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NP 5- TOP 8 > PSYCH III > Flashcards

PSYCH III Flashcards

(96 cards)

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1
Q

Sensorimotor

A

0-2 y.o.
-Object Permanence: Object stays the same

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2
Q

Ability to know that objects continue to exist even though they can no longer be seen

A

Object Permanence

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3
Q

All things are living things

A

Animism

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4
Q

Struggle to see things from other perspective

A

Egocentrism

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5
Q

ability to see that quantity stays the same despite change in container or size

A

Law of conservation

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6
Q

Ability to mentally reverse or undo action, process, or operation
“The ball of clay task”

A

Reversibility

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7
Q

Pre-operational

A

2-7 y.o.
-Animism: All are living things

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8
Q

Concrete Operational

A

7-12
-Law of conservation: Same volume
-Irreversibility

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9
Q

Formal Operation

A

12 & above
-Reversibility
-Hypothetical Thinking

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10
Q

IQ Classification
55-70

A

55-70
MILD
Educable Gr 6

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11
Q

IQ Classification
40-54

A

MODERATE
-trainable
-Gr 2

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12
Q

IQ Classification
25-39

A

SEVERE
-sight words
-Survival skills

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13
Q

IQ Classification
↓25

A

Profound
-Highly Dependent

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14
Q

-Hallucinogens
-Psychotomimetics
-aka Angel Dust
-aka Horse Tranquilizer
-aka Peace pill

A

Phencyclidine piperidine

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15
Q

Manifestation of PCP

A

-Blank stares
-Ataxia
-Muscle Rigidity
*-Nystagmus
-Violence
-Comatose

NO.1 RULE: SAFETY

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16
Q

What to give to patient, in order to excrete PCP

A

Cranberry Juice

Cranberry juice
↓
Acidify urine
↓
Ph: 5.5
↓
↑ Accelerate Excretion

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17
Q

Mental Health Law

A

RA 11036

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18
Q

OPIOD/ NARCOTIC ANALGESIC
“CHHOMMM”

A

-↓ Downers

-Codein
-Heroin
-Hydromorphone
-Opium (Papaver Somniferum)
-Morphine
-Meperidine
-Methadone

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19
Q

CNS Depressant (Opiod/ Narcotic Anaglgesics)

A

-Constricted pupils
-Constipation
-Euphoria
-Loss of pain sensation

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20
Q

Antidote for Opiod Toxicity/Withdrawal:

A

1st: Naloxone (Narcan): A/E Respiratory
Depression
2nd: Methadone (Dolophine)
3rd: Clonidine (Catapres)

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21
Q

MULTI-AXIAL SYSTEM
DSM-IV-TR

A

AXIS I: CLINICAL DISORDER
“Substance Use Disorder”

AXIS II: PERSONALITY DISORDER/ MENTAL RETARDATION

AXIS III: GENERAL MEDICAL CONDITION
“Obesity, HTN, ARDS”

AXIS IV: PSYCHOSOCIAL & ENVIRONMENTAL PROBLEM

AXIS V: GLOBAL ASSSESMENT OF FUNCTIONING

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22
Q

MULTI-AXIAL SYSTEM
DC:0-3R

A

AXIS I: CLINICAL DISORDER
AXIS II: RELATIONSHIP CLASSIFICATION
AXIS III: MEDICAL & DEVELOPMENTAL DISORDERS & CONDITIONS
AXIS IV: PSYCHOLOGICAL STRESSORS
AXIS V: EMOTIONAL & SOCIAL FUNCTIONING

