Duplicate of Psych Exam 1 Practice

restraint is used for

adequate discharge plan is more predictive indicator of how long pt can remain in community than clinical indicators

ability to perceive client’s meanings and feelings and to communicate that understanding is sympathy

Mental disorders are leading cause of disability for 15-44y

Club house model provides these rights to members

acute dystonia

pts with anxiety have too much ____ so we need to limit it

carbamazepine can cause aplastic anemia and agranulocytosis so need to have frequent CBC

this care setting typically has 6-10 residents with 1-2 staff, shared responsibilities/chores

Maintenance of therapeutic environment and growth through role modeling is part of

maintaining posture/position over time even when awkward or uncomfortable

non benzo used for anxiety

tardive dyskinesia

this part of care team is responsible for therapy, work with families, community support, referral

personality disorder can be diagnosed at what age

areas that contribute to success to prevent relapse

repeated purposeless behaviors-indicate anxiety, ex: Drumming fingers, twisting hair, tapping foot

secondary prevention

when pt is going through crisis/suicida/out of touch with reality nurse should be directive role, use yes/no questions

controlls food intake, sleep and wakefulness, temp regulation, pain control, regulation of emotions, sex behaviors

akathisia

verbal communication contributes to how much pts remember

which lobe of brain is responsible for emotions, judgement, and behavior

this med is an antipsychotic that is highly sedative

SSRIs include

in which is the client unconsciously transfer to nurse feelings they have for others, authority figures, etc

an individual factor that contributes to mental illness

most prevalent neurotransmitter in body

this part of care team is responsible for improve functioning-arts and crafts-psychomotor skills

social proxemics is

pain or isolation would be considered

TCAs work on which neurotransmitters by blocking their reuptake leading to more available

 others are taking their thoughts away

these meds carry an increased risk of death in older pts with dementia related psychosis

 others are taking their thoughts away

this TCA can be used for eating disorders

this part of care team is responsible therapy and research, group therapy

this pattern of knowing deals with life experiences, nurse recognizes pt face shows panic

Repeating the same words or phrases over and over when asked different questions

Outline standards for professional performance, quality of care, appraisal, education, ethics, collaboration, resources

clozapine requires the most follow up care related to CBC tests weekly

pts with anxiety have too little ____ so we need to increase it

doctors have to follow FDA regulations

this pattern of knowing deals with nursing science, panic will cause an increase HR

an interpersonal factor that contributes to mental illness

this benzo works longer

which type of antidepressant has the most ADE

some consequences of nontreatment of mental health disorders

stop abruptly in middle of sentence or train of thought-can’t continue idea

pt is unable to care for themselves or provide food, shelter, clothing related to mental health disorder

use of which antidepressant can lead to a HTN crisis

seclusion is used for

evaluates the effectiveness of medical treatment and meds

no expression or mask like

this TCA can be used for enuresis

Bupropion(other antidepressant) affects norepinephrine and____

atypical antipsychotics target dopamine(decrease levels) and_____(increase levels)

Electroconvulsive therapy(ECT) can be used for

who started care for mentally sick as well as physical sick in 1800s

this part of care team is responsible for job seeking and skills

which level facility is a residential facility like COPE

therapeutic levels of lithium

lithium is for bipolar and antiseizure med

atypical antipsychotics can lead to DM related to weight gain

Healthy people 2030 focuses on

repeating words spoken by others

which phase of therapeutic relationship does client identify issues or concerns, develop better skills

Living environments is often more predictive of clients success than characteristics of their illness

pts with psychosis have too much____ so we need to limit it

Biggest risk for nontherapeutic relationship is nurse’s belief that they won’t do anything that could be nontherapeutic

reuptake inhibitors are considered agonists as they leave more neurotransmitter in synapse

the goal in psychosocial tx/rehab is highest level of functioning possible

bupropion has risk of seizures for those taking stimilants or on anti DM meds

beginning signs of lithium toxicity

this TCA can be used for OCD

this pattern of knowing deals moral nursing knowledge, even though shift has ended nurse stays with pt

which meds need to be given with antipsychotics in relation to EPS

this benzo works faster

atypical antipsychotics target dopamine and

Feelings of sympathy can cause client to manipulate the nurse and can lead to dependency

serotonin syndrome symptoms

pts with depression have too little____ so we need to increase it

this part of care team is responsible for diagnosis and prescription of meds

lamotrigine used for bipolar can cause SJS and rash

 beliefs about life, health, illness, death, and one’s relationship to the universe

aesthetic knowing comes from the art of nursing and deals with subtle differences in pt behavior, personal to each pt

this type of relationship focuses on the needs, experiences, feelings and ideas of the patient only

therapeutic relationships involves how you are perceived both verbally and nonverbally

primary prevention

controls complex movements, motivation, cognition and regulates emotional response

 Providing pain medication to a patient experiencing pain, or implementing strategies to reduce patient isolation

verbal communication is more accurate than non verbal

most sedating 1st generation antipsychotic

an social determinante that contributes to mental illness

Duloxetine(other antidepressant) affects norepinephrine and____

pt is at risk of harm from severe mental disorder that impairs their judgment, behavior, or ability to recognize reality

TCAs can take 4-6 wks to become effective

this care setting typically has 1-3 residents in family type setting, share meals and activities

therapeutic proxemics is

which level facility is a locked inpatient hospital

tertiary prevention

which phase of therapeutic relationship is roles established, trust built, identifies problems and expectations

seclusion/restraints must be reordered by doc every

implies a more active and intentional response to address concerns, involving direct actions to support/protect someone

which type of antidepressant has the least ADE

delusion that others are putting thoughts in there head

excessive unnecessary details

which phase of therapeutic relationship does client return to baseline

Managed care(1950s) provided pts receive care based on need instead of request Control balance of quality of care/cost

refers to broad category of observable events/situations that raise worry or require attention within a specific field

these patients must take antipsychotic meds

this part of care team is responsible for balance of work and play, constructive use of leisure time

in between flat and restricted expression-little or slow to respond with expression

causes changes in attention, learning and memory, sleep and wakefulness, and mood

TCAs can lead to anticholinergic effects: can't spit, see, poop, pee

excessive amt and rate of speech, fragmented

lithium effects these neurotransmitters

threat of harm

for nonintentional tort must prove

Phenelzine(Nardil)- can be used for eating disorders(bulimia)

this med has off label use for bipolar disorder

this med has off label use for enuresis, neuropathic pain, ADHD, Panic, PTSD

this TCA can be used for nerve pain

inaccurate interpretation that general events are personally directed towards them

clients are in appt type setting, staff available for crisis intervention, transportation, drug monitoring

which are impediments to discharge

is a pt has lithium level below 0.5 they have not been compliant in taking med

 organized system of belief about God or gods that govern the universe

unintentional torts

this pattern of knowing is open to seeing and hearing the clients views without imposing their own values or viewpoints

before giving an antipsychotic you need to give an EKG as it could cause QT prolongation

ACT- Assertive community treatment model is one of the most effective approaches

which type of antidepressant can also be used for anxiety

fixed false belief not based on reality

components of ACT program

 feelings of concern /compassion is empathy

benzos are used for anxiety and ETOH withdrawal

 delusional thinking that others can hear what they are thinking

neuroleptic malignant syndrome, S=sweating s/confusion, mute, high temp, unstable BP tachycardia

 up and down mood changing on a regular basis-unpredictable

this med has off label use for insomnia, EPS symptoms,

good skills for psych team to have

words that only have meaning to client

lithium toxicity

valproic acid can cause liver failure, is used for bipolar

use of which antidepressant can lead to serotonin syndrome