Psych Flashcards
1
Q
Who created defense or ego mechanism
A
Sigmund Freud
2
Q
DEFENSE MECHANISMS
__make up for weakness (ex. Nagfail sa studies ginalingan para maging champ sa sports)
__unachievable to achievable goal (di nakakuha ng application sa isang course so ibang course kinuha)
__unacceptable to acceptable (competitive and aggressive boy naging football player)
__justifies behavior (walang car sinabi ayaw nya marisk life nya)
__unconscious forgetfulness
__conscious forgetfulness
__cancelling previous act
__admires
__image of one person identified to another person (tatay tinatransfer nya emotions sa nurse kasi nakikita nya anak nya don)
__logic, reasoning, analyzes
__characteristics ng tao inincorporate mo sayo
__blames
__feeling transfer to obj or person kaysa dun sa nagcause nun (galit sa boss so sa asawa nya sya nakipag away)
__revert back to developmental level
__galit pero bait pinapakita or vice versa
__w physical sx
__mental fxn suppression/ partial amnesia
__refuses
A
DEFENSE MECHANISMS
COMPENSATION make up for weakness (ex. Nagfail sa studies ginalingan para maging champ sa sports)
SUBSTITUTION unachievable to achievable goal (di nakakuha ng application sa isang course so ibang course kinuha)
SUBLIMATION unacceptable to acceptable (competitive and aggressive boy naging football player)
RATIONALIZATION justifies behavior (walang car sinabi ayaw nya marisk life nya)
REPRESSION unconscious forgetfulness
SUPPRESSION conscious forgetfulness
UNDOING cancelling previous act
IDENTIFICATION admires
TRANSFERENCE image of one person identified to another person (tatay tinatransfer nya emotions sa nurse kasi nakikita nya anak nya don)
INTELLECTUALIZATION logic, reasoning, analyzes
INTROJECTION characteristics ng tao inincorporate mo sayo
PROJECTION blames
DISPLACEMENT feeling transfer to obj or person kaysa dun sa nagcause nun (galit sa boss so sa asawa nya sya nakipag away)
REGRESSION revert back to developmental level
REACTION FORMATION galit pero bait pinapakita or vice versa
CONVERSION w physical sx
DISSOCIATION mental fxn suppression/ partial amnesia
DENIAL refuses
3
Q
misinterpretation of EXTERNAL stimulus akala nya ung gamit is something/may stimuli
A
Illusion
4
Q
misinterpretation of SENSORY stimulus
A
Hallucination
5
Q
hallucination of marijuana use
A
Visual (psychedelics)
6
Q
hallucination of alcohol withdrawal
A
Tactile (formication)
7
Q
hallucination of post traumatic stress disorder
A
Olfactory (phantosmia)
Sense of smell is close to emotion
8
Q
hallucination of epilepsy [aura of seizure]
A
Gustatory (spontaneous dysgeusia) “metallic taste”
9
Q
hallucination of paranoid schizophrenia most dangerous
A
Auditory (command auditory)
10
Q
Hallucination Management
A
THINK HARDER!
- Hallucination must be recognized
- Assess the content
- Reality presentation
- Divert the attention
- Engage in reality-based activity
- Reintegrate with the milieu
11
Q
reality-based activity
A
GARDENING
12
Q
TALK BACK to the voices
A
“practice saying GO AWAY!”
