Final psych study

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Michelle25
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53496
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Final psych study
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2010-12-06 20:52:49
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final psych exam
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  1. Axis ____ : clinical disorders and other conditions that may be a focus of clinical attention
    1
  2. Axis ____: personality disorders and mental retardation
    2
  3. Axis _____: General medical conditions
    3
  4. Axis ____: Psychosocial and environmental problems
    4
  5. Axis ___: Global assessment of functioning.
    5
  6. Symptoms of _________:
    Severe headache
    Stiff, sore neck
    Flushing, cold, clammy skin
    Tachycardia
    Severe nosebleeds, dilated pupils
    Chest pains, stroke, coma, death
    Nausea and vomiting
    hypertensive crisis
  7. A patient on _______ needs to avoid foods with high tyramine.
    MAO- inhibitors
  8. Aged cheese, red wine, beer, beef and chicken, liver, yeast, yogurt, soy sauce, chocolate, and bananas are all foods that are high in ________.
    tyramine
  9. the transference of feelings to another person or object
    displacement
  10. attempt to be like someone or emulate the personality, traits, or behaviors of another person
    identification
  11. using reason to avoid emotional conflicts
    intellectualization
  12. incorporation of values or qualities of an admired person or group into ones own ego structure
    introjection
  13. serparation of an unacceptable feelings, idea, or impulse from ones thought process
    isolation
  14. attributing ones own thoughts or impulses to another person
    projection
  15. offering an acceptable, logical explanation to make unacceptable feelings and behavior acceptable
    rationalization
  16. development of conscious attitudes and behaviors that are the opposite of what is really felt
    reaction formation
  17. reverting to an earlier level of development when anxious or highly stressed
    regression
  18. the involuntary exclusion of a painful thought or memory from ones awareness
    repression
  19. substitution of an unacceptable feeling by a more socially acceptable one
    sublimation
  20. the intentional exclusion of feelings and ideas
    suppression
  21. communication or behavior done to negate a previously unacceptable act
    undoing
  22. meaning given to words by client to screen thoughts and feelings that would be difficult to handle if stated directly
    symbolism
  23. fixed false beliefs that may be persecutory, grandiose, religious, or somatic in nature
    delusions
  24. belief that conversations or actions of others have reference to the client
    ideas of reference
  25. lack of clear connection from one thought to the next
    looseness of association
  26. failing to address the original point, giving many nonessential details
    tangential or circumstantial speech
  27. constantly repeating what is heard
    echolalia
  28. creating new words
    neologism
  29. repeating the same word or phrase in response to different questions
    preservation
  30. speaking a jumbled mixture of real and made up words
    word salad
  31. gap or interruption in speech due to absent thoughts
    blocking
  32. thinking based on fact versus abstract and intellectual points
    concrete thinking
  33. false sensory perception, usually auditory or visual in nature
    hallucination
  34. misinterpretation of external environment
    illusions
  35. perceives self as alienated or detached from real body
    depersonalization
  36. false, fixed beliefs that cannot be changed by reason
    delusions
  37. ______________ agents target negative symptoms (e.g., cognitive dysfunction, social withdrawal, inattention) and have a lower risk for extrapyramidal symptoms.
    Atypical antipsychotic
  38. What is the purpose of a baseline complete blood count (CBC) prior to initiation of the antipsychotic medication Haldol?
    A baseline CBC is indicated to allow for monitoring of the development of agranulocytosis, a potentially life-threatening side effect, as evidenced by fatigue, sore throat, and fever.
  39. _________ is a neurological movement disorder characterized by involuntary muscle contractions, particularly of the face, tongue, neck, and jaw.
    Dystonia
  40. ____________ is a neurological movement disorder characterized by involuntary muscle contractions. Symptoms may include sticking out the tongue, puckering of the mouth or lips, lip smacking, puffing of the cheeks, and chewing movements.
    Tardive dyskinesia
  41. _________ is an abnormal condition that is often manifested by motor restlessness, such as the inability to sit still or feeling the need to pace.
    Akathisia
  42. ____________ symptoms include a shuffling gait, drooling, tremors, and muscle rigidity.
    Parkinsonism
  43. A side effect of Haldol is blockade of ____________ receptors in the heart can cause orthostatic hypotension and dizziness.
    alpha- adrenergic
  44. A _________ is a false belief that is firmly maintained even though it is not shared by others and is contradicted by reality.
    delusion
  45. Frequent sore throats and malaise, what serious complications might these symptoms indicate?
    agranulocytosis
  46. Using the DSM-IV classification system, on which axis wouldinformation about living in a group residence and the interactionswith other residents be indicated?
    Axis IV
  47. ___________ is a significant fatal risk with Clozaril. The nurse needs to watch for symptoms which includes sore throat, body malaise and fever.
    Agranulocytosis
  48. What test is commonly used to assess a client for signs of tardive dyskinesia?
    AIMS
  49. The client hears the word "match." The client replies, "A match. Ilike matches. They are the light of the world. God will light theworld. Let your light so shine." This is an example of _____________.
