Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CEN Psychosocial Emergencies > Psychosis > Flashcards

Psychosis Flashcards

1
Q

Pyschotic behavior

A

An alteration in reality marked by delusions, hallucinations, disorganized speech and disordered behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

If lab testing is positive for an physiological imbalance then pt has..

A

Delirium related psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Some causes of delirium

A 
Hypoglycemia
Electrolyte Dysfunction
Drug intoxication
Endocrine Disorder
Intracranial Bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

S/S of delirium

A

Rapid Onset
Fluctuating Course
Visual, Tactile, Olfactory Hallucinations
Not oriented to time, person, place

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

IF lab tests are negative (everything normal)

A

Consider psychiatric causes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

4 Psychiatric Causes

A
  1. Schizophrenia
  2. Acute Mania
  3. Psychotic Depression
  4. Dementia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Schizophrenia “”

A

“Split mind.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What age do ppl develop shizo

A

Early 20s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are positive symptoms of schizophrenia

A

Schizophrenic has

Non-Schizophrenic does not have

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are negative symptoms of schizophrenia

A

Non-Schizophrenic has

that Schizophrenic does not have

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Who are the only pts we don’t encourage to talk

A

Acute Mania

Require yes or no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Medications for acute mania

A

Lithium (Lithobid)
Carbamazepine (Tegretol)

Antidepressants
Antipsychotics
Anticonvolsants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Main factor in lithium toxicity?

A

Dehydration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Other factors in lithium toxicity

A

Diuretics
NSAIDS
Hypoatremia
Renal Impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Early signs of lithium toxicitiy

A

Marked tremor
Anorexia
N/V/D
Lethargy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Late Signs of lithium toxicity

A

Restless
Abd muscle movements and incoordination
Seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tx for lithium toxcitiy

A

Large volume IV

Hemodialysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Things to avoid with psychotic depression

A

Decision Making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Things to encourage with psychotic depression

A

Expression of decision making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Who is more likely to attempt suicide?

A

Woman

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Who most likely succeeds at suicide

A

Men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

First thing to care for in attempted suicide

A

Physical injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Encourage suicide pt to..

A

talk about the problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Ask pt’s with suicide to look for..

A

alternative coping mechanisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Dementia is a …

A

Chronic
Irreversible
Decrease in mental functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Near the end of dementia pts can become..

A

psychotic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is classic sign of dementia

A

disorientation to time, place, and person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Dementia pt’s respond well to what during communication

A

Touch
Face the pt
Adequate lighting Caregiver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What med can be used for dementia

A

Antispychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

2 s/s that go with antispychotics

A

Dystonia

Akasthisa

31
Q

Dystonia

A

Disorganized muscle movement

32
Q

Oculogyric Crisis

A

Eyes roll in the back of the head

33
Q

Blepharospasms

A

Eyelids stay shut

34
Q

Buccolingual Crisis

A

Mouth is forced open, tongue may protrude

35
Q

Opathalmos

A

Head is arched backwards

36
Q

Tarticollis

A

Head takes awkward position to the side

37
Q

Toripelvic Crisis

A

Pt’s pelvis constantly moves

38
Q

Akasthisa

A

Constant need to move

39
Q

When can the antipsychotic symptoms occur?

A

Shortly after the drug is given or even 5 days after the drug is given
OR
Change of dose

MENTAL STATUS UNCHANGED - CAN BE SCARY FOR PT

40
Q

Tx for dystonia

A

Quiet/Decreased stimuli room
Benadryl
Antiparkinson drug Benztropine or Artane

41
Q

Tx for akathisia

A

Propranolol - dec movement

42
Q

What disorder with dystonia can you die from?

A

Neuroleptic Malignant Syndrome

43
Q

What is Neuroleptic Malignant Syndrome and when can it occur?

A

Can occur ANY time you are taking the drug - usually when it is hot out.

Lifethreatening reaction to antispychotics

44
Q

What are the early symptoms of NMS

A

Starts with confusion and drowsiness
AMS
Muscle Rigidity
Tremors

45
Q

What are the bad symptoms of NMS

A

Lead pip rigidity
Tremor
High fever
Autonomic Dysfunction

CAN LEAD TO RHABDO
RENAL FAILURE

46
Q

What drugs worsen Serotonin Syndrom

A

More than one SSRI
Opioids
Illicit Drugs
St. John’s Wort

47
Q

SSRI Syndrome s/s #1

A

AMS

agitation
anxiety
confusion

48
Q

SSRI Syndrome s/s #2

A

Autonomic Instability

tachy
flushing
diaphoresis

49
Q

SSRI Syndrome s/s #3

A

Neuromuscular Abnormalities

hyperflexia
clonus
lower extremity rigidty

50
Q

Tx for NMS and SSRI syndrome

A 
Stop the med
Cooling
Stabilize vitals
Correct hypoxia - vent
Reduce muscular rigidity
51
Q

What is SSRI Syndrome

A

Too much serotonin in your body

Needed for nerve and brain cells to function

52
Q

2 Drugs for Tx of NSM and SSRI SYndrome

A

Bromocriplie (Parlodel)

Dantrolene (Dantrium)

53
Q

What is panic disorder

A

Anxiety due to a threat that does not exist

54
Q

When do symptoms of panic disorders peak

A

In 10 minutes from onset and subside within 30 minutes (Running from a bear that isn’t there)

55
Q

OCD usually shows up

A

childhood/adolescants

56
Q

What are compulsions

A

Carrying through with the need
Drive to preform specific
“Checking the lock”

57
Q

OCD 2 things

A

Obsession and Compulsion

58
Q

PTSD usually occurs

A

3 months after event (can be years later)

59
Q

Tx for anxiety disorders rx

A

Benzos
Anixolytics
Antidepressants

60
Q

What to encourage for anxiety disorders

A

Feeling - Verbalize Concerns

61
Q

Signs of abuse for the caregiver giving the abuse

A 
Hostile
Mad at themselves
No guilt/remorse
Focuses on child behavior instead of injuries
Refuse to leave child alone
Display anger towards child
62
Q

Behavioral Signs of abuse in a child

A 
Low Self Esteem
Attention Seeking
Fearful of abuser
Anxious when other children cry
Does not turn to care giver for solace
63
Q

Signs of emotional abuse

A 
Withdrawal
Eating Disorders
Head Banging
Suicidal
Self-destructive
Rocking
Learning difficulties
Enuresis
64
Q

Enuresis

A

Wetting bed when it is no longer appropraite

65
Q

Crescent shaped bruises are from

A

Pinching

66
Q

Oval shaped bruises are from

A

Biting

67
Q

Canine molars of an adult is..

A

1-1.6 inches

68
Q

Suspicious fractures of children

A 
Humerus
Sternum
Fingers
Spinous Process
Scapula
Posterior Ribs
69
Q

Accidental burn

A

Child with thrash and have uneven burn

70
Q

Suspicious burn locations

A

lips, tongue
rectum, perineum
dorsum of hand

71
Q

A suspicious burn related to clothing coverage

A

Burns that are on areas that are normally covered by clothing are suspicious

72
Q

Abusive Brain Injury

A

Shaken Baby Syndrome

73
Q

3 Classic Triad of Shaken Baby Sydrome

A

Subdural Hemorrhage
Retinal Hemorrhage
Decreased LOC

74
Q

What is Munchausen Syndrome

A

PT that enjoys seeking medical care - but it is proxying onto someone else

CEN Psychosocial Emergencies (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions