Psychia Identification

7/28/2019 Psychia Identification

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Psychiatric Nursing: IDENTIFICATION

1. According to ____________, the fivestages of death and dying are denial,

anger, bargaining, depression, and

acceptance.2. __________________is an alteration in

thought processes thats characterized

by skipping from one topic to another,

unrelated topic.

3. __________________ is the lack ofconcern for a profound disability, such

as blindness or paralysis that may occur

in a patient who has a conversion

disorder.

4. __________________ decreases apersons ability to perceive and

concentrate. The person is selectively

inattentive (focuses on immediate

concerns), and the perceptual field

narrows.

5. A patient who has a __________usesself-protective avoidance as an ego

defense mechanism.

6. In a patient who has ______________,the highest treatment priority iscorrection of nutritional and electrolyte

imbalances.

7. A patient who is taking _________ mustundergo regular (usually once a month)

monitoring of the blood lithium level

because the margin between

therapeutic and toxic levels is narrow. A

normal laboratory value is 0.5 to 1.5

mEq/L.

8. Early signs and symptoms of____________include anxiety, anorexia,

tremors, and insomnia. They may begin

up to 8 hours after the last alcohol

intake.

9. ____________is a support group forfamilies of alcoholics.

10.The nurse shouldnt administer________________to a patient who has

ingested alcohol because it may cause

oversedation and respiratory

depression.

11._________________ can occur whensodium and fluid intake are insufficient,

causing lithium retention.

12.An ____________ who achievessobriety is called a recovering alcoholic

because no cure for alcoholism exists.

13.According to Erikson, the school-agechild (ages 6 to 12) is in the

________________stage of

psychosocial development.

14.When caring for a______________, thenurses first priority is safety because of

the increased risk of suicide.

15.______________ is parrotlike repetitionof another persons words or phrases.

16.According to________________, theego is the part of the psyche that

controls internal demands and interacts

with the outside world at the conscious,

preconscious, and unconscious levels.

17.According to_________________, thesuperego is the part of the psyche thats

composed of morals, values, and ethics.

It continually evaluates thoughts and

actions, rewarding the good and

punishing the bad. (Think of the

superego as the supercop of the

unconscious.)

18.According to_________________, theid is the part of the psyche that contains

instinctual drives. (Remember i for

instinctual and d for drive.)

19._____________l is the defensemechanism used by a patient who

denies the reality of an event.

20. In a psychiatric setting,______________is used to reduce


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overwhelming environmental

stimulation, protect the patient from

self-injury or injury to others, and

prevent damage to hospital property.

Its used for patients who dont respond

to less restrictive interventions.

Seclusion controls external behavior

until the patient can assume self-

control and helps the patient to regain

self-control.

21._______________, such as agedcheese, chicken liver, avocados,

bananas, meat tenderizer, salami,

bologna, Chianti wine, and beer may

cause severe hypertension in a patient

who takes a monoamine oxidase

inhibitor.

22.A patient who takes a_______________should be weighed

biweekly and monitored for suicidal

tendencies.

23. If the patient who takes a______________has palpitations,

headaches, or severe orthostatic

hypotension, the nurse should withhold

the drug and notify the physician.

24.Common causes of __________arepoor impulse control by the parents

and the lack of knowledge of growth

and development.

25.The diagnosis of ______________isbased on clinical findings of two or

more cognitive deficits, progressive

worsening of memory, and the results

of a neuropsychological test.

26._______________is a classic sign ofAlzheimers disease.

27.______________is loss of the train ofthought because of a defect in mental

processing.

28.A ____________is an irresistible urge toperform an irrational act, such as

walking in a clockwise circle before

leaving a room or washing the hands

repeatedly.

29.A patient who has a chosen method anda plan to commit suicide in the next

_____________ hours is at high risk for

suicide.

30.The therapeutic serum level for lithiumis _______________.

31._____________are treated withdesensitization therapy, which gradually

exposes a patient to an anxiety-

producing stimulus.

32.____________is absent or prolongedgrief.

33.During phase I of the nurse-patientrelationship (beginning, or orientation,

phase), the nurse obtains an initial

history and the nurse and the patient

agree to a contract.

