VH3 Midterm Flashcards

1
Q

Disorder characterized by sudden increase vs tense muscles heart palpitations shortness of breath

A

Panic

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2
Q

Disorder that involves a situational stressor causes intense fear and helplessness

A

Acute stress disorder

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3
Q

The focus between family members when treating anorexia nervosa

A

Communication

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4
Q

Disorder that relates to abnormal behavior that occurs during sleep

A

Parasomnias

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5
Q

Therapy focused on treatment of the body rather than the mind

A

Somatic

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6
Q

Treatments like drug therapy ECT biofeedback photo therapy and acupuncture examples of what therapy

A

Somatic

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7
Q

Syndrome from too much serotonin accumulating in the body

A

Serotonin syndrome

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8
Q

Psychotherapy

A

Mental health therapies are grouped into basic categories: somatic and _________

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9
Q

Lithium

A

Medication for bipolar

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10
Q

Schizophrenia

A

Psychotic disorder; causes detachment from reality; involves delusions or hallucinations

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11
Q

Type of interaction among healthcare workers that must be shared with each other especially when working with personality disorders to prevent division among Healthcare members

A

Communication

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12
Q

Traits, values, attitudes and behaviors shape this in humans

A

Personality

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13
Q

Verbal and nonverbal behaviors involved in communication

A

Affect

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14
Q

Disorder subtyped into these categories: erotomanic, grandiose, jealous, persecutory, somatic and mixed

A

Delusional

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15
Q

When a person is identified as being flawed resulting in a person feeling shame or disgrace

A

Stigma

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16
Q

Potentially fatal syndrome that occurs when two or more psychotherapeutic drugs are combined

A

Neuroleptic malignant syndrome

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17
Q

Acronym for a disorder where behaviors involve rituals

A

OCD

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18
Q

Tools that can be taught to a person to help them gain control over symptoms of anxiety or stress

A

Coping mechanism

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19
Q

One of the common medications for treatment of depression

A

Tricyclics

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20
Q

Disorder where symptoms suggest medical condition but none can be found

A

Somatoform

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21
Q

Medications used for this disorder are used as a part of the therapeutic treatment plan reduced psychic tension and are often called minor tranquilizers

A

Anxiety

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22
Q

Theorist who focused his work on the physical and psychological needs for functioning

A

Maslow

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23
Q

Acronym of a medication used for depression allows for the reabsorption of serotonin in the synaptic cleft between neurons

A

SSRI

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24
Q

Undesirable effects of antipsychotic drugs

A

Extra pyramidal symptoms

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25
Q

Disorder where there is a history of complaints but no physical change occurs over time and becomes a mental health issue once it affects ADLs

A

Somatization

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26
Q

Pertaining to the mind

A

Psyche

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27
Q

Difficulty with sleep amount quality timing

A

disomnias

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28
Q

Unconscious tactics used to protect ourselves from feelings of inadequacy

A

Coping mechanism

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29
Q

Group of disorders include bipolar system ic disorder and major depressive disorder

A

Mood

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30
Q

Theorist who focused on psychosocial development once each task is mastered the individual builds their personalities

A

Erickson

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31
Q

Phobia social anxiety and agoraphobia disorder are all under what category

A

Anxiety disorders

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32
Q

Talking to a psychiatrist psychologist or other mental health professional and a therapeutic environment

A

Psychotherapy

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33
Q

Intramuscular injections of antipsychotic drugs that are slowly absorbed used to manage non-compliance with oral drug regimes

A

Depot injections

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34
Q

Dystonia

A

group of eps;sudden severe muscle spasms of neck, tongue or eyes

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35
Q

Tardive dyskinesia

A

Subgroup of eps characterized by dystonia irreversible

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36
Q

A fatal EPS poorly understood occurs when two or more psychotherapeutic drugs are combined SNS and altered Loc muscular rigidity high fever there is no specific treatment but ongoing assessment is required

A

Neuroleptic malignant syndrome

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37
Q

Maladaptive

A

Not providing adequate or appropriate adjustment to the environment

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38
Q

Theorist stated only the fittest organisms would adapt and survive by process of natural selection

A

Darwin

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39
Q

Brady kinetic

A

Impaired and slow movement limbs of the body not always related to an underlying condition maybe caused by use of medications like antipsychotics

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40
Q

Adaptive

A

Relating to the way that a living thing changes slightly over time so it can continue to exist in a particular environment

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41
Q

Three harmful effects of stigma

A

-discrimination at work/school
-lack of understanding by others
-bullying, physical violence or harassment

