NP2 Psych

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130168
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NP2 Psych
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2012-01-24 01:53:11
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NP2 Psych
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  1. What are the alternative methods (herbal) for depression?
    St. Johns Wart
  2. What is the science behind acupunture?
    It stimulates the body's own painkilling chemicals, the morphine like substances known as endorphins.
  3. What has accupunture been used to treat?
    • Asthma
    • Headaches
    • Dysmenorrhea
    • Cervical Pain
    • Insomnia
    • depression
    • anxiety
    • substance abuse
    • stroke
    • rehabilitation
    • nausea of pregnacy
    • postoperative and chemotherapy induced N&V
    • tennis elbow
    • fibromyalgia
    • low back pain
    • carpal tunnel sydrome
  4. Practices tht differ from, and are used instead of, the usual traditional practices are known as what?
    Alternative Medicine-
  5. Practices that differ from, but used in conjunction with, traditional practices are known as what?
    Complementary Medicine
  6. Characterized by a disturbance of consciousness and a change in cognition that develop rapidly over a short peirod of time
    Delirium
  7. What are the signs and symptoms of alcohol withdrawl?
    • course tremor of hands, tongue, or eyelids
    • nausea or vomiting
    • malaise or weakness
    • tachycardia
    • sweating
    • elevated blood pressure
    • anxiety
    • depressed mood or irritability
    • transient hallucinations or illusions
    • headache
    • insomnia
  8. What does AA base their concept on?
    peer support- acceptance and understanding from others who have experienced the same problems in their lives. The sole purpose of AA is to help the members stay sober.
  9. What are the pharmacotherapy approaches to alcohol withdrawl?
    • Disulfiram
    • Naltrexone (ReVia)
    • Acamprosate (Campral)
  10. Disulfiram (Antabuse)
    What and Why?
    A drug that can be administered as a deterrent to drinking to individuls who abuse alcohol.

    Ingestion of alcohol while on it can produce a good deal of discomfort for the individual.
  11. Possible Nursing Diagnosis for withdrawl of alcohol
    • Risk for injury
    • (Risk for CNS agaitation: tremors, elevated blood pressure, nausea and vomiting, halluicinations, illusions, tachycarida, anxiety, seizures)
  12. Possible Nursing diagnosis for CNS Stimulant withdrawl
    • Risk for suicide
    • Risk factors: intense feelings of lassitude and depression; "crashing", suicidal ideation
  13. CNS Depressants
    • Alcohol
    • Seconal
    • Nembutal
    • Amytal
    • Valium
    • Librium
    • Novtec
    • Miltown
  14. Nursing diagnosis for OCD
    • ineffective coping
    • ineffective role performance
  15. Systematic desensitization with reciprocal inhibition
    using relaxation techniques while gradually exposing the phobic stimulus, either in a real or imagined situation
  16. Implosion therapy
    a therapeutic process in which the client must imagine situations or participate in real-life situations that he or she finds extremely frightening for a prolonged period of time. relaxation is not included as a part of this tech.
  17. Antianxiety drugs depress what
    subcortical levels of the cns particularly the limbic system with reticular formation
  18. What are the contradictions of antianxiety drugs?
    • They should not be taken in combination with other cns depressants and are contraindicated in pregnancy and lactation, narrow angle glaucoma, shock or coma.
    • Caution should be taken in elderly or debilitated clients or clients with hepatic or renal dysfunction.
    • Caution also required in individuals with history of drug abuse or if depressed or suicidal.
  19. antianxiety drug that has a 10-14 day delay
    buspirone
  20. What are characterized by physical symptoms suggesting medical disease, but without demonstrable organic pathology or know pathophysiological mechanism to account for them
    Somatoform disorders
  21. The splitting off of clusters of mental contents form conscious awareness, a mechanism central to hysterical conversion and dissociative disorder
    Dissociation
  22. Primary gain
    Secondary gain
    Appearance of the pain enables the client to avoid some unpleasant activity

    the pain promotes emotional support or attention that the client might not otherwise recieve
  23. A sudden unexpected travel away from or customary place of daily activities with inablility to recall some or all of ones past. Can not recall personal identiety and often assumes a new identitiy. They are able to provide details of their earlier life situation but have no recall form the beginning of the state
    dissociative fugue
  24. The inablility to recall important personal information, usually of a traumatic or stressful nature, that is not due to the direct effects of substance use or a neurological or other general medical condition
    dissociative amnesia
  25. name the 5 different types of dissociative amnesia
    • 1. Localized amnesia- the inability to recall all incidents associated with the trauatic event for a specific time period following the event
    • 2. Selective amnesia- The inablitity to recall only certain incidents associated with a traumatic event for a specific period after the event.
    • 3. Continuous amnesia- the inability to recall events occurring after a specific time up to and including the present
    • 4. Generalized amnesia- forgetting everything
    • 5. Systematized amnesia- individual cannot rememtber events that relate to a specific category of info (family) or to one particular person or event
  26. Ineffective coping
    Deficient knowledge (psychological causes for physical symptoms)
    Nursing diagnosis for somatization disorders
  27. Chronic Pain
    Social Isolation
    ND for pain disorders
  28. Fear ( of having a serious disease)
    Chronic low self-esteem
    ND for hypochondriasis
  29. Disturbed sensory perception
    Self-care deficit
    ND Conversion disorder
  30. Disturbed thought processess
    Powerlessness
    loss of memory- dissocicative amesia ND
  31. Risk for other-directed violence
    Ineffective coping
    ND for dissociative fugue
  32. abreaction
    "remembering the feeling" - DID therapy
  33. Sexual disfuctions vs sexual disorders

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