Schizophrenia Terms
What term means a lack of pleasure or joy?
What is anhedonia.
What is the term for when a client has at least one episode of mania, possibly alternating with episodes of major depression?
What is BIPOLAR I. Mania and Major depression.
Bipolar II- Hypomania and major depression
Cyclothymic- at least 2 years of repeated hypomanic manifestations that is not full blown hypomania.
What personality disorder is characterized by extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends?
What is DEPENDENT.
What is agoraphobia.
A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statements by the nurse is appropriate?
A. "Tell me about how you are feeling right now."
B. "You should focus on the positive things in your life to decrease your anxiety."
C. "Why do you believe you are experiencing this anxiety?"
D. "Let's discuss the medications your provider is prescribing to decrease your anxiety."
What is A. "Tell me about how you are feeling right now."
Asking open-ended questions is displaying therapeutic communication.
What is the term for lack of motivation in activities and hygiene?
What is avolition.
What is the term for an abnormally elevated mood, which can also be described as expansive or irritable; usually requires hospitalization.
What is Mania.
What personality disorder is characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations?
What is Schizotypal.
What is the term for when a client exhibits uncontrollable, excessive worry for more than 3 months?
What is Generalized Anxiety Disorder.
A nurse observes a client who is pacing and wringing his hands. The client states, "I don't know why, but I've been worried every day for a year that my son will die a horrible death." This finding is consistent with which of the following disorders?
A. GAD
B. Panic Disorder
C. Posttraumatic Stress Disorder
D. Acute Stress Disorder
What is A-GAD
Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about him.
What is ideas of reference.
What is the term for rapid, continuous speech with sudden and frequent topic changes.
What is Flight of Ideas
What personality disorder is characterized by instability or affect, identity, and relationships, as well as splitting behaviors, manipulation, impulsiveness, and fear of abandonment? Often tries self-injury.
What is Borderline Personality Disorder.
What is the term for when a client is exposed to increasing levels of an anxiety-producing stimulus (either imagined or real) and uses relaxation to overcome the resulting anxiety?
What is systematic desensitization.
A. ECT is the recommended initial treatment for bipolar disorder.
B. ECT is contraindicated for clients who have suicidal ideation
C. ECT is effective for clients who are experiencing severe mania.
D. ECT is prescribed to prevent relapse of bipolar disorder.
What is C. ECT is effective for clients who are experiencing severe mania.
What is Persecution.
What medications did we learn about to stabalize the mood of Bipolar patients?
What is Lithium, Valprocic acid (Depakote), lamotrigine, Carbamazepine (tegretol)
What personality disorder is characterized by emotional attention-seeking behavior, in which the person needs to be the center of attention?
Often seductive and flirtatious.
What is Histrionic.
What medication class is the first line of treatment for trauma and stressor related disorders?
What is SSRI antidepressants.
A nurse in an acute mental health facility is caring for a client who is experiencing a mixed episode of bipolar disorder. Which of the following is the priority nursing action?
A. Set consistent limits for expect client behavior
B. Administer prescribed medications as scheduled
C. Provide the client with step-by-step instructions during hygiene activities.
D. Monitor the client for escalating behavior.
What is D. Monitor the client for escalating behavior.
What is the term describing maintaining a specific position for an extended period of time.
What is waxy flexibility.
What are 5 depressive characteristics of Bipolar Disorder?
What is flat affect, crying, lack of energy (anergia), anhedonia, physical discomfort/pain, difficulty concentrating, self-destructive behavior, loss of appetite, disturbed sleep
A nurse is assisting with the preparation of a staff education session on personality disorders. Which of the following should be included as personality characteristics associated with all personality disorders?
A. Difficulty in getting along with other members of the group.
B. Belief in the ability to become invisible during times of stress.
C. Display of defense mechanisms when routines are changed.
D. Claiming to be more important that other persons.
E. Difficulty understanding why it is inappropriate to have a personal relationship with staff.
What is A, C, E
What is a non-barbiturate anxiolytic that is used to manage anxiety?
What is Buspirone.
A client with bipolar disorder is reluctant to take lithium (Lithane) as prescribed. The MOST therapeutic response by the nurse to his refusal is?
A. "I can see you are uncomfortable right now, I'll wait until tomorrow."
B. "What is it about the medication that you don't like?"
C. "If you refuse your medicine, we'll just have to give you a shot."
D. "You need to take your medicine, this is how you get well."
What is B. You want to establish a trusting relationship, have clear communication and present reality. Reinforce appropriate behavior.