Psych

Question 1

Is there weight loss or gain in mild depression? Severe depression?

Answer 1

Mild: gain
Severe: loss

Question 2

How do you handle when someone is having a delusion?

Answer 2

Tell them you accept that they need to believe it, but you don’t.

Question 3

What are 5 interventions when someone is manic?

Answer 3

1. Stay with client
2. Weight daily
3. Finger foods
4. Set limits
5. Provide activity and structured schedule

Question 4

The patient focuses inward and create their own world. They have an inappropriate, flat, or blunted affect. Disorganized thoughts, echolalia, neologism, word salad, delusions, hallucinations, child like mannerisms, and jump from idea to idea.

Answer 4

Schizophrenia

Question 5

What is the most common type of hallucination?

Answer 5

Auditory

Question 6

What are 3 interventions for a patient with schizophrenia?

Answer 6

1. Decrease stimuli
2. Orient frequently
3. Keep conversations reality based

Question 7

What’s the number one intervention when someone is suicidal?

Answer 7

Provide safe environment

Question 8

What are 2 interventions for someone in restraints?

Answer 8

1. Check every 15 minutes (hydration, nutrition, elimination)
2. Observe for 15 to 30 minutes or one-to-one if client cannot contract for safety

Question 9

What are 5 interventions for the paranoid patient?

Answer 9

1. Be reliable and honest
2. No whispering
3. ID medications
4. Respect personal space
5. Sealed foods

Question 10

When does anxiety become a disorder?

Answer 10

When it interferes with day to day functioning

Question 11

Can patients with depression have delusions or hallucinations?

Answer 11

Yes

Question 12

Anxiety ______ performance at mild levels and _______ performance at high levels.

Answer 12

Increases; decreases

Question 13

When a patient is highly anxious they need ________ instructions.

Answer 13

Step by step

Question 14

What are 3 ways to treat generalized anxiety disorder (chronic anxiety)?

Answer 14

1. Short term use of anxiolytics
2. Relaxation techniques
3. Journaling

Question 15

Results from exposure to life-threatening events like severe trauma, natural disasters, and war. Relieve the experience through nightmares and flashbacks. They are emotionally numb, have difficulty with relationships, and isolate themselves.

Answer 15

PTSD

Question 16

What are 3 ways to treat PTSD?

Answer 16

1. Support groups
2. Talk about the experience (don’t push it)
3. Medications may be helpful

Question 17

Recurrent thought

Answer 17

Obsession

Question 18

Recurrent act

Answer 18

Compulsion

Question 19

What are 3 ways to treat OCD?

Answer 19

1. Time delay techniques
2. Relationship techniques
3. Medications - SSRI or TCAs

Question 20

The patient uses dissociation as a coping mechanism to protect self from severe physical and/or psychological trauma. May see this in patients with history of physical or sexual abuse. They may have periods of time or events they can’t remember.

Answer 20

Dissociate disorders

multiple personalities

Question 21

What are the 3 stages of withdrawal from alcohol?

Answer 21

1 - mild tremors, nervous, nausea
2 - increased tremors, hyperactive, nightmares, disorientation, hallucinations, increased pulse and BP
3 - most dangerous, severe hallucinations, grand mal seizures

Question 22

What medication is given to deter recovering alcoholics from drinking?

Answer 22

Antabuse

Question 23

What 4 medications are used in the detox protocol?

Answer 23

1. Anxiolytics - Chlordiazepoxide (Librium); prevent DTs
2. Thiamine injections
3. Multivitamins
4. Magnesium

Question 24

What are 2 chronic problems of alcoholics?

Answer 24

1. Korsakoff’s syndrome - disordered to time, confabulate)
2. Wernicke’s syndrome - emotional labile, moody, tire easily
   * Due to thiamine/niacin (vit B) deficiencies

Question 25

What 2 electrolytes to alcoholics lose?

Answer 25

1. Magnesium 2. Potassium Alcohol diuresis

Question 26

What are 5 interventions for an anorexic patient?

Answer 26

1. Increase weight gradually 2. Monitor exercise routine 3. Teach healthy eating and exercise 4. Allow patient input into choosing health food items for meals 5. Limit activity and decisions if weight is life threatening

Question 27

What is usually the cause of bulimia?

Answer 27

Family problems

Question 28

What are 3 interventions for a patient with bulimia?

Answer 28

1. Sit with client at meals and observe for 1 hour after 2. Allow 30 minutes for meals 3. Take focus off the food

Question 29

What are 5 interventions for someone with panic disorder?

Answer 29

1. Stay 6 feet away 2. Simple messages/words 3. Teach that symptoms peak within 10 minutes 4. Teach them to learn to stop the anxiety 5. Relaxation techniques (journaling) - not during attack

Question 30

What is the main way to treat a phobia?

Answer 30

Desensitization

Question 31

Patients are intensely emotional, manipulation, and fear abandonment. They may abuse substances, be sexually promiscuous, depressed, or bulimic. They make suicidal gestures and self mutilate.

Answer 31

Personality disorder | Ex: borderline

Question 32

What are 6 interventions for a patient with personality disorder?

Answer 32

1. Improve self esteem 2. Treat co-diagnoses (depression, eating disorders) 3. Relaxation techniques 4. Enforce rules and limits 5. Don't reinforce negative behavior 6. Treat self-mutilation and suicide gestures in matter of fact way