Test #1 - EVERYTHING Flashcards Preview

Nursing - Semester 2 Baby! > Test #1 - EVERYTHING > Flashcards

Flashcards in Test #1 - EVERYTHING Deck (165):
1

What do you use Parnate (Tranylcypromine), which is an MAOI for?

Treatment of Major depressive episode without melancholia

Usually for pt that do not tolerate or respond to other modes of therapy

2

What does Parnate do?

It inhibits the enzyme monoamine oxidase 

 

3

What are some SE of Parnate (Tranylcypromine)?

Orthostatic Hypotension

HYPERTENSIVE CRISIS

Dry Mouth, abdominal discomfort, edema, sweating, dizziness, tremors, constipation

4

What are some food interactions with Parnate (Tranylcypromine)?

AGED CHEESES

SMOKED MEATS

YEAST PRODUCTS

SOUR CREAM 

WINE

BEER

AVACADOS

CHOCOLATE

 

5

What are some drug interactions with Parnate (Tranylcypromine)?

Tricyclic Antidepressants

SSRI's

Amphetamines

Alcohol

Hypertensives

6

What is Lithium (Eskalith) used for?

Manic episodes of manic depressive illness

7

What does Lithium (Eskalith) physically do?

Alters cation transport in nerve & muscle

May influence reuptake of neurotransmitters

8

What is Lithium (Eskalith) therapeutic effect?

Prevents/Decreases incidence of acute manic episodes

9

What are some SE of Lithium (Eskalith)?

Headache

Lethargy

Fatigue

N/V - Abdominal Pain

Dry Mouth

Metallic Taste

Fine hand tremors

PERIPHERAL CIRCULATORY COLLAPSE

10

What do you need to monitor when a pt is taking Lithium (Eskalith)?

Response to Drug

Periodic Lithium Levels (8-12 Hrs prior to dose)

Periodic Thyroid Function Tests

S&S of Lithium Toxicity
(Vomitting, Diarrhea, course tremors, polyuria)

DO NOT GIVE IF OVER 2 MEQ/L & CONTACT DOCTOR

11

What are the lab values for the following:

Hemoglobin (Male & Female)

Potassium

WBC

Sodium

Hemoglobin:
Male - 14-18 g/dl
Female - 12-16 g/dl

Potassium:
35-50

WBC:
5,000-10,000/mm

Sodium:
136-145 mEq/L

12

What is under each axis I-V?

I - Clinical Disorders
(Can be treated w/ Meds)

II - Personality Disorders & Mental Retardation

III - General Medical Conditions
Ie: Diabetes

IV - Psychosocial & Environmental Problems
Ie: Divoce 3 months prior

V - Global Assessment of Functioning GAF

13

What do you need to assess during the Pre-Op Assessment?

History of Present Illness

Medical History

Head to Toe Exam

Cultural beliefs and Practices

Social Assessment

Cognitive Assessment

Nutritional Assessment

Diagnostics and Labs

14

What are the 6 things that need to be done for Pre-Op?

Assessment

Informed Consent

Teaching

Pre-Op Checklist

Paperwork/Chart & Preps done

Verbal Report

15

What is MAJOR surgery?

Any Procedure done to alter tissue or organ integrity

 

16

What is MINOR surgery?

Limited area

Short time to complete

Does not open body cavity

17

What is involved in informed consent?

Dr. must explain

Nurse can answer questions

Must be done prior to mind altering drug

Must be competent and Conscious

18

What is on the Pre-Op Checklist?

Consent

Identification

Paperwork & Chart

Preps Done

Clinical data posted

19

What are the ABC's of Medical History?

A - Allergies

B - Bleeding Tendencies

C- Cortisone or Steroids

D- Diabetes 

E - Emboli (Any previous events)

20

Why do we need to know if they use alcohol, nicotine or recreational drugs?

Alcohol - Withdrawal symptoms if they use as little as 2 drinks per day

Nicotine - Binds with hemoglobin causing polycythemia (High volume of Red Blood Cells) and potent VASOCONSTRICTION

Caffeine - May have post-op headache due to caffeine instead of other problem

21

What do you need to know about meds pre-op?

