T3 - Blueprint 1 (Josh) Flashcards

1
Q

Which Personality Disorder?

detachment, social withdrawal

indifference to other’s feelings

restricted emotional range

loner

A

Schizoid

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2
Q

Anticonvulsants used with Bulimia

A

Toprimate

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3
Q

Cluster B Personality Disorders are associated with —

A

an abnormal prefrontal cortex

dysfunction in the right temporal lobe

dysfunction within the limbic system

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4
Q

Which Personality Disorder?

extreme need to be taken care of

passive compliance

defers/avoids responsibility

difficulty making decisions

A

Dependent

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5
Q

Physiological effects of Anorexia Nervosa

A

Emaciation

Hypothermia

Bradycardia/Hypotension

Edema (lack of protein)

Lanugo; dry, brittle hair

Amenorrhea

Jaundice

Constipation

Heart Failure

Abnormal Labs

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6
Q

Which personality disorder?

vain

attention seeking

praise seeking

dramatic

demanding

manipulative

A

Histrionic

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7
Q

What are the Antipsychotics?

A

risperidone

olanzapine

haloperidol

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8
Q

What is the first priority nursing intervention w/ Anorexia Nervosa?

A

Nutrition

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9
Q

How often does binge eating and purging occur?

A

once a week for 3 mths

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10
Q

What kind of sense does the Bulimia client have while eating?

A

A sense of LACK OF CONROL over eating during the episode (feeling that one cannot stop eating or control what or how much one is eating)

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11
Q

— is characterized by binging and purging.

A

Bulimia Nervosa

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12
Q

Who does Anorexia Nervosa predominately affect?

A

girls 12-30 yrs old

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13
Q

Cluster – Personality Disorders are Odd or Eccentric.

A

A

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14
Q

What is Splitting?

A

tend to have stormy, intense relationships alternating b/t all good or all bad view of others

unable to incorporate positive and negative attributes into a whole picture of an individual

may shift from great admiration to intense anger or dislike

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15
Q

Object Constancy

A

The ability to form a lasting bond of trust with a primary caregiver is theorized to be an important landmark in early human development and a critical aspect to personality development

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16
Q

Will bulimia clients be severely underweight?

A

NO

normal or just slightly underweight

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17
Q

Splitting is a characteristic of —

A

Borderline Personality Disorder

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18
Q

Risk factors for Bulimia

A

A person in family has an eating disorder

Overly concerned with weight/struggles with depression

Is overweight and starting a restrictive diet

Perfectionism traits

Cultural factors–admiration of thinness

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19
Q

What are the SSRIs?

A

fluoxetine

sertraline

citalopram

paroxetine

excitalopram

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20
Q

Which type of approach when speaking to Paranoid Personality?

A

use a straightforward, honest, professional approach rather than a casual or friendly approach

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21
Q

Why are Sympathomimetics used with obesity?

A

they have anorexia inducing effects

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22
Q

Low levels of this neurotransmitter may play a role in compulsive eating.

A

5-HT

23
Q

– is an eating disorder that can lead to obesity.

A

Binge Eating Disorder (BEO)

24
Q

Which Personality Disorder?

mistrustful, suspicious, watchful

irritable, short-fuse, bad temper

hostile temper

A

Paranoid

25
Q

Which Personality Disorder?

instability in interpersonal relationships, mood, behavior, and self-image

emotions overwhelm cognitive functioning

intense anger, rage

impulsivity

splitting

A

Borderline

26
Q

What are the Cluster A Personality Disorders?

A

Paranoid

Schizoid

Schizotypal

27
Q

Physiological effects of Bulimia Nervosa

A

Dental erosion (due to acid from vomiting)

Parotid edema (due to food particles getting stuck in the parotid glands from purging→ chipmunk like cheeks)

Calluses on hands (from sticking fingers down throat)

Peripheral edema

Muscle weakness

Low Na and K

Cardiomyopathy, ECG changes, CF

28
Q

What is binging?

A

Eating, in a discrete period of time (like within any 2 hour period) an amount of food that is definitely larger than most individuals would eat during a similar period of time and under similar circumstances

29
Q

Which Personality Disorder?

perfectionistic

conscientious, trustworthy

disciplined, orderly

A

Obsessive-Compulse

  • note same as OCD
  • no obsessions or compulsions
30
Q

Difference b/t BEO and Bulimia

A

In BEO, the client doesn’t purge…they just binge eat

31
Q

— is used to help relieve depression and anxiety in people with Personality Disorders.

A

Venalafaxine

32
Q

Which is more prevelant, Bulimia or Anorexia?

A

Bulimia

33
Q

BMI risk for BEO

A

30 or greater (obesity)

34
Q

Which Personality Disorder?

arrogant, haughty

extremely self-centered

believes they are superior and entitled

lack empathy

A

Narcissistic

35
Q

Medical mgmt of Personality Disorders

A

Antidepressants

Anticonvulsants

Antipsychotics

Anti-anxiety

Mood Stabilizers

36
Q

How does Sibutramine work on obesity?

A

controls appetite by inhibiting 5-HT and NE

37
Q

What are the Cluster C Personality Disorders?

A

Avoidant

Dependent

Obsessive Compulsive

38
Q

Should Bulimia clients be hospitalized?

A

Patients with bulimia generally do not need hospitalization unless they experience severe electrolyte imbalance, dehydration, or rectal bleeding.

39
Q

Meds for Obesity

A

Fluoxetine

Sympathomimetics

Sibutramine

Loracserin

Phentermine

Topiramate

40
Q

BMI for Anorexia Nervosa

A

Mild = 17.5

Severe =

41
Q

Should we show the Anorexia Nervosa patient their weight?

A

no (may vary by institution)

42
Q

Antidepressants used with Bulimia

A

Fluoxetine (SSRI)

Imipramine

Desipramine

Amitryptyline

Nortryptiline

Phenelzine

43
Q

What are the Cluster B Personality Disorders?

A

Antisocial

Borderline

Histrionic

Narcissitic

44
Q

What are the Anticonvulsants?

A

caramazepine

valproic acid

topiramate

45
Q

Which Personality Disorder?

chronic antisocial behavior

violates the rights of others

violates social norms and laws, criminal behavior

no empathy

manipulative, decietful, narcissistic

A

Antisocial

46
Q

Which Personality Disorder?

odd thought and behavior patterns

persistent pattern of social and interpersonal deficits

severe social anxiety

**Fails to respond to normal interpersonal cues( *they can’t read people)

**Suspicious or paranoid ideas

A

Schizotypal

47
Q

In —, there is a morbid fear of obesity, but an obsession with food.

A

anorexia nervosa

48
Q

What is the dosage for fluoxetine with Bulimia?

A

60 mg/day (3x’s the normal dose)

49
Q

Meds to treat Anorexia Nervosa

A

Fluoxetine

Cloprimamine

Cyproheptadine (appetite stimulant and antipsychotic)

Olanzapine

Chlorpromazine

50
Q

How will the SSRI fluoxetine treat Bulimia?

A

May decrease the craving for carbs, thereby decrease incidence of binge eating, which is often associated with consumption large amounts of carbs

51
Q

There is an association b/t Cluster A symptoms and —

A

Decreased prefrontal grey matter

Decreased posterior hippocampal volume

Increased corpus callosum white matter

52
Q

Calculte BMI

A

weight in kg / height in meters squared

53
Q

Which drug to treat Binge Eating Disorder (BEO)?

A

Topiramate