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Terms in this set (28)
Three tips for answering psych questions...
1. Don't pick answers that solve their problem
2. Look for answers that reflect on feelings or content
3. Keep doors to communication open
How often should restraints be checked and released?
When isn't an order for restraints needed?
They should be checked every 15 minutes.
They should be released every 2 hours.
An order isn't needed if:
1. They are a risk for harm to themselves
2. Immediate danger to others
3. Immediate danger to society
Battery vs. Assault
Battery is the harmful or offensive touching that is purposeful.
Assault is the apprehension or fear or touching.
What is a therapeutic distance from someone for communication?
Within two feet/arm length.
Eye contact if someone is delusional?
If they are delusional, it may be seen as a threat. DON'T MAKE EYE CONTACT.
If the answer has why in it?
NEVER PICK IT. WHY IS NEVER THE ANSWER.
What is projection coping mechanism?
It is when they say "Oh those nurses hate me" when in reality they are hating the nurses.
Repression vs. Suppression vs. Regression...
Repression is an involuntary memory loss (Rape victim).
Regression is going back to a previous developmental stage (Bed wetting).
Suppression is a voluntary memory loss.
OCD, Obsession vs. Compulsion...
Obsession is the persistent/intrusive thought.
Compulsion is doing the act over and over again.
What is a conversion disorder?
It is a sudden onset of a psychological event that makes a physical problem in the patient. Unexplained blindness or paralysis.
What is important to know with Benzodiazepines?
Injury risk why?
They need to know that they shouldn't drink alcohol and that they shouldn't discontinue abruptly.
They are an injury risk because...
2. Decreased Alertness
3. Orthostatic Hypotension
Antisocial personality disorder patients have no _____ and are the ones that are typically found in _____.
Antisocial personality disorder patients have no conscious and are the ones that are typically found in prisons.
Characteristics of the Batterer vs. Battered... (3 each)
1. Low self esteem
2. Very impulsive
3. Have an economic hold
1. Low self esteem
2. Blaming themselves for behavior
3. Has an economic dependence
Overt vs. Covert cues for abuse...
Overt would be directly telling the nurse "I don't feel safe"
Covert would be indirectly telling the nurse. For example describing isolation. "We used to go out a lot but not anymore".
If you have to let the abused or suspected abused adult go, what should you do?
You may have to let them go, but make a plan with them first.
Stages of grief and grieving...
D - Denial
A - Anger
B - Bargaining
D - Depression
A - Acceptance
The patient should go through the active stage of mourning in the first _____-_____ weeks. This includes which stages?
The patient should go through the active stage of mourning in the first 4-8 weeks. This includes the denial and anger stages.
With ECT therapy, they may develop _____ after, so you should do what?
With ECT therapy, they may develop confusion after, so you should reorient them after therapy.
With antidepressants, it may take how long to feel a benefit and what should you watch for as the medication starts working?
It should take 2-4 weeks for it to fully kick in.
As the medication starts working they will have more energy and are at a bigger risk for suicide.
With MAOI there is a food restriction of what?
What should you teach them to be aware of?
There is a food restriction of tyramine (fermented foods).
They should be aware of the signs and symptoms of a hypertensive crisis.
Hypomania vs. Mania...
In the manic phase how should they be addressed?
Hypomania is still functioning. They are able to be extremely productive, sleep, and eat.
Mania is when they lose touch with reality and become non-functioning. They are unable to sleep and do ADLs.
In the manic phase they should be addressed directly.
What is the normal lithium range?
What can increase serum levels?
Why do people stop taking lithium? (3)
Normal range is 0.6-1.2 mmol/L
Dehydration and low sodium levels can increase the serum level or lithium.
They stop taking lithium because...
1. They are gaining weight
2. They feel nothing/numb
3. They want to experience the mania again
What is one way to increase nutrition in depressed and bipolar patients?
Give them finger foods.
What action can help with auditory hallucinations?
Distraction or humming. It can drown out the words or voices.
Neuroleptic Malignant Syndrome with Antipsychotics...
They will have hypertension, increased pulse, and an increased temperature. You want to hold the med and give supportive measures.
With dementia and Alzheimers, they may use confabulation why?
To make up stories to fill in the holes in their memory.
If a person is demonstrating violent behavior what should you implement? (3)
1. Don't get any closer than 12 feet.
2. Never let the person get between you and the escape.
3. Get people away from them.
With suicide precautions, they should be no further than what?
One arms length away from the nurse or person watching them.
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