Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
29 Cards in this Set
- Front
- Back
"The world would be better off if I was dead."
This is an example of what type of statement? |
Covert statement
|
|
If a person has formed a suicide plan, what does this indicate?
|
The person is more likely to actually kill himself/herself
|
|
If a patient's lethality is found to be low, how often should the nurse check on him or her?
|
Every 10 minutes
|
|
If a patient's lethality is high, what kind of supervision is required?
|
One on one supervision: someone must stay with the patient at all times
|
|
List the DSM-IV-TR criteria for substance abuse patients:
|
1. Recurrent use of substance resulting in failure to fulfill major roles (work, school, home, etc.)
2. Use in situations that are physically hazardous (driving, etc.) 3. Substance-related legal problems 4. Continued use despite social or interpersonal problems caused by the effects of the substance |
|
What are the 4 phases of alcohol abuse?
|
1. Pre-alcoholic
2. Early alcoholic 3. Crucial phase 4. Chronic phase |
|
Describe the pre-alcoholic phase of alcohol abuse:
|
Alcohol is consumed to relieve every-day stress
|
|
Describe the early alcoholic phase of alcohol abuse:
|
Alcohol becomes a requirement for day-to-day functioning (alcoholics usually begin to experience blackouts in this phase)
|
|
Describe the crucial phase of alcohol abuse:
|
Complete physical dependence
|
|
Describe the chronic phase of alcohol abuse:
|
Emotional and physical degeneration; person is intoxicated most of the time
|
|
What is alcoholic myopathy?
|
Weakening of the muscles due to alcohol abuse
|
|
What is Wernicke's Encephalopathy?
|
A dangerously low level of vitamin B1 (thiamin)
|
|
What is the most serious effect of alcohol abuse?
|
Wernicke's Encephalopathy
|
|
What symptoms would indicate Karsakoff's Psychosis?
|
Confusion and loss of recent memory
|
|
What are the chief concerns for a patient who is experiencing withdrawal from alcohol?
|
* Safety
* Monitor vital signs |
|
What types of medications are given to alcoholic patients during withdrawal/detoxification?
|
* Benzodiazepines
* Ativan * Librium * Valium |
|
List the 4 groups of antidepressant agents:
|
1. Tricyclic/cyclic antidepressants
2. Selective Seratonin Reuptake Inhibitors (SSRI's) 3. Monoamine Oxidase Inhibitors (MAOI's) 4. Others |
|
How do SSRI's work?
|
Block the re-uptake of seratonin
|
|
How do cyclic antidepressants work?
|
Block the re-uptake of norepinephrine (and seratonin to some degree)
|
|
How do MAOI's work?
|
Interfere with enzyme metabolism
|
|
What are the common side effects of SSRI's?
|
* Anxiety
* Agitation * Akathisia * Nausea * Insomnia * Sexual dysfunction * Weight gain |
|
What is Akathisia?
|
Restlessness
|
|
List some SSRI's:
|
Prozac
Luvox Paxil Zoloft Celexa Lexapro |
|
What are the common side effects of MAOI's?
|
* Daytime sedation
* Insomnia * Weight gain * Dry mouth * Ortho. hypertension * Sexual dysfunction * Hypertensive crisis |
|
What causes hypertensive crisis?
|
Occurs when tryamine-containing foods are consumed with MAOI's or other contra-indicated substances
|
|
List some common tryamine-containing foods:
|
* aged cheeses
* aged meats * Italian beers & microbrewery beers * saurkraut, soy products, or marmite (concentrated yeast) |
|
List some MAOI's:
|
Nardil
Parnate Marplan |
|
What are the common side effects of cyclic antidepressants?
|
* Dry mouth
* Constipation * Urinary hesitancy/retention * Dry nasal passages * Blurred vision * Agitation * Delirium * Intestinal obstruction (ileus) |
|
List some cyclic antidepressants:
|
Tofranil
Norpramin Elavil Pamelor Sinequan Surmontil Vivactil Ludiomil Remeron Ascendin Anafranil |