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Psychiatric nursing
Basic chap 93
73
Nursing
Professional
12/09/2010

Additional Nursing Flashcards

 


 

Cards

Term

Name the defense mechanism:

 

Joe does not want to discuss his mother's recent death and continually tells his wife, “We'll talk about it tomorrow.”

Definition

suppression

Term

Name the defense mechanism:

 

Gordon, recently diagnosed with terminal cancer, tells his family that he feels fine and the doctors do not know what they're talking about.

 

Definition
Denial
Term

 Name the defense mechanism:

 

Peter does not like his stepfather but is overly polite and kind to him.

Definition
Reaction-formation
Term

Name the defense mechanism:

 

Madeline, who has always been very shy and nervous, forces herself to join the college drama team.

Definition
Sublimation
Term
Which symptoms are common to both psychosis and schizophrenai?
Definition
Delusions and hallucinations
Term

A client is due for meds.  You enter the room with the meds, to find the client is in the bathroom.  Which is the least desirable action?

 

1- Leave the medication at the bedside and move on to the next client

 

2- Move on to the next client and return later

 

3- Wait for the client to come out of the bathroom to pass the meds

 

4- Pass the meds to the patient in the bathroom

Definition

1- Leave the medication at the bedside and move on to the next client

 

You must witness the client taking the meds.  You may ask the client if it is okay to enter the bathroom.  If he declines, wait for him to exit the bathroom, or move on to the next client and return later.

Term
A patient taking Haldol should be monitored for what significant side effect?
Definition
Parkinsonianism: mask-like facial response, tremulous hands
Term
The cardinal sign of depression
Definition
anhedonia
Term
Anhedonia: definition
Definition
State of being unable to experience pleasure from what would normally be a pleasurable
Term
The simplest definition of a "mentally healthy" person
Definition
One who is responsible for his or her own behavior and uses proper coping skills
Term
What test is used to screen for patients who are possibly faking illnesses?
Definition
Structured Interview of Reported Symptoms (SIRS)
Term

Agitation, elation, hyperexitability, grandiosity

 

These terms relate to what condition?

Definition
Mania
Term
"cycling" is a term used in describing an aspect of what disorder?
Definition

bipolar disorder

 

 

Cycling refers to the period of mood changes, from mania to depression and back.

Term

Name the defense mechanism

 

Chuck accidentally erases files from his computer. He yells at his son, “See what you made me do with all that noise,” and calls the computer names.

Definition
Projection
Term
To diagnose dysthymia, what conditions must be met?
Definition

- Depressed mood for most of the day, most days

- persists for at least two years

Term
When considering a patient for psych admission, what must be done first?
Definition
Rule out medical cause for condition (ie, chemical abuse)
Term

A client is admitted to the hospital with a diagnosis of major depression. When taking his or her history, which information would be most significant?

 

a. Feelings of distress
b. Lack of energy
c. Thoughts of self-harm
d. Weight loss
Definition
c. Thoughts of self-harm
Term

When evaluating the effectiveness of neuroleptic medications, the nurse would monitor for:

a. Apathy
b. Decreased hallucinations
c. Severe agitation
d. Tardive dyskinesia
Definition
b. Decreased hallucinations
Term
Prior to the administration of electroconvulsive therapy, the nurse would instruct the client that common side effects of the therapy include:
a. Myalgia and headache
b. Nausea and vomiting
c. Pain and seizures
d. Vomiting and disorientation
Definition
a. Myalgia and headache
Term

A nurse advises a football player's parents about warning signs of suicide.  Which behavior best indicates that the adolescent is at increased risk for suicide?

 

A) Becoming depressed over a recent breakup with a girlfriend

 

B) Letting his GPA drop fro a 92 to a 88

 

C) Disregarding family rules

 

D) Arguing with siblings

Definition

 

 

 

 

A) Becoming depressed over a recent breakup with a girlfriend

Term

When the nurse brings the baby to the mother's room, the father says, "These doctors don't know anything.  We're going to consult specialists."

Which response by the nurse to the parents is most appropriate at this time?

 

A) "The physicians here are very well qualified."

 

B) "It's not as bad as it may seem right now."

 

C) "Why do you feel you need a second opinion?"

 

D) "This diagnosis is difficult for you to accept."

Definition

 

 

 

 

 

 

 

 

 

 

 

 

D) "This diagnosis is difficult for you to accept."

Term

Upon admitting a patient who speaks little English, which translation method is most beneficial for the client when the nurse explains the need to search for contraband?

 

A) A translator who speaks the client's language

 

B) The client's family member who can translate the process

 

C) A translation card that uses key words, phrases and pictures

 

D) A hospital housekeeper who speaks the client's language

Definition

 

 

 

 

 

A) A translator who speaks the client's language

Term

A mother asks how to appropriately discipline a 2-year-old.  Which response is most appropriate?

