Psychology Chapter: Child Development and Disorders

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Questions and Answers

What is a common feature of separation anxiety in children?

  • Worry about their grades
  • Disinterest in friends
  • Fear of monsters at night
  • Concern for parental and child's safety (correct)

At which stage of Erikson's development does the conflict of trust versus mistrust occur?

  • Early Childhood (1-3)
  • Infancy (0-1) (correct)
  • Adolescence (12-18)
  • School age (7-11)

What virtue is associated with the stage of 'Autonomy vs Shame/Doubt' in Erikson's theory?

  • Hope
  • Will (correct)
  • Purpose
  • Love

Which of the following is a sign or symptom of alcohol withdrawal?

<p>Hallucinations (D)</p> Signup and view all the answers

What is the primary purpose of asking specific assessment questions about alcohol consumption?

<p>To identify potential alcohol withdrawal symptoms (D)</p> Signup and view all the answers

Which stage of Erikson's development involves establishing intimacy and relationships?

<p>Early Adult (19-29) (A)</p> Signup and view all the answers

What is a key characteristic of self-actualization in Maslow's hierarchy?

<p>The desire to become the most one can be (B)</p> Signup and view all the answers

What action can help reduce a patient's intracranial pressure (ICP)?

<p>Elevating the head of the bed (D)</p> Signup and view all the answers

What is a primary goal in managing increased intracranial pressure (ICP)?

<p>Decreasing cerebral edema (C)</p> Signup and view all the answers

Which of the following medications is least likely to cause Stevens-Johnson syndrome?

<p>Ibuprofen (B)</p> Signup and view all the answers

What is an important precaution for patients with shingles?

<p>Avoid getting the rash near the eyes to prevent blindness. (C)</p> Signup and view all the answers

Which method is recommended to identify scabies lesions?

<p>Using a magnifying glass and penlight at an oblique angle (B)</p> Signup and view all the answers

What action is advised to prevent the spread of scabies within households?

<p>Treat all residents, staff, and families simultaneously (B)</p> Signup and view all the answers

How should scabicide be applied for treating scabies?

<p>Thinly over the entire skin from neck down, sparing the face and scalp (A)</p> Signup and view all the answers

What is a common symptom of scabies?

<p>Increased itching at night (B)</p> Signup and view all the answers

What is the role of osmotic diuretics in managing increased ICP?

<p>Reduce cerebral edema (D)</p> Signup and view all the answers

Which characteristic is NOT associated with antisocial personality disorder?

<p>Extreme fear of abandonment (D)</p> Signup and view all the answers

What is a common behavioral symptom of borderline personality disorder?

<p>Chronic feelings of emptiness (D)</p> Signup and view all the answers

What is assessed to evaluate suicidal ideation?

<p>Plan to hurt oneself (D)</p> Signup and view all the answers

In Erik Erikson's stage of Industry vs. Inferiority, what do children seek to develop?

<p>A sense of competence (A)</p> Signup and view all the answers

Which of the following represents the highest level in Maslow's hierarchy of needs?

<p>Self-Actualization (D)</p> Signup and view all the answers

What is the primary function of antipsychotic medications?

<p>Block dopamine and reduce hallucinations (D)</p> Signup and view all the answers

Which stage of Erikson's psychosocial development involves older adults reflecting on their lives?

<p>Integrity vs. Despair (D)</p> Signup and view all the answers

Cognitive Behavioral Therapy primarily aids patients in identifying what?

<p>Automatic negative thoughts and distorted thinking (D)</p> Signup and view all the answers

Which therapy involves bilateral stimulation of the brain's hemispheres to reduce PTSD symptoms?

<p>EMDR Therapy (B)</p> Signup and view all the answers

What term describes the involuntary repetitive movements often seen in patients who have used antipsychotics long-term?

<p>Tardive Dyskinesia (A)</p> Signup and view all the answers

What is the normal lithium level range that healthcare providers aim for in the blood?

<p>0.6 to 1.2 mEq/L (A)</p> Signup and view all the answers

Which of the following class of medications carries a risk of dependence and tolerance when used for anxiety management?

<p>Benzodiazepines (D)</p> Signup and view all the answers

Which eating disorder is characterized by extreme food restriction and a distorted body image?

<p>Anorexia Nervosa (B)</p> Signup and view all the answers

What type of symptoms are children more likely to report when experiencing depression and anxiety compared to adults?