    Loose associations
  50. If a client taking an antipsychotic is experiencing involuntary muscle contractions and eyes rolling upward, what is the client experiencing?
    Dystonia
  51. What is the primary goal of a therapeutic nurse–client relationship?
    Promoting the client's growth
  52. A client is in ER howling and lamenting over the death of her motherfrom an auto accident 2 hours ago. From what group of medicationswould the doctor prescribe?
    Anti-anxiety
  53. __________ is a lack of energy or drive
    Avolition
  54. _________ refers to emotion and behaviors, such as hand and body movements, facial expression, and pitch of voice that can be observed when a person is expressing and experiencing feelings and emotions.
    Affective
  55. ___________ is the inability, or decreased ability, to experience pleasure, joy, intimacy, and closeness.
    Anhedonia
  56. Weight gain occurs with the_____________, especially Zyprexa (olanzapine) and clozapine (Clozaril).
    atypical antipsychotics
  57. The nurse understands that an atypical antipsychotic like olanzapine (Zyprexa) requires what period of time to reach a steady state?
    1 week
  58. Which medication with potentially life-threatening side effects should the nurse expect the healthcare provider to prescribe for clients who do not respond to the use of other antipsychotics?
    Clozaril. Clozaril is used for clients with schizophrenia who have not responded to other antipsychotics. The potentially serious side effect of agranulocytosis requires that weekly, or every 2-week WBC counts be done.
  59. A client who demonstrates ____________ demonstrates simple one- or two-word answers to questions, even when the nurse asks an open-ended question.
    poverty of speech
  60. ___________ is the sudden stopping in the client's train of thought or in the middle of a sentence.
    Thought blocking
  61. The most common causes of relapse in patients with schizophrenia relate in some way to ___________.
    medications
  62. The greatest benefit of the ____________ is to coordinate services related to housing, finances, and medical appointments, for example.
    case worker
  63. What is the therapeutic range for lithium?
    0.5 to 1.5 mEq/L
  64. What are the early signs of lithium toxicity?
    diarrhea, vomiting, drowsiness, muscle weakness, lack of coordination
  65. What teaching is needed for lithium?
    • Early symptoms of lithium toxicity (diarrhea, vomiting, drowsiness, muscle weakness, lack of coordination)
    • Keep salt usage consistent
    • Use with diuretics is contraindicated
  66. _____ is used for bipolar disorders, especially the manic phase.
    Lithium
  67. _______ produce an increase in availability of serotonin.
    SSRIs
  68. _________ decrease dopamine produced.
    Antipsychotics
  69. _______: restlessness, agitation, and pacing. Sudden difficulty sitting still.
    Akathisia
  70. ______: involuntary tongue and lip movements, blinking, choreiform movements of limbs and trunk.
    Tardive dyskinesia
  71. Your client is prescribed lithium (Lithobid) and sertraline (Zoloft)for bipolar disorder: depressed phase. What is the best reason, ifany, that you need to be concerned about this order?
    • SSRIs can often trigger a manic phase.
    • Antidepressants, particularly SSRIs, can trigger a manic phase. If aclient has had a manic episode previously, they will likely need to bemaintained on lithium or an anticonvulsant to manage their moods.
  72. When a client is placed on Haloperidol (Haldol Decanoate), what is an important factor in its administration?
    The medication is administered intramuscularly every 4 weeks
  73. What is a long term side effect of antipsychotics?
    Tardive dyskinesia: tongue movement, lip smacking, involuntary movement. Monitored by AIMS (abnormal involuntary movement scale)
  74. What are two life threatening side effects of antipsychotics?
    Agranulocytosis and NMS
  75. Clozaril is a ______ antipsychotic
    atypical
  76. Symptoms of _____ include high fever, tachycardia, stupor, increased respirations, and severe muscle rigity
    Neuroleptic Malignant Syndrome. (life threatening)
  77. The symptoms of _______ include confusion, disorientation, autonomic dysfunction, muscle rigidty, drooling, hypertension
    Serotonin syndrome
  78. Fever, hypertension, drooling, muscle rigidity, and body malaise are all signs & symptoms of _______.
    Neuroleptic malignant syndrome (NMS)
  79. A client is admitted and is about to be started on Zyprexa, what procedure needs to be preformed?
    Weight the client.
  80. Common side effects of antipsychotics are _________.
    anticholinergic effects
  81. What dietary teaching needs to be taught to a client taking lithium?
    Maintain a consistent sodium intake of approximately 2400 mg/day
  82. Which medications are prescribed for a client going through alcohol detoxification?
    Benzodiazepines, such as Ativan, are prescribed during detoxification to prevent DTs.
  83. When working with clients with a diagnoses of bipolar disorder: manic phase, your effective management of the milieu will require three essential elements. They are safety, stabilization, and ______.
    limit setting
  84. What group of organs need to be evaluated for potential adverse effects when a client is taking lithium?
    kidneys, thyroid, and nervous system

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