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Mental Health Flashcards

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1
Q

A therapeutic therapy for a client with a conflict with parents due to his hate with siblings.

A

Family therapy

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2
Q

Effective therapy to a client with post- traumatic stress

disorder (PTSD) (group therapy or individual therapy?)

A

Individual therapy

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3
Q

Electroconvulsive therapy (ECT) is effective to a client with.

A

Major depression followed by medication

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4
Q

A client experiencing nightmares, screaming during sleep,
unable to focus or concentrate and thoughts of guilt.
During a client-nurse interaction, it was found out of her
mental and physical abused as a child. What kind of anxiety
disorder this may be related to?

A

Post-traumatic stress disorder (PTSD)

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5
Q

ADHD medications:

A

Attenta, Concerta, Ritalin, Strattera

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6
Q

Most common form of mental illness in elderly patient

A

OBS (organic brain syndrome)

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7
Q

Newest ADHD medication

A

Strattera (atomoxetine) is a Psycho stimulant
ADHD medication is stimulating and calming effect in
children and adults.

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8
Q

Side effect of ADHD

A

Loss of appetite, abdominal pain, headache, and
insomnia.
Provide high calorie and snacks during the day to
overcome weight loss.

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9
Q

Best time to administer ADHD medication

A

30-45 minutes before meal TID or once daily before

breakfast for long acting form.

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10
Q

An antidepressant and used also to quit cessation) smoking

A

Zyban (buproprion)

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11
Q

Withdrawal signs from Strattera (Adhd medication)

A

Flushing, palpitations, hypertension,

tachycardia, and abdominal pain

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12
Q

Common side effects of Strattera

A

Drowsiness

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13
Q

Needs further teaching to relieve dryness of the mouth when

taking Prozac.

A

When taking large amount of water as it may deplete
electrolytes. Sugarless gum and ice chips will be the
right away to relieve dryness of the mouth.

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14
Q

Normal level of Lithium

A

0.6 - 1.2

Toxic level >2

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15
Q

Onset of lithium

A

5 to 7 days

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16
Q

Side effects of Lithium toxicity

A

Nausea, vomiting, sedation, metallic taste, polyurea and headache.

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17
Q

Indication of Haldol (haloperidol)

A

Acute and chronic psychoses

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18
Q

Side effects of Haldol (haloperidol)

A

Haldol has an anticholinergic effects:
dry mouth, blurry vision and dry eyes, constipation,
EPS (tremors, rigidity, shuffling gait),
hypotension, and tachycardia

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19
Q

Pristiq (desvenlafaxine) is indicated to client with?

A

To treat major depressive disorder.

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20
Q

What drug used to treat heroin and opiate addiction?

A

Methadone

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21
Q

Borderline personality

A

Suicidal tendency

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22
Q

Less severe, chronic depression for about 2 years or more

A

Dysthymia

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23
Q

Geodon (ziprazidone) is an.

A

Antipsychotic medication

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24
Q

Recurrent, multiple, physical symptoms without organic cause.

A

Somatoform disorder (briquet syndrome)