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42
Q

For suggestions clients can deal with stigma

A

-get treatment
-avoid isolation
-don’t let stigma lead to Self Doubt and shame
-join a support group

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43
Q

Five steps to nursing process

A

ADPIE
assessment
nursing diagnosis
planning
implementation
evaluation

44
Q

A clinical judgment about individual family or Community responses to actual or potential health issues

A

Nursing diagnosis

45
Q

Main difference between medical diagnosis and nursing diagnosis

A

One Physicians and nurse practitioners are licensed to diagnose and treat illnesses to nurses licensed to diagnose and treat a patient’s response to illness

46
Q

Nanda

A

The North American nursing diagnosis Association

47
Q

Panic disorder

A

Rapid oncoming symptoms without an identifiable stressor past periods Of high anxiety

48
Q

Signs and symptoms of panic disorder

A

Heart palpitations rapid breathing SOB blurred vision dizziness racing thoughts sometimes thought to be a heart attack

49
Q

Treatment for panic disorder

A

Medications and Psychotherapy practicing relaxation exercises and working through underlying issues

50
Q

Gad

A

Generalized anxiety disorder

51
Q

Define gad

A

Overwhelming anxiety;noticeable when S&S are difficult to control

52
Q

Signs and symptoms of GAD

A

Mild heart palpitations dizziness excessive worry

53
Q

Treatment of GAD

A

Medication and Psychotherapy underlying fears and excessive worry difficult to treat

54
Q

OCD

A

Obsessive compulsive disorder

55
Q

Define OCD

A

Has biological and psychological causes obsessions and compulsions

56
Q

Obsessions

A

Persistent often irrational seemingly uncontrollable thoughts

57
Q

Compulsions

A

Actions to neutralize the obsessions

58
Q

Treatment for OCD

A

Medications and Psychotherapy

59
Q

Cause of body dysmorphic disorder

A

Unknown

60
Q

Define body dysmorphic disorder

A

Preoccupation with a specific body part belief this body part is deformed or defective preoccupation is significantly excessive and causes distress or significant impairment in functioning

61
Q

Treatment for body dysmorphic disorder

A

Therapy is usually refused by the individual as well as any suggestions for medication however antidepressants can help

62
Q

Define Acute stress disorder

A

Is a result of a traumatic event where the person experienced or witnessed an event that involved threatened or actual Serious injury or death and responded with intense fear and helplessness

63
Q

Treatment of acute stress disorder

A

Medication and Psychotherapy

64
Q

The cause of Somatic symptom disorder

A

Unknown some evidence for genetics and environmental factors

65
Q

Treatment of somatic symptom disorder

A

Long-term therapy involving a single physician is important since Dr shopping is common

66
Q

4 examples of non bizarre delusions

A

Followed
poisoned
infected
deceived

67
Q

Example of bizarre delusion

A

Believing that your stomach is missing or aliens are seeking you out to be their leader

68
Q

Name 2 SSRI medications

A

Fluoxetine sertraline peroxetine citalopram

69
Q

SSRI side effects

A

restlessness,
insomnia,
headaches,
rash,
blurred vision,
drowsiness, dry mouth

70
Q

M a o i

A

Monoamine oxidase

71
Q

What are MAOIs

A

An enzyme that catalyzes the oxidation and an inactivation of monoamine neurotransmitters

The enzymes are responsible for breaking down neurotransmitters such as dopamine norepinephrine and serotonin in the brain MAOIs increase the concentration of these three neurotransmitters by blocking the effects of monoamine oxidase enzymes

72
Q

What are maois used for

A

Treat symptoms of depression sadness anxiety or worry

73
Q

Side effects of maois

A

Drowsiness
low blood pressure
decreased sexual function
weight gain

74
Q

Name some MAOIs

A

Isocarboxesid Mar plan the nail design fennel design Nardo Nar Dill solid line Epsom

