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Psychiatric

Terms in this set (34)

Depression:
1. Loss of _____ in life's activities.
2. Negative view of the _________
3. Anhedonia, loss of _______ in usually pleasurable things
4. Usually related to __________
5. What does this client look like?
6. Weight gain in ______ depression
7. Weight loss in _______ depression
8. Crying spells with _____ to ______ depression
9. No more tears with _______ depression.
10. Clients may be _____ due to decreased serotonin
11. Do they have energy?
12. Do they need help with self-care?
13. Help experience ____________
14. Careful with __________ as these may make the client feel worse.
15. Prevent __________
16. Interacting with others actually makes the client feel __________
17. If severly depressed, sitting with the client and making no _______ may be the best thing to do.
18. Can these people make simple decisions?
19. Assess _________ risk.
20. As depression lifts, what happens to suicide risk?
21. A sudden change in mood towards the better may indicate that the client has made a ______________________________________________.
22. _________ clients are particulary at risk for suicide
23. Elderly __ tend to be very successful at using very lethal methods
24. Can they have delusions and hallucinations?
25. Are their thoughts slowed?
26. Are they able to concentrate?
27. Sleep __________ are common.
28 In moderate depression to severe depression they may have ___________
1. interest
2. world
3. pleasure
4. loss
5. unkempt appearance
6. mild
7. severe
8. mild to moderate
9. severe
10. irritable
11. no
12. yes
13. accomplishments
14. compliments
15. isolation
16. better
17. demands
18. no
19. suicide
20. increases
21. decision to kill them self
22. elderly
23. men
24. yes
25. yes
26. no
27. disturbances
28. insomnia
Mania:
1. Continuous __________
2. Emotions _________
3. Flight of ________
4. Delusions are a false __________
5. Delusions of ________ (Jesus)
6. Delusions of __________
7. Do you argue with the belief?
8. Do you talk a lot about the delusion?
9. Look for the underlying _________.
10. Constant motor activity that results in _________.
11. Inappropriate ___________
12. Can't stop to ________
13. Altered _________ patterns
14. Spending ___________
15. Poor ___________
16. No ____________
17. Hypersexual and may _____ other clients
18. When manipulation fails they become _________
19. Manipulation makes them feel _______________
20. Set ______; staff must be consistent
21. Decreased _________ span
22. Hallucinations
1. high
2. Liable
3. ideas
4. idea
5. grandeur
6. persecution
7. No
8. No
9. need
10. exhaustion
11. dress
12. eat
13. sleep
14. sprees
15. judgements
16. inhibitions
17. exploit
18. angry
19. powerful
20. limits
21. attention
22. Hallucinations
Treatment of mania:
1. Decrease ______ in the environment
2. Limit ______ activities
3. Feel most secure in one-on-one _____________
4. Remove ___________
5. Stay with client as anxiety ____________
6. Structured _________
7. Provide activity to replace __________ activity
8. Writing activities provide energy outlet without to much ________________
9. Brief, frequent contact with ___________. To much conversation stimulates the client.
10. Finger ____________
11. Keep ______ available
12. Weight __________
13. Walk with the client during ________
14. Dont argue or try to ____________
15. Will try to _________ you
16. Blame __________
17. Make sure _________ is maintained
18. Client may do things or say things that they wouldn't ___________ do
1. stimuli
2. group
3. relationships
4. hazards
5. increases
6. schedule
7. purposeless
8. stimulation
9. staff
10. foods
11. snacks
12. daily
13. meals
14. reason
15. charm
16. others
17. dignity
18. normally
Schizophrenia:
