Final Flashcards
(57 cards)
What is Gender Dysphoria?
Adopted to minimize stigma connected to previous label and emphasize emotional component of condition. Only diagnosed if symptoms of distress are present (depression, disgust w/ oneself etc.).
How to treat people who are part of LGBTQ?
Good support system, listen to their experiences, don’t make assumptions, show them you care/are interested, support them to seek help, join a support group, learn about common LGBTQ issues, learn more about their specific problems.
What is sexual dysfunction?
Disturbance in the process of the sexual response cycle or by the pain associated with sexual intercourse.
What is Paraphilia?
The term is used to identify repetitive or preferred sexual fantasies that are recurrent for over 6 months. Involves non-human objects, suffering or humiliation of oneself or one’s partner, and nonconsenting persons.
How long can a regular/chronic drinker go without serious side effects?
The onset of withdrawal symptoms can occur within 4-12 hours after stopping drinking.
What are signs & symptoms of someone going through alcohol withdrawal?
Coarse hand tremors, sweating, elevated pulse/BP, insomnia, anxiety. Severe/untreated withdrawal can progress to transient hallucinations, seizures, delirium (DTs).
What is Disulfiram (Antabuse)?
Prescribed to help deter clients from drinking. Never give to a patient who is currently intoxicated. Need to warn patient about serious side effects: flushing, throbbing headache, sweating, nausea, vomiting, severe hypotension, confusion, coma, death.
What are patient teaching points for Disulfiram?
Avoid all products that contain alcohol (cough syrup, lotion, mouthwash, perfume, aftershave, vinegar, vanilla) – READ ALL LABELS. Symptoms can last up to 1-2 weeks after last dose. Someone w/ renal impairment can’t take this medication.
What is Wernicke’s Encephalopathy?
Disorder that affects the memory/motor system in the brain due to alcohol abuse, dietary deficiencies, prolonged vomiting, or eating disorders. To prevent this, give Vitamin B1 (thiamine).
What are signs & symptoms of opiate abuse?
Apathy, lethargy, listlessness, impaired judgment, psychomotor retardation/agitation, constricted pupils, drowsiness, slurred speech, impaired attention and memory. Severe intoxication can lead to coma, respiratory depression, pupillary constriction, unconsciousness, death.
What is the priority assessment for someone overdosing on opiates?
If PT is having an overdose, administer Narcan (naloxone). Detoxification - Methadone can be used as a replacement for opioids, then the dose is decreased over the next 2 weeks.
What is dependence in substance use?
Dependence is when the body needs something (alcohol/drugs) in order to function in a patient’s everyday life.
What is tolerance in substance use?
Tolerance is when the body needs more of a substance to achieve the same effect.
What is intoxication?
Use of a substance that results in maladaptive behavior.
What is withdrawal?
Negative psychological and physical reactions that occur when the use of a substance ceases or dramatically decreases.
What are signs of drug abuse in nurses?
Incorrect drug counts, controlled med listed as contaminated or wasted, increased reports of pharmacy error, unexplained absences, multiple trips to the bathroom after being in contact with controlled substances.
What is Anorexia?
PT restricts nutritional intake necessary to maintain a minimally normal body weight, terrified of being fat. Will exercise or not eat (fasting) or extreme diet to be the lowest weight possible.
What are signs & symptoms of Anorexia?
Refuse to eat around others, cutting food into tiny pieces, food can’t touch lips, excessive exercise.
What are physical signs of Anorexia?
Muscle atrophy, amenorrhea, lethargic, anxious/worried, constipation, bradycardia, dry skin, hair loss.
What is Bulimia?
Recurrent episodes of binge eating followed by purging, fasting, or excessive exercise. PT will feel remorseful or guilty after purging.
What are signs & symptoms of Bulimia?
Bad teeth and tooth erosion due to excessive vomiting, initially pleasant and cheerful but extremely shameful and remorseful, metabolic alkalosis.
What are priority assessments for a patient with an eating disorder?
Assess electrolyte balances, refer client to a dietician, establish a nutritional eating pattern, sit with PT while eating, offer liquid protein, observe PT after eating (1-2 hours), weigh PT daily, be alert to signs of hiding or discarding food, avoid talking about calories.
What are significant underlying issues for Anorexia?
Lack of family support, obesity, dissatisfaction with body image, social/societal pressures.
What is Somatic Symptom Disorder?
1 or more physical symptoms that have no organic basis. Individuals spend a lot of time focused on health concerns and often believe symptoms are indicative of severe illness.
