Psych Unit 4

Question 1

____ is a chronic depression that lasts 2 years or longer but may not include some of the other characteristics of major depressive disorder.

Answer 1

Persistent Depressive Disorder
aka
Dysthymia

Question 2

____ is the inability to enjoy life

Answer 2

Anhedonia

Question 3

What type of therapy helps the client recognize errors in the way they think and to learn new ways of thinking?

Answer 3

Cognitive Therapy

Question 4

____ is an electric shock that is applied to the brain of a pt who is highly suicidal, refusing food, or exhibiting psychotic depression.

Answer 4

Electro Convulsive Therapy

Question 5

____ is a process in anorexia that can cause a replenished circulatory system to overwhelm the capacity of a depleted cardiac muscle, leading to cardiovascular collapse.

Answer 5

Refeeding

Question 6

Symptoms of refeeding.

Answer 6

Tachycardia, confusion, seizures, etc.

Question 7

____ occurs when the pt takes one fact and makes a general rule of it?

Answer 7

Over Generalization

Question 8

Nursing dx for Anorexia Nervosa.

Answer 8

Imbalanced Nutrition
Decreased Cardiac Output (refeeding)
Risk for injury
Disturbed body image

Question 9

Nursing dx for Bulimia

Answer 9

Decreased Cardiac Output
Disturbed body image
anxiety
chronic low self-esteem

Question 10

Anorexic pt tend to be____. They think they have to be perfect at everything they do.

Answer 10

Inflexible

Question 11

Nurses must take what type of stance with certain pt’s?

What kinds of pt’s can does it not work well with?

Answer 11

Authoritative

Question 12

What type of side effects cause dry type of side effects in clients?

Answer 12

Cholinergic

Question 13

what type of therapy allows the client to take incorrect or negative thought processes and learn how to correct those?

Answer 13

Cognitive Based Therapy

Question 14

____ is an anti depressant med that is used for more than one reason. It is also used for insomnia.

Answer 14

Trazodone

Question 15

____ is believing everything is to difficult to accomplish?

Answer 15

Helplessness

Question 16

Side effects of TCA’s?

Answer 16

Cant see, can’t pee, can’t spit, can’t shit

blurred vision, urinary retention, dry mouth, constipation

Question 17

Side effects of SSRI’s?

Answer 17

agitation, anxiety, slew disturbance, tremor, sexual dysfunction, headache. Also serotonin syndrome.

Question 18

When does Serotonin Syndrome have the greatest risk of occurring?

Answer 18

When an SSRI is administered in combination with another serotonin enhancing agent, MAOI. Should wait at least 2 weeks before starting fluoxetine thereby if been on an MAOI.

Question 19

Biggest concern of MAOI’s?

Answer 19

Hypertensive Crisis

Question 20

What is the substance in foods that people have to beware of when taking MAOI’s?

Answer 20

Tyramine

Question 21

____ is an exaggerated elevated, expansive, or irritable mood, accompanied by a persist anent increase in activity and or energy.

Answer 21

mania

Question 22

Signs and symptoms of mania?

Answer 22

Excessive and constant motor activity
poor judgment
lack of rest and sleep
loud, profane demanding behaviors
rage

Question 23

____ is a term for its treated with more than one mental health diagnosis.

Answer 23

Dual Diagnosis

Question 24

Positive reinforcements provided when a client participates in their own care, takes their meds, or remains drug free are called?

Answer 24

Motivational Incentives

Question 25

CNS depressant drugs include ____, ____, and ____.

Answer 25

Alcohol, Benzo’s, and barbiturates

Question 26

Can you die from depressants?

Answer 26

Yes

Question 27

Side effects of depressants?

Answer 27

slurred speech, drowsiness, decreased b/p, impaired judgement

Question 28

What class of substances cause symptoms like depersonalization, hallucinations, grandiosity,and synesthesia?

Answer 28

Hallucinogens/Opiates

Question 29

Withdrawal effects of alcohol?

Answer 29

insomnia, runny nose, diaphoresis, n/v/d fever, chills

Question 30

med used in alcohol detox to manage cravings.

Answer 30

Naltrexone

Question 31

First line of treatment in depression.

Answer 31

SSRI

Question 32

What would a nurse teach pt’s about SSRI’s?

Answer 32

Lack of sex drive, insomnia, anxiety, nervousness, should not be taken within 14 days of MAOI’s.
Side Effects: nausea, diarrhea, dry mouth, fatigue

Question 33

____ is a syndrome developed by alcoholics due to malnutrition and they will need treated with vitamins, especially B1?

Answer 33

Wernicke-Korsakoff

Question 34

Common symptoms of what class are, disinhibition, relaxation of voluntary muscles, and anterograde amnesia?

Answer 34

Roofies

Question 35

____ is another class of meds that is commonly prescribed for mania?

Answer 35

Anticonvulsants

Tegretol, Depakote, Lamictal, Trileptal, Topamax

Question 36

The use of this class of substance cause symptoms like dizziness, confusion, violent behavior and physical damage to the oral cavity due to contact with caustic substances?

Answer 36

Inhalants

Question 37

____ is a technique used by clients to turn nursing staff against each other?

Answer 37

Splitting

Question 38

Expected ranges for lithium?

Answer 38

0. 5-1.5

1. 5-2.0-signs of toxicity

Question 39

Signs and symptoms of lithium toxicity?

Answer 39

tremors, n/v/d, thirst, etc.

Question 40

____ is an antidepressant the can cause priapism.

Answer 40

Trazodone

Question 41

____ is a sustained and painful erection that needs immediate treatment and d/c of the drug.

Answer 41

Priapism

Question 42

Side effects of MAOI’S.

Answer 42

Daytime sedation, insomnia, dry mouth, orthostatic hypotension, Hypertensive Crisis.

Question 43

Side effects of antidepressants?

Answer 43

dry mouth sedation, ha, anorexia, agitation, insomnia diaphoresis.