 

A) preidentifying the consequences of unacceptable behavior

 

B) showing disapproval immediately after an unacceptable act

 

C) explaining to the toddler why a certain behavior is undesirable

 

D) administering some form of moderate physical punishment

Definition

 

 

 

 

 

 

B) showing disapproval immediately after an unacceptable act

Term
A client with a fear of flying will typically use which coping mechanism to deal with this fear?
Definition
avoidance
Term
Number one safety tip for traveling nurses
Definition
Carry a cell phone
Term
Which model of therapy uses the premise that the past cannot be changed, so focus on the here and now?
Definition
Reality therapy
Term
Pre-op nursing for the client scheduled for an ECT
Definition

- NPO after 6pm the night before

- Hold all benzodiazepines and anti-seizure meds after 6pm the night before

- no gum

Term
If a patient is attacked or injured by another patient, what crime has been committed?
Definition
vulnerable adult abuse
Term
A patient recently diagnosed with a chronic progressive disease is at what additional risk?
Definition
suicide.
Term
If a client exhibits irritability and impulsivity, what might he be thinking?
Definition
suicide ?
Term

What kind of disease process that has bizarre and non-reality-based thinking?

Definition
schizophrenia
Term
A false premise believed to be true
Definition
delusion
Term
False sensory perceptions (sounds, visions, smells, etc.)
Definition
hallucinations
Term
Marked by an inability to connect thoughts into logical sequences.  Thoughts may be fragmented.
Definition
Disordered thinking.
Term
What are the two basic types of catatonia?
Definition
Stupor and catatonic excitement
Term
Looseness of association would be seen as
Definition

Random, confused thinking

 

Example:

"Blue lights and gold. I go round and round. The grass is green."


Term
Arachnaphobia (fear of spiders) would be classified as a
Definition
specific phobia
Term
the fear of open spaces or of being in a place from which escape may be difficult or embarrassing
Definition
agoraphobia
Term
fear of public speaking, performing, or even of eating in public would be a
Definition
social phobia
Term
A person who has "flashbacks" of a traumatic event likely suffers from
Definition
Post-traumatic stress disorder (PTSD)
Term
a recurrent, persistent, intrusive thought or belief that the person cannot ignore
Definition
obsession
Term
a repetitive behavior (eg, handwashing, cleaning) or a mental act (eg, counting, praying) that the person feels driven to perform, sometimes constantly.
Definition
compulsion
Term
Panic attacks, phobias, OCD and PTSD are all types of
Definition
anxiety disorders
Term
Patient refuses to eat in order to lose or maintain weight far below ideal.
Definition
Anorexia nervosa
Term
Patient binges and purges
Definition
bulemia
Term
You come home from a bad day at work and kick the dog. This is an example of
Definition
displacement
Term

"It's not that I made a stupid mistake, it's that you are critical of everything I do!"

 

This is an example of

Definition
projection
Term

Name the defense mechanism:

 

Country music

Definition
Sublimation
Term

Name the defense mechanism:

 

Jack and Jill break up. Jack ignores the emotional affect it has on him by focusing on the "logical reasons" why the breakup was necessary.

Definition
Intellectualization
Term
organic disorder
Definition
a mental disorder that can be traced to a physical cause (ie, brain trauma)
Term
a mental disorder that can be traced to a physical cause (ie, brain trauma)
Definition
organic disorder
Term
A mental disorder that does not have a physical cause
Definition
functional disorder
Term
functional disorder
Definition
A mental disorder that does not have a physical cause
Term
Type of speech in which the words are clear, but they appear random and without meaning.
Definition
Word salad
Term
Ron thinks he's a stud.  This is a
Definition
delusion.
Term
Ngok hears her tofu dolls telling her to kill Jeremy.  This is a
Definition
Hallucination
Term
Nicole sees a giant in the mirror.  This is a
Definition
hallucination
Term
Ngok thinks her toy tofu wants to kill her.  This is a
Definition
delusion.
Term
Depression that is caused by a specific event is called
Definition
situational depression
Term
A person who generally avoids interaction with others, is socially inept, and indifferent to others, could suffer from
Definition
schizoid personality disorder
Term
Joe thinks everyone's out to get him. He suffers from
Definition
paranoid personality disorder
Term
The person who has no regard for the rights of others, and continuously violates others' privacy, may suffer from
Definition
antisocial personality disorder
Term
The "drama queen" is typically suffering from
Definition
histrionic personality disorder
Term
A patient complains of symptoms of illness. No cause of the symptoms is apparent.  Also, there appears to be no motive for faking the illness.  This may ba a
Definition
factitious disorder.
Term
What separates a factitious disorder from malingering is that the malingerer
Definition
appears to have a motive for feigning the illness.
Term
repetition of another person's movements
Definition
Echopraxia
Term
gross lack of coordination
Definition
ataxia
Term
The way Ron talks about his old girlfriends, you'd think he has
Definition
erotomania
Term
At what point in the attempt to stop drinking would the use of Antibuse be initiated?
Definition
When everything else has failed.
Term
What must be done before measures are taken to end the cycle of drug abuse?
Definition
DETOX - the body must be cleaned of the drug before beginning the rehab process.
Term
The concurrent abuse of more than one drug is known as
Definition
polysubstance abuse
Term
A relationship in which a substance abuser may be getting help from a (probably unwitting) significant other to continue the abuse is called
Definition
codependence
Term
Actions of a significant other that cover up an addicts problem and/or assist the addict in continuing the substance abuse is called
Definition
enabling
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