test 2 Flashcards

0
Q

anhedonia

A

an inability to find meaning or pleasure in existence

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1
Q

dysthymia

A

aka persistent depressive disorder, characterized by depressive sx that have been present for at least 2 years

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2
Q

anergia

A

reduction in or lack of energy

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3
Q

Lithium

A

Mood stabilizer, used in manic episodes of bipolar 1

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4
Q

Side effects of lithium

A

seizures, HA, fatigue, confusion, abdominal pain, hypotension, polyuria, glycosuria, weight gain

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5
Q

Clonazepam

A

benzodiazepine, anticonvulsant

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6
Q

S/E of clonazepam

A

Suicidal thoughts, palpitations, drowsiness, fatigue, ataxia, rash, constipation, diarrhea, urinary retention, anemia, hypotonia

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7
Q

Risperidone

A

antipsychotic, mood stabilizer, used in adults with schizophrenia, short term treatment of acute manic or mixed episodes associated with bipolar 1 disorder

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8
Q

S/E of risperidone

A

Neuroleptic malignant syndrome, suicidal thoughts, aggressive behavior, tardive dyskinesia, dry mouth, vomiting, weight gain, increased risk for diabetes

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9
Q

Lamotrigine

A

anticonvulsant, used to treat schizophrenia

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10
Q

S/E of lamotrigine

A

Life threatening rash, rare but potential septic meningitis, ataxia, HA, hepatic failure, drowsiness, N/V, photosensitivity

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11
Q

Aripiprazole (Abilify)

A

used to treat schizophrenia, and acute agitation (antipsychotic, mood stabilizer)

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12
Q

S/E of aripiprazole

A

Little or no weight gain, may cause anxiety initially, dizziness, insomnia, akathisia, sedation, prolonged QT interval, DKA, NMS

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13
Q

Imipramine

A

antidepressant

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14
Q

S/E of imipramine

A

Suicidal thoughts, drowsiness, fatigue, hallucinations, hypotension, constipation, dry mouth, weight gain, decreased libido, photosensitivity

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15
Q

Interventions for severe anxiety

A
Move person to quiet environment 
Firm short and simple statements 
Maintain calm manner
Minimize environmental stimuli
Reinforce reality if distortions occur
Listen for themes in communication 
Attend physical and safety needs
Assess need for medication
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16
Q

Nursing diagnoses for severe anxiety

A
Ineffective coping 
Deficient diversional activity
Social isolation 
Impaired social interaction
Sleep deprivation 
Fatigue
Hopelessness
Chronic low self esteem 
Imbalanced nutrition; less than body requirements
17
Q

Generalized anxiety disorder

A

Characterized by excessive, persistent, and uncontrollable anxiety, and excessive worrying. Also known as the “worry disease” Dx is made if 3 sx are present: restlessness, fatigue, poor concentration, irritability, muscle tension, and sleep disturbance.

18
Q

Worries typical in GAD:

A

Inadequacy in interpersonal relationships, job responsibilities, finances, healthy of family members, household chores, and lateness for appointments.

19
Q

Obsessive compulsive disorder

A

Obsessions are defined as thoughts, impulses or images that are persist so they cannot be dismissed from the mind. Compulsions are ritualistic behaviors that a person feels driven to perform in an attempt to reduce anxiety

20
Q

Body dysmorphic disorder

A

Preoccupation with an imagined defective body part; obsessional thinking and compulsive behavior and impairment of normal social activities

21
Q

Depersonalization

A

Persistent or recurrent alteration in the perception of self while reality testing remains intact Person may feel “dreamy” or a sense of unreality, slow movement of time or detachment from the body

22
Q

Derealization

A

Persistent or recurrent experience of unreality of surrounding while reality remains intact. There is often an unreal, dreamlike, distance or distorted experience in familiar surroundings.

24
Q

Conversion Disorders

A

Marked by sx or deficits that affect voluntary motor or sensory functions and that suggest a medical condition. Many patients show lack of emotional concern about the sx

25
Q

What are coping strategies of people with anxiety?

