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Psyche NCLEX review
Topics From NCLEX review for psyche clinical final
49
Nursing
Professional
11/23/2010

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Term
Term that describes the focal points and objectives of total health care
Definition
Pyramid to success
Term
A wrong or improper use or action toward another individual that results in injury, damage, maltreatment, or corruption
Definition
Abuse
Term
Also know as dependence
Definition
addiction
Term
Methods of adjusting to environmental stress without altering one's own goals or purposes
Definition
Coping mechanisms
Term
A response by the ego that attempts to protect the individual from feelings of inadequacy and worthessness and prevent awareness of anxiety
Definition
defense mechanism
Term
The physical and social environment in which an individual lives
Definition
Mileu
Term
Characterized by an acute phase and a long-term reorganization process that occurs after an actual or attempted sexual assault
Definition
Rape-trauma syndrome
Term
Each phase of teh rape-trauma syndrome has separate
Definition
symptoms.
Term
Any method of inhibiting free movement
Definition
Restraints
Term
Placing a client alone in a specially designed room for protection and close supervision
Definition
Seclusion
Term
The four phases of a therapeutic nurse-client relationship
Definition
1- Preinteraction
2- Orientation/introductory
3- Working
4- Termination/separation
Term
When does the preinteraction phase begin?
Definition
Before the nurse's first contact with the client
Term
The nurse explores any stereotypes, biases or values that may impinge on the nurse-client relationship during which phase?
Definition
Preinteraction
Term
Acceptance, trust, boundaries, expectations, timeframes, and discussion of termination and separation are discussed during which phase?
Definition
Orientation
Term
What kind of goals are defined during the introductory phase?
Definition
Client-centered goals.
Term
Discussion of coping mechanisms and problem-solving is done during which phase?
Definition
Working phase.
Term
Recovery is facilitated by encouraging
Definition
independence.
Term
Larry Bird believed he had no real talent as a basketball player. He would practice 10-12 hours a day in order to compete at the pro level. His response would be classified as what kind of defense mechanism?
Definition
Compensation. Bird compensated for his perceived lack of talent by making extra efforts to succeed.
Term
Any time Julie was about to take a test that she wasn't prepared for, she would get sick to her stomach. What is this?
Definition
Conversion.
Term
The first stage of death, in which the person refuses to believe a loved one has died, is called
Definition
Denial.
Term
Ron hated his job - especially his boss. He was afraid to say anything, for fear of losing his job. One night, Ron came home from a particularly bad day at work and kicked his cat. This is an example of
Definition
displacement.
Term
Name the defense mechanism: An oncologist smokes.
Definition
dissociation.
Term
Nicole imagined being tall. This is a
Definition
fantasy.
Term
Ngok refuses to grow up.
Definition
She is fixated.
Term
Name the defense mechanism: A school girl wants her mother to buy her the same kind of shoes her classmates are wearing; she angrily rejects the idea that she is trying to be like the other girls and insists that the shoes are truly the best available and are the style she has always wanted.
Definition
Identification.
Term
Name the defense mechanism: a purchaser, having finally decided between two items, expounds upon the advantages of the one chosen.
Definition
Idealization.
Term
When Conan goes into his corner and hides from the rest of the class to avoid ridicule, he is using what defense mechanism?
Definition
Insulation.
Term
Name the defense mechanism: a medical student dissects a cadaver without being disturbed by thoughts of death.
Definition
Isolation.
Term
Name the defense mechanism: a man, unable to accept that he has competitive or hostile feelings about an acquaintance, says, “He doesn’t like me.”
Definition
Projection.
Term
Name the defense mechanism: We failed the test because the questions were stupid.
Definition
rationalization.
Term
Name the defense mechanism: Conan has the hots for Carolee, but unknowingly treats her like crap because deep down he doesn't want her to know.
Definition
Reaction formation.
Term
name the defense mechanism: When Ngok gets really stressed, she starts sucking her thumb.
Definition
Regression.
Term
Developing amnesia specific to a traumatic event is a form of
Definition
repression.
Term
Name the defense mechanism: a woman is forced to undertake a restrictive diet; she becomes interested in painting and does a number of still life pictures, most of which include fruit.
Definition
Sublimation.
Term
Name the defense mechanism: Instead of cheating, Ron flies his model airplanes a lot when his girlfriend is out of town.
Definition
Subtitution.
Term
Name the defense mechanism: Getting plastered in an attempt to forget that last test.
Definition
Suppression.
Term
Name the defense mechanism: a soldier, when asked why he volunteered, he said, "To defend the flag." He rejects as irrelevant a question about the purpose of the war.
Definition
Symbolization.
Term
Name th defense mechanism: Napoleon made it a practice after reprimanding any officer to find some words of praise to say at their next meeting.
Definition
Undoing
Term
When should Prozac and Wellbutrin be taken?
Definition
In the morning.
Term
What are serotonin reuptake inhibitors usually taken for?
Definition
To treat depression.
Term
Name five common antidepressants.
Definition
Celexa, Prozac, Zoloft, Effexor, Wellbutrin
Others include: Lexapro, Fluvoxamine, paxil, Pexeva, Duloxetine, Amoxapine, Remeron, Nefazodone, Desyrel
Term
Patients on tricyclics need to be monitored for these serious side-effects.
Definition
seizures, dysrhythmias
Term
Which tricyclic may be used to treat OCD?
Definition
clomipramine (Anafranil).
Term
The use of which classification of meds includes a restriction of foods containing tyramine?
Definition
Monoamine oxidase inhibitors: marplan, Nardil, Parnate, Monclobemide
Term
Lithium preps are usually used to treat
Definition
bipolar disorder.
Term
Clients on mood stabilizers need to be monitored for increased risk of
Definition
suicide.
Term
What makes the use of lithium therapy difficult?
Definition
Therapeutic levels and toxic levels are very close together.
Term
The most commonly used medication to treat anxiety disorders is
Definition
Valium
Term
A caution regarding the safety of benzodiazepine therapy includes

A) do not discontinue abruptly
B) hyperactivity is a common side-effect
C) continued therapy may cause drowsiness
D) amnesia is a common side effect
Definition
A) do not discontinue abruptly
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