Final psych study

Axis ____ : clinical disorders and other conditions that may be a focus of clinical attention

Axis ____: personality disorders and mental retardation

Axis _____: General medical conditions

Axis ____: Psychosocial and environmental problems

Axis ___: Global assessment of functioning.

_{Symptoms of _________:
Severe headache
Stiff, sore neck
Flushing, cold, clammy skin
Tachycardia
Severe nosebleeds, dilated pupils
Chest pains, stroke, coma, death
Nausea and vomiting}

A patient on _______ needs to avoid foods with high tyramine.

Aged cheese, red wine, beer, beef and chicken, liver, yeast, yogurt, soy sauce, chocolate, and bananas are all foods that are high in ________.

the transference of feelings to another person or object

attempt to be like someone or emulate the personality, traits, or behaviors of another person

using reason to avoid emotional conflicts

incorporation of values or qualities of an admired person or group into ones own ego structure

serparation of an unacceptable feelings, idea, or impulse from ones thought process

attributing ones own thoughts or impulses to another person

offering an acceptable, logical explanation to make unacceptable feelings and behavior acceptable

development of conscious attitudes and behaviors that are the opposite of what is really felt

reverting to an earlier level of development when anxious or highly stressed

the involuntary exclusion of a painful thought or memory from ones awareness

substitution of an unacceptable feeling by a more socially acceptable one

the intentional exclusion of feelings and ideas

communication or behavior done to negate a previously unacceptable act

meaning given to words by client to screen thoughts and feelings that would be difficult to handle if stated directly

fixed false beliefs that may be persecutory, grandiose, religious, or somatic in nature

belief that conversations or actions of others have reference to the client

lack of clear connection from one thought to the next

failing to address the original point, giving many nonessential details

constantly repeating what is heard

creating new words

repeating the same word or phrase in response to different questions

speaking a jumbled mixture of real and made up words

gap or interruption in speech due to absent thoughts

thinking based on fact versus abstract and intellectual points

false sensory perception, usually auditory or visual in nature

misinterpretation of external environment

perceives self as alienated or detached from real body

false, fixed beliefs that cannot be changed by reason

______________ agents target negative symptoms (e.g., cognitive dysfunction, social withdrawal, inattention) and have a lower risk for extrapyramidal symptoms.

_{What is the purpose of a baseline complete blood count (CBC) prior to initiation of the antipsychotic medication Haldol?}

_{_________ is a neurological movement disorder characterized by involuntary muscle contractions, particularly of the face, tongue, neck, and jaw.}

_{____________ is a neurological movement disorder characterized by involuntary muscle contractions. Symptoms may include sticking out the tongue, puckering of the mouth or lips, lip smacking, puffing of the cheeks, and chewing movements.}

_{_________ is an abnormal condition that is often manifested by motor restlessness, such as the inability to sit still or feeling the need to pace.}

____________ symptoms include a shuffling gait, drooling, tremors, and muscle rigidity.

_{A side effect of Haldol is blockade of ____________ receptors in the heart can cause orthostatic hypotension and dizziness.}

_{A _________ is a false belief that is firmly maintained even though it is not shared by others and is contradicted by reality.}

_{Frequent sore throats and malaise, what serious complications might these symptoms indicate?}

_{Using the DSM-IV classification system, on which axis wouldinformation about living in a group residence and the interactionswith other residents be indicated?}

_{___________ is a significant fatal risk with Clozaril. The nurse needs to watch for symptoms which includes sore throat, body malaise and fever.}

_{What test is commonly used to assess a client for signs of tardive dyskinesia?}

_{The client hears the word "match." The client replies, "A match. Ilike matches. They are the light of the world. God will light theworld. Let your light so shine." This is an example of _____________.}

_{If a client taking an antipsychotic is experiencing involuntary muscle contractions and eyes rolling upward, what is the client experiencing?}

What is the primary goal of a therapeutic nurse–client relationship?

_{A client is in ER howling and lamenting over the death of her motherfrom an auto accident 2 hours ago. From what group of medicationswould the doctor prescribe?}

__________ is a lack of energy or drive

_{_________ refers to emotion and behaviors, such as hand and body movements, facial expression, and pitch of voice that can be observed when a person is expressing and experiencing feelings and emotions.}

___________ is the inability, or decreased ability, to experience pleasure, joy, intimacy, and closeness.

_{Weight gain occurs with the_____________, especially Zyprexa (olanzapine) and clozapine (Clozaril).}

The nurse understands that an atypical antipsychotic like olanzapine (Zyprexa) requires what period of time to reach a steady state?

_{Which medication with potentially life-threatening side effects should the nurse expect the healthcare provider to prescribe for clients who do not respond to the use of other antipsychotics?}

_{A client who demonstrates ____________ demonstrates simple one- or two-word answers to questions, even when the nurse asks an open-ended question.}

_{___________ is the sudden stopping in the client's train of thought or in the middle of a sentence.}

_{The most common causes of relapse in patients with schizophrenia relate in some way to ___________.}

_{The greatest benefit of the ____________ is to coordinate services related to housing, finances, and medical appointments, for example.}

What is the therapeutic range for lithium?

What are the early signs of lithium toxicity?

What teaching is needed for lithium?

_{_____ is used for bipolar disorders, especially the manic phase.}

_______ produce an increase in availability of serotonin.

_________ decrease dopamine produced.

_______: restlessness, agitation, and pacing. Sudden difficulty sitting still.

______: involuntary tongue and lip movements, blinking, choreiform movements of limbs and trunk.

_{Your client is prescribed lithium (Lithobid) and sertraline (Zoloft)for bipolar disorder: depressed phase. What is the best reason, ifany, that you need to be concerned about this order?}

_{When a client is placed on Haloperidol (Haldol Decanoate), what is an important factor in its administration?}

What is a long term side effect of antipsychotics?

What are two life threatening side effects of antipsychotics?

Clozaril is a ______ antipsychotic

_{Symptoms of _____ include high fever, tachycardia, stupor, increased respirations, and severe muscle rigity}

_{The symptoms of _______ include confusion, disorientation, autonomic dysfunction, muscle rigidty, drooling, hypertension}

_{Fever, hypertension, drooling, muscle rigidity, and body malaise are all signs & symptoms of _______.}

_{A client is admitted and is about to be started on Zyprexa, what procedure needs to be preformed?}

_{Common side effects of antipsychotics are _________.}

What dietary teaching needs to be taught to a client taking lithium?

_{Which medications are prescribed for a client going through alcohol detoxification?}

_{When working with clients with a diagnoses of bipolar disorder: manic phase, your effective management of the milieu will require three essential elements. They are safety, stabilization, and ______.}

_{What group of organs need to be evaluated for potential adverse effects when a client is taking lithium?}