<p>Somatic Symptoms (D)</p> Signup and view all the answers

Which of the following medications cannot be taken in conjunction with foods containing tyramine?

<p>MAOIs (B)</p> Signup and view all the answers

What syndrome can occur as a result of overdosing on medications such as SSRIs?

<p>Serotonin Syndrome (B)</p> Signup and view all the answers

Which disorder is characterized by a child requiring few distractions during homework time and clear directions?

<p>Attention-deficit/hyperactivity disorder (B)</p> Signup and view all the answers

What disorder is likely indicated in a teenager who frequently receives detentions for bullying?

<p>Conduct Disorder (D)</p> Signup and view all the answers

What is a common anxiety disorder symptom when a child continuously checks on parents at night due to illness fears?

<p>Obsessive-compulsive disorder (B)</p> Signup and view all the answers

Which disorder is indicated by argumentative behaviors against authority figures in children?

<p>Oppositional Defiant Disorder (C)</p> Signup and view all the answers

What is a primary teaching point for young girls regarding the menstrual cycle?

<p>Bleeding typically lasts 5-7 days (C)</p> Signup and view all the answers

What symptom may cause a patient in a state of mania to neglect essential needs like eating or sleeping?

<p>Increased Activity (A)</p> Signup and view all the answers

Which statement about autonomic dysreflexia is correct?

<p>Symptoms include a pounding headache and elevated blood pressure (B)</p> Signup and view all the answers

What is a significant priority for a burn patient when the face or neck is not involved in the injury?

<p>Fluid status (B)</p> Signup and view all the answers

What is a potential sign of a cystocele?

<p>Urine leakage or urinary incontinence (C)</p> Signup and view all the answers

What is the priority concern for a patient with ectopic pregnancy experiencing heavy bleeding post-surgery?

<p>Fluid status (C)</p> Signup and view all the answers

What should be taught to a patient preparing for a mammogram?

<p>Do not use deodorants or lotions (A)</p> Signup and view all the answers

What should be avoided as a contraindication for oral contraceptives?

<p>Blood clots (D)</p> Signup and view all the answers

What is a critical nursing action for a couple experiencing infertility?

<p>Educate them to check sperm counts (D)</p> Signup and view all the answers

Match the following substances with their monitoring requirements:

<p>Lithium = Therapeutic level of 0.6-1.2 mEq/L Benzodiazepines = Monitor for dependence and tolerance SSRIs = Assess for suicidal ideation, especially in young adults Antipsychotics = Regularly check for extrapyramidal symptoms</p> Signup and view all the answers

Match the eating disorder with its characteristic symptom:

<p>Anorexia Nervosa = Extreme food restriction Bulimia Nervosa = Binge eating followed by purging Binge Eating Disorder = Repeated episodes of eating large quantities Pica = Craving and eating non-food substances</p> Signup and view all the answers

Match the PTSD symptom with its description:

<p>Flashbacks = Reliving the traumatic event Avoidance = Steering clear of reminders of trauma Hyperarousal = Increased anxiety and arousal levels Negative alterations in mood = Persistent negative emotions</p> Signup and view all the answers

Match the following SSRIs with their indications:

<p>Fluoxetine = Treatment of depression in children and adults Sertraline = Use in PTSD and obsessive-compulsive disorder Escitalopram = Generalized anxiety disorder management Paroxetine = Social anxiety disorder treatment</p> Signup and view all the answers

Match the substance with its common risk factor:

<p>Benzodiazepines = Potential for withdrawal seizures Alcohol = Risk of delirium tremens (DTs) Caffeine = Possible anxiety aggravation Opioids = Dependence and overdose risk</p> Signup and view all the answers

Match the psychological condition with its typical age of onset:

<p>Anorexia Nervosa = Adolescence Bulimia Nervosa = Late adolescence to early adulthood Panic Disorder = Late adolescence to early adulthood Generalized Anxiety Disorder = Child and adolescent years</p> Signup and view all the answers

Match the medication class with its primary consideration during use:

<p>SSRIs = Monitor for increase in anxiety initially Lithium = Frequent blood level checks Benzodiazepines = Short-term use to prevent habit formation Antipsychotics = Routine monitoring for metabolic syndrome</p> Signup and view all the answers

Match the common withdrawal symptoms with their descriptions:

<p>Tremors = Involuntary shaking of limbs Anxiety = Intense feelings of unease Hallucinations = Experiencing unreal perceptions Seizures = Abnormal electrical activity in the brain</p> Signup and view all the answers

