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Unit 1 Pyschiatric Flashcards

(63 cards)

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0
Q

Sedative Hypnoics

A

GABA/Melatonin

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1
Q

Antianxiety Agents

A

GABA

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2
Q

Antidepressants

A

Monoamines

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3
Q

Mood stabilizers

A

Glutamate

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4
Q

Antipsychotics

A

Dopamine

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5
Q

Anticholinesterase

A

Norepinephrine

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6
Q

Medications used to treat social phobias and how do they work?

A

SSRIs
Work by blocking the reuptake of serotonin”more serotonin available” enhancing its transmission at the serotonergic synapse

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7
Q

What type of antipsychotics would be prescribed for an overweight patient and why?

A

Typical/Conventional/1st Generation

These do not cause weight gain like the atypical/2nd generation

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8
Q

Therapeutic uses of anti anxiety medications

A

Used therapeutically for insomnia, also OCD, social anxiety disorder, generalize anxiety, panic disorder, an PTSD

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9
Q

List the stages of the nurse patient relationship, and what happens at each stage

A

Orientation
Working
Termination

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10
Q

Cultural Filter

A

Cultural filters are a form of cultural bias or cultural prejudice that determines what we pay attention to and what we ignore

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11
Q

Levels of anxiety

A

Mild
Moderate
Severe
Panic

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12
Q

ECT therapy

A

Used in:
Pts who are suicidal
No response to other treatment
4 or more manic episodes per year

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13
Q

Manic nursing interventions

A

Use a firm and calm approach
Maintain a low level of stimuli
Monitor I&Os as well as VS
Encourage frequent rest periods

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14
Q

Ideas of reference

A

Giving personal significance to trivial events, perceiving events as relating to you when they are not

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15
Q

Auditory hallucinations

A

Hearing voices or sounds that do not exist in the environment but are mister epitome of inner thoughts or feelings

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16
Q

Echoloia

A

The pathological repeating of another’s words

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17
Q

Wavy flexibility

A

The extended maintenance of posture

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18
Q

Depersonalization

A

A nonspecific feeling that a personas lost his/her identity and that the self is different or unreal

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19
Q

Neologism

A

Made up words that have meaning for the patient but a different or nonexistent meaning to others

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20
Q

Clanging

A

The choice of words based in their sound rather than their meaning, often rhyming and sometimes having a similar beginning sound

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21
Q

Alogia

A

Poverty of speech:

Reduced amount of speech; responses range from brief to one word answers

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22
Q

Anhedonia

A

Inability to experience pleasure in activities that usually produce it

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23
Q

Dystonia

A

Abnormal muscle tonicity resulting in impaired voluntary movement

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24
Akathisia
Regular rhythmic movements, usually of the lower limbs; constant pacing may be seen
25
Tardive dyskinesia
A serious and irreversible side effect of phenothiazines and related drugs; consists of involuntary tonic muscle spasms typically involving the tongue, fingers, toes, neck, trunk or pelvis
26
Bulimic Symptoms
``` Does not appear ill Often near normal weight Tooth erosion Parotid swelling Gastric dilation Calluses on hands Peripheral edema Muscle weakening Abnormal EKG Cardiac failure Abnormal labs ```
27
Anorexia symptoms
``` Severely underweight May have fine hair on face and back(lanuge) Mottled, cool skin Low BP, temp, pulse Amenorrhea Yellow skin Peripheral edema Impaired renal function ```
28
Delirium
Acute | Reversible
29
Dementia
Gradual | Permanent
30
Alcohol dependence
Needing to drink
31
Alcohol abuse
Drinking too much
32
Tolerance
A persons physiological reaction I alcohol decreases with administration of the same dose
33
Alcohol Withdrawal Delirium
``` Anxiety Insomnia Anorexia Delirium Autonomic hyperactivity Sensory disturbances Perpetual disturbances Fluctuating levels of consciousness ```
34
Conversion disorder
Presence of deficits in voluntary motor or sensory functions
35
Fugue
An altered sate o consciousness involving both memory loss and travel away from home or from ones usual work locale
36
Hypochondriasis
Misinterpretation of physical sensation
37
Somatization disorder
A person chronically and persistently complains of multiple physical problems that have no physical origin and interfere with day-to-day functioning
38
Pain disorder
Diagnostic testing rules out organic cause, discomfort leads to impairment
39
Body dysmorphic disorder
Preoccupation with an imagined defective body part
40
Factitous disorder
Consciously pretend to be ill I get emotional met and attain status of "patient"
41
Crisis intervention
A short term therapeutic process that focuses on the rapid resolution of an immediate crisis or emergency
42
Schizophrenic medication problems
``` Dry mouth Urinary retention Constipation Blurred vision Photo sensitivity Dry eyes Inhibition of ejaculation Anticholinergic toxicity Akathisia Tachycardia ```
43
Incidence
Number of new cases
44
Prevalence
Total number of cases, existing a new, in a given population during a specific period of time
45
Typical antipsychotics
Pinkish/brown urine | 3-6 weeks full therapy to effects
46
Neuroleptic Malignant Syndrome
``` Muscle rigidity Sudden high fever AMS Renal failure Coma ```
47
Agranulocytosis
Large amount of WBC | Blood draws
48
Kava kava
Increases the sedative effects of anxiolytics
49
SNDIs Serotonin Norepinephrine Disinhibitors
Increase norepinephrine and serotonin transmission
50
Lithium
Mood stabilizer | Toxicity level 0.5-1.5
51
PTSD
3months
52
Acute
Usually resolves in a week
53
GAD
Last 6months
54
PET Scans
Shows altered globose metabolism Schizophrenia Depression
55
Compensation
Used to make up for perceived deficiencies and cover up shortcomings related to these deficiencies to protect the conscious mind from recognizing them
56
Conversion
Unconscious transformation of anxiety into a physical symptom with no organic cause. Often the symptom functions to gain attention or as an excuse
57
Denial
Involves escaping unpleasant, anxiety-causing thoughts, feelings, wishes, or needs by ignoring their existence
58
Displacement
Transference of emotions associated with a particular person, object, or situation to another non threatening person, object, or situation
59
Dissociation
Disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment
60
Identification
Attributing to oneself the characteristics o another person or group
61
Intellectualization
Process in which events are analyzed based on remote, cold facts and without passion, rather than incorporating feeling and emotion into the process
62
Introjection
Process by which the outside world is incorporated or absorbed into a person's view of the self

Nursing (5 decks)

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