Prescription / OTC / Herbals 
(St. Johns Wort/KAVA KAVA)

Last doses (Date/time)

Vital Meds
HBP, Arrythmia, Antiseizure, resp related

Chronic Illnesses
Affects positioning , pain levels, outcomes

Psychological Illnesses
Includes Dementia, affects perceptions, influence teaching and learning

22

What physically happens if you experience physical stress due to surgery?

FIGHT OR FLIGHT

23

What psychologically happens due to surgical stress?

Anxiety & Fear

Fear of Unknown

Post Op Pain

Anesthesia

Loss of limb or Organ

Loss of Job

Loss of social/family role

Vulnerability while unconcious

Separation from sig other

DEATH

24

What are some interventions for surgical stress?

Therapeutic Communication

Answer Questions

Provide Information

Use touch if appropriate

Support Groups

May require Meds to decrease Anxiety

25

What Labs can delay surgery?

Potassium

Electrolyte Levels

WBC or infection

EKG 
(Cardiac Function)

26

What are some factors that affect healing after surgery?

Age
(Older = Longer to heal)

Circulation

Corticosteroids
(Impair tissue healing)

Foreign Body

Infection

Weight
(Increased stress on staples/stitches)
(Adipose tissue = Decreased blood flow)

Nutrition
(Protein & energy needed to rebuild tissue)

27

What are 3 types of surgical wounds?

Primary Intention
Edges well Approximated

Secondary Intention
Left open to heal from inside out

Tertiary Intention
Contaminated wounds that are closed later when they appear free of debris

28

What are the 4 W's and I of Post-Op care?

Wind
Pneumonia, Atelectasis, Pulmonary Embolism

Wound
Infection, Dehiscence, Evisceration

Water
UTI (Check Catheter)

Walk
Thrombophlebitis

Illeus
No bowel sounds, distention, feeling bloated, unabel to pass gas or defecate

29

What are 4 things you need to do Post-OP?

Receive report from PACU nurse

Assessment: 
Head to Toe, Frequent VS, IV's, tubes, dressings, drainage, I&O, Pain & Discomforts, Safety Issues

Monitor
Resp, TCDB, Spirometer, Activity, Nutrition & Fluids, Psycholigical support, spiritual support

Ensure home safety after discharge

30

What are some Post-Op Complicions?

A&B
Oral/Nasal Airway
Position on Side
Positive pressure ventilation for Laryngospasm
Suctioning, Oxygen Therapy, DB&C

C
Hypo or Hypertension
Trendelenburg
Fluids
Meds
Blood Transfusion
Monitor - I&O - Diuretic may be required

31

What is the most common reason for fever Post-Op?

The 4W's and I 

32

What ar

33

What do Anti-Anxiety's do?

Decrease Mental Tension and Anxiety

Xanax/Ativan

34

What do Narcotics do?

Pain control

Anesthesia

Morphine/Demerol/Lortab

35

What are some side effects of Narcotics?

Resp Depression

Constipation

Nausea/Vomitting

36

What do sedatives do?

Sedate

Relax Muscles

Valium/Versed

37

What are some Side Effects of Sedatives?

Respiratory Depression

Hypotension

Drowsiness

38

What do Anticholinergics do?

Decreased oral and respiratory secretions

Robinul

39

What are some side effects of anticholinergics?

Urinary  Retention

Constipation

Muscle Weakness

Dry Mouth

40

What do Histamine H2 Receptor Antagonists do?

Decrease gastric acid secretion

Tagamet

41

What are some side effects of Histamine H2 Receptor Antagonists?

Headache 

Bradycardia

Abdominal Cramps

42

What do Garlic, Ginger, Ginkgo & Ginseng interfere with?

Clotting

43

What do St. Johns Wort and KAVA KAVA do to the sedative effect of anesthesia?

It prolongs it

44

What are some side effects of Anti-Anxiety's?

Drowsiness

Sedation

45

What are some signs and symptoms of Cholelithiasis?

Pain (Biliary Colic)

Belching

N/V

Bloating

Flatus

Intolerance of fatty foods

Vague upper abdomen sensations

RUQ tenderness w/ guarding

46

What happens that leads to Cholelithiasis?