13
Q
mixing of senses (hears the color, sees the sound, tastes the words)
A
Synesthesia
14
Q
a part of the body is missing
A
Nihilistic
15
Q
giving meaning to events or actions of others
A
Ideas of Reference / Referential delusion
16
Q
paikot ikot pero sasagot
A
Circumstantiality
17
Q
Does not answer the question
A
Tangentiality
18
Q
fragmented ideas —wala konek
A
Looseness of Association
19
Q
Looseness of Association aka
A
derailment
20
Q
jumping from one topic to another —may konek
A
Flight of ideas
21
Q
word salad, mixing of words without rhyme
A
Schizophasia
22
Q
rhyming of words
A
Clang associations
23
Q
repeating the words of others
A
Echolalia
24
Q
repeating own words (fast and decreasing audibility)
A
Palilalia
25
adherence to a single topic
Perseveration
26
use of flowery words
Stilted language
27
repeating phrases
Verbigeration
28
internal emotions
mood
29
external; outward expression of mood
Affect
30
no emotion response (Withdrawn)
Flat
31
minimal emotional response (Major Depression)
Blunt
32
emotions are opposite to the context of the situation (Schizophrenia)
Inappropriate
33
single emotional response (Paranoid)
Restrictive
34
sudden shift of emotions (Bipolar disorder)
La bile
35
last sensory na mawawala in death
hearing
36
inability to recall memories formed before a traumatic event
Retrograde Amnesia
37
Retrograde Amnesia therapy
Reminiscence therapy)-photos music
38
inability to make new memories after a traumatic event
Anterograde Amnesia
39
Anterograde Amnesia mngt
(Reorient the client)
diary
40
making stories that are not true to fill the gap between memory loss
Confabulation
41
Effect of compassion fatigue
Burnout
42
psychosis (1 – 6 months)
Schizophreniform
43
psychosis (<1 month)
Brief Psychotic Disorder
44
Schizophrenia
Genetics: 1 parent (__%); 2 parents (__%)
Genetics: 1 parent (15%); 2 parents (35%)
45
SCHIZOPHRENIA Diagnostic Criteria:
2 or more of the following for at least 1 months
46
Therapy of physical env & rs of ppl within
Milieu
47
4As of Schizophrenia (Prof. Eugene Bleuler)
Autism – indifference
Ambivalence – 2 opposing feelings
Associative looseness
Abnormal affect
48
2 or more people sharing similar delusion
Shared Psychotic Disorder (Folie à Deux)
49
Schizophrenia Neuroanatomy:
less CSF and brain tissue
50
Schizophrenia Neurochemistry
Inc DOPAMINE AND SEROTONIN
51
waxy flexibility, stupor and mutism
Absence of movement (catatonia)
52
Absence of movement (catatonia) positive or negative sx
Nega
53
1st generation aka
CONVENIENTIONAL/ TYPICAL
54
CONVENIENTIONAL/ TYPICAL decreases
DOPAMINE
55
CONVENIENTIONAL/ TYPICAL
manage _____ signs
Positive
56
CONVENIENTIONAL/ TYPICAL drugs
-zine
haloperdol
LOMO (LOXAPINE & MOLIDONE)
57
CONVENIENTIONAL/ TYPICAL SE:
Pseudoparki
nsonism
pero walang
parkinsons,
sx lang
58
levodopa nasobrahan:
Hallucination
59
high potent antipsychotic kaya maganda
HALOPERIDOL (haldol)
60
CONVENIENTIONAL/ TYPICAL Contra
>65 y.o (more
prone sa pseudo)
61
2nd generation ANTIPSYCHOTICS aka
ATYPICAL
62
ATYPICAL decreases
DOPAMINE AND SEROTONIN *think atypical as 2
63
ATYPICAL manage _____ signs
Nega
64
ATYPICAL drugs
*Pindot (-pine/done)
65
best safe Antipsychotic sa elderly
Clozapine
66
Dopamine System Stabilizer
3rd generation
67
3rd generation Advantage
less side effects
68
3rd generation drugs
-zole *think honey
69
Long Term Injection
“DECANOATE”
70
“DECANOATE” IM and Frequency
IM, 1 / 2x a mo.
71
“DECANOATE” side effects
memory, accessibility
72
SIDE EFFECTS OF ANTIPSYCHOTICS sympa or para
sympa except hypotension
73
What are the SIDE EFFECTS OF ANTIPSYCHOTICS
“CAT DOGS PAWS”
Constipation
Agranulocytosis
Tooth decay
Dry mouth
Orthostatic hypotension
Galactorrhea
Photosensitivity
Arrhythmias
Weight gain
Sedation
74
Agranulocytosis report any signs of
infection (fever, sore throat) void crowd
75
Tooth decay and Dry mouth mngt
sugarless hard candy or gum
76
Galactorrhea mngt
cotton underwear
77
ANTIPSYCHOTICS how to take
w or after MEALS
78
Extra Pyramidal Syndrome sx
DAP
Dystonia
Akathisia
Pseudoparkinsonism
79
Dystonia could lead to
DOT:
DYSPHAGIA & DROOLING
OCULOGYRIC CRISIS-tirik mata
TORTICOLLIS- stiff neck
80
EPS meds
(ABC)
-Akineton (biperidine)
⭐ARTANE (triheyphenydil)
-Benadryl (dipen)
-Cogentin (benztropine)
81
Neuroleptic Malignant Syndrome think
neuro-VS
malignant- muscle relaxant
82
Neuroleptic Malignant Syndrome ito ba ung delikado
Yes kaya ito pang ung dini discontinue
83
Neuroleptic Malignant Syndrome sx
Hyperthermia
Hypertension
Muscle spasms
84
Neuroleptic Malignant Syndrome if INC always VS leads to
SEIZURE!
