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Psych Test 3
Terms in this set (27)
Why is a behavior modification program good for an eating disorder?
They're in charge - gives them control
What disorder includes thinking that someone else is reincarnated as something else?
What are concerns for alcoholics post rehab discharge?
Alcohol was their coping mechanism. Therefor, other issues will start to arise
What happens if you find a pt smuggling stuff into the unit?
Confront them immediately
What is naltrexone?
Tx for early alcohol addiction
*Works on the same receptors that produce feelings of pleasure
Sx of Alcohol Withdrawal (CIWA) (8)
Sensory Disturbances (tactile, visual, auditory)
SELECT ALL THAT APPLY:
What do you do if you suspect a college has a substance abuse problem?
A. Report to supervisor
B. Confront the nurse
C. Report to the police
D. Observe them more, report later
E. Offer support
A: Report to supervisor
E: Offer support
-Do not confront
-Do not report to cops
-Do not wait to report
What is the best predictor of alcohol withdrawal symptoms?
Drinking history (frequency, quantity)
NOT type of alcohol
NOT BAC level
What should a nurse expect a client with borderline personality/self-mutalization to feel when they terminate the relationship?
They will become very clingy per fear of abondonment
Pt acute paranoid schizophrenia are being disruptive to the milluea. Yelling, pushing. What do you do?
Check if you have meds to come them down. Ask them if they're willing to take it to calm down. If they will not calm down, you can still give it to them.
When somebody is chemically dependent, what is the first step in tx?
Admitting their dependency
When does withdrawal sx begin after the last drink of alcohol?
Used for alcohol withdrawal sx via substitution therapy
For withdrawal sx. Start at high dose of med and slowly reduce
Quetiapine (Seroquel) SE (6)
Tachycardia, tremors, insomnia, postural hypotension, weight gain, sedation
Tx: acute anxiety, PTSD
Borderline Disorder Characteristics (6)
-Pattern of intense and chaotic relationships
-Fluctuating extreme attitudes towards others
-Directly and indirectly self-destructive
-Lack of identity
What is the development of a reversible syndrome of symptoms after excessive use of a substance?
What is the most common reason hospital or staff sued?
Per assault (usually by another pt)
What is thiamine used for in alcoholics? (4)
Prevent Wernicke's neuropathy, confusion, Korsakoff psychosis, encephalopathy
What do you do if you have a pt that makes 911 calls?
Restrict access and monitor them
What are you going to see when you see splitting?
Personalities change quick. One minute they like you, the next minute
Schizo vs. Schizotypal
Schizo: aloft, isolated. No personal connections. Live in own world
Schizotypal: Schizo + magical thinking
What is required to put someone in seclusion?
A doc's order. No PRN.
How long can a doc order meds involuntarily?
Restraints and Seclusions Rules
-Who can order (2)
-Type of restraint
-Seclusion up to one hour if no doc order
-If longer than 14 hours, requires face-to-face assessment
-No longer than 24 hours unless reviewed by clinical director of facility
-Other methods have failed (or ER)
-CO doc or psychologist
-Cannot restrain single limb
Intentional Tort Ex (3)
Invasion of Privacy
Purposeful action intended to hurt another person
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