Defense Mechanisms
A 22 year old woman arrives to the ED with a RR of 36 and a HR of 124 When questioned about a hx of anxiety, she states "I don't have anxiety, I am just getting sick"
What is...
Denial
The patient requires assistance getting dressed, making their bed, and getting to group meals.
What is ADLs
Hallmark symptoms include autonomic dysreflexia, hyperpyrexia, and stiffness
What is....
Neuroleptic Malignant Syndrome (NMS)
"I'll stay with you for a while. We don't have to talk."
What is
Offering self
In this theory, the individuals perception of the stressor is more important than the stressor itself, and the environment is important as well
What is
the stress as a transaction theory
The nursing student feels anxious about her exam coming up, so she goes to the gym for 2 hours.
What is...
Sublimation
The pt is clearly exhibiting negative symptoms of his schizophrenia dx. He only responds to the nurses with one word answers.
or interpersonal
Side effects of older antipsychotics include _____ whereas side effects of newer antipsychotics include ____
What are...
Extrapyramidal side effects such as Tardive dyskinesia, and acute dystonia
The metabolic triad of dyslipidemia, weight gain, and hyperglycemia
What is
Focusing
Initial cognitive determination which causes further response
What is
Primary appraisal
A husband beats his wife before work. On the way home, he buys her flowers and cooks dinner.
What is...
Undoing
The pt appears elated, looking all over the room, as if he is having hallucinations
What is...Affect, or behavior
The antidote for a Xanax overdose
What is flumazenil
"I'm alone at sea."
"So you feel lonely?"
What is attempting to translate feelings into word
Do not disappear. Tell the client you will stay with them. Communicate calm, direct, and keep it simple. Do not attempt problem solving. Decrease stimuli. Provide outlets for energy. Assure safety and that this is temporary.
What is
Interventions for panic level anxiety
"I can stop drinking any time I want to. I am able to go to work, drive home, and take care of my kids. I don't have a problem."
What is
Rationalization
As the pt is having a conversation with the RN, he states that he is thinking about killing his roommate. When asked what thoughts led to that, he responds with "The voices told me to".
What is...
Thought process
Side effects: sedation, orthostatic hypotension, and physical/psychological dependence
What are
Benzodiazipenes
Nonverbal techniques
What are
Sitting squarely, eye contact, active listening, lean slightly in, keep a professional distance
Smoking marijuana every day as a way to reduce anxiety levels vs going for a walk or calling a friend
What is maladaptive vs adaptive coping mechanisms
A woman who was diagnosed with cancer 30 minutes ago requests to see her scans and looks up the biology of cancer at home
Intellectualization
Mood
also...incongruence
Delayed onset of up to 6 weeks
What is
SSRIs
or Busprione
"Is there anything you would like to talk about today?"
What is
giving broad openings
Long term effects include decreased sensitivity of serotonin receptors
What is CORTISOL!