Match the following concepts to their descriptions:

<p>Lithium Monitoring = Aim for blood levels between $0.6$ and $1.2$ mEq/L Benzodiazepine Risks = Potential for dependence and tolerance SSRIs in Young Adults = Increased risk of suicidal thoughts under age $25$ Eating Disorders = Characterized by extreme food restriction and distorted body image</p> Signup and view all the answers

Match the following eating disorder symptoms with their definitions:

<p>Anorexia Nervosa = Extreme fear of gaining weight and distorted body image Bulimia Nervosa = Involves purging behaviors to prevent weight gain Binge Eating Disorder = Recurrent episodes of eating large quantities of food Pica = Craving non-food substances like dirt or chalk</p> Signup and view all the answers

Match the following PTSD symptoms with their characteristics:

<p>Intrusive symptoms = Unwanted flashbacks or memories of the traumatic event Avoidance behaviors = Staying away from reminders of the trauma Negative mood alterations = Persistent negative thoughts or feelings Heightened arousal = Increased startle response and irritability</p> Signup and view all the answers

Match the following statements about Lithium monitoring to their implications:

<p>Too low lithium levels = May lead to reduced effectiveness Too high lithium levels = Can cause toxicity and serious side effects Regular monitoring = Ensures safe and effective treatment Patient education = Importance of adhering to blood test schedules</p> Signup and view all the answers

Match the following eating disorders with their associated behaviors:

<p>Anorexia Nervosa = Severe restriction of food intake Bulimia Nervosa = Binge eating followed by purging Binge Eating Disorder = Episodes of uncontrolled eating Pica = Eating something that is not food</p> Signup and view all the answers

Match the following categories of SSRIs risks with their impact:

<p>Under age $25$ = Higher risk of suicidal ideation Discontinuation syndrome = Withdrawal symptoms upon cessation Weight gain = Possible side effect leading to non-adherence Sexual dysfunction = Common complaint affecting quality of life</p> Signup and view all the answers

Match the following benzodiazepines with their common usage:

<p>Lorazepam = Short-term management of anxiety symptoms Alprazolam = Rapid onset calming effects Diazepam = Used for muscle relaxation Clonazepam = Management of seizure disorders</p> Signup and view all the answers

Match the following terms related to PTSD to their definitions:

<p>PTSD = Disorder following exposure to a traumatic event Anhedonia = Inability to experience pleasure Somatic Symptoms = Physical complaints related to psychological distress Suicide Precautions = Necessary for patients reporting hopelessness</p> Signup and view all the answers

Match the following aspects of lithium monitoring with their significance:

<p>Therapeutic range = 0.6-1.2 mEq/L Toxicity symptoms = Nausea, tremors, confusion Kidney function = Assessed due to potential nephrotoxicity Serum levels = Monitored regularly to ensure safety</p> Signup and view all the answers

Match the following risks associated with benzodiazepines:

<p>Dependence = Risk of developing tolerance Withdrawal symptoms = Anxiety, seizures, insomnia Cognitive impairment = Short-term memory issues Overdose risk = Potentially life-threatening when combined with depressants</p> Signup and view all the answers

Match the side effects of SSRIs commonly experienced by young adults:

<p>Nausea = Gastrointestinal discomfort Sexual dysfunction = Reduced libido Weight gain = Metabolic side effects Insomnia = Sleep disturbances</p> Signup and view all the answers

Match the following characteristics of eating disorders:

<p>Anorexia nervosa = Extreme food restriction Bulimia nervosa = Binge eating with purging Binge eating disorder = Consuming large amounts without compensatory behavior Pica = Eating non-food substances</p> Signup and view all the answers

Match the symptoms often seen in PTSD:

<p>Intrusive memories = Recurrent distressing thoughts Avoidance = Staying away from reminders of the trauma Negative alterations in mood = Feelings of hopelessness Hyperarousal = heightened startle response</p> Signup and view all the answers

Match the following behaviors associated with PTSD:

<p>Flashbacks = Re-experiencing traumatic events Avoidance behaviors = Avoiding thoughts or conversations about trauma Emotional numbness = Feeling detached from others Irritability = Increased anger and frustration</p> Signup and view all the answers

Match the following outcomes with respective interventions for young adults on SSRIs:

<p>Monitoring weight = Address potential weight gain Regular follow-ups = Assess effectiveness and side effects Counseling support = Aid in managing symptoms Medication adherence = Ensure consistent usage to optimize benefits</p> Signup and view all the answers

Match the following terms with their definitions regarding lithium therapy:

<p>Half-life = Time taken for the drug to be reduced by half Loading dose = Initial higher dose to reach therapeutic levels quickly Maintenance dose = Regular dose during treatment to keep levels stable Trough level = Lowest concentration of the drug before the next dose</p> Signup and view all the answers

What is the purpose of accurately calculating the total body surface area (TBSA) in burn management?

