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51 Cards in this Set
- Front
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D/o can be life threatening, fears of gaining wt,disturbed body image,is postmenopausal(amenorrhea:3 cycles),15%wt loss,low met rate?
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Anorexia nervosa
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Name characteristics of client with Anorexia nervosa?
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1.perfectionist
2.sport/profession req thinness 3.disregard trad.femininity 4.lack of A.tissue 5.Hirsutism 6.low choles/sugar 7.chronic/progressive disease |
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What is the process of AN?
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1.r/o med problems(CA,TB,HIV)
2.r/o drug abuse |
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Assessment of a client with AN reveals?
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1.obsession with food
2.enjoys cooking for others 3.obsessed with exercise 4.feels anxious/out of control 5.distorted body image:sees themselves as fat 6.reasons for anorexia |
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Cardinal sign when assessing a female pt who lost wt and 15% or less under ideal wt?
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Amenorrhea(3 cycles)
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Repeated episodes of uncontrolled eating also known as compulsive over eating=obesity?
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Binge eating disorder
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A person with Binge-eating d/o may experience?
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1.anxiety
2.depression 3.low self esteem 4.poor body image 5.guilt and self disgust |
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Why do clients eat so much? are they hunger all the time?
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1.Not assoc with hunger
use food to: calm and nurture(love) coping mechanism for anxiety |
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binging usually large amounts of soft,easily digested foods client does this?
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secretively
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Assessment of client with bing eating d/o?
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Assess for psychological factors,low SE,anger,guilt
-attemts to lose wt -uses food as subs.for love -med hx:due to meds - |
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Which theory stated: unconscious conflicts, regression, fear of sexuality maturity?
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Psychoanalytic theory: Freud
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Theory implies, anorexia is a rejection of feminine form and attemt to regain body of child?/
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psychoanalytic theory:Freud
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Theory implies compulsive over eating -due to unmet oral needs during infancy, feels empty,?
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psychoanalytic theory:freud
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theory implies their is unconscious intra/interpersonal conflicts in family?
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Family systems
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Anorexic fam, has what expectations on child and what are the consequences?
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-overly compliant child
-conflict b/w enslavemnt/autonomy |
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Hallmark is loss of control
-physical dependency -psychological dependency |
Substance dependence
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need more of the substance to get same effect?
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tolerance
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DSM criteria for substance abuse?
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one or more in 12mt period
1.recurrent use/role failure 2.creates physical hazard con 3.legal problems 4.disturbed interperson.rltnsp |
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Physiological response when drug is withdrawn, assoc with tolerance?
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Withdrawal
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Occurs when a person has become tolerant to one fam of chemicals and becomes tolerant to the effects of other similar drugs?
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cross-tolerance
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Biopsychosocial theories of substance use?
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alcohol proceeds in phases:loss of control
genetic vulnerability Neuro defects(ADHD) |
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Rescues the chemically dependent person from consequences of their behavior?
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Codependent
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effects of alcoholisM?
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depression
malnourished loss of self-respect |
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Name minor withdrawal sx of alcoholism?
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anxiety
agitation irritability n/v |
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Name major w/d sx of ETOH?
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life threatening
HTN high HR confused tremors hallucinations seizures |
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What makes alcohlism a disease?
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1.biological
2.primary 3.progressive 4.chronic 5.fatal |
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whats the med.tx for alcoholism?
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1.V/s frequently
2.F/E balance 3.mag.sulf(prevent seizures) 4.dilantin(hx of seizures) 5.Vit:thiamine/mult vit(B) 6.BDZs to prevent SZ &DT 7.librium/valium |
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Name amphetamine intoxication symptoms?
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1.energetic/euphoric
2.wt loss 3.altered judgment 4.dilated pupils 5.Rowdy 6.paranoid 7.psychoses |
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Name amphetamine withdrawal symptoms?
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1.depression
2.fatigue 3.restless 4.no sleep 5.suicidal 6.crashing:depression |
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Barbiturate intoxication?
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euphoric
relaxed helps with sleep |
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barbiturate withdrawal?
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life threatening
decrease respiration seizures coma/insomnia anxiety |
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Opioid/narcotic intoxication?
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drowsy
out of touch euphoric impaired memory pin point pupils |
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opioid/narcotic withdrawal?
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diaphoresis
cramping flu like ss dilated pupils muscle/joint pain |
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Cocaine intoxication?
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agitation
dilated pupils htn,high HR, talkative, |
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cocaine withdrawal?
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severe cramping
fatigue agitation hyper insomnia |
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what health care providers at risk?
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Nurses
codependence stressful work environment self medicated known behaviors of abuse self awareness |
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Nursing attitudes toward clients with substance use d/o?
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help with self awareness
health and relationships -self knowledge(countertransference) |
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Common defense mechanism of substance use d/o?
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denial
projection rationalization |
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Treatment for withdrawal?
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1.safety
2.provide sitter if needed 3.monitor v/s 4.seizure precaution 5.point out reality 6.adjust room lights 7.monitor I/O 8. do not restrain |
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HALT common in clients that relapse stands for?
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hungry
angry lonely tired |
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Meds for clients that relapse?
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Naltrexone(Revia
disulfram(antabuse) acamprostate(Campral) |
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Treatment approaches for client with substance use d/o?
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1.confrontation
2.referral and self help grps 3.life style changes:cope mec 4.intervention 5.educate |
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co-occurring d/o?
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mental illness and substance abuse d/o
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who is higher risk for substance abuse?
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mentally ill (Axis 1)
antisocial/borderline(axis 2) |
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Treatment for client with dual dx?
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antidepressants(ssris)
2nd generation antipsychotics |
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with dual dx what anti anxiety meds is preffered?
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Buspar, klonopin
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co-existing problems seen in the E.D?
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1.drunk-suicidal
2.chronic cocaine use-suicide attemt/M.I or CVA 3.Cocaine crash:severe depression 4.stimulants:hallucinations |
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Assessment of client with substance use d/o?
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be non judgmental
ask open ended questions look for denial in pt appearances:v/s neuro,toxic screen |
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What substance should not be used with prescribed meds?
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stimulant:speed,cocaine
depressants marijuana/hallucinogenics tobacco |
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treatment model
1.sequential? 2.parallel? 3.intergraded? Most accepted principle? |
1.most severe d/o tx 1st
2.tx d/o simultaneosly 3.one program provides both abstinence |
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Nursing care must take into account:
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-socialization
-relapse prevention -suicide precaution |