34.During _____________of the nurse-patient relationship (middle, or

working, phase), the patient discusses

his problems, behavioral changes occur,

and self-defeating behavior is resolved

or reduced.

35.During _____________of the nurse-patient relationship (termination, or

resolution, phase), the nurse terminates

the therapeutic relationship and gives

the patient positive feedback on his

accomplishments.

36.According to Freud, a person betweenages 12 and 20 is in the ________l

stage, during which he learns

independence, has an increased

interest in members of the opposite

sex, and establishes an identity.

37.According to Erikson, the_____________stage occurs between

ages 12 and 20.


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38.__________is the need for increasingamounts of a substance to achieve an

effect that formerly was achieved with

lesser amounts.

39.___________is the third leading causeof death among white teenagers.

40.Most ___________who kill themselvesmade a previous suicide attempt and

left telltale signs of their plans.

41. In Eriksons stage of generativity versusdespair, ____________(investment of

the self in the interest of the larger

community) is expressed through

procreation, work, community service,

and creative endeavors.

42.____________recommends a 12-stepprogram to achieve sobriety.

43.Signs and symptoms of_____________include amenorrhea,

excessive weight loss, lanugo (fine body

hair), abdominal distention, and

electrolyte disturbances.

44.A serum lithium level that exceeds_____mEq/L is considered toxic.

45.Public Law ________(Child Abuse andNeglect Act of 1973) requires reporting

of suspected cases of child abuse to

child protection services.

46.The nurse should suspect __________ina young child who has blood in the

feces or urine, penile or vaginal

discharge, genital trauma that isnt

readily explained, or a sexually

transmitted disease.

47.An _______uses alcohol to cope withthe stresses of life.

48.The human personality operates onthree levels: ____,_____,____

49.Asking a patient an__________question is one of the best

ways to elicit or clarify information.

50.The diagnosis of _________is oftenmade when a child is between ages 2

and 3.

51.____________protect the personalityby reducing stress and anxiety.

52._____________is voluntary exclusion ofstress-producing thoughts from the

consciousness.

53. In _________life situations areapproximated in a structured

environment, allowing the participant

to recreate and enact scenes to gain

insight and to practice new skills.

54.______________is a therapeutictechnique thats used with groups to

help participants gain new perception

and self-awareness by acting out their

own or assigned problems.

55.A patient who is taking__________must avoid ingesting

products that contain alcohol, such as

cough syrup, fruitcake, and sauces and

soups made with cooking wine.

56.A patient who is admitted to a___________involuntarily loses the

right to sign out against medical advice.

57.People who live in glass housesshouldnt throw stones and A rolling

stone gathers no moss are examples of

_________used during a psychiatric

interview to determine a patients

ability to think abstractly.

(____________think in concrete terms

and might interpret the glass house

proverb as If you throw a stone in a

glass house, the house will break.)

58.Signs of ___________include diarrhea,tremors, nausea, muscle weakness,

ataxia, and confusion.

59.A ___________is characterized by rapidshifts of emotions and mood.


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60.__________is loss of memory from anorganic or inorganic cause.

61.A person who has _____________isdemanding and judgmental in

interpersonal relationships and will

attempt to split staff by pointing to

discrepancies in the treatment plan.

62.___________shouldnt be takenconcurrently with metronidazole

(Flagyl) because they may interact and

cause a psychotic reaction.

63. In rare cases, __________causesarrhythmias and death.

64.A patient who is scheduled forelectroconvulsive therapy should

receive __________after midnight to

prevent aspiration while under

anesthesia.

65.___________is normally used forpatients who have severe depression

that doesnt respond to drug therapy.

66.For electroconvulsive therapy to beeffective, the patient usually receives

__ to ___ treatments at a rate of 2 to 3

per week.

67.During the _________of bipolaraffective disorder, nursing care is

directed at slowing the patient down

because the patient may die as a result

of self-induced exhaustion or injury.

68.For a patient with___________, thenursing care plan should focus on safety

measures.

69.After___________, the patients needsare the primary concern, followed by

medicolegal considerations.

