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Pop Health 2 > Unit 2 Mja > Flashcards

Unit 2 Mja Flashcards

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1
Q

What is a somatic disorder

A

Somatic disorders are characterized by physical symptoms suggesting medical disease but without demonstratable organic pathology
The inability of modern medicine to determine the existence of pathophysiology to explain a client’s symptoms is not sufficient to diagnose with a mental illness

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2
Q

What is dissociative disorders

A

Defined by a destruction in the usually integrated functions of consciousness, memory and identity
Dissociate responses occur when anxiety becomes overwhelming and the personality becomes disorganized

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3
Q

What conditioning is is called when you add something to modify behavior

A

Positive conditioning

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4
Q

What is conditioning is taking something away to modify behavior

A

Negative conditioning

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5
Q

What is the difference between punishment and reward

A

Punishment-want to discourage the behavior
Reward-want to encourage the behavior

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6
Q

What is an example of positive punishment

A

Something is added to discourage behavior

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7
Q

What is negative reward

A

Something is subtracted to encourage behavior

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8
Q

What the numonic “my friend Sarah gets angry when she can’t smoke dope”

A

Serotonin and dopamine are associated with anger and agression in low amounts

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9
Q

What is the numonic for “patient is upset I took the fifth”

A

1/5 of patients get violent

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10
Q

What are the three risk factors in order:

A

Past history
Patient diagnosis
Patient behavior

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11
Q

What is the numonic for I’m super exited about my new drones emerging

A

Prodomal syndrome—emerging condition
Anger/aggression characterized by verbal, profanity, anxiety, etc

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12
Q

What are some medications for anxiety

A

Ativan, SSRIs

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13
Q

What is the numonic my psycho friends Val and lily

A

Medications for psychosis- Valium or lithium

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14
Q

What is the numonic for poor people fight

A

Impending violence more associated with low SES

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15
Q

What is Milieu

A

The environment factors contributing to violence
Staff coverage
Skill level
Severity of symptoms

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16
Q

Bigger the number, bigger the risk

A

Danger assessment- used to assess danger

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17
Q

What are the hormonal changes during anxiety

A

GABA- my aunt gabby is feeling kinda low
E, NE, D all increase

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18
Q

What is generalized anxiety disorder

A

Chronic and unrealistic anxiety

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19
Q

What is the first med treatment for anxiety

A

SSRIs
The first IRS agent
May take weeks to see results
How slow the IRS is

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20
Q

What are the progression of alcohol abuse

A

Withdraw-begins within 4-12 hours (4 drinks and you leave the party/withdraw——delirium tremens are severe from of withdraw lasts 4-8hrs
Starts with drinking to relieve stress

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21
Q

What is wenicke’s encephalopathy/wet brain

A

Thiamine deficiency

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22
Q

What is a major side effect of depressants

A

Respiratory depression

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23
Q

What numonic is ten nurse

A

10% of nurses have substance abuse disorders

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24
Q

What are some signs for phase 1 DV

Study These Flashcards
A

Can last weeks, months, years,
Ensign escalates
Victim takes blame for perpetrator behavior
Minor battering may begin

