Brainscape's Knowledge GenomeTM

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


See full index

Mental Health (Josh) > T2 - Blueprint 2 (Josh) > Flashcards

T2 - Blueprint 2 (Josh) Flashcards

1
Q

What are indications for ECT?

A

Major Depression

Mania

Schizo

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

ECT therapy is most commonly prescribed for:

a) BPD (manic)
b) Paranoid schizo
c) Major Depression
d) OCD

A

c) Major Depression

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

Place client on – – post ECT to facilitate — and prevent —-

A

left-side

drainage

aspiration

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

CV effects of Cannabis:

A
  • Tachycardia

- Orthostatic hypotension

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

The client is NPO — before ECT.

A

6-8 hrs

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

Meds to treat BPD:

A
  • Lithium

- Valproic Acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

— is second to ETOH in in use in USA.

A

Cannabis

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

EPS s/e of Antipsychotics:

Involuntary muscular movements (spasms) of face, arms, legs, and neck

A

Dystonia

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

Four Major Dimensions that support a life in recovery.

A
  • Health
  • Home
  • Purpose
  • Community
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is a common reaction to ECT?

A

short-term memory loss / confusion

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

ECT can be used to treat…

A
  • depression
  • mania
  • schizo
  • neurosis and OCD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the desired outcome of crisis therapy?

A

resolution of immediate crisis and restore client to pre-crisis level of functioning

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

More harmful for pregnant mothers, ECT or Meds?

A

Meds are MORE harmful

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

Therapeutic range of Valproic Acid?

A

50-150 mcg/mL

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

20 minutes before ECT therapy, what is administered?

A

Atropine Sulfate

  • to decrease secretions and counteract vagal stimulation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Pupils — with opioids.

A

consrict

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

— is a non-invasive therapy that uses a magnetic pulsation to stimulate specific areas of the brain

A

TMS (Transcranial Magnetic Stimulation)

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

Resp. effects of Cannabis:

A

decrease lung performance due to large amount of tar (more than cigs)

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

What to do before ECT?

A
  • decrease/discontinue meds that lower seizure threshold for several days
  • discontinue MAIO and Lithium for 2 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Medications for Alcohol Abuse:

A
  • Disulfrium (abstienence)
  • Benzos
  • Thiamine (to manage withdrawal)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

— is the restoration to a former and/or better state or condition.

A

Recovery

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

Therapeutic range of Lithium?

A

0.6-1.2

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

— is a therapeutic process of assessing unconscious thoughts and feelings, and resolving conflict by talking to a psychoanalyst.

A

Psychoanalysis

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

Avoid foods w/ — when taking MAOI.

A

Thiamine

  • aged cheese
  • cream
  • coffee,
  • chocolate
  • cured meats
  • bananas
  • raisins
  • red wines
  • beer
  • yeast
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Suicidal ideation is a s/e of which class of antidepressants?

A

SSRI

  • fluoxetine
  • sertraline
  • paroxetine
  • escitalopram oxalate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Behavioral theory is based upon what concept?

A

that behavior is learned and has consequences

abnormal behavior results from an attempt to avoid painful feelings

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

Symptoms of NMS:

A
  • hyperpyrexia (high fever),
  • sweating,
  • unstable blood pressure (normally elevated)
  • tachycardia,
  • incontinence
  • stupor
  • severe muscular rigidity
  • autonomic dysfunction.
28
Q

Which of the following best describes the avg # of ECT treatments given and timing of administration?

a) 1 treatment per mth for 6 mths
b) 1 treatment every other day for total of 6-12 treatments
c) 1 treatment 3x’s per week for total of 20-30 treatments
d) 1 treatment q day for a total of 1-15 treatments

A

b) 1 treatment every other day for total of 6-12 treatments

29
Q

EPS s/e of Antipsychotics:

Rigidity, masklike faces, stooped posture, drooling, shuffling gait, “pill-rolling”, tremor

A

Parkinsonism

30
Q

EPS s/e of Antipsychotics:

Facial: protruding tongue, smacking, licking, spastic facial distortion, smacking movements

Limbs: choreic, athetoid

Trunk: pelvic thrusts, neck & shoulder movements

A

Tardive Dyskinesia

  • irreversable!!
  • withdraw drug at first sign
31
Q

Anti-cholinergic s/e with which drugs?