<p>To assess overall burn severity and guide treatment planning (D)</p> Signup and view all the answers

Which of the following factors can influence the calculation of total body surface area for burn injuries?

<p>The specific area and characteristics of the injury (D)</p> Signup and view all the answers

How does understanding total body surface area (TBSA) affect the urgency of care for burn patients?

<p>It helps in decision making about the required level of care (A)</p> Signup and view all the answers

What limitation is associated with using the Rule of Nines for TBSA estimation?

<p>It may not align with more precise TBSA measurement methods (C)</p> Signup and view all the answers

Why is it important to have a refined assessment for burn injuries as time progresses?

<p>To adjust fluid resuscitation and treatment plans as needed (D)</p> Signup and view all the answers

What percentage of total body surface area does the perineum account for according to the Rule of Nines?

<p>1% (B)</p> Signup and view all the answers

Which category of burn depth is characterized by visual characteristics such as redness and mild swelling?

<p>Superficial (first-degree) (A)</p> Signup and view all the answers

Which factor is NOT typically considered in a comprehensive burn assessment?

<p>Patient's favorite activities (A)</p> Signup and view all the answers

What does Total Body Surface Area (TBSA) measure in a burn patient?

<p>The amount of skin surface area affected by a burn (C)</p> Signup and view all the answers

In the Rule of Nines, what is the total percentage of TBSA accounted for by each leg?

<p>18% (D)</p> Signup and view all the answers

What role does age play in the assessment of burn severity?

<p>Older patients may have weakened skin and comorbidities impacting recovery. (B)</p> Signup and view all the answers

Which burn depth classification involves damage to all layers of the skin and potentially underlying tissue?

<p>Full-thickness (third-degree) (D)</p> Signup and view all the answers

Which characteristic would most likely indicate the need for urgent medical intervention in burn cases?

<p>Burns located on critical areas such as the face, hands, or feet (C)</p> Signup and view all the answers

Match the following body regions with their corresponding percentage of body surface area (BSA) according to the Rule of Nines:

<p>Head and Neck = 9% Each Arm = 9% Each Leg = 18% Groin/Perineum = 1%</p> Signup and view all the answers

Match the following statements with their relevance to the Rule of Nines:

<p>Allows for quick assessment of burn area = Initial Assessment Vital for fluid resuscitation planning = Treatment Planning Estimate is based on body regions = Body Surface Area Estimation Not accurate for children = Accuracy Variations</p> Signup and view all the answers

Match the clinical considerations with their corresponding descriptions regarding the use of the Rule of Nines:

<p>Irregular shapes or large burns = Require complex estimations Visual inspection of burns = Crucial for accuracy Deeper partial thickness burns = Need additional considerations Burns around joints = Challenging to measure</p> Signup and view all the answers

Match the following terms with their definitions in the context of burn treatment:

<p>Fluid Resuscitation = Administering fluids based on BSA Burn Depth = Refers to the severity of skin damage Total Body Surface Area (TBSA) = Percentage of the body's area affected by burns Rule of Nines = Estimation tool for burn surface area</p> Signup and view all the answers

Match the body regions impacted by burns with their corresponding percentages according to the Rule of Nines:

<p>Each Anterior Trunk = 9% Each Posterior Trunk = 9% Leg including gluteal region = 18% Each Arm = 9%</p> Signup and view all the answers

What is the primary purpose of the Parkland formula in burn management?

<p>To calculate fluid requirements for the first 24 hours (D)</p> Signup and view all the answers

How should the fluid calculated using the Parkland formula be administered?

<p>In half in the first 8 hours and half in the next 16 hours (A)</p> Signup and view all the answers

Which factor is NOT typically considered in fluid resuscitation for burn patients?

<p>Patient's hair color (C)</p> Signup and view all the answers

What critical monitoring parameter indicates successful fluid resuscitation?