25
What are qualities for phase 2 acute battering
Shortest and most violet stage Up to 24 hours Victim may provide abuser
26
What are the numeric scores for a DA assessment
Variable 0-7 kids are ok Increased 9-13 kids get mouthy pre teens Severe danger 14-17 teenage pregnancy Extreme 18+ college experience
27
What are the Rs for trauma informed care
Realize— realize impact on trauma screen for trauma history Recognize-recognize signs and symptoms Respond—policies, precedures and practices Resist—resist retaumatization
28
Why type of groups are AA
Self-help group
29
What is catharsis in curative factors of groups
Group members can express positive and negative feelings
30
“I never thought that other people had the same problem that i have” What curative factor of groups is this
Universality
31
What is a democratic leadership style
Focuses on members of the groups Members participate Production is somewhat lower than autocratic style Marble is much higher Input allows members of the group the potential for individual creativity
32
“Ill handle this matter, we need to move on” What kind of leader ship is this
Autocratic
33
What are hypnotics used for in addicts
Sedative-hypnotics Commonly used for preventing seizures, treating insomnia, pre anesthesia Anciolytic drugs are among the most widely prescribed
34
How much more potent is fentanyl
50-100 times more potent than morphine As little as 2 mg is considered a lethal dose
35
Narcan is used for what intoxication
Naloxone (narcan) is used for opiate intoxication
36
What is a normal BMI
20-24.9
37
What BMI is obesity
30+
38
Eating disorder therapy What must the program be to be successful
The client must perceive that they are in control of the treatment Behavior modification—issues of control are central to the etiology of these disorders
39
T F no medications are specifically indicated for eating disorders
T Various medication have been prescribed for anxiety and depression but not specific to eating disorders
40
What is the definition of social anxiety disorder
Excessive fear of situations in which the person might do something embarrassing or be evaluated negatively by others
41
What are compulsions in anxiety
Repetitive behavior of thoughts, the purpose of which is to prevent or reduce distress or to prevent some dreaded event or situation
42
What are some physiological responses for GAD
Increased heart and RR, insomnia and fatigue
43
When caring for a patient who is experiencing a panic attack, which of the following nursing actions should be implemented
Communicate with simple words and brief messages
44
Evaluation of the nursing actions for the patient w anxiety, OCD, may be facilitated by asking: Can the patient
Recognize the signs and symptoms of escalating Used learned skills to interrupt escalating Maintain anxiety WO medication Verbalize a long term plan for prevention Discuss phobic object wo anxiousness Function in presence of phobic object Refrain from performing rituals Demonstrate substitute behaviors Recognize relationship escalating anxiety
45
What is Buspirone (BuSpar)
RX for long term treatment for anti anxiety agent —anxiolytic-not associated risk for dependence
46
What should the nurse plan to teach a patient who is taking aplrazolam three times a day
That there is a potential for dependence and tolerance
47
What is a fictitious disorder
Attention seeking, gets emotional needs met, intentional, sick role, external incentives (avoidance of responsibilities), malingering (to not go to prison)
48
What is illness anxiety disorder
Unrealistic interpretation of physical symptoms or sensations, leading to fear of having serious disease Extremely conscious of bodily sensations Doctor shopping Anxiety and depression are common, and OCD traits accompany
49
What is conversion disorder in somatic symptom disorders
A loss of or change in body function that cannot be explained by medical disorder Affects voluntary motor or sensory functioning suggestive neurological disease Precipitated by psychological stress
50
What is factious disorder
Consciousness, intestinal feigning of physical psychological symptoms Pretends to be ill to receive care
51
A client experiencing lower extremity paralysis, is admitted to unit. Extensive tests confirm disability but tule out underlying pathology. The nurse concludes that this is most suggestive of which disorder
Conversion disorder
52
T F conversation disorder may represent emotions associated with traumatic event that are too unacceptable to express and so are converted into physical symptoms
T
53
What is learning theory
Somatic complains are often reinforced when the sick person learns that they: May avoid stressful obligations (Primary gain) May become the prominent focus of attention (secondary gain) May relieve conflict within the family as concern is shifted to the ill person and away rom the real issue (tertiary gain)
54
A client is experiencing pain that has no organic etiology. This pain allows the client to avoid going to work at that job he hates. What best describes this client
Primary gain
55
When working with a client diagnosed with somatic symptom disorder, which is the most appropriate nursing action
Gradually minimize time focusing on physical symptoms Attention should be on the client’s social and personal problems, which are the underling cause of somatic symptom disorder. Time focused on physical symptoms should be minimized to avoid reinforcement
56
What are the attributes of evidence
Replicability—findings are verified when repeated in other studies Reliability—findings are consistent Validity—accuracy of application and findings
57
Alcoholic myopathy, what may result from what vitamin deficiency that contributes to peripheral neuropathy?
Thought to result for same B vitamin deficiency that contributes to peripheral neuropathy
58
What are three drugs to treat alcohol abstinence
Naltrexone (ReVia) Acamprosate (Campral) N-actylcysteine (over the counter) Think: the RV we took camping, the counter fell off Think the Trex camped in cystole

Pop Health 2 (5 decks)

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