85
Neuroleptic Malignant Syndrome tx
MUSCLE RELAXANT
-gamot ng Multiple Sclerosis
1. Dantrolene
2. Baclofen
86
TardiVe Dyskinesia memory trick
T for Tongue protrusion
Teeth grinding
Lip Smacking
V for VALBENAZINE (Ingrezza)
87
Tardive means late so last sx lasts after
6 mos
88
Tardive Dyskinesia irreversible
Yes, its Permanent!
89
Complementary and Alternative Therapy:
Ketogenic diet, Omega-3 fatty acids, Vitamin D, Sulforaphane
90
MAJOR DEPRESSIVE DISORDER curable or not
curable
91
MAJOR DEPRESSIVE DISORDER cause
⬇️ DOPAMINE, SEROTONIN, and NOREPINEPHRINE (think SED)
92
MAJOR DEPRESSIVE DISORDER Diagnostic criteria:
at least 5 of the following symptoms
>2 weeks
93
MAJOR DEPRESSIVE DISORDER Defense Mechanism:
Introjection “all my fault”
94
MAJOR DEPRESSIVE DISORDER
Initial Sign:
Hallmark sign:
Sleeplessness
Hopelessness, Helplessness, Worthlessness
95
ANTIDEPRESSANTS
Best time to take:
Morning with meals
same time each day or as prescribed
96
ANTIDEPRESSANTS
Early indication of effectiveness:
increased activity levels
97
ANTIDEPRESSANTS Dosage
Start with the lowest dose
98
ANTIDEPRESSANTS Effectivity After
⭐After 2-4 wks
99
suicidal Defense mechanism:
Reaction formation
100
TO PREVENT RELAPSE:
Continue taking antidepressants for
6 mos- 2 yrs. Instruct to cont even feels better
101
ANTIDEPRESSANTS Discontinuing:
TAPER!
102
ANTIDEPRESSANTS Shifting:
Wait for 5 – 6 weeks (wash-out period) *5-6 pm ako naglaba
103
nasobrahan sa serotonin, happens if ni combine 2
antidepressants or ni double dose
SEROTONIN SYNDROME
104
SEROTONIN SYNDROME compli:
SEIZURE
105
SEROTONIN SYNDROME sx memory trick
DEAD CHART
Diaphoresis
Elevated temperature
Anxiety
Diarrhea
Clonus
Hypertension
Agitation
Restlessness
Tachycardia
106
Electroconvulsive Therapy Contraindications
metals (jewelries, pacemaker, hip prothesis)
107
Electroconvulsive Therapy safe for preg?
Yes
108
ECT Frequency
every other day (6 – 15 sessions)
109
ECT Pre-Meds:
THINK SEM!
Succinylcholine (muscle relaxant)
Atropine Sulfate (Anti-cholinergic)
Methohexital (Anesthesia)
110
Electroconvulsive Therapy Voltage
75 to 450 Volts
111
ECT Seizure
Grand Mal
112
ECT duration
30-60 sec
113
ECT Side effect: __Amnesia
Retrograde
114
ECT SEIZURE Insert bite guard before or after?
Before
115
ANTIDEPRESSANTS lab ichecheck
Think kuya pacheck nya liver nya
AST & ALT, or SGPT/ SGOT (hepatotoxic)
116
MAOI drugs
MAOI money pamana sa elder bigay tips
PARNATE
MARPLAN
NARDIL
ELDEPRYL
TRANYLCIPROMIJE
ISOCARBOXACID
PHENELZINE
SELEGILINE
117
MAOI Avoid and y
TYRAMINE RICH FOODS—Hypertensive Crisis (OCCIPITAL HEADACHE)
118
TYRAMINE RICH FOODS
tyra-tyra (Frozen, Fermented, Pickled, Preserved, and Overripe Fruit, salami, aged
cheese (Parmesan,
cheddar
119
MOST FATAL ANTI DEP
TCA
120
TCA SE
THINK “AH AH tricycle!
