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psych final Flashcards

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1
Q

what is the antidote for benzodiazepine overdose?

A

flumazenil

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2
Q

what is administered for benzodiazepines withdrawal?

A

librium

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3
Q

what is given for benzo and alcohol use?

A

ativan and valium

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4
Q

OCD interventions

A
  • allow pt to do rituals
  • assess if ritual done in safe manor
  • washing hands can cause abrasions from dryness
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5
Q

what is systematic desensitization

A

nurse needs to acknowledge fear and establish trust with pt

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6
Q

what is agoraphobia

A

excessive anxiety or fear about being in places or situations from which escape might be difficult or embarrassing

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7
Q

repression

A

the unconscious blocking of unpleasant feelings and events from one’s awareness over time

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8
Q

primary crisis intervenion

A

giving hem coping mechanisms, med management

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9
Q

secondary crisis intervention

A

screening for depression

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10
Q

tertiary crisis intervention

A

therapy, counseling

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11
Q

mild anxiety s/s

A

restlessness, irritable (tap feet, bite nails)
SNS not intact yet

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12
Q

moderate anxiety s/s

A

selective inattention, clear thinking tampered
- attention focus/problem solving -> not optimal
- person needs assistance with symptoms
- n/v, tachy

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13
Q

severe anxiety s/s

A
  • blood moved to core, increased irritability, anger, lack of concentration, less problem solving, tremors, pacing, confused
  • perceptual field greatly reduced
  • difficulty concentrating
  • somatic symptoms increase
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14
Q

panic s/s

A

running, shouting, screaming, pacing, unable to process reality, impulsivity, hallucinate

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15
Q

SE of anti anxiety medications

A

sedation, drowsiness
do not take St. John’s wort on top of HIV meds

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16
Q

medications of anxiety

A

SSRIS, SNRI, anti anxiety

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17
Q

OCD: Obsessions

A

thoughts, impulses or images that persist and reoccur

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18
Q

OCD: compulsions

A

ritualistic behavior an individual feels driven to perform in an attempt to reduce anxiety

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19
Q

what is the DSM-5 criteria for OCD

A
  • obsessions, compulsions or both
  • not due to a substance or condition
  • not explained by another disorder
    time consuming (>1 hr)
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20
Q

OCD risk factors

A
  • child abuse and trauma
  • post-infectious autoimmune syndrome
  • genetics: 1st degree relative
  • comorbidity with anxiety - disorders, eating disorders, tic disorders
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21
Q

biological treatment for OCD

A
  • SSRI for OCD
  • clomipramine (TCA)
  • venlafaxine (SNRI)
  • none for body dysmorphic disorder, hoarding, trichotillomania
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22
Q

surgical treatment for OCD

A
  • gamma knife: creates lesions to form a disconnect of overactive circuits
  • deep brain stimulation (DBS): implanted pulse generator uses low-dose current to reduce symptoms
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23
Q

