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Mid Term Flashcards

(107 cards)

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1
Q

Phases of Therapeutic Relationship

A

Orientation, Working, Termination

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2
Q

Proxemics

A

Study of distance. 3ft is Therapeutic distance

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3
Q

Proxemics: 6-18 inches

A

Intimate Space

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4
Q

Proxemics: 18-47 inches

A

Personal

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5
Q

Proxemics: 47in-3ft

A

Social

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6
Q

Proxemics: 3ft and beyond

A

Public

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7
Q

Proxemics: Therapeutic Distance

A

3ft

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8
Q

Transference

A

Set of expectations, beliefs, emotional responses that a patient brings to the therapeutic relationship. Unconscious displacement or transfer of feelings onto the nurse

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9
Q

Counter Transference

A

Behavioral/emotional response nurse has to patient. May be unconscious or partially conscious.

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10
Q

Displacement

A

Defense Mechanism. Directing anger onto a substitute

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11
Q

Projecting

A

Attributing ones own unacceptable thoughts/feelings to another

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12
Q

Reaction Formation

A

Expressing the opposite feeling

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13
Q

Undoing

A

Ritualistically negating intolerable thoughts/feelings

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14
Q

mood

A

Person’s pervasive and enduring emotional state. Internal state. Presented as a quote.

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15
Q

affect

A

Outward expression of internal emotional state. “Affect matches stated mood” would be a normal finding.

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16
Q

Thought Content

A

What a person is thinking about. Includes sensory/perceptual alternations (AH/VH)

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17
Q

Insight

A

Persons’s awareness of one’s responsibility for and analysis of a current problem

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18
Q

Judgement

A

Person’s ability to make a decision and delay gratification

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19
Q

Circumstantial Thinking

A

Delay in reaching point, too much unnecessary and tedious detail

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20
Q

Delusion

A

Fixed false belief that persists despite proof that it is false or irrational. Paranoia or grandiosity.

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21
Q

Flight of Ideas

A

Rapid succession of fragmented thoughts or speech, may be incoherent. Manic feature.