Adrenergic stimulation
Arrythmia
121
TCA drugs
3 magkakapatid nataTAE, pramine, triptylin
TOFRANIL
ANAFRANIL
ELAVIL
PAMELA
Sino ka? SINEQEN
122
Antidepressant na -Safest
-leSS suicide
-leSS SE
SSRI
123
SSRI SE
Think Sarakit Sikmura after Sex
Gastrointestinal upset (nausea)
Sex dysfxn
124
SSRI drugs
BASTA MAY X AND Z or mga gnagamit ng fam ko
ZOLOFT (sertraline)
PAXIL (paroxetine)
LUVOX (fluvoxamine)
PROZAC (fluoxetine)
LEXARPO (escitalopram)
125
SSRI taken
At the same
time each
evening
126
SNRI think
sa dulo ang pila
CYMBALTA (Duloxetine)
EFFEXOR (Venlafaxine)
127
SNRI SE
sa dulo ang venla ng mga biot (BIOC)
Increase Blood Sugar
Increase Intraocular Pressure
Increase Cardiac Rate
128
HERB FOR DEPRESSION
St. John’s Wort
129
ATYPICAL ANTIDEPRESSANTS BUTRAZ
BUPROPION (Wellbutrin)
TRAZODONE
130
BIPOLAR
__- mnft
__- eto talaga prob
Mania- mnft
Depression- eto talaga prob
131
BIPOLAR
Psychosocial Factors:
Sociocultural Factors:
Type A personality
Upper Class
132
alternating periods of depressed mood and hypomania for 2 YRS
Think BICYCLE
CYCLOTHYMIA
133
persistent milD depression for 2 YRS
DYSTHYMIA
134
BIPOLAR Neurotransmitter:
_____
Opposite ng depression mataas ang SED
⬆️ DOPAMINE, SEROTONIN, and NOREPINEPHRINE
135
BIPOLAR Defense Mechanism:
⭐️Reaction Formation, Projection (unconsciously ako sinisisi ni ate)
136
MANIC PHASE dx
3 or more of the following
137
MANIC mc sx
FLIGHT OF IDEAS
138
MANIA- manifestations last for more than__
1 WEEK
139
Hypomania – manifestations last for only___
4 days (hypo-4 letters)
140
Compare bipolar 1 & 2
Bipolar I – MANIC episodes with or without major depression
Bipolar II – Major DEPRESSION with hypomanic episodes
141
BIPOLAR DOC and therapeutic level
lithium ⭐0.6-1.2 meq/L.
Max: 1.5 meq/L.
>3: dialysis
142
BIPOLAR 2nd DOC
Valproic acid
143
LITHIUM
Onset:
Peak:
Initial phase:
stable:
Think puro 3!!
Onset: 3 weeks
Peak: 3 hours
Initial phase: q 3 days
stable: q 3 weeks
144
LITHIUM SE AND Toxicity
SE: FINE tremors, ⭐️POLYURIA & Hypothyroidism
Toxicity: COURSE tremors, ⭐️HYPONATREMIA, Anuria, Severe vomiting and diarrhea
145
LITHIUM WHEN TO TAKE blood specimen?
Think L8thium
- before bfast or…
-⭐8h after the last dose (accuracy)
146
LITHIUM Must be at bedside:
Mannitol (osmotic diuretic)
147
LITHIUM LAB TEST
BUN/Crea and Checking NA (for toxicity)
148
LITHIUM Diet
Moderate NA and OFI
149
Anticonvulsant meds and notify if may?