A

SSRI

32
Q

ECT is used primarily to treat —

A

major depression

33
Q

— occurs most frequently in women; symptoms may occur 50 to 60 days following initiation of therapy

A

Akathasia

34
Q

— is the induction of a grand mal (generalized) seizure into the brain.

A

Electroconvulsive Therapy (ECT)

35
Q

What is the purpose of ECT?

A

cause a Grand Mal seizure that lasts 25-60 secs

36
Q

What is given before ECT?

A
  • Muscle Relaxer

- Atropine Sulfate

37
Q

Is ECT a cure or a treatment?

A

treatment only, not a cure

38
Q

Adverse effects of VNS?

A
  • Voice changes
  • Dysphagia
  • Neck Pain
39
Q

Can ECT treat substance abuse?

A

No

40
Q

What is administerd during Dystonia / Oculogyric Crisis?

A

IV benztropine mesylate

41
Q

Do not alter — when taking Lithium?

A

sodium/fluid intake

42
Q

EPS s/e of Antipsychotics:

Uncontrolled rolling back of the eyes

A

Oculogyric Crisis

43
Q

Chronic — use results in obstructive airway disorders.

A

cannabis

44
Q

Most common s/e of ECT is —

A

temporary memory loss

confusion

45
Q

How long should the seizure induced by ECT last?

A

15-25 secs

46
Q

May occur as part of Dystonia and is to be treated as an emergency.

A

Oculogyric Crisis

47
Q

EPS s/e of Antipsychotics:

Motor inner driven restlessness

A

Akathasia

48
Q

Opioid withdrawal symptoms:

A
  • dysphoric mood
  • n/v
  • muscle aches
  • piloerection
  • sweating
  • diarrhea
  • fever
  • insomnia
49
Q

The priority nursing intervention before starting ECT is to:

a) Take vitals and record
b) Have client void
c) Administer succinylcholine
d) Ensure that the consent form has been signed

A

d) Ensure that the consent form has been signed

50
Q

Barbiturates are in which class of drugs?

A

Sedative, Hypnotic and Anxiolytic Drugs

51
Q

Atropine sulfate is administered to a client receiving ECT for what purpose?

a) alleviate anxiety
b) decrease secretions
c) relax muscles
d) as a short-acting anesthetic

A

b) decrease secretions

52
Q

Meds to treat depressoin:

A
  • SSRI
  • Tricyclic
  • MAOI
  • Welbutrin
53
Q

Barbiturates end in —

A

-barbital

54
Q

What is the only absolute contraindication for ECT?

A

ICP (Intracranial Pressure)

  • b/c ECT is associated w/ a physiological rise in CSF
55
Q

Meds to treat Anxiety?

A
  • Antihistamines (hydroxyzine)
  • Benzos
  • Buspirone
56
Q

Robert and Otten’s Seven Stage Crisis Intervention Model:

A

Stage 1: Psychosocial Assessment

Stage 2: Establish Rapport

Stage 3: Identify Crisis Precipitants

Stage 4: Handle Emotions

Stage 5: Explore Alternatives

Stage 6: Action Plan

Stage 7: Follow-up

57
Q

— is a life-threatening, neurological disorder most often caused by an adverse reaction to neuroleptic or antipsychotic drugs.

A

Neuroleptic malignant syndrome

58
Q

Why is a blood pressure cuff inflated over a lower limb in ECT?

A

to ensure that the seizure activity can be observed in this one limb that is unaffected by the muscle relaxant

59
Q

What is VNS?

A

Vagus Nerve Stimulation

  • provides electrical stimulation through the vagus nerve through a device that is implanted under the client’s chest
60
Q

Physiological symptoms of cannabis use may include:

A
  • tremors
  • muscle rigidity
  • conjuctival redness
61
Q

Which involves more verbal therapist-to-client interaction:

a) Psychoanalysis
b) Psychotherapy

A

b) Psychotherapy

62
Q

— occurs most often in men and in people younger than 25.

A

Dystonia

63
Q

— enhances sexual experience.

A

Cannabis

64
Q

How long is the electrical shock w/ ECT?

A

0.2-0.8 secs

65
Q

What is WRAP?

A

Wellness Recovery Action Plan

  • a self-designed prevention and wellness process that anyone can use to get well, stay well and make their life the way they want it to be

Mental Health (Josh) (26 decks)

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