Bile becomes super saturated in cholesterol or calcium

Gallbladder stasis leads to bile stasis

Infection leads to stones

MAY BE ASYMPTOMATIC

47

What is Cholecystitis?

Inflammation of gallbladder

May be acute or Chronic

48

What causes Cholecystitis?

Distention of Gallbladder

Becomes edematous & Gangrenous
Necrosis may occur

Can lead to abscess or sepsis

Gallbladder can rupture

49

What are signs and symptoms of ACUTE Cholecystitis?

Pain in epigastric, RUQ, Subscapular Area
Starts suddenly , increases steadily, Peaks in 30 min

Tenderness in RUQ, epigastric area or both

Murphy's Sign
Deep palpation below rib cage, deep breath will cause liver and gallbladder to move down causing to touch fingers and give intense pain

N/V, Low grade Fever, Inc WBC & Liver Enzymes

50

What are some S&S of chronic Cholecystitis?

Pain less severe

fever not as high

WBC is lower

Vague s&s of indigestion

epigastric pain

heartburn

Fat intolerance

flatus

51

What is Cholelithiasis?

Gallstones

52

What is Choledocholithiasis?

Gallstones in the Common Bile duct

*Effects everything upstream and can obstruct pancreatic duct and may be genetic

53

What are some S&S of Choledocholithiasis?

Jaundice

WBC increased if common duct is inflammed

Increased Bilirubin, ALP
Other labs effected: Inc Liver Enzymes, Amylase, PT

Loss of Function

 

54

What 2 organs does Choledocholithiasis effect?

Liver & Pancreas

55

What are 6 tests that you can do for the Gallbladder?

Ultrasound

Nuclear Scan (HIDH Scan)

Gallbladder Series (Cholecystogram)

Cholecystography

Cholangiography

Endoscopic retrograde Cholangiopancreatography (ERCP)

56

What are 5 medication classes for Gallbladders?

Cholesterol Dissolving Agent
(Monoctanoin, CDCA, UDCA Actigal)

Lipid Lowering
(Zocor, "Statin" Meds)

Bile Acid Sequestrants
(Questran)

Antibiotics
(For Cholecystitis)

Antiemetics
(If necessary)

57

What do Cholesterol dissolving agents do?

Decrease amount of cholesterol in bile

Stones re-occure, indefinite time meds

58

What does lipid lowering meds do?

Decrease LDL and cholesterol synthesis

Unclear if this affects cholesterol levels in bile

59

What are some side effects of Bile Acid Sequestrants?

Constipation

Decrease absorption of K, A, D, E

Increased Bleeding Tendencies

60

What are 3 types of Gallbladder surgery?

Lithotripsy
Shock waves crush the stones & pass naturally

Cholecystectomy
Laparoscopic - Surgical Removal

Choledochostomy
T-Tube inserted into bile duct with cholestomy bag

61

What are some Pre/Post-Op care that needs to be done for gallbladder surgery?

Head to Toe Assessment & VS

Nutrition, Fluids & Electrolytes

Pain & Discomforts

Management of tubes, drains & dressing

Patient and family teaching

62

What are some complications with Gallbladder surgeries?

Severe pain & tenderness in RUQ

Abdominal girth Increases

Bile or blood leaking from wound

Decreased BP and Increased HR

Restlessness

Agitation

63

What are some teachings for gallbladder surgeries?

Routine Pre/Post-Op teaching

Wound Care, Management of T-Tube

64

What are some S&S to report to PCP after gallbladder surgery?

Fever

Chills

N/V

Jaundice

Pruritus

Dark Colored Urine

Pale Colored Stools

65

What are some Health Promotion to do for gallbladder surgeries?

Eliminate Obesity

Increase Fiber, Carbs and Proteins

Decrease Saturated Fats

Ingest meals at regular intervals

Participate in vigourous Exercise

66

What is Anhedonia?

Inability to find meaning or pleasure in existence

67

What are some factors that lead to depressions?

Genetic

Biochemical

Stressful LIfe Event

Learned Helplessness

68

What does serotonin do for your body?