70.Patients who are in a maintenanceprogram for ______________receive 10

to 40 mg of methadone (Dolophine) in a

single daily dose and are monitored to

ensure that the drug is ingested.

71.___________is a short-range goal ofpsychotherapy.

72.The ________most often experiencedby a patient with organic brain

syndrome is irritability.

73.____________is controlled by the rightside of the brain.

74.____________is the general anestheticthats administered to patients who are

scheduled for electroconvulsive

therapy.

75.The decision to use________ should bebased on the patients safety needs.

76._____________relieves theextrapyramidal adverse effects of

psychotropic drugs.

77. In a patient who is stabilized on lithium(Eskalith) therapy, blood lithium levels

should be checked ___ to___ hours

after the first dose, then two or three

times weekly during the first month.

Levels should be checked weekly to

monthly during maintenance therapy.

78.The primary purpose of _________is todecrease the patients symptoms,

which improves function and increases

compliance with therapy.

79.___________is a maladaptive methodof meeting ones needs because it

disregards the needs and feelings of

others.

80. If a patient has symptoms of lithiumtoxicity, the nurse should

__________and call the physician.

81.A patient who is taking lithium (Eskalith)for bipolar affective disorder must

maintain a ____________with

adequate______ intake.

82.A patient who constantly seeksapproval or assistance from staff

members and other patients is

demonstrating _________behavior.


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83.____________advocates totalabstinence from alcohol.

84._____________is the drug of choice fortreating attention deficit hyperactivity

disorder in children.

85.__________is the most effective way tocontrol manipulative behavior.

86.___________are common in a patientwho has borderline personality

disorder.

87.When working with a__________, thenurse should explore meaningful losses.

88.An __________is a misinterpretation ofan actual environmental stimulus.

89._______is nonspecific;_____ is specific.90._____________adverse effects are

common in patients who take

antipsychotic drugs.

91.The nurse should encourage an____________to follow a physical

exercise program as one of the ways to

ventilate feelings.

92.____________is clinically significant ifits characterized by exaggerated

feelings of sadness, melancholy,

dejection, worthlessness, and

hopelessness that are inappropriate or

out of proportion to reality.

93.______________is anxiousness withgeneralized apprehension and

pessimism for unknown reasons.

94. In a patient who is experiencing intenseanxiety, the ___________reaction

(alarm reflex) may take over.

95.___________is the use of imaginaryexperiences or made-up information to

fill missing gaps of memory.

96.When starting a therapeuticrelationship with a patient, the nurse

should explain that the purpose of the

therapy is to produce a___________.

97.A basic assumption of psychoanalytictheory is that all behavior has________.

98.___________is the expression of deepfeelings and emotions.

99.According to the ___________thepsyche seeks pleasure and avoids

unpleasant experiences, regardless of

the consequences.

100. A patient who has a__________resolves a psychological

conflict through the loss of a specific

physical function (for example,

paralysis, blindness, or inability to

swallow). This loss of function is

involuntary, but diagnostic tests show

no organic cause.

101. ______________is the drug ofchoice for treating alcohol withdrawal

symptoms.

102. For a patient who is at risk foralcohol withdrawal, the nurse should

assess the _______and _________every

2 hours for the first 12 hours, every 4

hours for the next 24 hours, and every 6

hours thereafter (unless the patients

condition becomes unstable).

103. ____________is mostsuccessful when carried out in a

structured environment by a

supportive, nonjudgmental staff.

104. The nurse should follow theseguidelines when caring for a patient

who is experiencing___________:

Maintain a calm environment, keep

intrusions to a minimum, speak slowly

and calmly, adjust lighting to prevent

shadows and glare, call the patient by

name, and have a friend or family

member stay with the patient, if

possible.


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105. The therapeutic regimen for an_____________includes folic acid,

thiamine, and multivitamin

supplements as well as adequate food

and fluids.

106. A patient who is addicted to____________ (drugs derived from

poppy seeds, such as heroin and

morphine) typically experiences

withdrawal symptoms within 12 hours

after the last dose. The most severe

symptoms occur within 48 hours and

decrease over the next 2 weeks.