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25
Zyprexa (Olanzapine)
Antipsychotic: Prevent dehydration Supervise suicidal risk during early therapy **(as energy level improves, as depression lessens)
26
What laboratory value would be a priority to monitor when clients receiving Clozaril (clozapine) and Remeron (mirtazapine)?
WBC due to agranulocytosis
27
What are the signs and symptoms of agranulocytosis?
Sudden fever and sorethroat (due to decreased WBC).
28
Term used to escape from uncomfortable situations. It has no real illness, but is overly obsessed over normal bodily functions,
Hypochondriasis
29
Treatment for severe depression
Electroconvulsive Therapy (ECT)
30
Is a person repeatedly acts as if he or she has a physical or mental disorder when, in truth, they have caused the symptoms. The most severe type of factitious disorder.
Munchausen Syndrome
31
The purpose of compulsive disorder is to?
To reduce anxiety
32
A defense mechanism that is normal when a client is | suddenly faced with a life threatening illness.
Denial
33
Antidepressant that is safe in pregnancy
Prozac and tricyclics
34
Antabuse type reaction
Disulfiram type reaction
35
Abilify (aripiprazole) is an.
Antipsychotic such as schizophrenia, bipolar disorder | (mania), and also used as antidepressant.
36
Side effects of Abilify (aripiprazole)
Headache, insomnia, sedation, and constipation
37
Remeron (mirtazapine) indication?
Antidepressant SE: sedation, drowsiness, headache, increased appetite. Mild visual hallucination when taken during the day or when awake).
38
What to monitor when patient is taking Remeron | (mirtazapine)?
WBC, obtain WBC before starting treatment and on | going treatment for WBC (due to agranulocytosis).
39
Remeron(mirtazapine)
Antidepressant for children and adolescents. Patients who are started on therapy should be observed closely for clinical worsening, suicidality, or unusual changes in behavior.
40
Symptoms of alcohol withdrawal include:
Delirium. or confusion, agitation, nervousness, | Insomnia, hallucinations, palpitations, tachycardia.
41
Client is on Lithium, what to monitor?
Fluid intake and Sodium
42
In psychiatric clients Lanugo is seen in?
Severe anorexia nervosa
43
most commonly known MAO medications:
Parnate, Nardil, and Marplan (PaNaMa)
44
Foods high in Tyramine When ingested will develop into hypertensive crisis. When taking MAO and food containing tyramine.
Fermented, smoked, aged, such as dried fish, Smoked fish, pickled herring, bologna, salami, sour cream, yoghurt, caffeinated beverages, chocolates, beer containing alcohol, and non-alcohol beer.
45
Manic client
Give finger foods such as raisins, carrot sticks, celery | sticks, etc.
46
Borderline personality
Suicidal tendency
47
Depressed and Manic
Give separate activity
48
Alcoholism what to assess
Alcoholism what to assess - Dilated pupils and asystole
49
Initial therapeutic approach for manic behavior
Be firm and consistent
50
A mechanism to raise self esteem seen in Korsakoff's syndrome
Confabulation
51
Most important risk to client with Bipolar
Risk for suicide and also likely abusing alcohol or other | substance.
52
Patient on patient on Lithium
Increase Sodium and fluid intake
53
A brain disorder involving loss of specific brain functions cause by thiamine deficiency.
Wernicke-Korsakoff's syndrome
54
Alcohol should not be consumed for at least ___ hours On Antabuse (disulfiram).
Alcohol has been consumed in the last 12 hours.
55
Indications of disulfiram (Antabuse)
1. To support the treatment of chronic alcoholism producing an acute sensitivity to alcohol. 2. As a treatment for cocaine dependence.
56
Tricyclic drug takes effect (in days)
12 to 14 days
57
Side effects of Thorazine (chlorpromazine)
Other brand name Largactil (antipsychotic) drowsiness, blurred vision, decreased sweating, difficulty urinating, constipation Dizziness, increased appetite
58
What to report to the physician when taking Stelazine (trifluoperazine)? Indication: antianxiety/antipsychotic
Difficulty of urinating and Extra pyramidal reactions | (EPS), and dystonia.
59
A common symptom seen with Korsakoffs syndrome
Confabulation
60
What to monitor to a client taking Clozaril (clonazepine)
WBC (due to agranalunocytosis)
61
Autistic child best intervention
Behavior modification and not by a play therapy
62
A mother is silent and not looking on her son who is laying on the floor, rebelling, screaming, kicking and this is called
Negative punishment
63
Common side effects of L-dopa and Sinemet.
Depression, confusion, and hallucinations.
64
Antidepressant bupropion (Zyban®) is contraindicated in
Epilepsy, psychosis and diabetes and may help also | helps with withdrawal symptoms,cravings, and urges.
65
Effects of anticholinergic (tricyclic antidepressant)
Dryness of the mouth, blurred vision, urinary retentions, | constipation
66
Indication disulfiram (Antabuse)
Alcohol abuse
67
When taking Tofranil (imipramine), instruct client to avoid.
Caffeinated drinks such as coffee, soda, chocolate, and | tea. (not recommended due to sleep disturbances)
68
Tofranil (imipramine) therapeutic level?
150 to 250 mg /ml.
69
Side effect of Tofranil (imipramine), a tricyclic antidepressant
1. Photosensitivity (Advised to use sunscreen and to wear protective clothing when exposed to sun). 2. Dryness of the eyes (reduced lacrimation and may use artificial tears) 3. Gynecomastia
70
Side effect of Sinequan (doxepin)
Orthostatic hypotension
71
Common side effect of Paxil (paroxitine)
Dryness of the mouth Other side effect: may decrease sexual drive in male and decreased orgasm in female.
72
Common side effect of Zoloft (sertraline HCL)
Dryness of the mouth | Decreased libido in male and female
73
What to monitor when client is on Zoloft (sertraline)
Suicidal ideation Rationale: client has renewed energy that may support the implementation of suicidal ideation
74
Remeron (mirtazapine) is administer preferably
During bedtime. Remeron is antidepressant
75
When taking Nardil (phenylzine), food to avoid | Nardil is a MAOI.
Avoid foods high in tyramine: Bologna, salami, aged cheeses, dried fish, beverages with caffeine, chocolate, pickled herring, and beer including alcohol-free beer.
76
A behavior of crying without tears and laughing simultaneously.
Labile affect
77
"I am the master of the universe", this is an example of?
Grandiose delusion
78
Rapid speech pattern from topic to topic without making | sense of ideas stated.
Flight of ideas
79
Patient is saying aloud, "Rain, rain go away, and asked who let the dog out and looking for cat under the rug" the client is indicating?
Flight of ideas
80
More rapes are perpetrated by who
Someone the victim knows
81
Strattera (Atomoxetine)
Newest ADHD medication | Side effects: increased heart rate and blood pressure
82
Antidepressants: Monoamine oxidase inhibitors (MAOIs)
Marplan (isocarboxasid) Nardil (phenelzine) Parnate(tranicypromine)

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