PSYCHIA Flashcards
(106 cards)
1
Q
Five Stages of GRIEF
A
D - ENIAL A - NGER B - ARGAINING D - EPRESSION A - CCEPTANCE
2
Q
SKIPPING from one topic to another
A
FLIGHT OF IDEAS
3
Q
LACK OF CONCERN for a profound disability such as blindness or paralysis in a pt with Conversion Disorder
A
LA BELLE INDIFFERENCE
4
Q
What is the HIGHEST treatment priority in a patient with Anorexia Nervosa?
A
CORRECTION OF NUTRITIONAL AND ELECTROLYTE IMBALANCES
5
Q
What is the MAIN PRIORITY when dealing with Psychiatric Patients?
A
SAFETY!
6
Q
4-6 week period of SEVERE EMOTIONAL DISORGANIZATION d/t failure
A
CRISIS
7
Q
Type of Crisis:
Related to EXPECTED life events; sense of GAIN from experience
(Ex. First job, first baby, etc.)
A
MATURATIONAL/DEVELOPMENTAL
8
Q
Type of Crisis:
Related to UNEXPECTED life events; sense of LOSS from experience
(Ex. Loss of job)
A
SITUATIONAL/ACCIDENTAL
9
Q
Type of Crisis:
The ENTIRE SOCIETY is involved
(Ex. Natural calamities, heinous crimes)
A
SOCIAL/ADVENTITIOUS
10
Q
Anxiety Disorder:
Excessive and persistent anxiety or fear concerning SEPARATION FROM HOME or to those whom the individual us attached to
A
SEPARATION ANXIETY
MGT: Family therapy/Support system, CATHARSIS (verbalization of feelings)
11
Q
Anxiety Disorder:
A person normally capable of speech does not speak in specific situations or to specific people; Most common in CHILDREN
A
SELECTIVE MUTISM (extreme shyness or strong social anxiety)
Mgt:
Anxiolytics
Encourage child to speak SLOWLY
Therapy: PLAY, FAMILY, GROUP
12
Q
REPEATED EXPOSURE to stimulus that triggers anxiety or fear until pts are no longer triggered by it;
A
DESENSITIZATION
13
Q
Anxiety Disorder:
Intense IRRATIONAL fear of objects, things, place, events, situation, animals and even a person;
SEVERE ANXIETY to PANIC
A
PHOBIA
14
Q
Fear of being alone in an open/public space where ESCAPE IS IMPOSSIBLE
A
AGORAPHOBIA
15
Q
Fear of being ALONE
A
MONOPHOBIA
“MONO” - single - only one
16
Q
Fear of situation that may cause SHAME or EMBARRASSMENT
A
SOCIAL PHOBIA
17
Q
Fear of HEIGHTS
A
ACROPHOBIA
18
Q
Fear of SPIDERS
A
ARACHNOPHOBIA
19
Q
Fear of STRANGERS
A
XENOPHOBIA
20
Q
Fear of CLOSED SPACES
A
CLAUSTROPHOBIA
21
Q
Fear of FEMALES
A
GYNOPHOBIA
22
Q
Fear of SEXUAL INTERCOURSE
A
GENOPHOBIA
23
Q
What should you do for the pt during PHOBIA ATTACKS?
A
STAY WITH THE CLIENT
24
Q
BEHAVIORAL THERAPY methods to treat Phobia
A
- SYSTEMATIC DESENSITIZATION (gradual exposure to phobia)
2. FLOODING (exposed to phobic stimulus immediately)
25
ANXIOLYTICS are given to
LESSEN PANIC ATTACKS
26
SSRIs are given to
PREVENT OCCURRENCE OF PANIC ATTACK
27
Unwanted repetitive THOUGHTS;
| INCREASES anxiety
OBSESSION
28
Unwanted repetitive ACTIONS;
| DECREASES anxiety
COMPULSION (Rituals)
29
What should you INITIALLY do for a pt with OCD?
OFFER AND ALLOW RITUALS INITIALLY
After:
1. Contract: TAPERING (setting limits; gradually decreasing)
2. DIVERSIONAL ACTIVITIES
30
Characterized by IMAGINARY DEFECT which appears normal to others;
Common in FEMALES
BODY DYSMORPHIC DISORDER
31
Uncontrolled and repetitive SCRATCHING of the skin because of high anxiety and boredom
aka SKIN PICKING DISORDER
EXCORIATION
32
What can you do to prevent scratching or arms in pt with EXCORIATION?