<p>Adequate urine output (C)</p> Signup and view all the answers

Why is ongoing monitoring vital in the management of burn patients?

<p>To assess for signs of fluid overload or shock (D)</p> Signup and view all the answers

Which characteristic is most significant during the transition phase of the first stage of labor?

<p>Nausea and shaking (D)</p> Signup and view all the answers

What is the primary focus of nursing care during the second stage of labor?

<p>Observing for fetal distress (C)</p> Signup and view all the answers

What is the main event that characterizes the third stage of labor?

<p>Separation of the placenta from the uterine wall (D)</p> Signup and view all the answers

What occurs during the active phase of the first stage of labor?

<p>Contractions become more regular and intense (D)</p> Signup and view all the answers

Which of the following best describes the duration of the first stage of labor?

<p>Can vary greatly, from hours to days (C)</p> Signup and view all the answers

Flashcards

Separation Anxiety

Significant worry and distress when separated from a caregiver or familiar surroundings.

Erikson's Stages

Describes eight stages of psychosocial development, where each stage involves a specific conflict that must be resolved to achieve a virtue.

Maslow's Hierarchy

A model of human needs, arranged in a hierarchy, starting with basic needs (physiological) and progressing to self-actualization, the desire to achieve full potential.

Alcohol Withdrawal Symptoms

A range of physical and psychological symptoms that occur when someone stops or significantly reduces alcohol use after a period of heavy drinking..

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Alcohol Assessment Questions

Questions used to evaluate alcohol use and potential problems, such as frequency, quantity, onset and presence of binge drinking, and history of withdrawal.

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Increased Intracranial Pressure (ICP)

Elevated pressure within the skull, potentially caused by injury, swelling, or infection.

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Infancy (Erikson)

First stage of psychosocial development (0-1 year) focused on developing trust by nurturing and meeting basic needs.

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Alcohol Withdrawal TimeFrame

Potential onset of dangerous withdrawal symptoms (Delirium Tremens) can range from 24 to 36 hours after last alcohol intake.

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Increased ICP Management

Managing increased intracranial pressure (ICP) focuses on reducing cerebral edema, CSF volume, and cerebral blood flow while maintaining perfusion.

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Osmotic Diuretics (Mannitol)

Medication used to decrease cerebral edema by drawing fluid out of the brain tissues.

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Shingles Virus

Viral infection following chickenpox, affecting nerve pathways; more prevalent in older adults, eye involvement can cause blindness.

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Scabies Treatment

Contagious skin mite infestation treated with scabicides, requiring thorough cleaning of all potentially contaminated areas and treating family members for prevention.

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Possible Stephen Johnson's Syndrome Triggers

Certain medications, including anti-epileptics, anti-gout meds, antibacterial sulfa drugs, pain relievers, and antibiotics, can cause Stephen Johnson's syndrome.

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CSF Drainage

Procedure to remove cerebrospinal fluid (CSF) to decrease ICP.

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Cerebral Blood Flow

The rate of blood flow to the brain. Maintaining adequate flow is crucial.

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Scabies Symptoms

Characterized by intense itching, especially at night, and skin burrowings (especially between fingers and wrists).

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Antisocial Personality Disorder

A personality disorder characterized by a disregard for and violation of the rights of others, lack of empathy, and impulsive behavior.

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Borderline Personality Disorder

A personality disorder marked by instability in relationships, mood, self-image, and behavior, often stemming from abandonment fears.

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Suicide Assessment Questions

Questions used to identify individuals contemplating self-harm.

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Antipsychotics function

Medications that block dopamine receptors in the brain, used to reduce hallucinations and other symptoms of psychosis.

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Erikson's Industry vs. Inferiority

A stage in psychosocial development where school-aged children develop a sense of competence or inferiority based on societal expectations.

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Integrity vs. Despair

Erikson's last stage of psychosocial development, where older adults reflect on their lives and search for meaning and acceptance.

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Maslow's Esteem Needs

In Maslow's hierarchy, the needs for recognition, respect, and accomplishment that motivate individuals after basic needs are met.

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Cognitive Behavioral Therapy (CBT)

A type of therapy that helps identify and change negative thought patterns and behaviors that contribute to psychological distress.

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EMDR Therapy

A therapy using rhythmic stimulation of the brain's hemispheres to reduce PTSD symptoms.