Regulates:

Sleep
Appetite
Libido
Perception of Pain

69

What does norepinephrine do in your body?

Decrease Concentration

Decrease Libido

ANERGIA - Lack of Energy

ANHEDONIA - Inability to find meaning

70

What are some biochemical factors (Diseases) that affect depression?

CNS neurotransmitter abnormalities

Stroke

Hypothyroidism

AIDS

Drug Use

71

What is learned helplessness?

Person feels they have no control over situation

If they believe it's their fault, it can't be changed

72

Depression is higher in ______ people and twice as common in _______.

Depression is higher in WHITE people and twice as common in WOMEN.

73

Depression is associated with chronic illnesses and can cause pain, suicide increases with ______.

Depression is associated with chronic illnesses and can cause pain, suicide increases with AGE.

74

During depression patients may have ________ or _________

During depression patients may have HALLUCINATIONS or DELUSIONS

75

What is Dysthymia Disorder?

Chronic Depressive syndrome

Usually not hospitalized

Onset may occur early in life

 

76

Patients with Dysthymia Disorder are at risk for developing what?

Major Depressive Disorder

77

What are some nick names given to people with Dysthymia Disorder?

Negative Nancy's 

Debbie Downers

78

What are 6 subtypes of Major Depressive Disorder?

Psychotic

Catatonic

Melancholia

Postpartum

Seasonal 

Atypical

79

What are the following subtypes of MDD?

Psychotic
Break with Reality - Hallucinations/Delusions

Catatonic
Weird Voluntary movement - Waxy Flexibility

Melancholia
Anorexia or Weight Loss

Postpartum
Within 4 weeks post baby

Seasonal
Fall or winter w/ remission in the spring

Atypical
Weight Gain, Hypersomnia

80

Patient's with MDD should be watched for suicide potentional, especially if you notice a sudden ______ of _______, and they say  everything is fine!

Patient's with MDD should be watched for suicide potentional, especially if you notice a sudden BURST of ENERGY, and they say  everything is fine!

81

There are a TON of S&S for Major Depressive Disorder, What are some of the main ones?

ANHEDONIA
ANERGIA
POOR POSTURE
LOOK OLDER THAN AGE
FACIAL EXPRESSIONS CONVEY SADNESS
FLAT EFFECT
NO EYE CONTACT
PSYCHOMOTOR RETARDATION
LACK OF HYGEINE
CHANGE IN EATING & SLEEPING PATTERNS
MEMORY & CONCENTRATION PROBLEMS

82

What is the #1 priority when dealing with patients with depression?

Safety
Them and You

83

What are some interventions with patients with MDD?

Psychotherapy

Group Therapy

Medications
(Tricyclic Antidepressant TCA, SSRI, Atypical depression meds, MAOI's)

Somatic Treatments
(Electroconvulsive Therapy)

Integrative TherapiesTherapy 30-60 min/day)

St. Johns Wort
(used for Mild Depression)

84

What are some items you should do for safe care of patients with MDD?

Frequent Observation

Therapeutic Communication

Written Behavior

No Suicide Contract

Monitor

Restrain Visitors

85

What are 2 common diagnosis for MDD patients?

Ineffective Coping
(Highest priority Dx)

Disturbed thought process

86

What do higher needs deal with?

Mental processes

Feelings & how we organize our reality in our head

Emotions and the mind

Affective
(How you feel about yourself)

87

What is Self Esteem?

Your self concept

Self worth, self respect, privacy, dignity, self reliance

88

What is self actualization?

Stand up for yourself

Not followers

Autonomy

89

What is Safety and Security?

Becomes a higher need when we don't feel secure

Are we in danger of being hurt

Are we safe

Action Warrants action

90

What is love & Belonging?

The need to feel loved & accepted

Not necessarily conventional love

*Pets/Church - Sense of belonging relationships

91

Physical needs come _____ EVERYTIME!

Physical needs come FIRST EVERYTIME!

92

Make sure there is not a physical problem causing a _______ problem.

Make sure there is not a physical problem causing a PSYCHOLOGICAL problem.

93

Who is the father of Psychology?

