Term
| Cluster "C" Personality Disorder |
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Definition
-Gearful and Anxiety
-Dependant, has anxiety over responsibilities, "Who will take care of me?"
-TX: Skill building
-Avoidant > Fear of rejection so avoids attention.
- OCD- ridged ritualistic/seeking perfection, would be great on committies, procrastinators.
-Passive aggressive: A lot of nurses have this (NOT MY JOB)its a loss/loss
TX: Learn to communicate |
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Term
| Cluster "B" Personality Disorder |
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Definition
-Egocentonic
-Narcististic
-Hedonistic
-Borderline
-Angisocial |
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Term
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Definition
-Cluster B personality disorder
-world revolves around them
-Dramatic |
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Term
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Definition
-Cluster B Personality disorder
-Primarily males
-Need for control and power |
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Term
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Definition
-Cluster B personality disorder
-Primarily Women
- Attention and pleasure seeker
-Dress flamboyantly "Look at me" |
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Term
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Definition
-Wants Empathy and trust
-Wants to get better
-Wants attention-drama seeker
-Manipulative
-Stuck in rage/sadness hole
-Self mutilates (cutting, burns self)
TX: Mood stabilizers, antidepressants, develop long term relationships, limit setting |
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Term
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Definition
-Cluster B personality Disorder
-No empathy
-manipulative
-no rules
-no emotions
-we are stupid and they play us
-harm animals
-fire setters
-Only fear is of other antisocials
TX: Early intervention and Tegratol for depression |
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Term
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Definition
-Cluster "C" Personality Disorder
-has anxiety over responsibilities
-"Who will take care of me?"
TX: Skill building |
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Term
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Definition
-Cluster C Personality Disorder
-Fear of rejection so avoids attention and recognition |
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Term
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Definition
-Cluster C Personality Disorder -ridged, ritualistic, seeking perfection.
-great on committees, procrastinators because it's never perfect. |
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Term
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Definition
-Cluster C Personality Disorder
-A lot of nurses have this
-NOT MY JOB, NOT MY PROBLEM
-Loss/loss
TX: Learn to communicate |
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Term
| Class A Personality disorder |
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Definition
-Eccentric and Bazaar (Lady w/60 cats)
-Paranoid
-Schizoid
_Schixotypical
-circle of trust
-Has rituals
*Toned down schixophrenia |
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Term
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Definition
-Axis II
-Ego centonic
-Don't seek help
-Set pattern of behavior and world view by age 3
-Has 4 characteristics |
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Term
| The 4 Characteristics of Personality Disorder |
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Definition
-Inflexible
-Maladaptive
-Short term (abrupt) relationships
-Chaos (brings it-likes drama) |
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Term
| The 3 Dissociative Disorders |
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Definition
*Ego Defense Mechanism is caused by Anxiety r/t trauma
-Amnesia
-Fuege
-Identity disorder |
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Term
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Definition
-Ego Dissociative Disorder
-Caused by Anxiety r/t trauma
-If they had to remember it, it could make it worse.
-Short term 2-48 hours, meanwhile they confabulate |
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Term
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Definition
-Ego Dissociative Disorder
-Caused by Anxiety r/t trauma
-Loss of ID due to inability to process trauma
-split, took off, might get lost due to the shock
-Memory loss can last for years but eventually comes back |
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Term
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Definition
-Ego Dissociative Disorder
-Caused by Anxiety r/t trauma
-Based on early childhood trauma (violence)
-The ego splits into at least two personalities, the protector (alter) and the victum
-TX: Integrate all personalities to one, longterm therapy, antidepressants. |
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Term
| The 3 Somatoform Disorders |
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Definition
-Somatisation
-Hypochondriacs
-Conversion |
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Term
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Definition
-Extreme exaggeration
-"I am going to die!"
-They might think that they're having a heart attach but they're only experiencing anxiety.