107. ____________is a response to aspecific life event.

108. __________is the unconsciousassigning of a thought, feeling, or action

to someone or something else.

109. ___________is the channelingof unacceptable impulses into socially

acceptable behavior.

110. ___________is an unconsciousdefense mechanism whereby

unacceptable or painful thoughts,

impulses, memories, or feelings are

pushed from the consciousness or

forgotten.

111. ___________is morbid anxietyabout ones health associated with

various symptoms that arent caused by

organic disease.

112. ________is a refusal toacknowledge feelings, thoughts,

desires, impulses, or external facts that

are consciously intolerable.

113. ____________is the avoidanceof anxiety through behavior and

attitudes that are the opposite of

repressed impulses and drives.

114. ___________is the transfer ofunacceptable feelings to a more

acceptable object.

115. ___________is a retreat to anearlier developmental stage.

116. According to Erikson, an olderadult (age 65 or older) is in the

developmental stage of _________

117. ________focuses on the familyas a whole rather than the individual.

Its major objective is to reestablish

rational communication between family

members.

118. When caring for a patient whois ________or______, the nurse should

attempt to remain calm, listen

impartially, use short sentences, and

speak in a firm, quiet voice.

119. _________and ___________aretypical toddler behaviors. They occur

during the developmental stage

identified by Erikson as autonomy

versus shame and doubt.

120. ___________is a disturbance inassociated thought and speech patterns

in which a patient gives unnecessary,

minute details and digresses into

inappropriate thoughts that delay

communication of central ideas and

goal achievement.

121. _________is an incorrect beliefthat the statements or actions of others

are related to oneself.

122. ___________provides anopportunity for each group member to

examine interactions, learn and practice

successful interpersonal communication

skills, and explore emotional conflicts.

123. ____________is believed to bea chronic form of Wernickes

encephalopathy. Its marked by

hallucinations, confabulation, amnesia,

and disturbances of orientation.

124. A patient with___________often engages in


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confrontations with authority figures,

such as police, parents, and school

officials.

125. A patient with___________exhibits suspicion,

hypervigilance, and hostility toward

others.

126. _________is the most commonpsychiatric disorder.

127. Adverse reactions to_______________drugs include

tachycardia, orthostatic hypotension,

hypomania, lowered seizure threshold,

tremors, weight gain, problems with

erections or orgasms, and anxiety.

128. The _______________consistsof 550 statements for the subject to

interpret. It assesses personality and

detects disorders, such as depression

and schizophrenia, in adolescents and

adults.

129. ______________is the mostcommon form of mental illness in

elderly patients.

130. A person who has an IQ of lessthan _____is profoundly retarded and is

considered a total-care patient.

131. ___________is a therapeutictechnique thats used to help depressed

patients to view a situation in

alternative ways.

132. Fluoxetine (Prozac), sertraline(Zoloft), and paroxetine (Paxil) are

_____________used to treat

depression.

133. The early stage of Alzheimersdisease lasts ___ to ___ years. Patients

have inappropriate affect, transient

paranoia, disorientation to time,

memory loss, careless dressing, and

impaired judgment.

134. The middle stage of Alzheimersdisease lasts ___ to ___ years and is

marked by profound personality

changes, loss of independence,

disorientation, confusion, inability to

recognize family members, and

nocturnal restlessness.

135. The last stage of Alzheimersdisease occurs during the ________of

life and is characterized by a blank facial

expression, seizures, loss of appetite,

emaciation, irritability, and total

dependence.

136. Threatening a patient with aninjection for failing to take an oral drug

is an example of ______.

137. ______________is a majordevelopmental task during middle

adulthood.

138. ______________causesanorexia, insomnia, headache, and

restlessness and escalates to a

syndrome thats characterized by

agitation, disorientation, vivid

hallucinations, and tremors of the

hands, feet, legs, and tongue.

139. In a hospitalized alcoholic,alcohol withdrawal _________most

commonly occurs 3 to 4 days after

admission.

140. ____________is acommunication technique in which the

nurse points out discrepancies between

the patients words and his nonverbal

behaviors.