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23
Q

Chronic Mild Depression for 2 years

A

Dysthymia

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24
Q

Cycles of mild depression & Hypomanic

A

Cyclothymia

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25
TCA (MINE/LINE)
Trimipramine (Sumontil) Clomipramie (Anafril) Amitryptyline (Elavil) Amoxapine (Ascendin) Desipramine (Norpramin) Doxepin (Sinequan) Imipramine (Torfanil) Nortriptyline (Aventyl, Pamelor) Maprotiline (Ludiomil) Protriptyline (Vivactil)
26
DOC for OCD
Clomipramine (Anafril)
27
Anticholinergic Like Symtpoms (DRY)
Blurred Vision * Photosensitivity Orthostatic Hypotension Mydriasis Constipation Dry Mouth * Urinary Retention: Priority *
28
Antidote for Iron Intoxication
DeFEroxamine Mesylate Iron: Fe
29
Antidote for Lead Poisoning
Succimer
30
Antidote for Benxodiazepines
FlumanZEnil -A/E: Seizure benzodiaZEpines= flumanZEnil
31
Antidote for Acetaminophen Toxicity
Acetylcysteine ACEtaminophen= ACEtylcysteine
32
WASHOUT/LAG PERIOD
SSRI ---2 WKS----MAOI MAOI---5WKS----SSRI *Prevent Serotonin Syndrome
33
S/sx of Serotonin Syndrome
-Confusion -Agitation -Hyperthermia -Hypereflexia -Hypersalivation -May die in 3 days
34
Medication that may cause Steven Johnson's/ Life Threatening skin rash
Lamotrigine (Lamistal)
35
-1st DOC -Non-Benzodiazepines -Anxiolytic/ Anti-anxiety -14-30 days before drug response -Doesn't cause drowsiness
Buspirone (Buspar)
36
-Non-Benzodiazepines -Anxiolytic/ Anti-anxiety DOC: 1st - 3rd
1st: Buspirone (Buspar) 2nd: Meprobamate (Miltown) (Equanil) 3rd: Zolpidem (Ambien)
37
Benzodiazepines/ Minor Tranquilizer
-Downer -Never mix with alcohol : Potentiate effect -Never mix with Coffee: Cross tolerance
38
DOC for OCD
Clomipramine (Anafril) Fluvoxamine (Luvox)
39
INHALANTS/VOLATILE SUBSTANCES
Inhalation of solvents -Rugby -Ethyl Alcohol -Aerosol -Lighter Refills -Nail Polish -Paints -Varnish Remover -Glue
40
Effects of Volatile drugs:
Damages: -Brain -Bone Marrow -Liver -Kidneys *-SSDS (Sudden Sniffing Death Syndrome)
41
Maintenance for Bipolar
Lamotrigine (Lamictal) A/E: Steven Johnsons: Life threatening skin rash
42
Anti-psychotic Neuroleptic Major Tranquilizer
43
Nursing Intervention for Hallucinating
-Acknowledge Feelings -Present Feelings
44
Extrapyramidal Side Effects
DYSTONIA -Torticollis: Stiff-neck; Wry neck OPISTHOTONUS -back arching -Risus Sardonicus OCULOGYRIC CRISIS -eye rolling
45
ANTIDOTE FOR EPS
1st: Diphenhydramine (Benadryl) 2nd: Benztropine (Cogentin)
46
Pseudo-Parkinsonism Manifestation
-Muscle Rigidity -Face: Mask like -Gait: Shuffling -Drooling -Cogwheel -Finger & Hand tremors: Unintentional
47
Antidote for pseudo-parkinsonism
ANTI-CHOLINERGIC -Ethopropazine (Parsidol) -Diphenhydramine (Benadryl) -Biperiden (Akineton) -Trihexyphenidyl (Artane) * -Benztropine (Cogentin) -Procyclidine (Kemadrin)
48
Dopaminergic Drug
Carbidopa-Levodopa (Sinemet) Levodopa (Parcopa) Amantadine (Symmetrel) Pergolide (Permax) (Prascend) Bromocriptine (Cycloset)(Parlodel) Selegiline (Eldepryl) (Zelapar)
49
Akathesia Manifestation
-Fidget -Agitate -aNXIOUS -Restless -Repetitively-Rock
50
DOC for AKATHISIA
BETA-BLOCKERS (OLOL) *PROPANOLOL (INDERAL)
51
-Irreversible -Prolonged use of Neuroleptics -Eyes & Tongue Early sign: -Excessive blinking -Tongue Movement Late sign: -Tongue protrusion/Movement -Unusual suck & smack -Chewing/ Rabbit syndrome
Tardive Dyskinesia
52
False Sensory Perception -Substance Withdrawal
TACTILE HALLUCINATIONS
53
False Sensory Perception -Delirium
Visual Hallucinations
54
False Sensory Perception Schizophrenia
Auditory Hallucinations
55
Diathesis Theory
Hereditary Environmental "Diathesis Stress Model"
56
Type I Schizophrenia Positive Symptoms
-Bizarre Behavior: Exxag emotional response -Hallucinations -Ambivalence * -Abnormal Thoughtform -Delusions -Develops over a short time
57
Type II Schizophrenia Negative Symptoms
Alogia: Difficulty speaking Affective flattening Anhedonia: Lack of pleasure Attention Impairment Avolition: Lack of motivation Asocial Behavior Anergia: Lack of energy
58
