NURS 355 - Psych Nursing Final Exam Questions and Answers 386 Terms - Chamberlain College of Nursing
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NURS 355 - Psych Nursing Final Exam Questions and Answers- Chamberlain College of Nursing/NURS 355 - Psych Nursing Final Exam Questions and Answers- Chamberlain College of Nursing/NURS 355 - Psych Nursing Final Exam Questions and Answers- Chamberlain College of Nursing/NURS 355 - Psych Nursing Fina...
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NURS 355 - Psych Nursing Final Exam
resilience ability and capacity to secure resources needed to support well-being
resilience characterized by:
-healthy coping mechanisms
-optimism
-competence
diathesis-stress model psychiatric disorders result from a combination of genetic vulnerability
and negative environmental stressors
primary prevention ways to reduce stress - exercise, educate about signs of mental illness,
screening and prevention, improve coping mechanisms
secondary prevention treatment of disease (taking medications, hospitalization, therapy)m
getting treatment inpatient and outpatient
tertiary prevention rehab - after stabilized and crisis is over, going to support groups, patient
safety plan, continued therapy
transference unconscious feelings that the patient has toward a health care worker that were
originally felt in childhood for a significant other
countertransference refers to unconscious feelings that the health care worker has toward the
patient
Classic Psychoanalysis Freud, leads to boundary issues, unethical behavior, transference
and countertransference
modeling showing the behavior you want to see in a patient
operant conditioning a method of learning that employs rewards and punishments for behavior,
as association is made between a behavior and a consequence (whether negative or positive) for
that behavior
positive reinforcement giving reward for a desired behavior
negative reinforcement removal of something negative to strengthen a behavior
extinguishing gradual weakening of a conditioned response that results in the behavior
decreasing or disappearing (ex. ignoring 3 year old having temper tantrum in store)
systematic desensitization exposure to fear or anxiety stimulus so that they can become more
comfortable and less anxious, done in increments
aversion therapy PUNISHMENT (time out, spanking kids, slapping hand, jail)
aversion therapy type of behavior therapy designed to make a patient give up an undesirable
habit by causing them to associate it with an unpleasant effect
,biofeedback monitor vital signs and as a therapist is working with you, they can see what is
going on with you physiological
flooding individual is exposed directly to the maximum-intensity anxiety-producing
situation or stimulus, either described or real, without any attempt to lessen or avoid anxiety or
fear during the exposure, all at once
cognitive behavioral therapy most used therapy modality, patients are taught to challenge their
own negative thinking and substitute it with positive, rational thoughts, they learn to recognize
when thinking is based on distortions and misconceptions
cognitive reframing change an individual's perceptions of stress by reassessing a situation and
replacing irrational beliefs
motivational interviewing person-centered approach to strengthen the motivation for change,
goal of treatment is to assist in the development of awareness and a committment
guided imagery people are taught to focus on pleasant images to replace negative or
stressful feelings, this focus diverts a person from less positive thoughts or obsessions; take them
out of the environment mentally and send them somewhere else
transcranial magnetic stimulation a noninvasive procedure that uses magnetic fields to
stimulate nerve cells in the brain to improve symptoms of depression and bipolar
transcranial magnetic stimulation contraindicated in patients with metal in their body, not
under anesthesia, may be a front line therapy
electroconvulsive therapy used for patients with MDD chronic, schizophrenia, bipolar; last
resort treatment
electroconculsive therapy under anesthesia (concerned about seizure activity, arrhythmias),
HR measures, most important post treatment: physiological stability
Maslow's Hierarchy of Needs (level 1) Physiological Needs, (level 2) Safety and Security, (level
3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization
benzodiazepines used PRN for severe or panic level anxiety
benzo Diazepam
benzo Clonazepam
benzo Alprazolam
benzo Lorazepam
benzo Flurazepam
benzo Temazepam
benzo Triazolam
benzo Estazolam
benzo Quazepam
benzo SE - Drowsiness
- Sedation
- Dizziness
- Cognitive impairment
- Vertigo
- Lethargy
- Fall hazard for older adults
buspirone anxiety maintenance medication
hydroxyzine antihistamine used to treat anxiety
benzos teaching dont drive or operate heavy machinery, don't take with alcohol, CNS
depressants, or opioids
, SSRI fluoxetine
SSRI sertraline
SSRI paroxetine
SSRI citalopram
SSRI escitalopram
SSRI fluvoxamine
SSRIs first line pharmaceuticals for antidepressants
SNRI venlafaxine
SNRI desvenlafaxine
SNRI duloxetine
SNRI Levomilnacipran
SNRIs second line antidepressant, more tolerable SE but may be less effective
atypical antidepressant Bupropion (Wellbutrin)
TCA Nortriptyline
TCA Amitriptyline
TCA Imipramine
MAOI Isocarboxazid
MAOI Phenelzine
MAOI Selegiline
MAOI Tranylcypromine
antidepressant SE increased risk of suicide or SI, due to lift in mood and energy to complete
plan
TCAs carry the highest risk for suicidal ideations and committing suicide after starting therapy
SSRIs SE serotonin syndrome
serotonin syndrome mental confusion, difficulty concentrating, abdominal pain, diarrhea,
agitation, fever, anxiety, hallucinations, hyperreflexia, incoordination, diaphoresis, tremors
serotonin syndrome nursing action start symptomatic treatment (medications to create
serotonin receptor blockade and muscle rigidity, cooling blankets, anticonvulsants, artificial
ventilation
Observe for manifestations. If any occur, withhold medication and notify the provider
MAOI teaching cannot be on any other antidepressants for two weeks before starting these,
and must be off this two weeks before starting a new antidepressant
MAOI interactions does not play nice with food or other medications
MAOI drugs avoid use with TCAs, SSRIs, antihypertensives, OTC decongestants and cold
remedies
MAOI food Avoid tyramine-rich foods including aged cheese, pepperoni, salami, avocados,
figs, bananas, smoked fish, protein, some dietary supplements, some beets, and red wines,
caffeinated beverages, chocolate, fava beans, ginseng
antidepressant black box warnings increased motivation to complete suicide
first generation antipsychotics haloperidol
first generation antipsychotics chlorpromazine
first generation antipsychotics use schizophrenia used to mainly control positive symptoms
first generation antipsychotics SE weight gain, sedation, tardive dyskinesia, EPS, neuroleptic
malignant syndrome
tardive dyskinesia permanent, late development of EPS, involuntary movements of tongue
and face (lip smacking and tongue fasciculations), arms, legs, and trunk
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