paranoid personality disorder

A

defensive, jealous as adults

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24
Q

paranoid personality disorder treatment

A

adhering to schedules

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25
schizoid personality disorder characteristics
loner - little desire for intimacy
26
schizoid personality disorder treatment
psychotherapy, group therapy, antidepressants
27
schizotypal characteristics
intermittent hallucinations, anxiety in social settings paranoia, suspicious
28
schizotypal treatment
check cult involvement low dose antipsychotics psychotherapy
29
borderline characteristics
splitting: can't see the good or bad in others - severe impairments in functioning
30
borderline treatment
pharm: psychotropics towards symptom relief psychotherapy: CBT, DBT, schema-focused therapy
31
narcissistic characteristics
- entitlement - lack of empathy
32
narcissistic treatment
CBT to deconstruct faulty thinking group therapy lithium for mood swings antidepressants PRN
33
histrionic characteristics
excitable, dramatic attention-seeking
34
histrionic treatment
psychotherapy
35
antisocial characteristics
rebels, sociopaths
36
antisocial treatment
boundaries, consistency, support, limits, mood stabilizers
37
avoidant characterstics
low self-esteem subject to depression, anxiety, anger
38
avoidant treatment
group/individual therapy antianxiety meds beta blockers antidepressants
39
dependent characteristics
high need to be taken care of
40
dependent treatment
psychotherapy
40
obsessive compulsive
unhelathy focus on perfection
41
obsessive compulsive treatment
clomipramine, fluoxetine
42
mild dementia
does not interfere with ADLs
43
major dementia
interferes with daily functioning and independencet
44
delirium s/s
- disturbance in attention - abrupt onset with periods of lucidity - disorganized thinking - anxiety and agitation - poor recall - delusions and usually visual hallucinations
45
delirium implementation
prevent physical harm minimize use of restraints supportive measures to relieve distress
46
aphasia
loss of language ability
47
apraxia
loss of purposeful movement
48
agnosia
loss of sensory ability to recognized
49
confabulation
creation of stories in place of missing memories to maintain self-esteem
50
preservation
repetition of phrases or gestures long after stimulus is gone
51
agraphia
diminishing ability to read to write
52
sundowning/sundown syndrome
tendency for mood to drop and agitation to rise as light of day diminished
53
alzheimers treatment for cognitive symptoms
cholinesterase inhibitors rivastigmine transdermal system N-methyl-D-asppartate receptor antagonist
54
alzheimers medication for behavior symptoms
none approved, risk is high
55
alzheimers integrative therapy
omega-3 fatty acids
56
overt statements
"life isn't worth living anymore"
57
covert statement
"its okay now. soon everything will be fine"
58
what are the 3 main elements that must be considered when evaluating lethality?
1. specific plan? 2. how lethal? 3. access to method?
59
SAD PERSONS SCALE
sex age depression previous attempt excess alc rational thinking loss social supports lacking organized plan no spouse sickness
60
signs of sexual abuse in children
- Precocious sexual behavior/ knowledge/ explicit talk or images/demonstration of sexual aggression - PTSD symptoms - Somatic complaints: abdominal pain n/v/d, chest pain - Feelings of guilt
61
what are the legalities of reporting child and elderly abuse
older adult -> full head to toe exam before reporting suspect -> report
62
risk factors for abuse towards a child
lifetime secondary effects: anxiety, depression, suicidal ideation, MDD and PTSD
63
sexual assault assessment five steps
1. head to toe assessment for signs of injury 2. detailed genital exam (pics will be taken, documentation) 3. evidence collection and preservation 4. documentation of physical findings 5. treatment, discharge, follow-up care (plan b, test of HIV, Hep)
64
rape trauma syndrome
emotional reaction: outbursts, crying, laughing, hysteria, anger control reaction: blunted affect, feeling numb somatic reaction: HA, muscle tensions, sleep disturbance
65
what is the prophylactic treatment for STIs
antibiotics, doxy pep
66
anorexia s/s
refusal to eat vital signs: irregular hr, dec pulse and bp, orothostatic hypo, amenorrhea, dehydration, electrolytes imbalance intense fear of gaining weight
67
anorexia restricting type
individual has not engaged in recurrent episode of binge-eating or purging behavior
68
anorexia binge- eat/purge type
individual has engaged in recurrent episode of binge eating or purging
69
bulimia s/s
russell's sign (dorsal lesions on hands caused by vomiting, the acid from stomach gets on hands) dental damage, cardiotoxicity form syrup of ipecac, hypokalemia, EKG changes
70
bulimia comorbidities
depression, anxiety, bipolar, alc use, ptsd, borderline
71
bulimia behaviors
recurent episodes of binge eating, inappropriate compensatory behavior
72
grief: feelings
emptiness and loss
73
grief: intensity
intense sadness and anger that occurs in ways and gradually subsides
74
grief: self-esteem
intact, reorganization tasks may impact sense of self
75
grief: thoughts of death
may focus on someday reunited with the decrease
76

adult 2 (1 decks)

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