Think CaLaDi gaba
Carbamazepine (Tegretol)
Lamotrigine (Lamictal)
Divalproex (Depakote)
Gabapentin (Neurontin)
Pregabalin (Lyrica)
RASH
150
2 DOC for ADHD
Lamotrigine Ritalin
151
PERSONALITY DISORDERS:
Age of diagnosis:
Age of Improvement:
Adolescent 40 – 50 years old
152
PERSONALITY DISORDERS Cluster A –
Cluster B –
Cluster C-
Cluster A – ODD / ECCENTRIC / MAD
Cluster B – EMOTIONAL / ERRATIC / BAD
Cluster C – FEARFUL / ANXIOUS / SAD
(Mad bad sad)
153
Cluster A
PARANOID
SCHIZOID
SCHIZOTYPAL
154
superstitious, magical thinkers, type nito mga alibutbot
SchizoTYPal
155
social isolation and indifference
Schizoid
156
Cluster B
BAHN
Borderline
Antisocial
Histrionic
Narcissistic
157
attention seekers, dramatic and theatrical
Histrionic
158
law breakers
Antisocial
159
unpredictable mood, clings to relationship
Think Honey
Borderline
160
Borderline defense mechanism:
SPLITTING
161
Cluster C
ADO
Avoidant
Dependent
Obsessive compulsive
162
PERSONALITY DISORDERS
therapy and Goal ng mngt
Behavioral therapy (Role Playing)
meaningful relationships, stable job
163
EATING DISORDERS cause
Parental harassment/antagonism/overprotective parents/enmeshment
Developmental pressure
cultures
164
EATING DISORDERS Age
Anorexia: 12-20 y.o
Bulimia: 18-22 y.o (stress)
165
EATING DISORDERS ⭐anxiety mngt
STRICT RULES & REGULATIONS
166
EATING DISORDERS Neurotransmitter:
SE
⬇️ SEROTONIN AND NOREPINEPHRINE
167
EATING DISORDERS How many months para masabi
3 mo
168
Anorexia Nervosa Body weight less than ___ % of the ideal
15
169
Anorexia 2 types:
1. Restrictive- di talaga
kumakain
2. Binge purge
170
ANOREXIA anong sx ung di na kasama sa DSM 5
Amenorrhea
171
Anorexia Defense mechanism:
DENIAL
SUPPRESSION
172
Anorexia Complications
Alopecia, Anemia, Lanugo
173
Bulimia triggered by
Stress Once a week for 3 mos
174
Bulimia sx
1. Recurrent BINGE eating
2. Distress regarding binge eating (GUILT)
3. Compensatory behaviors (PURGING)
175
Bulimia Complications:
1. Tooth decay
2. Gastric ulcer
3. Rectal bleeding- uses laxative
176
Bulimia sign
Teeth marking in knuckles—
RUSSEL’s SIGN
177
Bulimia has ALTERED METABOLISM anong 2 hormones ⬇️
thyroid hormones
sex hormones
178
BINGE - EATING DISORDER
No vomiting
179
EATING PSYCHOTHERAPY and DOC
Self-monitoring, Diary, Journal
⭐️FLUOXETINE (PROZAC)
180
Normal BMI (eval ng eating disorders)
18.5 – 24.9
181
ANXIETY
Neurotransmitter
⬇️ GAMMA AMINO BUTYRIC ACID—kaba
182
ANXIETY
Communication
DOC
⭐️Direct and Concise
Benzos and Azapirones
183
Benzodiazepines
Drugs
Avoid
Antidote
lam pam rone
Valium (diazepam)
Chlor”DIAZE”poxide
⭐ALCOHOL
Flumazenil (Romazicon)
184
Mild ANXIETY sx and mngt
MILD- alert, learning is effective, ⭐️ Gastrointestinal butterflies
Verbalization
185
MODERATE ANXIETY sx and mngt
Selective attention, narrowed perception
Can be redirected
⭐️Gastrointestinal upset Diaphoresis
⬆️tone/pitch (monotone)
Redirect
Refocus
ORAL anxiolytics
186
SEVERE ANXIETY sx and mngt
“cannot”
Cannot complete task, cannot solve problem
Cannot be redirected
Nausea, vomiting, diarrhea
Physiologic symptoms (chest pain, tachycardia)
pacing
trembling
hyperventilation- deep breathing, ❌brown paper bag dt dependence)
ATTEND TO PHYSICAL
SYMPTOMS
IM anxiolytics
187
PANIC ANXIETY sx and mngt
Delusions and Hallucinations
Violence and Suicide
⭐Fight! Flight! Freeze!
Take Control
Restraint if needed
188
GENERALIZED ANXIETY DISORDER
3 or more of the following symptoms for more than__
5-6 mos.
189
OCD Defense Mechanism
Undoing (papa gabigay food)
190
OCD therapy
COGNITIVE BEHAVIORAL Therapy
191
irrational fear
Phobia
192
fear of inescapable/open places
Agoraphobia
193
fear of deaTH
THanatophobia
194
Phobia Defense Mechanism
Displacement (ventilation) and avoidance
195
Phobia 2 mngt
Flooding – sudden exposure to maximum stimulus
Systematic Desensitization – GRADUAL exposure to the feared object
196
could not acknowledge own feelings
alexithymia
197
with Physical symptoms Excessive worry
Complex Somatic Symptom Disorder aka pain disorder
198
Wala Physical symptoms pero grabe mag worry
Illness Anxiety Disorder (Hypochondriasis)
DOCTOR SHOPPING
199
may Physical symptoms oero wala pake
Functional Neurologic Disorder (Conversion Disorder)
LA BELLE INDIFFERENCE
200
Factitious Disorder imposed on SELF
OTHERS
Munchausen syndrome
Munchausen by proxy
201
SOMATOFORM DISORDERS
Primary Gain:
Secondary Gain:
Relief of anxiety or guilt
Attention
202
SOMATOFORM DISORDERS
Attend to physical complaints
and Consistent care giver.?