141. For a patientwith______________, the time of drug

ingestion can help to determine

whether the drug can be evacuated

from the body.

142. Treatment for____________may include


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administration of I.V. glucose for

hypoglycemia, I.V. fluid containing

thiamine and other B vitamins, and

antianxiety, antidiarrheal,

anticonvulsant, and antiemetic drugs.

143. The alcoholic patient receives_________to help prevent peripheral

neuropathy and Korsakoffs syndrome.

144. Alcohol withdrawal mayprecipitate ___________ because

alcohol lowers the seizure threshold in

some people.

145. __________is an activelistening technique in which the nurse

restates what the patient has just said.

146. A patient with___________may use confabulation

(made up information) to cover

memory lapses or periods of amnesia.

147. People with obsessive-compulsive disorder realize that their

behavior is________, but are

________to control it.

148. When witnessing psychiatricpatients who are engaged in a

threatening confrontation, the nurse

should first ____________

149. Patients with____and____must be observed during

meals and for some time afterward to

ensure that they dont purge what they

have eaten.

150. _________believe that theywere born the wrong gender and may

seek hormonal or surgical treatment to

change their gender.

151. ____is a dissociative state inwhich a person leaves his familiar

surroundings, assumes a new identity,

and has amnesia about his previous

identity. (Its also described as flight

from himself.)

152. In a ___________setting, thepatient should be able to predict the

nurses behavior and expect consistent

positive attitudes and approaches.

153. When establishing a schedulefor a ____________with a patient, the

nurse should state how long the

conversation will last and then adhere

to the time limit.

154. ___________is a type ofdelusion in which the person believes

that his thoughts are being broadcast

for the world to hear.

155. __________should be takenwith food. A patient who is taking

lithium shouldnt restrict his sodium

intake.

156. A patient who is taking______should stop taking the drug and

call his physician if he experiences

vomiting, drowsiness, or muscle

weakness.

157. The patient who is taking a____________for depression can

include cottage cheese, cream cheese,

yogurt, and sour cream in his diet.

158. ____________is a state inwhich sensory stimulation exceeds the

individuals capacity to tolerate or

process it.

159. Symptoms of sensory overloadinclude a feeling of _______and

__________with impaired thinking and

concentration.

160. In ____________overallsensory input is decreased.

161. A sign of sensory deprivation isa ___________or from within oneself,

such as daydreaming, inactivity,

sleeping excessively, and reminiscing.


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162. The three stages of generaladaptation syndrome are________,

__________, and_________.

163. A _____________is drinkingalcohol or smoking excessively.

164. Hyperalertness and the startlereflex are characteristics of

____________

165. A treatment for a phobiais___________, a process in which the

patient is slowly exposed to the feared

stimuli.

166. Symptoms of_____________include depressed

mood, inability to experience pleasure,

sleep disturbance, appetite changes,

decreased libido, and feelings of

worthlessness.

167. Clinical signs of lithium toxicityare_________, ________, and_______.

168. Asking too many whyquestions yields __________and may

__________a psychiatric patient and

lead to stress and withdrawal.

169. __________may be impaired inthe late stages of dementia.

170. According to the ________ ischaracterized by at least one manic

episode thats accompanied by

hypomania.

171. The nurse can use ______and________to promote interactions with

a depressed patient.

172. A psychiatric patient with asubstance abuse problem and a major

psychiatric disorder has a_________.

173. When a patient is readmitted toa mental health unit, the nurse should

assess __________________

174. _________ potentiates theeffects of tricyclic antidepressants.

175. ___________is movement fromone topic to another without any

discernible connection.

176. __________is manifested byextreme behavior, such as hurting

people and animals.

177. During the __________of anabusive relationship, the abused

individual feels helpless.

178. In the emergency treatment ofan alcohol-intoxicated patient,

determining the ___________is

paramount in determining the amount

of medication that the patient needs.

179. Side effects of the_______________include diarrhea,

decreased libido, weight loss, and dry

mouth.

180. Before electroconvulsivetherapy, the patient is given the skeletal

muscle relaxant _____________by I.V.

administration.

181. When a _____________isadmitted to an inpatient facility, the

primary concern is safety, followed by

the establishment of trust.