UNNA SLEEVES
33
Uncontrolled and repeated PULLING OUT of one’s own hair resulting in hair loss for at least 6 months
TRICHOTILLOMANIA
34
Common RITUAL in patients with Trichotillomania
EATING THE HAIR
35
Persistent difficulties with DISCARDING or PARTING with possession, regardless of their actual value
HOARDING DISORDER
36
Depressed Mood + Anhedonia (inability to feel pleasure) =
MAJOR DEPRESSION
37
Depressed mood + Mood elevation =
BIPOLAR DISORDER
38
Defense Mechanism:
REFUSAL to accept reality
DENIAL
39
Defense Mechanism:
REVERSION to an earlier stage of development
REGRESSION
40
Defense Mechanism:
Performing an EXTREME behavior to express thoughts or feelings the person feels incapable of otherwise expressing
(Ex. Instead of saying “i’m angry with you” pt throws a book or punches a hole through a wall)
ACTING OUT
41
Defense Mechanism:
Person loses track of time/and or person and instead finds ANOTHER REPRESENTATION of themselves in order to continue in the moment
(Ex. Multiple personality disorder)
DISSOCIATION
42
Defense Mechanism:
Misattribution of a person’s undesired thoughts and feelings onto another person who DOES NOT have those thoughts, feelings or impulses
(Ex. Husband is angry at wife for not listening, when in fact it is the husband who does not listen)
PROJECTION
43
Defense Mechanism:
Converting unwanted thoughts and feelings to their exact OPPOSITE
(Ex. Woman who is angry at her boss and wants to quit may instead be overly kind and generous to her boss)
REACTION FORMATION
44
Defense Mechanism:
UNCONSCIOUS forgetting or blocking of unacceptable thoughts, feelings, and impulses
REPRESSION
45
Defense Mechanism:
CONSCIOUS forgetting or blocking of unwanted thoughts, feelings and impulses
SUPRESSION
46
Defense Mechanism:
REDIRECTING of feelings, thoughts and impulses for one person or object but is taken out upon ANOTHER person or object
(Ex. Mad at boss but can’t express his anger to his boss so he kicks his dog and starts an argument with his wife)
DISPLACEMENT
47
Defense Mechanism:
Overemphasis on THINKING when confronted with an unacceptable impulse, situation or behavior WITHOUT employing emotions
INTELLECTUALIZATION
48
Defense Mechanism:
Offering EXPLANATIONS
RATIONALIZATION
49
Defense Mechanism:
Attempting to TAKE BACK an unconscious behavior that is unacceptable or hurtful
(Ex. After insulting significant other unintentionally, you spend the next hour showering her with praises)
UNDOING
50
Defense Mechanism:
Counterbalancing one’s weaknesses by EMPHASIZING strength in other areas
COMPENSATION
51
EARLY SIGNS of Alcohol Withdrawal
“No Alcohol, Ligtas ang ATAI”
ANXIETY, TREMORS, ANOREXIA, INSOMNIA
52
Normal Lithium Level
0.5-1.2mEq/L
53
SUPPORT GROUP for families of Alcoholics
ALCOHOL ANONYMOUS/AL-ANON
54
Where is an ECT performed?
OPERATING ROOM
Note:
1. 70-150 VOLTS for 2-8 SECONDS ONLY
2. Instruct to VOID prior to procedure
55
ECT is best done for what condition
MAJOR DEPRESSION
56
What should the nurse obtain PRIOR to ECT?
INFORMED CONSENT
57
What medication should you administer PRIOR to ECT?
ATROPINE SULFATE - decreases secretions and prevents aspiration
58
Medications given DURING an ECT
1. METHOHEXITAL SODIUM (anesthesia)
| 2. SUCCINYLCHOLINE (muscle relaxant)
59
What should you ASSESS after an ECT?
GAG REFLEX
60
Types of Therapy:
MOTHER OF ALL THERAPY;
Therapist establishes a therapeutic relationship to MODIFY and UNDERSTAND a client’s mind problems
PSYCHOTHERAPY
61
Types of Therapy:
“What you believe, you will achieve”
COGNITIVE THERAPY
62
Types of Therapy:
MODIFYING client’s maladaptive behavior;
“All behaviors are LEARNED”
BEHAVIORAL THERAPY
63
Medication given during Aversion Therapy for Alcoholics
DISULFIRAM (ANTABUSE)
64
Types of Therapy:
Therapy used for clients with BULIMIA, MAJOR DEPRESSION, OCD
COGNITIVE-BEHAVIORAL THERAPY
65
Types of Therapy:
Focuses on the PAST and REPRESSED feelings that cause maladaptive behavior;
“All behaviors have meaning”
PSYCHOANALYSIS/PSYCHODYNAMIC
66
Three Structures of Personality:
Pleasure
ID
67
Three Structures of Personality:
Reality
EGO
68
Three Structures of Personality:
Conscience/Morals
SUPEREGO
69
Types of Therapy:
Manipulation of the ENVIRONMENT to assist the client in his/her recovery
MILIEU THERAPY
70
MOST IMPORTANT element of Milieu Therapy
SAFETY
71
Types of Therapy:
Utilization of the “HERE AND NOW” principle
GESTALT THERAPY
72
Types of Therapy:
Form of PSYCHOSOCIAL treatment where a small group of pts meet regularly
GROUP THERAPY
73
4 Phases of Group Therapy
| P-I-W-T
P - REGROUP
I - NITIAL
W - ORKING
T - ERMINATION
74
Phases of Group Therapy:
ESTABLISHING goals and objectives
PREGROUP
75
Phases of Group Therapy:
There is already TRUST and TEAMWORK
WORKING
76
Phases of Group Therapy:
There is NO TRUST;
Dropout/Fall out period
INITIAL
77
Phases of Group Therapy:
EVALUATION of group therapy
TERMINATION
78
MAIN PRIORITY in a pt with Bipolar Disorder
SAFETY (Suicide Precaution!)
