Psych Nursing > Psych Final > Flashcards

Psych Final Flashcards

(66 cards)

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1
Q

What is transference

A

When the patient sees the nurse as someone from their life

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2
Q

What is counter transference

A

When the nurse sees the patient as someone from their life

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3
Q

What is the most common hallucination patients experience

A

Auditory

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4
Q

What is formal status

A

Patients in hospital under law

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5
Q

What is informal status

A

Patients on units at their own will

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6
Q

What was the main goal of deinstitutionalization

A

Least restrictive treatment options

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7
Q

What criteria is used to determine a patient as formal

A

Has mental illness
Could benefit from treatment
Harm to themself or others
Unsuitable for care at any other facility other than psych

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8
Q

Depressive melancholic features

A

No outside influence. Biological depression

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9
Q

Depressive atypical features

A

Vegetative signs: eating, sleeping, sex drive

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10
Q

Depressive catatonic features

A

Motor retardation

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11
Q

What is anhedonia

A

The inability to experience pleasure

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12
Q

Why is suicide such a high risk once medication is started for depression

A

Patients will get the energy they did not have previously to actually go through with it

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13
Q

What is the number 1 top priority in all patients

A

Safety

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14
Q

Which mental illness tends to run in families

A

Bipolar disorder

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15
Q

What is cyclothymic disorder

A

Hypomania and depression that shifts quickly

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16
Q

Which mental illness is MOST likely to have a concurrent substance use disorder

A

Bipolar disorder

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17
Q

Focusing on sleep and eating/hydration is needed by the nurse for which mental illness

A

Bipolar disorder-MANIA

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18
Q

Which mental illness causes endless energy and impulsive choices

A

Bipolar disorder

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19
Q

Which mental illness often has thoughts of grandiosity

A

Bipolar disorder

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20
Q

Which mental illness will require the patient to be secluded and sedated as treatment

A

Bipolar disorder

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21
Q

What causes patients to have the inability to take responsibility for their actions

A

Borderline personality disorder

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22
Q

Cluster A

A

Psychotic spectrum. Odd and eccentric behaviour

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23
Q

Cluster C

A

Dependent personality
Avoidant
Obsessive

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24
Q

Cluster B

A

BPD
Narcissistic
Histrionic
Antisocial

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25
Splitting occurs most commonly in which patients
Borderline personality disorder
26
Alterations in perception, thought, language, emotions, social behaviour describe which mental illness
Schizophrenia
27
When a patient cannot determine what is real and what is not it is called
Psychosis
28
What are the 5 key features of schizophrenia
Delusions Hallucinations Disorganized thinking Abnormal motor behaviour Negative symptoms
29
What is psychogenic polydipsia
Excessive water intake
30
In what mental illness in psychogenic polydipsia observed
Schizophrenia
31
How do we monorail psychogenic polydipsia
Weigh the patient daily
32
Why is it important to start treatment for schizophrenia early in children
If not some of their social and cognitive abilities will be lost
33
What are positive symptoms in schizophrenia
Presence of something that should not be there ex. Hallucinations
34
What are neologisms
Made up words
35
In what mental illness do we see neologisms
Schizophrenia
36
What are negative symptoms in a patient with schizophrenia
Absence of something that should be present ex. No motivation
37
In patients with schizophrenia the nurse must focus on
As much independence for the patient as possible
38
What is anosognosia
Inability to recognize one’s own illness
39
In which mental illness is anosognosia experienced
Schizophrenia
40
Excess of this neurotransmitter causes psychosis
Dopamine
41
In which mental illness do thyroid labs need to be checked
Depression
42
What are the 3 things to assess when doing a suicide assessment
Lethality Intrusivity Means
43
What is the number 1 priority for a patient that just attempted suicide
Safety
44
What causes thiamine to be low
Alcoholism stores thiamine in liver instead of in blood for brain availability
45
Which vitamin is thiamine
B1
46
What is needed from the nurse in trauma informed care
Collaboration Choice for the patient
47
Who had the theory of interpersonal relationships
Peplau
48
Peplau identified what as the foundation of nursing practice
Nurse patient relationship
49
How did Peplau’s theory change nursing
Changed from what nurses do to their patients with what nurses do WITH their patients
50
What are the 6 nursing roles according to Peplau
Stranger Resource person Teacher Leader Surrogate Counselor
51
What are the 3 skills of psych nurses
Observation Interpretation Intervention
52
Which 2 neurotransmitters are primarily effected and cause addiction
Dopamine Endorphins
53
What causes Wernicke’s encephalopathy
Deficiency in thiamine due to alcoholism
54
What is an example of primary addiction prevention
Labelling Taxation
55
What is an example of secondary addiction prevention
Injection sites
56
What is an example of tertiary addiction prevention
Detox Recovery
57
When a patient has a witnessed or unwitnessed fall what is the priority of the nurse
Neuro Vitals
58
What is recovery oriented care
Ability to work, live and participate in the community
59
Torsades de pointes from low magnesium is a lethal result of
Extreme alcoholism
60
What is anergia
Lack of energy
61
Which organ needs to be monitored in patients taking lithium
Kidneys
62
What is avolition
Severe lack of motivation
63
What is the number one sign of neuroleptic malignant syndrome
Spiked temperature
64
What is negativism
The patient does the opposite of what is asked of them
65
What part of the brain is primarily effected by schizophrenia
Frontal lobe Cortex Ventricles
66
What part of the brain is primarily effected by PTSD
Amygdala Hippocampus Frontal cortex
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