Freud

94

What is the primitive, pleasure-seeking part (particularly sexual pleasure) of our personalities that lurks in the unconscious mind? (FREUD THEORY)

ID

95

What is our sense of self and acts as an intermediary between the id and the world by using defense mechanisms, such as repression, denial, and rationalization? (FREUD THEORY)

EGO

96

What is our conscience and is greatly influenced by our parents’ or caregivers’ moral and ethical stances?

SUPER EGO

97

What are some DO's for an effective nurse-patient relationship?

Actually Listen

Use open ended questions

self disclose a purpose of helping patient

Use touch when appropriate in appropriate manner

98

What are some DON'T's for an effective nurse-patient relationship?

Give out your phone #

Don't cross boundaries
Remember why you're there, not to be friend

Don't OVERSYMPATHIZE

99

What are the phases of interactions?

Pre-Orientation

Orientation

Working

Termination

100

What happens during the most important phase of interaction with a patient, Pre-Orientation?

Time preparing self for actions with patient

Reviewing Chart

Talking to team members

Examining own feelings

101

What happeens during the orientation phase?

Introducing self

Determining where you are going to go

Develop plan with patient

102

What happens during the working phase?

Meeting them & doing interventions

Working on set goals with each other

 

103

Termination begins on __________

Termination begins on ADMISSION

104

What are the characteristics of caring?

Approach
Are you prepared and approachable

Acceptance
Victims can become perpertrators

Warmth
Give

Empathy
Can you understand where they come from

Authenticity
Be real, mean what you say

Patience

Respect
As humans & individuals

Trust
Be trustworthy, tell truth, don't make promises you can't keep

Self-Disclosure
Only when benefits pt

Humor
Be careful, can come off as cynical

105

What are some alternative therapies for depression/mood disorders?

Accupuncture

Aroma Therapy

Cultural/Spiritual Medicine

Meditation

106

What are 4 items that occur during the termination phase?

• Summarizing the goals and objectives achieved in the relationship

• Discussing ways for the patient to incorporate into daily life any new coping strategies learned during the time spent with the nurse

• Reviewing situations that occurred during the time spent together

• Exchanging memories, which can help validate the experience for both nurse and patient and facilitate closure of that relationship 

107

What are 4 reasons that going through the termination phase is so important?

• Feelings are aroused in both the patient and the nurse with regard to the experience they have shared; when these feelings are recognized and shared, patients learn that it is acceptable to feel sadness and loss when someone they care about leaves.

• Termination can be a learning experience; patients can learn that they are important to at least one person.

• By sharing the termination experience with the patient, the nurse demonstrates caring for the patient.

• This may be the first successful termination experience for the patient. 

108

What is a healthy environment, combined with a healthy social structure within an inpatient setting or structured outpatient clinic is essential to supporting and treating those with mental illness?

THERAPEUTIC MILIEU

109

Therapeutic Milieu refers to the _________ in which holistic treatment occurs and includes all members of the treatment team, a positive physical setting, interactions between those who are hospitalized, and activities that promote recovery. 

Therapeutic Milieu refers to the ENVIRONMENT in which holistic treatment occurs and includes all members of the treatment team, a positive physical setting, interactions between those who are hospitalized, and activities that promote recovery. 

110

Most Therapeutic Milieu's goals are to .....

(4 of them)

Help increase patients’ self-esteem

Decrease social isolation

Encourage appropriate social behaviors

Educate patients in basic living skills

111

What is the goal of group therapy?

Assumes that interaction among participants can provide support or bring about desired change among individual participants. 

112

What is the Nurse's Role in Group Therapy?

To provide a structure to understand the group interaction

113

What is ECT (Electroconvulsive Therapy)?

A procedure that uses electrical current to induce a seizure, and is thought to work by affecting neurotransmitters and neuroreceptors

114

What happens during Psychosurgery?

A small piece of brain is destroyed or removed

115

What happens during phototherapy?

