N200 Psychiatric Nursing

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The Id: Personality component that deals with pleasure and impulse. You are born with the id and it provides you with instinctual drives that seek to satisfy needs and achieve immediate gratification. It causes impulsive behaviors.
*The devil on the shoulder*
The Ego: Personality component that deals with reality. It develops between 4 and 6 months of age and its job is to create peace between the external world, the Id and the Superego.
The Superego: The personality component that deals with perfection. Develops between 3 and 6 years old. It assists the ego in control of the id and helps to develop ethics and morals. It is the perfectionist. (need an A)
In what three ways do psychotropic drugs work on the body?: 1. Prevent / Block the reuptake of the neurotransmitter at the presynaptic neuron.

2. Bind to receptor sites at the postsynaptic neuron - this prevents the neurotransmitter from entering the receptor.

3. Prevent enzymes at the synapses from metabolizing neurotransmitters.
Which mental illnesses are associated with an increase in Dopamine?: Psychotic behavior
Schizophrenia
Mania
Which mental illnesses are associated with a decrease in Dopamine?: Depression
Parkinson's
Which mental illnesses are associated with an increase in Serotonin?: Anxiety
Schizophrenia
Which mental illnesses are associated with a decrease in Serotonin?: Depression
Which mental illnesses are associated with an increase in Norepinephrine?: Mania
Severe anxiety
Schiziphrenia
Which mental illnesses are associated with a decreases in norepinephrine?: Depression
Which mental illnesses are associated with a decrease in GABA (inhibitory neurotransmitter)?: Anxiety Disorders
Schizophrenia
Which mental illnesses are associated with an increases in Acetylcholine?: Depression
Which mental illnesses are associated with a decrease in Acetylcholine?: Alzheimer's Disease
Parkinson's
What is listed under the five axis' of the DSM - IV - TR?: Axis I - clinical disorder, reason for hospitalization (psychiatric diagnosis)

Axis II - Personality disorder and mental retardation (only thing on this axis, if patient does not have one or the other, this axis is left blank)

Axis III - Medical conditions

Axis IV - Psychosocial and environmental issues (deficits, barriers to care, legal issues)

Axis V - Global assessment of functioning (GAF)- scale that measures an individual's psychological, social and occupational functioning - written as a number from (0 - 100)
Pervasive Developmental Disorders: Childhood psychiatric disorders characterized by pervasive and usually severe impairment of social interaction and communication skills, with restricted stereotypical behavioral patterns

Autistic Disorder (classic autism)
Rett's disorder
Childhood disintegrative disorder
Asperger's disorder
What are the usual ranges of therapeutic serum concentrations for Lithium Carbonate, given to those patients in acute mania and those using it as a maintenance dose?: Acute: 1.0 - 1.5 mEq/L
Maintenance: 0.6 - 1.2 mEq/L
What symptoms of lithium toxicity would you see with a serum level of 1.5 to 2.0 mEq/L?: blurred vision
ataxia
tinnitius
persistent nausea and vomitting
severe diarrhea
What symptoms of lithium toxicity would you see with a serum level of 2.0 to 3.5 mEq/L?: excessive output of dilute urine
increasing tremors
muscular irritability
psycho-motor retardation
mental confusion
giddiness
What symptoms of lithium toxicity would you see with a serum level above 3.5 mEq/L?: impaired consciousness
nystagmus
seizures
coma
oliguria/anuria
arrhythmias
myocardial infarction
cardiovascular collapse
echolalia: repeating the words of others
palilalia: the repetition of one's own sounds and words
apraxia: the inability to carry out motor activities
aphonia: the inability to speak
compensation: *defense mechanism*

covering up a weakness by emphasizing a strength
denial: *defense mechanism*

refusing to acknowledge something
displacement: *defense mechanism*

transferring feelings to a less threatening person or thing
identification: *defense mechanism*

identifying with a situation to increase self worth

ex. you become a physical therapist because you went through physical therapy
intellectualization: *defense mechanism*

using logic and reasoning to cover emotions
introjection: *defense mechanism*

taking on another persons or groups beliefs or values
isolation: *defense mechanism*

separating thought and emotion
projection: *defense mechanism*

making your feelings seem like someone elses
rationalization: *defense mechanism*

making excuses for unacceptable feelings or behavior
reaction formation: *defense mechanism*

saying one thing but feeling another
regression: *defense mechanism*

returning to an earlier stage of development for comfort
repression: *defense mechanism*

your body does not allow you to remember a traumatic event
sublimation: *defense mechanism*

re-channeling bad feelings to something good
suppression: *defense mechanism*

when you decide to block out feelings or thoughts
undoing: *defense mechanism*

trying to cancel out something bad with something good

ex. child brings home a bad grade but thinks if they clean their room it will be okay
nystagmus: involuntary, rapid movements of the eyeball that may be horizontal, rotary, vertical or mixed

often seen with patients who have used PCP
ataxia: impairment of the ability to coordinate voluntary muscle movement

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Number of cards 40

Created By cadomanis