79
Loss/Alteration of body functioning WITHOUT physiologic cause
CONVERSION DISORDER
80
Anxiety level of the client does not match the level of severity of conversion symptoms
LA BELLE INDIFFERENCE
81
Morbid preoccupation that the client is suffering from a severe disease based only on HIS/HER OWN INTERPRETATION; common among HX CARE PROFESSIONALS
“DOCTOR SHOPPING” - going to different doctors until they get a diagnosis
HYPOCHONDRIASIS
Note: they seek MULTIPLE diagnostic tests and exams even though they aren’t really sick
82
Characterized by PAIN COMPLAINTS without physiologic cause;
UNRELIEVED by pain medication
PSYCHOSOMATIC PAIN DISORDER
83
Recurrent MULTIPLE physiologic complaints for several years without physiologic cause
(4 GI complaints, 2 pain complaints, 1 sexual complaint, 1 pesudoneurologic conversion)
SOMATIZATION DISORDER
84
Characterized by existence of 2 or more UNIQUE and DIFFERENT personalities within a person
DISSOCIATIVE IDENTITY DISORDER
85
Characterized by RETROSPECTIVE MEMORY GAPS (inability to recall a traumatic or stressful experience)
DISSOCIATIVE AMNESIA
86
Characterized by memory loss when the client TRAVELS away from home;
NEW ENVIRONMENT = NEW IDENTITY
DISSOCIATIVE FUGUE
87
Intentionally produces physical or psychological symptoms solely to GAIN ATTENTION
FACTITIOUS DISORDER or MUNCHAUSEN’S SYNDROME
88
Parrot-like REPETITION of another person’s words or phrases
ECHOLALIA
89
MAIN TOOL used by the nurse in Psychiatric Nursing
THERAPEUTIC USE OF SELF
90
Process by which the nurse gains recognition of his or her OWN feelings, beliefs, and attitudes
SELF-AWARENESS
91
Why is it a MUST to be self-aware prior to Nurse-patient interaction?
SO THAT THE NURSE’S OWN VALUES, ATTITUDES, AND BELIEFS ARE NOT PROJECTED TO THE CLIENT
92
TOOL helpful in learning about oneself
JOHARI’S WINDOW
93
Phases of Nurse-Client Relationship Therapy:
WRITTEN CONTRACT is made which contains the time, place and length of sessions and when sessions will be terminated
ORIENTATION
94
Phases of Nurse-Client Relationship Therapy:
Gathering more data, verbalization of feelings, developing COPING MECHANISMS and promoting INDEPENDENCE
WORKING PHASE or CONTINUATION PHASE
95
Phases of Nurse-Client Relationship Therapy:
Plan for the CONCLUSION of therapy in the development of relationship
TERMINATION PHASE
96
ANTICIPATED PROBLEMS during Termination phase
1. CLIENT MAY BECOME TOO DEPENDENT
| 2. MAY CAUSE CLIENT TO RECALL PREVIOUS SEPARATION EXPERIENCES
97
Pathological imitating of MOVEMENTS or GESTURES of another person
ECHOPRAXIA
98
Maintaining desired position for LONG PERIODS without discomfort even when it is awkward or uncomfortable
WAXY FLEXIBILITY
99
Refers to the MAJOR SIDE EFFECTS of Antipsychotic agents
EXTRAPYRAMIDAL SYMPTOMS (EPS)
100
Extrapyramidal Symptoms:
Acute muscular rigidity, OPISTHOTONOS, stiff or thick tongue, Torticollis
ACUTE DYSTONIA
101
DRUGS to treat Acute Dystonia:
“May Acute Dystonia CBA?”
1. COGENTIN
2. BENADRYL
3. AKINETON
102
Extrapyramidal Symptoms:
STIFF STOOPED POSTURE, PILL-ROLLING movements while at rest, MASK-LIKE FACE
PSEUDOLARKINSONISM
103
TREATMENT for Pseudoparkinsonism
AMANTADINE or ANTICHOLINERGIC AGENTS
104
Extrapyramidal Symptoms:
INABILITY to sit still or stand, RESTLESS
AKATHISIA
105
Extrapyramidal Symptoms:
MOST FATAL with Rigidity and Fever + Autonomic instability (unstable bp, diaphoresis, pallor, delirium)
NEUROLEPTIC MALIGNANT SYNDROME
Note: Watch out for DEHYDRATION
106
TREATMENT for Neuroleptic Malignant Syndrome
1. IMMEDIATE DISCONTINUATION OF ALL ANTIPSYCHOTIC MEDS
| 2. TREATMENT OF DEHYDRATION AND HYPERTHERMIA
