Flashcards in Psych Unit 4 Deck (43)
____ is a chronic depression that lasts 2 years or longer but may not include some of the other characteristics of major depressive disorder.
Persistent Depressive Disorder
____ is the inability to enjoy life
What type of therapy helps the client recognize errors in the way they think and to learn new ways of thinking?
____ is an electric shock that is applied to the brain of a pt who is highly suicidal, refusing food, or exhibiting psychotic depression.
Electro Convulsive Therapy
____ 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.
Symptoms of refeeding.
Tachycardia, confusion, seizures, etc.
____ occurs when the pt takes one fact and makes a general rule of it?
Nursing dx for Anorexia Nervosa.
Decreased Cardiac Output (refeeding)
Risk for injury
Disturbed body image
Nursing dx for Bulimia
Decreased Cardiac Output
Disturbed body image
chronic low self-esteem
Anorexic pt tend to be____. They think they have to be perfect at everything they do.
Nurses must take what type of stance with certain pt's?
What kinds of pt's can does it not work well with?
What type of side effects cause dry type of side effects in clients?
what type of therapy allows the client to take incorrect or negative thought processes and learn how to correct those?
Cognitive Based Therapy
____ is an anti depressant med that is used for more than one reason. It is also used for insomnia.
____ is believing everything is to difficult to accomplish?
Side effects of TCA's?
Cant see, can't pee, can't spit, can't shit
blurred vision, urinary retention, dry mouth, constipation
Side effects of SSRI's?
agitation, anxiety, slew disturbance, tremor, sexual dysfunction, headache. Also serotonin syndrome.
When does Serotonin Syndrome have the greatest risk of occurring?
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.
Biggest concern of MAOI's?
What is the substance in foods that people have to beware of when taking MAOI's?
____ is an exaggerated elevated, expansive, or irritable mood, accompanied by a persist anent increase in activity and or energy.
Signs and symptoms of mania?
Excessive and constant motor activity
lack of rest and sleep
loud, profane demanding behaviors
____ is a term for its treated with more than one mental health diagnosis.
Positive reinforcements provided when a client participates in their own care, takes their meds, or remains drug free are called?
CNS depressant drugs include ____, ____, and ____.
Alcohol, Benzo's, and barbiturates
Can you die from depressants?
Side effects of depressants?
slurred speech, drowsiness, decreased b/p, impaired judgement
What class of substances cause symptoms like depersonalization, hallucinations, grandiosity,and synesthesia?
Withdrawal effects of alcohol?
insomnia, runny nose, diaphoresis, n/v/d fever, chills
med used in alcohol detox to manage cravings.
First line of treatment in depression.
What would a nurse teach pt's about SSRI's?
Lack of sex drive, insomnia, anxiety, nervousness, should not be taken within 14 days of MAOI's.
Side Effects: nausea, diarrhea, dry mouth, fatigue
____ is a syndrome developed by alcoholics due to malnutrition and they will need treated with vitamins, especially B1?
Common symptoms of what class are, disinhibition, relaxation of voluntary muscles, and anterograde amnesia?
____ is another class of meds that is commonly prescribed for mania?
(Tegretol, Depakote, Lamictal, Trileptal, Topamax)
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?
____ is a technique used by clients to turn nursing staff against each other?
Expected ranges for lithium?
1.5-2.0-signs of toxicity
Signs and symptoms of lithium toxicity?
tremors, n/v/d, thirst, etc.
____ is an antidepressant the can cause priapism.
____ is a sustained and painful erection that needs immediate treatment and d/c of the drug.
Side effects of MAOI'S.
Daytime sedation, insomnia, dry mouth, orthostatic hypotension, Hypertensive Crisis.