Theories and Therapy
Freud identified this as the part of a person's nature that focuses on morals, values, and ethics.
What is the super ego?
These fast-acting anxiolytics are considered the first-line medication class administered to prevent seizures and Delirium Tremens during acute alcohol withdrawal.
What is Benzodiazepines?
Dilated pupils, immobility or sudden bolting, muteness, and primitive fight, flight, freeze, or fawn responses are physical manifestations seen in this level of anxiety.
What is panic-level anxiety?
An event or circumstance in the environment initiates the client's response during this initial phase of the aggression cycle.
What is the Triggering phase?
This medication functions by blocking receptors in the brain to reduce cravings for alcohol
What is Naltrexone?
According to Piaget, abstract thinking occurs in this stage
What is formal operations?
Combining SSRIs with MAOIs, TCAs, or St. John's Wort can trigger this potentially fatal condition characterized by confusion, agitation, muscle rigidity, fever, and hyperreflexia.
What is Serotonin Syndrome?
Unrealistic or excessive anxiety and worry occurring more days than not for at least 6 months is the primary diagnostic criterion for this generalized disorder.
What is Generalized Anxiety Disorder (GAD)?
In this final phase of the aggression cycle, the client attempts reconciliation, may express remorse or guilt, and returns to baseline functioning.
What is the Postcrisis phase?
Consuming even small amounts of alcohol while taking this relapse-prevention drug triggers severe nausea, vomiting, flushing, headache, and hypotension.
What is Disulfiram (Antabuse)?
During this Eriksonian stage (ages 1 to 3), toddlers strive to build independence through self-care tasks like dressing and toilet training; failure or over-criticism leads to self-doubt and feeling inadequate
What is autonomy v shame and doubt?
This atypical anxiolytic is non-sedating, has no risk of chemical dependence, and requires 4 weeks for full therapeutic effect, making it unsuitable for PRN use.
What is buspirone?
Characterized by a perceptual field reduced to a single detail or scattered details, an inability to solve problems, severe headaches, and trembling, this level requires the nurse to speak in a calm, low voice using short, simple statements.
What is severe anxiety?
When a client enters the triggering phase, the nurse should approach using a calm, nonthreatening manner and convey this attitude.
What is empathy (or understanding/calmness)?
This emergency antagonist is administered rapidly to reverse life-threatening respiratory depression caused by an opioid overdose.
What is Naloxone (Narcan)?
According to Erikson, adolescents (ages 12 to 18) undergo this stage, where the main conflict involves experimenting with different roles to form a sense of self, avoiding a state of uncertainty about one's place in society.
What is identify v role confusion?
Diarrhea, vomiting, drowsiness, muscle weakness, and lack of coordination are early signs indicating that a client's serum lithium level has exceeded this therapeutic threshold.
What is 1.5 mEq/L?
These repetitive behaviors or mental acts are performed by a client to suppress or reduce the anxiety caused by obsessive thoughts.
What are compulsions?
When a client in the escalation phase refuses a voluntary time-out, calling for additional staff members to show readiness to maintain safety is known as this.
What is a "show of force"?
A peer nurse consistently volunteering to work extra shifts or offering to administer controlled substances for other nurses' patients is showing a red flag for this.
What is Nurse Substance Use Disorder (Impaired Nursing)?
Screenings are considered this level of prevention
What is secondary?
Decreased appetite leading to weight loss, insomnia, elevated blood pressure, and irritability are primary adverse effects associated with this class of medications
What are CNS stimulants (or methylphenidate / amphetamines)?
Initial nursing interventions for a newly admitted client with OCD should allow time for compulsions while gradually establishing this to help manage anxiety
What is a structured schedule (or setting time limits)?
Seclusion or restraints must be discontinued at this specific point in the postcrisis phase.
What is as soon as the client meets criteria for release (or regains self-control)?
Coarse hand tremors, sweating, elevated heart rate, and anxiety occurring 4 to 12 hours after stopping heavy drinking are classic early signs of this process.
What is alcohol withdrawal?