A

Defense mechanisms

26
Q

Healthy defense mechanisms

A

Altruism (meeting needs of others)
Sublimation (using socially acceptable behaviors)
Humor
Suppression (conscious denial)

27
Q

Intermediate defense mechanisms

A
Repression
Displacement (transfer of emotions)
Reaction formation
Somatization (turning into physical sx)
Undoing
Rationalization (justifying)
28
Q

Immature defense mechanisms

A
Passive aggression
Acting out behaviors 
Dissociation
Devaluation
Idealization
Splitting ( black or white)
Projection (blaming)
Denial
29
Q

Assessment of anxiety disorders

A

Physical and neuro examination
Assess for potential self harm/suicide
Perform psychosocial assessment
Assess cultural beliefs

30
Q

Sx of conversion disorders

A
Involuntary movements
seizures
paralysis, abnormal gait
anesthesia
blindness, deafness
Lack of emotional concern about sx (La Belle indifference)
31
Q

Dissasociative amnesia with Fugue

A

Characterized by sudden, unexpected travel away from the customary locale and inability to recall one’s identity and information about some or all of the past

32
Q

Dissociative identity disorder

A

aka multiple personality disorder. The presence of two or more distinct personality states that recurrently take control of behavior. Primary personality is not aware of subpersonalities. Subpersonalities are aware of the existence of each other to some degree.

33
Q

Etiology of dissociative identity disorder

A
  • Early trauma or detachment from caregiver
  • May have smaller hippocampus
  • Severe sexual, physical or psychological trauma in childhood predisposes to DID
  • Family hx of DID
34
Q

Assessment of DID

A
Assess pt ability to identify themselves
Note changes in pt behavior, voices, and dress 
Referring self by another name
Can pt remember past/recent events?
Recent injury? Hx of early trauma?
Mood?
Suicide risk?
35
Q

Antisocial Personality disorder

Cluster B

A

Characterized by deceit, manipulation, revenge, and harm to others with an absence of remorse for hurting others. Sense of entitlement, don’t adhere to traditional values, no restraint on their behavior, lack regard for the law. Verbally charming promiscuous, disregard for safety of others. May have a hx of violence

36
Q

Borderline Personality disorder

Cluster B

A

Instability of affect, unstable and frequent mood changes. Feelings of anxiety, dysphonia, and irritability intense though short lived. Chronic depression is common. Desperately seek relationships to avoid feelings of abandonment, excessive demands, impulsive behavior. Relationships are stormy, lack of trust.

37
Q

With borderline personality disorders the perception of a person alternates between

A

Idealization and devaluation and overinvolvement and withdrawal.

38
Q

Common defense mechanism of person with boderline personality disorder

A

Splitting (inability to integrate both the positive and negative qualities of an individual into one person

39
Q

S/S of anorexia

A
Terror of gaining weight
Amenorrhea 
Preoccupation with thoughts of food
View of self as fat even when emaciated
Peculiar handling of food
Rigorous exercise regimen
Self-induced vomiting 
Use of laxatives and diuretics
Controls what they eat to feel powerful to overcome feelings of helplessness
40
Q

During assessment of a pt with anorexia, the nurses observes

A

Cachetic (severely underweight w/ muscle wasting)
Lanugo
Mottled, cool sin
Low BP, pulse, temp

41
Q

S/S of bulimia

A
Binge-eating behaviors
Self induced vomiting 
Depressive S/S
Problems with self concept, impulsive behaviors
Increased levels of anxiety 
Possible chemical dependency 
Possible impulsive stealing
42
Q

S/S of depression

A
Mood of sadness, despair and emptiness
Loss of ability to experience pleasure in life
Low self esteem, and motivation
Apathy
Social withdrawal 
Irritability, insomnia or hyperinsomnia
Suicidal idealation 
Disruption in concentration or ability to make decisions