Exposure to daylight or to specific wavelengths of light using polychromatic polarised light, lasers, light-emitting diodes, fluorescent lamps, dichroic lamps or very bright, full-spectrum light, usually controlled with various devices. The light is administered for a prescribed amount of time and, in some cases, at a specific time of day

116

In healthy individuals, the ___ is able to realistically evaluate situations, limit the ___'s primitive impulses, and keep the _______from becoming too rigid and obsessive

In healthy individuals, the EGO is able to realistically evaluate situations, limit the ID's primitive impulses, and keep the SUPER EGO from becoming too rigid and obsessive.

117

___________ ______________ protect people from painful awareness of feelings and memories that can provoke overwhelming anxiety. Adaptive use of ___________ _____________ helps people lower anxiety to achieve goals in acceptable ways.

DEFENSE MECHANISMS protect people from painful awareness of feelings and memories that can provoke overwhelming anxiety. Adaptive use of DEFENSE MECHANISMS  helps people lower anxiety to achieve goals in acceptable ways.

118

What theory focuses on what occurs between people, and not the mind?

INTERPERSONAL THEORY

119

Who was considered the mother of psychiatric nursing, had a passion for clarifying and developing the art and science of professional nursing practice and believed that a scientific approach was essential to the practice of psychiatric nursing?

HILDEGARD PEPLAU

120

What are the 4 stages to Peplau's Phases of Interactions?

Pre-Orientation

Orientation

Working

Termination

121

What is the phase of Interactions where concerns focus on being afraid of people with psychiatric problems, saying “the wrong thing,” and being unaware of the proper responses to certain patient behaviors?

Pre-Orientation Phase

122

What is unconsciously keeping unacceptable feelings out of awareness?

Repression

IE: A man is jealous of a good friend's success but is unaware of his feelings

123

What is consciously keeping unacceptable feelings & Thoughts out of awareness?

Suppression

IE: A student taking an examination is upset about an argument with her boyfriend but puts it out of her mind so she can finish the test

124

What is the unconscious assumption of similarity between oneself and another?

Identification

IE: After hospitalization for minor surgery, a girl decides to be a nurse

125

What is the acceptance of another's values & opinions as one's own?

Introjection

IE: A woman who prefers a simple life style assumes the materialistic, prestige-oriented values of her husband

126

What is attributing one's own acceptable feelings and thoughts to others?

Projection

Ie: A man who is quite critical of other thinks that people are joking about his appearance

127

What is blocking out painful or anxiety-inducing events or feelings?

Denial

IE: A boss tells an employer he may have to fire him. On the way home the employee shops for a new car

128

What is the falsification of experiences through the construction of logical or socially approved explanations of behavior?

Rationalization

IE: A man cheats on his income tax return & tells himself it's alright bc everyone does it

129

What is unacceptable feelings disguised by regression of the feeling and by reinforcement of the opposite feeling?

Reaction Formation

IE: A woman who dislikes her mother-in-law is always nice to her

130

What is discharging of pent-up feelings on persons less dangerous than those who initially aroused the emotion?

Displacement

IE: A student who has received a low grade on a term paper blows up at his girlfriend when she asks about his grade

131

What is the separating an emotion from an idea or thought because the emotional reaction is too painful to be acknowledged

Intellectualization

IE: A man learns from his Dr. that he has cancer. He studies the physiology and treatment of cancer without experiencing any emotion

132

What are defense mechanisms?

Psychological techniques the personality develops to manage anxiety, aggressive impulses, hostilities, resentments, frustrations and conflicts between the ID and the Superego

Used by both mentally healthy and mentally Ill 

 

133

Mental health is determined by the degree that the defense mechanisms _______ the personality, _______ behavior, and ________ adjustment with others

Mental health is determined by the degree that the defense mechanisms DISTORT the personality, DOMINATE behavior, and DISTURB adjustment with others

134

What are the 4 types of Antidepressants?

Trycyclic 

Selective Serotonin Reuptake Inhibitors (SSRI's)

Monoamine Oxidase Inhibitors (MAOI's)

Newer Atypical Antidepressants

135

What do tricyclic Antidepressants do?

Inhibit uptake of norepinephrine and serotonin

Elevates mood
10-14 days before working
4-8 wks full effect

Start low and raise SLOWLY

136

What are some adverse effects of Tricyclic Antideppressants?