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Tardive Dyskinesia

Involuntary, repetitive movements, often seen in patients using antipsychotics long-term.

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Mastitis

Inflammation of the breast tissue, usually occurring in breastfeeding mothers, often caused by a bacterial infection.

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Positive Symptoms

Hallucinations and delusions, often experienced by individuals with psychotic disorders.

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Negative Symptoms

Symptoms that reflect a decrease in normal functions, such as apathy, social withdrawal, and lack of motivation.

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Menstrual Cycle

The recurring natural process in a woman's body, involving the preparation for potential pregnancy, marked by regular changes in hormone levels, changes in the lining of the uterus, and bleeding.

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Lithium Levels

Blood tests to monitor lithium levels, aiming for a range of 0.6 to 1.2 mEq/L for optimal effectiveness and minimized toxicity.

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Peri-Menopause

The transition period leading up to menopause, characterized by hormonal changes and irregular menstrual cycles. It can last several years until the final menstrual period.

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Mammogram Prep

Before a mammogram, women should avoid using deodorants, lotions, or powders on their breasts, as these can interfere with the imaging results.

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Benzodiazepines

Medications like lorazepam and alprazolam, used for short-term anxiety management with rapid effects, but they also carry dependence and tolerance risks.

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SSRI & Suicidal Thoughts

Some research suggests SSRIs, a common antidepressant class, may increase suicidal thoughts in patients under 25.

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Infertility Assessment

Evaluation of both male and female partners to identify potential causes of infertility. This commonly includes medical history, physical exams, and investigations into underlying conditions.

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Anorexia Nervosa

An eating disorder characterized by extreme food restriction, intense fear of weight gain, and a distorted body image.

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Oppositional Defiant Disorder

A behavioral disorder characterized by persistent negative, hostile, and defiant behavior towards authority figures. Children with this disorder often argue, defy rules, blame others, and exhibit anger and resentment.

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Attention-Deficit/Hyperactivity Disorder (ADHD)

A neurodevelopmental disorder that involves difficulties with inattention, hyperactivity, and impulsivity. It can affect a child's ability to focus, sit still, and control their behavior.

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Obsessive-Compulsive Disorder (OCD)

A mental health disorder characterized by persistent intrusive thoughts (obsessions) and repetitive behaviors (compulsions) that the person feels driven to perform. These activities are intended to reduce anxiety, but they can be time-consuming and interfere with everyday life.

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Contact Disorder

A behavioral disorder characterized by a pattern of disregard for the rights of others, as well as aggression, bullying, and antisocial behaviors.

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Cystocele

A condition where the bladder bulges into the vagina, often due to weakened pelvic floor muscles. Symptoms include a feeling of fullness or pressure in the pelvic area and urinary problems.

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Ectopic Pregnancy

A complication of pregnancy where the fertilized egg implants outside of the uterus, most often in the fallopian tube. This can lead to severe bleeding and pain.

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Signs of Substance Abuse in Infants

Babies born to mothers with substance abuse problems may exhibit a range of symptoms, including a high-pitched cry, irritability, difficulty calming, and need for low stimulation.

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Fluid Replacement Priority

Following surgery, especially for conditions involving significant bleeding (e.g., ectopic pregnancy), maintaining the patient's fluid status should be the top priority.

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Positive Symptoms of Psychosis

Hallucinations and delusions are considered positive symptoms of psychosis because they represent an addition to normal experiences.

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Negative Symptoms of Psychosis

Symptoms of psychosis that represent a loss or reduction in normal functions like speech, motivation, and emotional expression.

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Delirium Tremens (DTs)

A serious and potentially fatal alcohol withdrawal syndrome that can occur 24-36 hours after the last drink. It's marked by confusion, agitation, hallucinations, and tremors.

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ICP Management

Strategies used to reduce pressure inside the skull (intracranial pressure - ICP) by decreasing cerebral edema, cerebrospinal fluid volume, and cerebral blood flow while maintaining perfusion to the brain.

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Borderline Personality Disorder (BPD)

A personality disorder with unstable relationships, mood swings, fear of abandonment, impulsivity, and self-harm tendencies.

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Suicide Assessment

Evaluating whether someone is considering suicide by asking about thoughts, plans, previous attempts, and actions taken.

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Antipsychotics

Medications that block dopamine receptors in the brain, used to reduce hallucinations and other psychotic symptoms.

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Industry vs. Inferiority (Erikson)

Erikson's stage where school-age children develop a sense of competence or inadequacy based on societal expectations and their abilities.

