T2-Blueprint Part 4 Flashcards Preview

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Flashcards in T2-Blueprint Part 4 Deck (66)
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1
Q

What does withdrawal symptoms of amphetamine and cocain result in?

A

Dysphoria
Fatigue
Sleep disturbances
Increased appetite

2
Q

What are some side effects of benzos?

A

Sedation
Lightheadedness
Ataxia
Decreased cognitive function

3
Q

Benzo effects: What is anterograde amnesia

A

Difficulty recalling events that occur after dosing

4
Q

What happens with benzo toxcity?

A
Resp. depression
Lethargy
Confusion
Severe hypotension
Cardiac arrest
5
Q

Benzo. What are the paradoxical responses?

A
Insomnia
Excitation
Euphoria
Anxiety 
Rage
6
Q

Benzo. What are withdrawal effects?

A
Anxirty
Insomnia
Diaphoresis
Tremor
Light deadness
7
Q

Benzo. Does withdrawal occur frequently with short term use?

A

NO. Occurs infrequently with short term use

8
Q

What CNS effects do these belong to?

  • Tremor
  • Restlessness
  • Anorexia
  • Insomnia
  • Agitation
  • Increased motor activity
  • Compulsive behavior
  • Paranoia
  • Hallucinations
  • Agressive behavior
A

Cocaine

9
Q

What are the GI and renal effects of cocaine?

A

Decrease in GI motility (constipation), urinary difficulity, occasionally cause diarrhea

10
Q

What is the sexual functioning from use of cocaine?

A

Coital urge–some men experience sexual dysfuntion–most experience powerful aphrodisiac

11
Q

Clients with a coexisting substance disorder along with a mental disorder

A

Dual diagnois

12
Q

What therapy: Involves more therapist to client interaction than classic psychoanalysis

A

Psychotherapy

13
Q

Therapeutic process of assessing unconscious thoughts and feelings, and resolving conflict by talking to a psychoanalyst

A

Psychoanalysis

14
Q

The group is formed and them members can come in or leave freely during that time group is held

A

Open group

15
Q

Predetermined, fixed time frame; everyone joins at same time, and no new members can join after the group has started

A

Closed group

16
Q

Leader completely controls the direction and structure of the group without allowing group or decision making to solve problems

A

Autocratic

17
Q

Supports group interaction and decision making to solve problems

A

Democratic

18
Q

The group process progresses without any attempt by the leader to control the direction

A

Laizzez faire

19
Q

Members of this type of led group become frustrated and confused, productivity and morale is low

A

Laissez fiare

20
Q

What are 6 areas to assess for a healthy family?

A
  • Communication
  • Self concept reinforcement
  • Family member expectations
  • Handling differences
  • Family interactional patterns
  • Family climate
21
Q

Areas to assess for a healthy family: Congruency bweteen nonverbal/verbal, direct, open, honest, and clear

A

Communication

22
Q

Areas to assess for a healthy family: Each member valued INDEPENDENTLY

A

Family member expectation

23
Q

Areas to assess for a healthy family: Handling differences–how are disagreements death with?

A

In an open manner with a feasible solution that is agreed upon with all

24
Q

Areas to assess for a healthy family: How behavior behaves; “family rules”–rules should promotes needs of all family members

A

Family interactional patterns

25
Q

Family therapy: What happens when boundaries are rigid or diffuse?

A

Maladaptation

26
Q

Family therapy: What is enmeshment

A

Exaggerated correctness among family members

27
Q

Family therapy: Enmeshment occurs in response to diffuse boundaries in which there is what?

A
  • Over investment
  • Over involvement
  • Lack of differentiation between individuals or subsystems
28
Q

Family therapy: What is scapegoating?

A

A family member is the target of projection; assumes the role assigned to them

29
Q

Family therapy: defined as a state of sever chronic disequilibrium and discord, with recurrent threats of separation; marital skew is when there is lack equal partnershep

A

Marital schism

30
Q

Family therapy: Lack of equal partnership between spouses

EX: Wife is dominant and puts husband down in front of kid–confuses kids

A

Martial skew

31
Q

Family therapy: What does reframing do?

A

Encourage spouse to reframe the way we view one another

EX: Construction worker husband has dirty shoes–wife gets mad for making house dirty again–INSTEAD with reframing..the wife should view is dirty ness as a sign of love that he goes to work to provide for family

32
Q

Family therapy: A 3 person emotional configuration that is considered a basic building block of the family system

A

Triangulation

33
Q

A therapeutic community as a means of treatment ..TEAMWORK

A

Milieu

*interdisciplinary team all working towards the same goal

34
Q

What is the goal of milieu?