-Will Dr. Shop |
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Term
Somatoform Disorder
"CONVERSION" |
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Definition
-Worse one
-Ego defense mechanism
-When anxiety is so intense that it shuts down motor or sensory function
EXP: Vision, ability to talk
-labelle Indiferance: They are ok with the shutdown because anxiety is wrapped up in it
-EXP: A lady drowned her children and as a result her hands get really hot |
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Term
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Definition
-Multi-symptom disorder
-Anxiety causes aches and pains in multiply body symptoms.
-Really in pain
-psycosomatic
-TX:SNRI pain reducing |
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Term
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Definition
-Actually do something to create symptom for a secondary gain
-Nurse most likely to have this
-Exp: Putting urine into wound to keep it infected or injecting insulin to affect blood sugar |
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Term
| Munchhausen Syndrome by proxy |
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Definition
-Actually do something to SOMEONE ELSE OTHER THAN SELF create symptom for a secondary gain
-Nurse most likely to have this
-Exp: Putting urine into wound to keep it infected or injecting insulin to affect blood sugar |
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Term
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Definition
-Faking an illness used for secondary gain like wanting time off work.
-Things that cannot be proven like lying |
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Term
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Definition
-disorders in which mental factors are the sole cause of a physical illness
-Exp: High blood pressure, low back pain |
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Term
| PTSD (Post Traumatic Stress Syndrome Disorder) |
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Definition
-Research discovered this when the men from WWII were coming back from war with shell shock and flashbacks at nighttime.
-TX: Sleeper, antidepressants, and the MOST IMPORTANT-GROUP THERAPY |
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Term
O.C.D
(Obsessive Compulsive Disorder) |
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Definition
-Ego Dystonic (Aware of thinking)
-o:Anxiety (thought)
-c:Compulsive behavior performed to reduce the anxiety or thought.
-d: looped
TX:Cognitive therapy, antipsycotics, and behavior therapy |
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Term
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Definition
-Anxiety disorder
-Not using meds with this
-has triggers. EXP: spiders or ridding in a plane
-experiences
TX: Antidepressants Extenction, behavior therapies. |
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Term
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Definition
-Anxiety disorder
-Agoraphobia (fear of public speaking)
-TX: Exposure or Extinction behavior therapies. PRN Benzodiazabines, Inderal PRN. |
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Term
| Signs and symptoms of Grief |
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Definition
-Goes on > 2years
-Don't regorganize
-sits at home in isolation
-Delusional
-Has a shrine (don't touch deceases persons things).
-Self and home care deficits
-Passive suicidal (could care less if lives or dies).
-TX: Electro-Convulsive Therapy, meds, and therapy. |
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Term
| What are the High Potent meds for Anxiety? |
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Definition
-HIGHLY ADDICTIVE
-Benzo's
--Valium and Xanex |
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Term
| What are the least addictive/potent drugs for Anxiety? |
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Definition
Benzo's
--Klonopin and Ativan
--Still addictive just less potent
--Lower dose |
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Term
| What two drugs are non-addictive and can be given to children for anxiety and racing thoughts? |
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Definition
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Term
| What is the ONLY non addictive antianxiety drug? |
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Definition
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Term
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Definition
- Good anti-anxiety drug for public speaking
-can lower bp by vasodialating |
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Term
| What is the most frequent treatment for long term anxiety? |
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Definition
| Antidepressants (exp: zoloft, prozac) |
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Term
| What is an important pre-op treatment for ECT? |
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Definition
-sign consent
-REMOVE JEWELRY |
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Term
| What is Kibler Ross crisis theory regarding grief? |
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Definition
*Acute phase last 6 weeks (shock and somatic)
-D-enile
-A-nger
-B-argining
-D-epression
-A-cceptance
*May have an anniversary reaction
*Eventually reorganize to a new normal. |
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Term
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Definition
**BIGGEST CAUSE FOR DEPRESSION**
-An emotional and physical response to a loss
-Mourning with rituals surrounding the mourning like setting out a dinner plate for the deceased.
