Psychology Exam 2 Review

Exam 2 will be focused on chapters 7, 8, 9, and 10 Regarding aggressive psych diseases, the first form of treatment is medication. What kind of treatment follows that? Electroconvulsive therapy What is the biggest side effect of electroconvulsive therapy? Short-term memory loss What is the first symptom of depression? Patient claims to lose pleasure in things that they previously enjoyed. Patient has a recent episode of a suicide attempt. What should the nurse do? Initiate s uicidal p recautions ( S itter, etc ). How long do antidepressant medications take to provide the full effect of the medication? 2 to 6 weeks Patient has a history of being suicidal. They mention that their family members have died recently. What should the nurse do? Ask the patient “do you want to kill yourself?” What is the biggest risk factor for depression? Chronic illnesses Big negative life events Patient has bipolar disorder. What medication will the patient take? What should the nurse do while the patient is taking this medication? Patient i s taking lithium. Nurse should monitor lithium levels once a week (0.5 – 1.0) Vomiting Diarrhea What kind of medication is carbamazepine? What is it given for? Antiseizure medication Is given to bipolar patients during a manic episode Patient has bipolar disorder. How do we know that the patient is at risk for suicidal thinking? Patient becomes aggressive and impulsive Patient is bipolar and claims he is Jesus or Superman. What do you call that way of thinking? Grandiosity What does flight of ideas mean? Scattered conversation with rapid speech Where do bipolar patients need to be put during a manic episode? In a private room What medication do bipolar patients take? Lithium (during both manic and depressive state s ) Valproate acid (during manic state) SSRIs (during depressive state) How does a psych nurse build therapeutic communication with a patient? Setting limits and rules with the patient . Boundaries. How does the nurse and patient confirm that they have built a therapeutic communication? Establish boundary and trust . What is the purpose of therapeutic communication? To make a positive progression in the patient’s health Patient and nurse have established therapeutic communication. Patient states, “I like you so much” “You are a great nurse” What does the nurse have to do? Establish boundaries and limits . State that they are not their friend, and it is strictly professional. State that they can talk about their friends that are outside of the hospital. What is the difference between therapeutic communication and social communication? Focus of relationship . Therapeutic communication focuses strictly on professional interactions . Social communication is focused more on interacting with others in a more casual way. What is non-therapeutic communication? The nurse is not providing effective communication to the patient. It is not helping. Example: Giving advice . What is verbal communication? Vocally expressing feelings What is non-verbal communication? Focuses on body language What is extremely helpful for a patient’s therapy? Both Verbal and Non-Verbal communication How close to the patient can a nurse be in a psych ward? 3 to 6 feet. It is protocol. If the patient says, “You don’t care about me” What is the best reply that the nurse can give? Ask a question, “what makes you think that way?” Patient starts building a therapeutic communication with the nurse. The nurse is a trump supporter. The nurse then finds out that the patient is Muslim. If the nurse does not respect the patient’s religious beliefs, what would that do? Destroy trust in therapeutic relationship. When a patient is delusional, what is the problem in the psychiatric evaluation? Problem with the thinking aspect of assessment What are the steps of a psychiatric evaluation? Orientation, Memory, Thinking, and Concentration Patient does not show any emotions, even when surrounded with others who are expressing a lot of emotions. An example of this is during the game aspect of therapy, they are not participating and show no emotions. What is this called? Flat effect During therapy, the patient is not answering a direct question and is avoiding the question. They are instead diverting the conversation to something else. What is that called? Tangential The patient is watching tv and they see a celebrity on the tv. They state “that is me! I am a movie star” What is this called? Ideas of reference What is the definition of resilience? Overcoming difficult or challenging outcomes. The way in which a person reacts to certain stressors is referred to? Tolerance and response to stress What can a nurse control during an assessment? Their own behavior and attit ude What can a person do to improve their mental health? Start exercising Obtain a h ealthy diet Get adequate sleep What are the 5 stages of grief? Denial, anger, bargaining, depression, and acceptance. Person is diagnosed with a deadly disease. They are in hospice care. They say to their wife “I am sorry I am leaving you. I am going to a better place” What stage of grief is this describing? Acceptance Patient just got the news that they have a terminal illness. What is the best response by the nurse? What does this mean to you? Patient has a loss in the family. They are not showing any signs of grief. What is this called? Disenfranchised grief