Yes
203
aka SHELL SHOCK
PTSD
204
PTSD how many mo to dx
1 mo
205
PTSD Less than 6 years old
Repetitive play and re-enactment
206
TRAUMA RELATED DISORDERS ABCDE mngt
• Adaptive closure therapy (empty chair)
• BREATHING technique
• Catharsis – art and music
• Debriefing – client is asked about their emotional reaction to an incident
• Exposure therapy – confronting
207
PTSD DOC
SSRI
208
– out of the body experience
– out of the WORLD experience
Depersonalization
Derealization
209
downers
NARCOTICS
210
NARCOTICS
Purpose
Worst complication
escape reality
HIV / Hep B (shared needles)
211
NARCOTICS ⭐overdose
PINPOINT pupil
212
NARCOTICS drugs
Codeine, Tramadol, -weak
Oxycodone, Morphine, Meperidine, -mod
Fentanyl-strongest
213
NARCOTICS
Detoxification
Antidote:
METHADONE
Naloxone/ Narcan or Naltrexone (Revia)
214
NARCOTICS
Early signs of withdrawal:
Late signs of withdrawal:
*mga WET
Lacrimation, Diaphoresis, Rhinorrhea, Yawning
Vomiting and Diarrhea
215
sedative-hypnotics
BARBITURATE
216
BARBITURATE
Sign of abuse
Signs of Withdrawal
same with narcotics na PNS sx din
SeizureABLE and Anxiety
217
BARBITURATE Management
Activated charcoAL
218
STIMULANT drugs
coMet 💫 nasa taas
COCAINE
METHAMPHETAMINE
219
METHAMPHETAMINE laymans term
SHABU
poor man’s
cocaine
220
METHAMPHETAMINE COCAINE
Sign of abuse:
Sign of withdrawal:
METH
Sign of abuse: Decreased appetite, insomnia! stained and rotting teeth
Sign of withdrawal: HALLUCINATIONS “halu met!)
COCAINE
Sign of abuse: Excoriated nostrils, nosebleeds
Sign of withdrawal: BIPOLAR CYCLING
221
coMet DOC to decrease cravings na used in Parkinson’s
Bromocriptine (Parlodel)
222
HALLUCINOGENS drugs
CLEP
Cannabis Sativa (Marijuana)-tetrahydrocannibol
Lysergic Acid Diethylamide (LSD)
Phencyclidine (PCP)
Ecstasy
Mescaline (Peyote)
Psilocybin (mushroom)
223
causes Synesthesia
Lysergic Acid Diethylamide (LSD)
224
causes violENce
causes agression (nakipagaway sa bar)
PhENcyclidine (PCP)
Ecstasy
225
ALCOHOLISM Defense mechanism
Denial
226
ALCOHOLISM therapy
AVERSION THERAPY pair a behavior w unpleasant stimulus ex antok sampalin self
227
AVERSION THERAPY
Purpose:
stop alcoholism / to maintain SOBRIETY
228
AVERSION THERAPY Drug used and SE
⭐️⭐️DISULFIRAM ANTABUSE DIZZINESS
229
DISULFIRAM
Assessment
Contraindication
Assessment: TIME OF THE LAST INTAKE
Contraindication: Anything with alcohol (Mouthwash, cough suppressants, perfume etc)
230
ALCOHOL WITHDRAWAL hrs and sx
Stage 1:
Stage 2:
Stage 3:
Basta stage 2 12-48 hrs all VS ⬆️
Stage 3 (48-72 hours): Delirium Tremens (seizures and hallucinations)
231
To decrease cravings to alcohol –
To block the effect of alcohol –
Acamprosate (Campral)
Naloxone / Naltrexone
232
GROUP THERAPY
No. of participants:
Stages:
Formation:
Leader:
Decision Maker:
Prime Rehabilitator:
Most important element:
Tool:
No. of participants: 8 - 10
Stages: Forming, Norming, Storming
Formation: Circular formation no table for openness and equality
Leader: Stable patient
Decision Maker: All members
Prime Rehabilitator: Patient
Most important element: Motivation
Tool: Cut, Annoy, Guilt, Eye opener (CAGE)
233
CODEPENDENCY
ENABLING
sa mag-asawa, martyr
kinunsinti
234
Support Groups:
Alcoholic anonymous
Al-Anon
Alateen
Rainbow Recovery
Pt
Asawa
Child
LGBT
235
WERNICKE – KORSAKOFF’s SYNDROME
Cause: Alcoholism – causes ? Kaya diet is Thiamine
THIAMINE DEFICIENCY (Vit B1)
236
WERNICKE – KORSAKOFF’s diff