182. An effective way to decreasethe risk of suicide is to make a

_________with the patient for a

specified period of time.

183. A ________patient should begiven sufficient portions of his favorite

foods, but shouldnt be overwhelmed

with too much food.

184. The nurse should assess the________patient for suicidal ideation.

185. ___________patternscommonly occur during the manic

phase of bipolar disorder.

186. ________is typically observedin patients who have schizophrenia.


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187. _____________is characteristicof a patient who has passive

aggressive personality disorder.

188. When a patient who has__________begins to hallucinate, the

nurse should redirect the patient to

activities that are focused on the here

and now.

189. When a patient who is receivingan _________exhibits muscle rigidity

and tremors, the nurse should

administer an antiparkinsonian drug

(for example, Cogentin or Artane) as

ordered.

190. A patient who is receiving__________should report diarrhea,

vomiting, drowsiness, muscular

weakness, or lack of coordination to the

physician immediately.

191. The therapeutic serum level oflithium (Eskalith) for maintenance is

__to ___mEq/L.

192. __________is an anxiety-related disorder.

193. ___________is a self-helpgroup for families of alcoholics.

194. __________is a treatment forphobia, or irrational fear.

195. After _____________thepatient is placed in the lateral position,

with the head turned to one side.

196. A _________is a fixed falsebelief.

197. Giving away personalpossessions is a sign of____________.

Other signs include writing a suicide

note or talking about suicide.

198. __________is fear of openspaces.

199. A person who has____________projects hostilities onto

others.

200. To assess apatients___________, the nurse should

ask the patient what he would do if he

found a stamped, addressed envelope.

An appropriate response is that he

would mail the envelope.

201. After _____________thepatient should be monitored for post-

shock amnesia.

202. A mother who continues toperform cardiopulmonary resuscitation

after a physician pronounces a child

dead is showing ________.

203. ________________is a desireto wear clothes usually worn by

members of the opposite sex.

204. _______________causesexcessive blinking and unusual

movement of the tongue, and

involuntary sucking and chewing.

205. ______________and_____________are administered to

counteract extrapyramidal adverse

effects.

206. To prevent_____________, apatient who is taking a monoamine

oxidase inhibitor should avoid

consuming aged cheese, caffeine, beer,

yeast, chocolate, liver, processed foods,

and monosodium glutamate.

207. ____________includeparkinsonism, dystonia, akathisia (ants

in the pants), and tardive dyskinesia.

208. One theory that supports theuse of ___________suggests that it

resets the brain circuits to allow

normal function.

209. A patient who has__________usually recognizes the

senselessness of his behavior but is

powerless to stop it (ego-dystonia).


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210. In helping a patient who hasbeen abused, __________is the nurses

first priority.

211. ___________is used to treatattention deficit hyperactivity disorder

(ADHD).

212. ___________is contraindicatedin pregnant women and in patients who

have severe granulocytopenia or severe

central nervous system depression.

213. ___________, an unconsciousprocess, is the inability to recall painful

or unpleasant thoughts or feelings.

214. __________is shifting ofunwanted characteristics or

shortcomings to others (scapegoat).

215. ________is used to treatpsychogenic amnesia.

216. ____________is administeredorally as an aversion therapy to treat

alcoholism.

217. ____________by a patient whois taking disulfiram (Antabuse) can

cause severe reactions, including

nausea and vomiting, and may

endanger the patients life.

218. ___________is a sign thatlithium is taking effect.

219. Behavior modification,including time-outs, token economy, or

a reward system, is a treatment for

____________.

220. For a patient whohas_____________, the nurse should

provide support at mealtime and record

the amount the patient eats.

221. A significant toxic riskassociated with

__________administration is blood

dyscrasia.

222. Adverse effects of____________administration include

drowsiness; insomnia; weakness;

headache; and extrapyramidal

symptoms, such as akathisia, tardive

dyskinesia, and dystonia.

223. _________and ___________aresigns of posttraumatic stress disorder

(PTSD).

224. A child who shows___________has probably been

abused.

225. __________is the use of fantasyto fill in gaps of memory.

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