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Flashcards in Psych Unit 4 Deck (43)
1

____ 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
aka
Dysthymia

2

____ is the inability to enjoy life

Anhedonia

3

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

Cognitive Therapy

4

____ 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

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.

Refeeding

6

Symptoms of refeeding.

Tachycardia, confusion, seizures, etc.

7

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

Over Generalization

8

Nursing dx for Anorexia Nervosa.

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

9

Nursing dx for Bulimia

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

10

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

Inflexible

11

Nurses must take what type of stance with certain pt's?
What kinds of pt's can does it not work well with?

Authoritative

12

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

Cholinergic

13

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

Cognitive Based Therapy

14

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

Trazodone

15

____ is believing everything is to difficult to accomplish?

Helplessness

16

Side effects of TCA's?

Cant see, can't pee, can't spit, can't shit
blurred vision, urinary retention, dry mouth, constipation

17

Side effects of SSRI's?

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

18

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.

19

Biggest concern of MAOI's?

Hypertensive Crisis

20

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

Tyramine

21

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

mania

22

Signs and symptoms of mania?

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

23

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

Dual Diagnosis

24

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

Motivational Incentives

25

CNS depressant drugs include ____, ____, and ____.

Alcohol, Benzo's, and barbiturates

26

Can you die from depressants?

Yes

27

Side effects of depressants?

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

28

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

Hallucinogens/Opiates

29

Withdrawal effects of alcohol?

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

30

med used in alcohol detox to manage cravings.

Naltrexone

31

First line of treatment in depression.

SSRI

32

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

33

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

Wernicke-Korsakoff

34

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

Roofies

35

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

Anticonvulsants
(Tegretol, Depakote, Lamictal, Trileptal, Topamax)

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?

Inhalants

37

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

Splitting

38

Expected ranges for lithium?

0.5-1.5
1.5-2.0-signs of toxicity

39

Signs and symptoms of lithium toxicity?

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

40

____ is an antidepressant the can cause priapism.

Trazodone

41

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

Priapism

42

Side effects of MAOI'S.

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

43

Side effects of antidepressants?

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