ACO CHA
Ataxia
Confusion
Ophthalmoplegia
Confabulation
Hallucination
Amnesia
237
aka NO SUICIDE CONTRACT/ contract of safety Effectiveness
client calls the attention of the nurse if there is increasing anxiety
238
Observation sa suicidal client
Irregular or ✅one on one close supervision
frequent monitoring q 15 mins
239
Type of Friendliness
WITHDRAWN-
DEPRESSED-
PARANOID-
WITHDRAWN-Active
DEPRESSED-Kind Firmness
PARANOID-passive
240
PARANOID CLIENT Respect personal space for __ft
4 ft or 3-6 ft
241
Types of APPROACH
SUICIDAL-
MANIC / MANIPULATIVE-
SUICIDAL-DIRECT CONFRONTATION APPROACH
MANIC / MANIPULATIVE-Matter-of-fact Approach (SET FIRM LIMITS)
242
AGGRESSIVE CLIENT (Verbally abusive) Visibility of __staff members
4 – 6
243
How many RN is allowed to communicate with the agressive patient
1
244
ASSAULT CYCLE phase and mngt
Non – compliance:
Verbal aggression:
Physical violence:
Relaxation:
Reconciliatory actions:
Non – compliance: Triggering—Verbalization
Verbal aggression: Escalation—TIME OUT (Client’s room, Garden)
Physical violence: Crisis—⭐️ SECLUSION or RESTRAINT
Relaxation: Recovery—Assess for injury
Reconciliatory actions: Post crisis depression—Discuss alternative behavior
245
Naabutan Nakahubad pt?
Approach and bihisan sa kwarto
nya, wag sa public
246
Nakapanakit na pt?
Let other patients leave
the room.
❌restrain sa harap ng ibang
patients
247
WITHDRAWN CLIENT prob
self esteem
248
SECLUSION Goal
self-control
249
RESTRAINT
Doctor’s order (Application):
not required but must be obtained within 1 hr (to follow)
250
RESTRAINT members required in applying
- 6 to 8
251
RESTRAINT Anchor on
stable part bed frame
252
RESTRAINT
Doctor’s order (removal)?
__RN will remove kasi if 1 lang baka itali ka
KNOT
Yes
2
QUICK-RELEASE KNOT “half bow tie”
253
RESTRAINT
informed consent
Temporary vs Permanent
✅verbal informed consent kay pt
Temporary – alternately, one at a time, for 10 minutes every 2 hours
Permanent – alternately one at a time
254
What Phases of Nurse Patient Relationship
Self – awareness / INTROSPECTION, Read the patient’s chart
PRE – ORIENTATION
255
Formulate Nursing Diagnosis and Establish TRUST / Build RAPPORT what phase of NPI
ORIENTATION
256
RN (explore); Patient (verbalize) what phase of NPI
WORKING
257
NPI prob sa end ng termination and gagawin
Separation Anxiety (Remind the patient about the contract)
258
Transference vs Countertransference
Transference – Patient to Nurse
Countertransference – Nurse to Patient
259
Formerly known as MULTIPLE PERSONALITY DISORDER
DISSOCIATIVE IDENTITY DISORDER
260
different identity in a different environment
DISSOCIATIVE FUGUE (Psychogenic fugue)
261
CRISIS THERAPY)
Here and Now (GESTALT THERAPY)
262
TYPES OF CRISIS
Situational –
Adventitious / Social –
Maturational / Developmental
Situational – unexpected
Adventitious / Social –natural catastrophe
Maturational / Developmental-expected
263
Duration of Crisis:
4 – 6 weeks (self-limiting)
264
ID
EGO Balancer –
SUPEREGO
ID- pleasure
EGO Balancer –REALITY
SUPEREGO-Moral conscience, guilt, values
265
accepting another person’s attitude beliefs,
and values as one’s own
Introjection
266
ventilation of intense feelings toward
persons less threatening
Displacement
267
blaming
Projection
268
imitating
Identification
269
Acting the opposite of what one
thinks or feels
Reaction Formation
270
conscious forgetting