TYPICAL/TRADITIONAL/CONVENTIONAL DRUGS "HIGH POTENCY"
*Trifluoperazine (stelazine) Haloperidol (haldol) Thiothixene (Navane) Pherphenazine (Trilafon) Fluphenazine (Prolixin)
59
TYPICAL/TRADITIONAL/CONVENTIONAL DRUGS "MODERATE POTENCY"
Molindone (Moban) Lozapine (Loxitane) Mesoridazine (Serentil)
60
TYPICAL/TRADITIONAL/CONVENTIONAL DRUGS "LOW POTENCY"
Chlorpromazine (Thorazine) Thioridazone (Mellaril) Chlorprothixene (Taractan)
61
-Scapegoating -Hostile -Humiliate -expectations: Unrealistic -discipline:erratic
ABUSERS
62
Charting should be:
-Factual -Accurate -Concise -Concrete
63
-Establish rapport -acceptance -boundaries -trust -set contract -discuss termination
ORIENTATION PHASE
64
-self-awareness -personal biases
pre-orientation phase
65
-evaluate relationship -end treatment: traumatic & value
TERMINATION PHASE
66
characteristics of Sexual abused
Victims: Non-sexual needs Powerless: to refuse *Ambivalence: Self-blame & Guilt
67
Hostile: All women Act through raping
RAPIST
68
DOC for Autistic
Clonidine (Catarpres)
69
1st step to be accepted in Al-Anon
admit you are powerless over alcohol
70
Number of members in group therapy
5-15 members
71
-Super-ego -Lacks Conscience
Perpetuators
72
Substance abuse disorder (SUD)
Denial: Break Confront: Consequences
73
CHOLINERGIC DRUGS
Tacrine (Cognex) Donepezil (Aricept) Galantamine (Reminyl) Rivastigmine (Exelon)
74
EXPERIENCES OF THE SYMPTOMS Somatoform Disorder
-Involuntary -Unconscious -Agree: Procedures -Worry & Anxiety
75
EXPERIENCES OF THE SYMPTOMS Mallingering
-Voluntary -Conscious -Deliberate -Secondary Gain attention from others -Not happy with negative results
76
DAT (Dementia of Alzheimer's Type)
-Gradual -Insidious -Progressive
77
DOC for Dementia
CHOLINERGIC DRUGS Tacrine (Cognex) Donepezil (Aricept) Galantamine (Reminyl) Rivastigmine (Exelon)
78
PROTEIN INSIDE NEURONS
LEWY BODY DEMENTIA
79
-hypertension & Diabetes Mellitus -Sudden/ Fast / Abrupt -Earlier than dementia of alzheimer type & dementia of Lewy body -Cognitive impairments Abrupt/ rapid/fluctuating
Vascular dementia aka Multi Infact Dementia
80
ATYPICAL ANTI-PSYCHOTIC DRUGS
-Clozapine (Clozaril): Causes: Agranulocytosis (CBC Weekly) -Risperidone (Risperal) -Pimozide (Orap) -Sertindole (Serlect) -Olanzapine (Zyprexa) -Aripiprazole (Abilify) -Ziprasidone (Geodon) -Quetiapine (Seroquel)
81
Rhyming words
Clang Association
82
Mixed words Incoherent
Word Salad
83
Derailment Disorganized thinking Topic: Illogical, Inchorent, Shift Schizophrenia
Looseness of association
84
Confront irrational thoughts Thereafter, self-monitoring Improve self-concept Regain control
Cognitive behavioral therapy
85
Binge & Purge Cycle -Chimpunk face -Swollen: parotid gland -Russell's sign: Scars on knuckles, self-induced vomiting
Bulimia Nervosa
86
Bulimia nervosa must:
-Must identify anxiety-causing situation family therapy; cognitive therapy -Learn new ways of coping
87
Nursing intervention for bulimia nervosa
-They Select own food -Feel sense of control -Must eat 100% -Remain at least 1 hour -Prevent purging
88
-Use eating to gain control -parents: controlling & overprotective -Strict eating plan
Anorexia
89
irrational fear
-Phobia
90
Exposure to fear situation Help overcome anxiety
Systematic Desensitization
91
SUICIDAL CRITERIA
Sex: Males - 1pt Age: Adolescent (15-25 y.o) -1pt Elderly (60 ↑) - 1pt Depressed: 2 pts Loss, Failure, terminal Dse, Death of loved one, Illness: Terminal & Chronic, hopeless helpless Color: Fair complexion ↓ Vit D3 - 1pt Time: A.M. (3:00 AM) Direct Questioning Irregular: Visits Early A.M. Visits
92
DOC for tourette syndrome
Anti-psychotic: Cropolalia- Cuss/Bad words
93
SYSTEMATIC DESENSITIZATION
-Stories -Pictures -Touch -Accompany
94
NURSING MANAGEMENT FOR SUICIDAL
-Check 24/7 -Frequency & irregularity -Patient: Predict= execute suicide -Mislead: alters behavior
95
ACTIVITIES FOR SUICIDAL
Simple structured non-competitive non-goal directed repetitive
96
Suicide: Common internal Attitude: Ambivalence To feel: do it/ Rescue
Edwin S. Schneidman

NP 5- TOP 8 (5 decks)

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