1. Focus is inward and they create their own ________
2. Inappropriate affect, flat affect or ______ affect
3. Disorganized _________
4. Rapid ________
5. Jump from idea to ________
6. ______ is saying the same thing over and over
7. ___________- is making up new words
8. Seek ___________ "I don't understand"
9. Do these words mean anything?
10. Concrete __________
11. _______ salad
12. Delusions
13. Hallucinations: ______ most common and ____ the second most common
14. Child like ____________
15. Religiosity
1. world
2. blunted
3. thoughts
4. thoughts
5. idea
6. Echolalia
7. Neologism
8. clarification
9. no
10. thinking
11. word
12. Delusions
13. auditory, visual
14. mannerisms
15. Religiosity
Treatment of Schizophrenia:
1. Decrease _________
2. Observe ________ without looking suspicious
3. Orient ________
4. Keep conversations ________ based
5. Make sure ________ needs are met
1. stimuli
2. frequently
3. frequently
4. reality
5. personal
Obsessive-Compulsive Disorder (OCD)
1. Obsession is a recurrent _____________
2. Compulsion is a recurrent __________
3. Can't __________
4. Comes from an unconscious conflict or __________
5. Need a structured ____________
6. Do we give them time for their rituals?
7. Can't perform rituals - __________ goes up
8. You should never take away the ritual without replacing it with another ____________.
9. Do we verbalize disapproval?
1. thought
2. act
3. stop
4. anxiety
5. schedule
6. yes
7. anxiety
8. coping mechanism
9. no
Treatment for OCD:
1. Time _____ techniques
2. __________ techniques
3. Medications such as ________ and _________
1. delay
2. relaxation
3. SSRI or TCA
Dissociative disorders:
1. The client uses dissociation as a _________ mechanism to protect self from severe physical or psychological trauma
2. May see with clients who have a ______ of physical or sexual abuse
3. Not ___________ occurring or seen
4. Client or others may be aware of the problem, except the client may have periods of time or events that cannot be ________________.
5. Dissociative Identity Disorder is an ___________ example.
1. coping mechanism
2. history
3. commonly
4. remembered
5. extreme
Treatment for dissociative disorders;
1. Client must process the trauma over _________
2. Medications may be used to treat __________ conditions.
1. time
2. co-occuring
Alcohol is a ___________.
depressant
Stages of Alcohol withdrawal:
1. Stage 1: Mild __________, nervous and nausea
2. Stage 2: Increased tremors, hyperactive, nightmares, disorientation, hallucinations, increased __________ and ___________.
3. Stage III: The most _________, severe hallucinations and grand mal seizures
4. Stage II and III are _____________.
5. Stage I and II you should _____ and _____ with them.
1. tremors
2. pulse and blood pressure
3. dangerous
4. DTs
5. walk and talk
Anxiolytics in alcoholism:
1. remember that the client has a cross tolerance to ______ depressants.
2. The client can handle medications every ______ hours
3. DTs should be ______________
4. The client is very ________ during the episode.
1. CNS
2. 2
3. prevented
4. frightened
_______________ usually includes thiamine injections, multivitamins, and perhaps magnesium.
detox protocol
Korsakoff's and Wernicke's syndrome are caused by ___________ and _____________ deficiencies.
thiamine
niacin
_______________ syndrome causes the client to be disoriented to time and confabulate.
Korsakoff's
__________ syndrome causes the patients emotions to be labile, moody and tire easily.
Wernicke's
S/s of alcoholism:
1. Peripheral ____________ due to vitamin B-12 deficiency.
2. Liver and _________ problems
3. Impotence
4. Gastritis
6. Magnesium and __________ loss
7. Major defense mechanism is ___________
1. neuritis
2. pancreas
3. impotence
4. gastritis
6. potassium
7. denial
Antabuse is a deterrent to ____________.
drinking
Client has to sign consent form and must stay away from any form of __________; including cough syrups, aftershaves, colognes etc
alcohol
_________ program is very effective.
12 step program
Client must have a _______ prevention plan in place.
relapse
Must have __________ once detox is over.
support
Family issues ______ once the alcoholic is sober.