unconscious forgetting
Suppression Repression
271
unconscious forgetting with disintegration
of personality
Dissociation
272
replacing unattained goals with by one
that is more aTTainable
Substitution
273
overachieve
Compensation
274
unacceptable impulses to
acceptable
Sublimation
275
CATEGORIZING people as either good or bad
Splitting
276
Therapy to help assume responsibility, means LOGOS as central theme
Logo therapy
277
a behavior therapy person respond to stimulus
Classical conditioning of Pavlov
278
Reward and punishment as consequence behavior therapy
Operant conditioning of Skinner
279
Use of plants as therapy
Horticultural therapy
280
Alzheimer and Dementia drugs GaMe na DoRiTa —SE of
Donepezil-
Galantamine-
Memantine-
Rivastigmine-
Donepezil-bradycardia, GI bleeding
Galantamine-bronchoconstri
Memantine-consti, ❌alkalines (⬇️excretion)
Rivastigmine-PNS sx
Tacrine- ataxia, hepatotoxic
281
DABDA grief kanino
Kubler Gross
282
Grief in child
Infant-
Toddler-
Preschool-
School-
Adole-
Infant-los of mother/caregivr
Toddler-withdrawn
Preschool-regression/ agression
School-death as Permanent
Adole-strong emotion
283
Perceived loss
di ma verify ng iba
284
Using husband and childred of abused woman
Battered woman syndrome
285
Cycle of violence
1. Tension
2. Acute battery
3. Honeymoon
286
done by rapist to compensate for his feelings of inadequacy and incompetence
Power rape
287
Uses sexual assault as expressing and discharging
Anger rape
288
Rape by acquaintance
Date rape
289
Suicidal ideation-
Suicidal threats-
Suicide attempt-
Suicidal ideation-gestures
Suicidal threats-verbal
Suicide attempt-actual attempt
290
Intellectual developmental disorde aka mental retardation how-many IQ, onset? Normal IQ?
<70 before 18 yo
90-110
291
Levels of mental retardation
1. Educable 50-70 IQ
2. trainable 35-50
3. 20-35 close supervisiob
4. <20 total care
1. Mild
2. Mod
3. Severe
4. Profound
292
Type of comm disorder
1. Rapid
2. repetition
1. Clutterring
2. Stuttering
293
1 arm/leg placed in position and holding that for hrs
Waxy flexibility
294
nafifeel ung di nama normal/detectable
Cenesthetic
295
Konti magsalita
Alogia
296
Walang ambition, will, drive
Avolition
297
Defense mechanisms
1. Disorganized/bizarre
2. Catatonic
3. Undifferentiated
1. Repression
2. Repression
3. Regression
298
2 or more schizo sx ranging 1-6 mos
Schizophreniform
299
1. Acrophobia-
2. Astraphobia-
3. Monophobia-
4. Mysophobia-
5. Nyctophobia-
6. Pyrophobia-
7. Xenophobia-
1. Heights
2. Kuryente
3. Alone
4. Dilim
5. Fire
6. Xeno sya/ stranger
300
DOC of choice for OCD
⭐️Clomipramine
301
Disorder ng ayaw magpaalaga
Reactive Attachment Disorder
302
Using nonliving objects for sex gratification
Fetishism
303
sex gratification
1. Nude
2. Rubbibg
3. Tae
4. Kain tae
5. Enema
6. Patay
7. One part of body
1. Voyeurism/scophophilia
2. Frotteurism
3. Coprophilia
4. Coprophagia
5. Klismaphilia
6. Necrophilia
7. Partialism
304
Disorder ng ayaw makipag interact
Disinhibted Social Engagement Disorder
305
Incongruence bet expressed gender and assigned gender
Gender dysphoria
306
Disorder na vina violate ang rules
Conduct disorder
307
Pattern of angry for at least 6 mos
Oppositional defiant disorder
308
sex gratification receiving pain? Inflicting pain?
Receiving- masochism
Sadism
309
Obsess suot clothes ng oppsitive gender
Pinapalala situation
Pagnakaw
Transvestism
Pyromania
Kleptomania