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22
Q

Ideas of Reference

A

Thinking that someone is talking directly to you ie the TV

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23
Q

Loose Associations

A

Disordered progression of thoughts, jumping from one idea to another

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24
Q

Tangential Thinking

A

Wandering off the point of a story

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25
Thought Blocking
Delay in starting or stopping abruptly in the middle of a thought
26
Thought Broadcastign
Ones's thoughts are being broadcast into the environment
27
Thought Insertion
Delusion that thoughts are being implanted by other people or forces
28
Thought Withdrawl
Thoughts being removed from your brain by someone else
29
Word Salad
Group of words put together in random fashion
30
Neoglisms
Words made up by the patient
31
DSM Axis 1
Clinical Disorders
32
DSM Axis 2
Personality disorders, mental retardation
33
DSM Axis 3
General Medical Conditions
34
DSM Axis 4
Psychosocial and Environmental Problems
35
DSM Axis 5
Global Assessment of Functioning (GAF)
36
Nursing Interventions: Saftey
Observe, De-escalate, seclusion, restraint
37
Nursing Interventions: Biological
Self-care, relaxation, medication
38
Nursing Interventions: Psychological
Counseling, reminisence
39
Nursing Interventions: Social
Milieu therapy
40
Affective blunting
Reduced range of emotional expression. Neg sxs of schizophrenia
41
Anhedonia
Inabality to experience please. Neg sxs of schizophrenia.
42
Avolition
Inability to pursue goals. Neg sxs of schizophrenia
43
Algoia
Reduced fluence and production of language nad thought. Neg sxs of schizophrenia
44
Course of Schizophrenia
Acute, stabilization, maintenance, recurrent acute execrbations of psychosis
45
Schizotypial Personality DO
Characterized by odd beliefs leading to interpersonal difficulties. Magical thinking or perceptual distortions that aren't quite delusions or hallucinations. Few friends, social anxiety.
46
Schizoaffective Disorder
Major depressive, manic, mixed episode concurrent with at least 2 sxs for schizophrenia
47
Delusional Disorder
Stable, logical delusion without other psychiatric disorders lasting at least a month. Function well in areas not related to delusion.
48
Brief Psycotic Disorder
1 or more sxs schizophreia that occur for longer than a day but less then a month. Return to normal afterwards.
49
2nd Generation "Atypical" Antipsycotics
Sterotonin-Dopamine Antagonists. Block both serotonin and dopamine receptors. Fewer extrapyramidal ADEs. Newer drugs.
50
Risperidone (Risperdal)
Atypical Antipsychotic
51
Olanzapine (Zyprexa)
Atypical Antipsychotic
52
Quetiapine (Seroquel)
Atypical Antipsychotic
53
Ziprasidone (Geodone)
Atypical Antipsychotic
54
Aripiprazole (Abilify)
Atypical Antipsychotic
55
Paliperidone (Invega)
Atypical Antipsychotic
56
Clozapine (Clozaril)
2nd line Atypical Antipsychotic. Particular risk for agranulycitosis
57
Thorazine (chlorpromazine)
1st Generation Antipsychotic
58
Haldol (haloperidol)
1st Generation Antipsychotic
59
Prolixin (fluphenazine)
1st Generation Antipsychotic
60
Trilafon (perphenazine)
1st Generation Antipsychotic
61
Moban (molindone)
1st Generation Antipsychotic
62
Mellaril (thoridazine)
1st Generation Antipsychotic
63
Stelazine (trifluroperazine)
1st Generation Antipsychotic
64
Navene (thiothixene)
1st Generation Antipsychotic
65
Anticonvulsants
Used for positive sxs management. Decrease episodes of violence.
66
Depakote (valproate/valporic acid)
Anticonvulsant
67
Tegretol (carbamazepine)
Anticonvulsant
68
Lamictal (lamotrigine)
Anticonvulsant
69
Benzodiazepines
Helpful for acute positive sxs but habit forming. Part of ER cocktail
70
Ativan (lorazepam)
Benzodiazepine
71
Klonopin (clonazepam)
Benzodiazepine
72
Extrapyrmidial Side effects of antipsychotics
Parkinsonism, Dystonia, Akathisia, Tardive Dyskinesia
73
Parkinsonism
Starts within weks, more on initiation then long term use
74
Dystonia
Painful contraction of muscles in the neck/back. Painful and reversible with benadryl or anticholenergics. Oculogyric crisis - painful vision
75
Akathisia
Motor restlesness. Presents like mania or crack. Cannot sit still. Very uncomfortable. Tx by reducing dose. Leads to increased suicide risk.
76
Tardive Dyskinesia
Lip smacking, facial tics. Irreversible. Longterm tx, not a sxs of disease.
77
Bipolar 1
Combination of manic or mixed episode sand major depressive episodes
78
Bipolar 2
Combinatio of major depression and hypomania
79
Cyclothymic disorder
Mild form of bipolar 2. 2 years of numerous periods of hypomania dn mild depressive sxs.
80
Litium levels
0.5-1.2
81
Lithium ADE
tremors,wt gain, ataxia, memory problems, lithium toxicity. Long term: Hypothyroidism, impaired kidney fxn
82
Lithium labs
Lithium level, TSH, renal fxn q6months
83
Depakote ADE
Sedation, tremor, wt gain, pancreatitis, long term hepatotoxicity and thrombocytopenia, PCOS
84
Depakote Labs
LFTs, CBC
85
desipramine (Norpramin)
Cyclic Antidepressant (TCA)
86
amitriptyline (Elavil)
Cyclic Antidepressant (TCA)
87
notriptyline (Pamelor)
Cyclic Antidepressant (TCA)
88
imipramine (Tofranil)
Cyclic Antidepressant (TCA)
89
pheneizine (Nardil)
Monoamine Oxidase Inhibitors (MAOIs)
90
tranylcypromine (Parnate)
Monoamine Oxidase Inhibitors (MAOIs)
91
isocarboxazid (Marplan)
Monoamine Oxidase Inhibitors (MAOIs)
92
selegeline (Eldepryl)
Monoamine Oxidase Inhibitors (MAOIs)
93
TCA and MAOI
1st generation antidepressants. More side effects, more harmful in OD situations
94
SSRI
Block pre-synamic serotonin transporter receptors. They take a few weeks to work. ADEs are insomnia, headaches, GI upset, weight gain. Well tolerated, expensive
95
fluoxetine (Prozac)
SSRI
96
sertraline (Zoloft)
SSRI
97
fluvoxamine (Luvox)
SSRI
98
paroxetine (Paxil and Paxil CR)
SSRI
99
citalopram (Celexa)
SSRI
100
escitalopram (Lexapro)
SSRI
101
SNRI
inhibit reuptake of both serotonin and norepinephrine (more second line) ADE - HTN, can make glaucoma worse
102
venalfaxine (Effexor)
SNRI
103
desvenlafaxine (Pristiq)
SNRI
104
duloxetine (Cymbalta)
SNRI
105
nefazodone (Serazone), trazodome (Desyrel)
Atypical Antidepressants. Sleep, not monotherapy. Can raise hepatic enzyme levels --> hepatic failure. Erectile dysfunction and priapism.
106
Wellbutrin
Atypical antidepressant. 2nd line ADHD, smoking cesessation. Can cause seizures and psychosis because it's dopaminergic.
107
Antidepressnet Management
Take awhile to kick in. Don't take St John's wart. Don't combine drug s that increase seratonin --> seratonin syndrome. Can lead to increased suicidal tendencies

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