issues
s/s of anorexia:
1. Distorted ________ image
2. Sees and ________ person when looking in the mirror
3. Preoccupied with ________ but won't eat
4. Plans meals for _____________
5. Periods __________
6. Decreased __________ development
7. Exercise
8. Lose ____________
9. Uses _____________ as a defense mechanism
10. High achiever, ______________
1. body
2. overweight
3. food
4. others
5. stop
6. sexual
7. exercise
8. weight
9. intellectualization
10. perfectionistic
Treatment for anorexia:
1. Increase weight ___________
2. Monitor ________ routine
3. Teach healthy ___________ and exercise
4. Allow client _______ into choosing healthy food items for meals.
5. Limit activity and decisions if weight is low enough to be life ______________.
1. gradually
2. exercise
3. eating
4. input
5. threatening
s/s of bulimia:
1. Overeat and then __________
2. Teeth __________ and __________
3. Laxatives and ______________
4. Strict ____________
5. Binges are alone or in ___________
6. Out of ________ when binging
7. Spends more and more time _________ food
8. Normal ___________
1. vomit
2. erosion and decay
3. diuretics
4. diet
5. secret
6. control
7. obtaining
8. weight
Treatment for bulimia:
1. Sit with client at meals and observe for _______ hour after.
2. Allow ____________ for meals
3. Take focus off of the ________
4. Family is usually the _____________
5. Families tend to deny ______ and problems
6. ________ building is important.
1. 1 hour
2. 30 mins
3. food
4. cause
5. conflict
6. self-esteem
s/s of personality disorders:
1. Most commonly encountered is ________________
2. Clients are intensely _____________
3. Manipulative
4. Suicidal ______________
5. Self- ________________
6. May also be ________ or bulimic.
7. May __________ substances
8. Fear of ____________________
9. Many ___________ relationships
10. May be sexually ___________________.
1. borderline personality disorder
2. emotional
3. manipulative
4. gestures
5. mutilation
6. depressed
7. abuse
8. abandonment
9. negative
10. promiscuous
Treatment for personality disorders:
1. Improve ____________
2. Treat _______________
3. __________ techniques
4. Enforce ___________ and limits
5. Don't reinforce any __________ behaviors
6. Treat self mutilation and suicide gestures in a __________________________ way
1. self esteem
2. co-diagnosis
3. relaxation
4. rules
5. negative
6. mater-of-fact
Phobia:
1. With any phobia, does the object the person is scared of present danger?
2. Must have a ___________ relationship.
3. ______________ must occur over time.
4. Don't talk about the _________ a lot.
5. __________ is the key to successful treatment.
1. no
2. trusting
3. desensitization
4. phobia
5. follow up
Panic Disorder:
1. Stay _______ away
2. Simple _______________
3. have to learn how to _____ the anxiety.
4. Teach that symptoms should peak within _________.
5. Teach ____________ to manage anxiety.
6. __________ techniques
1. 6 feet
2. messages
3. stop
4. 10 mins
5. journaling
6. relaxation
Hallucinations:
1. Warn before you ___________
2. Don't say "_______"
3. Let the client know you do not share the _________
4. Connected with times of _________________
5. Involve in an ________________
6. Elevate the ________________
7. Turn off _____________
8. Offer _________ if the client is frightened.
1. touch
2. "they"
3. perception
4. anxiety
5. activity
6. head of the bed
7. stimuli
8. reassurance
ECT Pre-procedure:
1. Can induce a grand mal ________________
2. For severe _________ and manic episodes
3. _______ (diet)
4. Signed _______ is necessary.
5. Series of treatments depends on client's ________.
6. Very _________________ treatment
7. Succinylcholine chloride is given to provide _________________.
1. seizure
2. depression
3. NPO
4. consent
5. response
6. effective
7. muscle relaxation
Post ECT procedure:
1. Position on _________
2. Stay with the client
3. _______ memory loss
4. Reorient
5. Involve in day's __________ as soon as possible.
1. side
2. stay with the client
3. temporary
4. reorient
5. activities
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