Orthostatic Hypotension

Drymouth, blurred vission, tachycardia, constipation, urinary retention

 

137

What are some TOXIC effects of Tricyclic Antidepressants?

Heart Blockage

Tachycardia

MI

Dysrhythmias

CAN KILL QUICKER WITH OVERDOSE
ANTICHOLERGENIC AFFECTS
Cant see, pee, spit, shit

138

What do SSRI's do?

They blok the uptake of serotonin

Decrease Anticholinergic effects

Treats anxiety disorders, OCD and Panic

139

What are some adverse side effects of SSRI's?

Poor sexual performance

dry mouth

Sweating

Weight Change

Mild Nausea

Loose bowel movements

140

What is a toxic effect of SSRI's?

Serotonin Syndrom

141

What are some S&S of Serotonin Syndrome?

Abdominal Pain

Diarrhea

Fever

Hypertension

Delirium

Muscle spasm

Cardiovascular Shock

HIGH FEVER

DEATH

142

What do MAOI's do?

Prevents breakdown of Norepinephrin, Seratonin and Dopamin

Inhibits breakdown of tyramine int he liver

Increased tyramine levels which lead to HYPERTENSION, HYPERTENSIVE CRISIS OR DEATH!

143

What do you use MAOI's for?

Atypical Depression

Panic Disorder

Social Phobia

PTSD

144

What are some adverse effects for MAOI's?

Muscle cramps

Sexual Impotence

Fatigue

Insomnia

Sedation

Hypotension

Urinary hesitance

Constipation

Weight Gain

Changes in Cardiac Rhythm

145

What are some toxic effects of MAOI's?

HYPERTENSIVE CRISIS

Severe Headache

Stiff or sore neck

clammy skin

Nose bleeds

N/V

Chest Pains

Stroke

DEATH

146

What do Newer Atypical (NOVEL) Antidepressants do?

Blocks different neurotransmitters

Target unique populations of depressed individuals as well as other conditions

147

What person would you see first, one with higher or lower need?

LOWER NEED Physical needs ALWAYS come first

148

What is unconsciously keeping unacceptable feelings out of awareness?

Repression

149

What is consciously keeping unacceptable feelings out of awareness?

Suppression

150

What is unconscious assumption of similarity between oneself & another?

Identification

151

What is the acceptance of another's values & opinions as ones own?

Introjection

152

What is the attributing one's own unacceptable feeling and thoughts to others?

Projection

153

What is the blocking out painful or anxiety-inducing events or feelings?

Denial

154

What is the falsification of experiences through the construction of logical or socially approved explanation of behavior?

Rationalism

155

What is the unacceptable feelings disguised by regression of the real feeling and by reinforcement of the opposite feeling?

Reaction Formation

156

What is the discharging of pent-up feelings on persons less dangerous than those who initially aroused the emotion?

Displacement

157

What is the separating of an emotion from an idea or thought because the emotional reaction is too painful to be acknowledged?

Intellectualization

158

What are the 3 theories that Sullivan discusses?

Good Me
Ie: I am great at football, I feel good

Bad Me
Ie: I failed that test, I am a failure

Not Me
Ie: I didn't do it, It wasn't me

159

What are some patient teachings for SSRI's?

Decrease in sexual function

Insomnia

Anxiety

Nervousness

Drug Interactions w/ DIGOXIN/WARFARIN

Avoid Alcohol

Do NOT DC abruptly

Liver & Renal tests with WBC's periodically

160

What are some S&S of SSRI's that require IMMEDIATE attention?

Increase in suicidal thoughts

Rash or hives

Rapid Heartbeat

Sore Throat

Difficulty Urinating

Fever

Malaise

Anorexia

Weight Loss

Unusual Bleeding

Initiation of Hyperactive behavior

Severe Headache

161

What are 4 other (Somatic) treatments for Depression?

Electroconvulsive Therapy (ECT)

Vagus Nerve Stimulation (VNS)

Integrative Therapies

St. John's Wort

162

What is written deffammation?

Libel

163

What is spoken deffammation?

Slander

164

What is a verbal threat?

Assault?

165

What is actually harming someone?

Battery