-Bereavement: Is a TIME, usually off from work 3-5 days then back to work
-Anticipatory (Grief of an anticipated loss).
-Functional Grief
-Dysfunctional (not re-orged. in 2 yrs). |
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Term
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Definition
1) Gender (Men are more successful especially white teens)
2)Age 16-23 (due to impulsive) and 55+ (due to medical loss)
3)Depressed
4)Pain/chronic illness
5)HX of depression or co-morbid issues.
6) HX of suicide attempts |
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Term
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Definition
-say, "I know there's a part of you that doesnt want to die"
-Future orient them. Say, "When was the last time you were happy?"
-They're crying for help and seeking a secondary gain (want attention). |
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Term
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Definition
-Successful Suicide :.(
-Men are 4:1 more likely to succeed because their methods are more lethal (guns, hangings, motor vehicle accidents). |
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Term
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Definition
-Do something lethal but someone "mysteriously" finds them
-Women are 4:1 more likely to do this |
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Term
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Definition
-Cutting or doing something for attention. EXP: the little girl who takes 2tylenol because Timmy wont call her. Cutting Ankle
-TX: May go ahead and pump stomach as an "aversion therapy" so the person knows the consequences of their actions. |
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Term
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Definition
-Thinking abou8t it a lot
-No action toward it
- TX: meds and cognitive therapy |
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Term
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Definition
-Some depressed
-Some mania
-swings a lot
-flat affect
-TX: mood Stabilizer |
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Term
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Definition
| Used for bipolar PRN to calm down mania and help with sleep |
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Term
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Definition
-Depression 1st > works from the bottom up
-No sedation
-Tirate LOW and SLOW due to SJS (Steven Johnson Syndrome). |
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Term
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Definition
-Mood stablizer/anticonvulsant
-Good for pt with diabetic neuropathy and Bipolar
-No weight gain
-levels to draw
-Look at symptoms to see if therapeutic |
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Term
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Definition
-Therapeutic range (6/12)
-Photophobia
-Mood stablizer/anticonvulsant
-Noncomplieant due to sedative and weight gain. |
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Term
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Definition
-Mood stablizer/Anticonvulsant
-(50-12 or 0.50-1.2) Therapeutic range
-Can do loading dose
*Side effects are:
-Weight gain
-Sedation
-Drooling
-Potential for SJS |
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Term
| Mood stablizer/Anticonvulsants |
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Definition
-Depakote (Valproic Acid)
-Tegretol (Carbamazipine)
-Neurontin (Gabapentin)
-Lamictal (Lamotrigine)
-Benzo's
**Sedation, weightgain, potential for SJS
~go low and slow |
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Term
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Definition
***Gold Standard Mood Stabilizer***
-Salt, only med not metabolized through the liver. Must have functioning kidneys
-NEVER USE LOADING DOSE
-Do low and slow Titration
(There is an extended release form)
-Need blood levels every other day until at a therapeutic level and then every three months. |
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Term
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Definition
0.5-1.2
S&S:
-stable mood
-Transient side affects: blurred vision (FHT) fine hand tremor tx: Tell pt to drink lots of water |
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Term
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Definition
1.5 -2.0
S&S:
-Body is cold
-Nausea, vomiting, diarrhea (due to body's attempt to eliminate the drug.
-Confusion
-Ataxia (Jerky muscle movements)
TX: Push fluids and notify the doctor |
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Term
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Definition
-2.0-3.0
-S&S: Extreme confusion, extreme ataxia
-TX: Contact physician, Draw level (BUN and Cr), dialysis, hold dose, push fluids. |
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Term
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Definition
| Catapress (non-addictive) @ HS |
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Term
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Definition
*Unrealistic view of body structure or function. Exp: Michael Jackson or people with anorexia
-Cant function or go anywhere because of anxiety of perceived deformity
-Cognitive, increased anxiety, low function
_TX: Anxiety, cognitive therapy. |
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