A

Manipulate enviornment so all aspects of patients hospital experience is therapeutic

  • carefully planned
  • structure
  • inclusion of family, outside community, etc
35
Q

A menu of the treatments a pt is receiving and how they can best learn based on those treatments

A

Milieu

36
Q

An acute, time limited (4-6 weeks) event during which a client experiences an emotional response tat cannot be managed with the clients normal coping mechanism

A

Crisis

37
Q

What are the 6 types of crisis?

A
  • Dispositional
  • Anticipated life
  • Traumatic stress
  • Reflecting psychopathology
  • Developmental
  • Psychiatric emergencies
38
Q

What type of crisis: an acute response to an external situation

A

Dispositional

39
Q

What type of crisis: A normal life cycle transitions that may be anticipated but over which the individual feel a lack of control

A

Anticipated life

40
Q

What type of crisis: Precipitated by an unexpected external stressor over which the individual has little/no control and as a result of which he/she feels overwhelmed and defeated

A

Traumatic stress

41
Q

What type of crisis: Preexisting psychopathology has been instrumental in precipitation the crisis or it significant impairs or complicate adaptive resolution

A

Reflecting psychopathology

42
Q

What type of crisis: Caused by situations that trigger emotions related to unresolved conflicts in ones life

A

Developmental

43
Q

What type of crisis: General function has been severely impaired and the individual rendered incompetent or unable to assume personal responsibility

A

Psychiatric emergencies

44
Q

What are factors that influence the way an individual copes with crisis ?

A
  • Individual perception of event
  • Availability of situational supports
  • Availability of adequate coping mechanisms
45
Q

Crisis: What is Robert and Ottens 7 stage crisis intervention model?

A

stage 1: Psychosocial assessment

stage 2: Establish rapport

stage 3: Identify crisis precipitants

stage 4: Handle emotions

stage 5: Explore alternatives

stage 6: Action plan

stage 7: Follow up

46
Q

What is the desired outcome of crisis treatment?*

A

To restore person to pre-crisis level of functioning

47
Q

Is it okay for preg mom to do ECT?

A

Yes–much safer than meds

48
Q

What trimesters is it okay for preg mom to do ECT?

A

All

49
Q

ECT is used to treat what?

A

MAJOR DEPRESSION

Mania
Schiz.

50
Q

What should happen for ECT to be effective?

A

Cause grand mal seizure

51
Q

What does induction of grand mal seizure for ECT do?

A

Increase neurotransmitters

52
Q

ECT: How long should seizure last?

A

25-60 seconds

53
Q

ECT: How long should electricity be placed?

A

0.2-0.8 seconds

54
Q

ECT: Decrease or discontinue meds that lower seizure threshold ____ before ECT

A

Several days

55
Q

ECT: When should MAOI and lithium be discontinued?

A

2 weeks before procedure

56
Q

ECT: What needs to be monitored?

A

HTN and cardiac conditions bc short term HTN may occur after procedure

57
Q

20 min before ECT what is injected?

A

Atropine sulfate to decrease sectretions and counteract any vagal stimulation

58
Q

Before ECT, do what?

A
  • VS and mental status
  • Make sure client and fam know the procedure
  • IV line inserted/maintained till full recovery
59
Q

What do nurses do during ECT?

A
  • Put bite guard in
  • Apply electrodes to scalp
  • Anestesia adminsitered–intubation–100% oxygen
  • Give muscle relaxer
  • Place cuff on arm/leg to monitor seizure activity
60
Q

What do nurses do after ECT?

A
  • Asses client stable and transfer
  • Assess LOC, VS, cardiac status, O2 sat
  • PLACE CLIENT ON LEFT SIDE to facilitate drainage and prevent aspiration
  • Assess for gag reflex/swallow
  • Transfer out and back to facility within 30-60 min post proc.
61
Q

What are complications of ECT?

A
  • Memory loss/confusion
  • Reactions to anesthesia
  • ECG changes
  • Headache, muscle soreness, nausea
  • Relapse of depression
62
Q

A noninvasive therapy that uses magnetic pulsations to stimulate specific ares of the brain

A

TMS (transcranial magnetic stimulation)

63
Q

Provides electrical stimulation through the vagus nerve though a device that is implanted under the clients chest

A

VNS (vagus nerve stumulation)

64
Q

What are adverse effects of VNS?

A

Voice changes
Dysphagia
Neck pain

65
Q

The restoration to a former and/or better state or condition

A

Recovery model

66
Q

4 major dimensions of recovery model?

A
  1. Health
  2. Home
  3. Purpose
  4. Community