75
Q

What does it mean when affect is low

A

Volume tone of voice your expressions are flat blunted voice is monotone

76
Q

What does it mean when someone has a negative symptom

A

Negatively impacts ADLs or takes away from the individual

77
Q

What does it mean when someone has a positive symptom

A

It adds to their ADLs

78
Q

What medications do you give someone with dissociative disorder

A

Neuroleptics olanzapine Quetiapine

79
Q

What medications does one go on for amnesia disorder

A

Beta blockers or CBT treatment

80
Q

What is Ativan a treatment for

A

Anxiety

81
Q

What kind of medication is amitriptyline

A

Anti-convulsant and neuropathic pain

82
Q

What is Acamprosate used for

A

Help suppress cravings for alcohol for alcoholics

83
Q

What is special or significant about phenobarbital

A

It acts like narcane in the body for alcohol withdrawal

84
Q

What are the symptoms of alcohol withdrawal

A

Nausea vomiting Twitchy jittery very similar to drug withdrawal

85
Q

Symptoms of schizoaffective disorder

A

Include those for schizophrenia as well as a major depressive manic or mixed episode The Psychotic or schizophrenic like symptoms must be present without any disturbance and mood for a minimum of 2 weeks

86
Q

Common characteristics of dissociative disorders

A

Disruption and Consciousness memory Identity or perception

One of these areas not working correctly causing significant distress

87
Q

What is dissociative amnesia

A

A disorder typically brought on by a traumatic event

88
Q

Primary symptoms of dissociative amnesia

A

Memory gaps related to traumatic or stressful events which are too extreme to be accounted for by normal forgetting

89
Q

What is dissociative identity disorder

A

Is associated with severe psychological stress and childhood most often ritualistic sexual or physical abuse

90
Q

What is the primary characteristic of dissociative identity disorder

A

The existence of more than one distinct Identity or personality within the same individual the intensities will take control of the person at different times with important information about the other’s identities out of conscious awareness

91
Q

Treatment for dissociative identity disorder

A

Difficult for a variety of reasons including secrecy on the client’s part making him or her reluctant to seek help and the difficulty in diagnosing the disorder once the client presents typically an individual with DID will require many years of treatment

92
Q

Common characteristics in bipolar disorders

A

Disturbance in mood
inappropriate exaggerated or limited range of feelings

93
Q

Define bipolar 1 disorder

A

A person must have at least one manic episode Mania is sometimes referred to as the other extreme to depression person feels you for it almost indestructible this elevated self-esteem more talkative than usual have flight of ideas A reduced need for sleep and easily distracted depression is often experienced as the high quickly fades

94
Q

Define bipolar to disorder

A

Periods Of highs followed by periods of depression

The highs are hypomanic rather than manic so they are not severe enough to cause marked impairment and social or occupational functioning and typically don’t require hospitalization in order to assure the safety of the person

95
Q

Medication Treatment for bipolar 2 disorder

A

Lithium

96
Q

What are the nursing management is on lithium

A

Monitor hydration and any levels since lithium is excreted by the kidneys where rapidly than sodium that interferes with electrolyte distribution

97
Q

Persistent depressive disorder dysthymia

A

Depressed mood for most of the day for more days than not and ongoing for at least 2 years with symptoms under or overeating sleep difficulties fatigue low self-esteem difficulty with concentration or decision making feelings of hopelessness

98
Q

Major depressive disorder

A

Unrelenting sad mood unrelated to any particular event
First degree relatives of people with depression have a higher incidence of the illness whether they are raised with this relative or not supporting the influence of biological factors

99
Q

Symptoms of major depressive disorder

A

Depressed mood reduced interest in activities that used to be enjoyed sleep disturbances lots of energy or a significant reduction in energy level difficulty concentrating holding a conversation paying attention or making decisions that used to be made fairly easily suicidal thoughts or intentions

100
Q

Treatment for major depressive disorder

A

Pharmacotherapy or psychotherapy

101
Q

Medications used to treat major depressive disorder

A

Fluoxetine Prozac paroxetine Paxil bupropion Wellbutrin and Sertraline Zoloft

102
Q

The three main categories of antidepressants

A

SSRIs
MAOIs and
tricyclics

103
Q

Personality disorders include what kind of disorders

A

Anti-social
borderline and
paranoid personality disorders

104
Q

Antisocial personality disorder

A

Happy behaviors that include a difficulty with authority legal altercations cruelty to animals fire setting and dislike or anger toward Authority

Diagnosed much more frequently in males

Includes irresponsible behavior that often accompanies this disorder as a well as a lack of remorse for wrongdoing

105
Q

Treatment and prognosis for antisocial personality disorder are both very good. T/F

A

False
Treatment is very rarely sought.
Prognosis is not very good because there’s a failure to conform to society’s norms and a lack of insight into the disorder is very common.

106
Q

Symptoms of narcissistic personality disorder

A

Grandiosity
need for admiration and
sense of entitlement

107
Q

Treatment for narcissistic personality disorder

A

Long-term Insight oriented therapy is effective by getting the individual to commit to this treatment is a major obstacle