal personality disorder

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12
Q

cluster b, dramatic and erratic

A

antisocial
boderline
histrionic
narcissitic

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13
Q

Superficial charm
Violates rights of others
Exploits others
Lies, cheats, lacks guilt or remorse
Impulsive, acts out, lacks empathy, manipulative, aggressive
Nurse must establish and adhere to plan of care, and maintain clear boundaries to minimize client manipulation and acting out

A

antisocial

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14
Q

Unstable, intense relationships, identity disturbances, impulsivity, self-mutilation
Rapid mood shifts, chronic emptiness, intense fear of abandonment, splitting(wanting to switch nurses), anger
Self-mutilation and suicide prone behavior are often used
Impulsive self destructive behaviors
Anger is intense
Nurses should help with anger management, no self-harm contract, and safety

A

borderline

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15
Q

Center of attention, flamboyant, seductive/provocative, shallow
Rapidly shifting emotions, dramatic expression of emotions, overly concerned with impressing others, exaggerates degree of intimacy with others
Self-aggrandizing, preoccupied with own appearance, experience depression when admiration of others is not given, assess for suicide risk

A

histrionic

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16
Q

Grandiosity, fantasies of power or brilliance, need to be admired, sense of entitlement, arrogant
patronizing, rude, overestimates self, underestimates others, fragile ego, demands best, thin-skinned

A

narcisstic

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17
Q

cluster c, anxious and fearful

A

avoidant
dependent
obsessive-compulsive

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18
Q

Social inhibition, feelings of inadequacy, hypersensitivity to criticism, preoccupation with fear of rejection, self perceived to be socially inept
Low self esteem and hypersensitivity grow as support networks decrease
Demands of workplace often overwhelming, project that caregivers will harm them through disapproval, perceive rejection where none exists

A

avoidant

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19
Q

Inability to make daily decisions without advice and reassurance, need others to be responsible for important areas, anxious helpless when alone, submissive
Solicit care taking by clinging, fear abandonment if they are too competent, experience anxiety/may have co-existing depression

A

dependent

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20
Q

Preoccupied with rules, perfectionistic, too busy to have friends, rigid control, superficial relationship
Complains about other inefficiencies, gives others directions, does NOT have obsessions, compulsions (that is OCD, obsessive compulsive disorder)

A

obsessive compulsive

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21
Q

key assessment factors for anorexia

A

Nurse should explore client perception of problem
Eating habits, history of dieting
Methods used to achieve control
Value attached to specific weight, shape
Nurses should NOT discuss client’s weight with client

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22
Q

nursing interventions for bulimia

A

Cognitive behavioral therapy
Highly effective for treatment of bulimia
Therapy helps restructure eating to interrupt the cycle of binge/purge

23
Q

patient suffering from both addictive disorder and another psychiatric disorder

A

dual diagnosis

24
Q

BAL

A

blood alcohol level

25
Q

audit

A

Alcohol Use Disorders Identification Test Ten item screening tool, based on Likert scale higher the score, the higher the risk
Screens for signs/symptoms of alcohol use disorders, such as blackouts, feelings of guilt/remorse, obsessive thoughts about drinking.

26
Q

AA

A

alcoholic anoymus

27
Q

Users of this drug experience euphoria, elevated mood, ana a “rush”

A

bath salts intoxication

28
Q

4 characteristics in common with personality disorders

A

Inflexible and maladaptive response to stress
Disability in working and loving
Ability to evoke interpersonal conflict
Capacity to frustrate others

29
Q

antidepressants

A

borderline personality

30
Q

need for higher and higher doses of substances to achieve the desired effect

A

intoxication tolerance

31
Q

the negative physiological and psychological reactions that occur when a drug taken for a long time is reduced or no longer taken.

A

intoxication withdrawal

32
Q

Cluster of behaviors that prevents one individual from taking care of his own needs due to preoccupation with another who is addicted to a substance

A

codependence

33
Q

major defense mechanism used by client who are addicted to alcohol/benzos

A

denial

34
Q

what is CAGE and how is it scored

A 
Cut down
Annoyed
Guilt
Eye opener
Score of 2 to 3 positive responses is suspicious; score of 4 is highly indicative
35
Q

Screens for signs/symptoms of alcohol use disorders, such as blackouts, feelings of guilt/remorse, obsessive thoughts about drinking.

A

AUDIT

36
Q

how is audit scored

A

higher the score higher the risk

37
Q

Mood and behavioral changes, reduced coordination, impairment of ability to drive a car

A

20-100% BAL - alcohol intoxication what

38
Q

Reduced coordination of most activities; speech impairment; trouble walking, general impairment of thinking and judgment

A

101-200% BAL - alcohol intoxication

39
Q

marked impairment of thinking, memory, and coordination, marked reduction in level of alertness, memory blackouts, nausea and vomiting

A

201-300% BAL - alcohol intoxication

40
Q

worsening of above symptoms with reduction of body temperature and blood pressure, excessive sleepiness, amnesia

A

301-400% BAL - alcohol intoxication

41
Q

difficulty walking the patient (coma), serious decreases in pulse, temperature, blood pressure, and rate of breathing, urinary and bowel incontinence, death

A

401-800% BAL - alcohol intoxication

42
Q

what is the CIWA scale and how is it scored

A

Clinical Institute Withdrawal Assessment for alcohol scale; scale from 0-7; higher the number the worse the score

43
Q

increased energy, decreased appetite, mental alertness, increased heart rate/pressure, dilated pupils

A

short term use of stimulant

44
Q

irregular heartbeat, chest pains, increased risk of heart attack, panic attacks, depression, delusions/hallucinations, “cocaine bugs”

A

long term use of stimulants

45
Q

opiates overdose

A

respiratory depression, coma, convulsions, death

46
Q

if overdose on opioids

A

give narcan

47
Q

difference between opioid intoxication and withdrawl

A

intoxication- everything is SLOW (bradycardia, hypotension, hypothermia)
withdrawal- everything is FAST (tachycardia, hyperreflexia, hyperthermia)

48
Q

reduce withdrawal agitation

A

librium (Chlordizepoxide)

49
Q

Alcohol, do not ingest alcohol while taking this (N/V, headache, sweating, flushed skin, respiratory difficulty, confusion)

A

Antabuse (Disufiram)

50
Q

For Opiates

A

Suboxone (Buprenorphine)

51
Q

relapse prevention agent for alcohol

A

Campral (Acomprosate calcium)

52
Q

comes in injectable, can be used for BOTH alcohol and opiates to prevent relapse and reduce cravings

A

Vivitrol(Naltrexone)

53
Q

Can be used for both alcohol and opiates to prevent relapse and reduce cravings
Withdrawal decreases cravings
Comes in injectable
Popular

A

Revia (Naltrexone)

54
Q

Opioid withdrawal

A

Methadone (methadone hydrochloride)

psych (4 decks)

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