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Integrity vs. Despair (Erikson)

Erikson's final stage where older adults reflect on their lives, searching for meaning and acceptance, or feeling regret and despair.

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Esteem Needs (Maslow)

Maslow's level of needs where individuals strive for recognition, respect, and a sense of accomplishment after basic needs are met.

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Self-Actualization (Maslow)

The highest level of Maslow's hierarchy, representing the realization of one's full potential, personal growth, and pursuing self-fulfillment.

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What is TBSA Calculation?

TBSA calculation estimates the percentage of body surface area affected by a burn. It helps determine the severity of the burn and guide treatment.

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Rule of Nines

A method to estimate TBSA, dividing the body into areas representing 9% or multiples of 9% of the total surface.

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Precision in TBSA

The Rule of Nines provides an initial estimate, but precise measurements and calculations are needed for accurate treatment planning.

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Factors Affecting TBSA

The precise area burned, injury characteristics (depth, location, etc.), and individual patient factors all influence TBSA calculation.

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TBSA's Importance

Accurate TBSA estimates guide treatment decisions, fluid resuscitation, and determining the need for intensive care.

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TBSA

Total Body Surface Area, a measure of the amount of skin surface affected by a burn. The Rule of Nines helps estimate TBSA.

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Burn Depth

The depth of a burn, categorized as superficial (first-degree), partial-thickness (second-degree), or full-thickness (third-degree).

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Burn Assessment Factors

Factors beyond burn depth and size, such as age, medical conditions, injury mechanism, and the location of the burn, influence treatment and prognosis.

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Burn Treatment Needs

Different depths, sizes, and locations of burns require specific care approaches.

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Comprehensive Burn Assessment

Involves evaluating burn depth, size, location, associated injuries, medical history, level of consciousness, and vital signs.

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Perineum

The area between the buttocks, accounting for 1% of the total body surface area in the Rule of Nines.

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Pre-Hospital Burn Assessment

The Rule of Nines is used in pre-hospital settings to quickly estimate burn severity and determine the need for urgent medical intervention.

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What are the limitations of the Rule of Nines?

The Rule of Nines is a simplified estimation and may not be accurate for all patients, especially children or those with large, irregularly shaped burns. It doesn't account for burn depth variations.

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What are the benefits of TBSA estimation?

Accurate TBSA estimates guide treatment decisions, fluid resuscitation, and determining the need for intensive care.

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Parkland Formula

A calculation to estimate fluid needs for burn patients in the first 24 hours. It considers TBSA% and weight.

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Fluid Resuscitation Phases

The Parkland Formula's fluid administration is divided into four equal parts over 24 hours: first half in the first 8 hours, second half in the next 16 hours.

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Urine Output & Burn Recovery

Adequate urine output indicates successful fluid resuscitation in burn patients. It signals the kidneys are functioning.

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Factors Affecting Fluid Needs

Beyond the formula, patient age, pre-existing conditions, burn type, depth, and location influence fluid resuscitation.

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First Stage of Labor

The longest stage of labor, encompassing the latent, active, and transition phases. It is characterized by cervical dilation, effacement, and increasing contraction intensity.

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Second Stage of Labor

The stage where the cervix is fully dilated, and the woman experiences a strong urge to push, leading to the baby's birth.

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Third Stage of Labor

The final stage of labor, involving the separation and expulsion of the placenta from the uterine wall.

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Latent Phase

The initial phase of the first stage of labor, characterized by irregular and mild contractions with cervical dilation from 0 to 3 cm.

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Active Phase

The middle phase of the first stage of labor, marked by regular, stronger contractions and cervical dilation from 4 to 7 cm.

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Study Notes

Separation Anxiety

  • Great worry when faced with ordinary separation
  • Worry for parental safety and the child's safety
  • Normal, but declines between ages 3 and 5
  • Nursing management involves finding the reason for the anxiety (e.g., death, divorce, or military deployment) and if a new family member is present
  • Use SSRIs (selective serotonin reuptake inhibitors) as needed.

Erikson's 8 Stages

  • Infancy (0-1): Trust vs. Mistrust; Virtue: Hope; Description: Trust that basic needs like food and affection will be met.
  • Early Childhood (1-3): Autonomy vs. Shame/Doubt; Virtue: Will; Description: Develop a sense of independence in many tasks and skills.
  • Play age (3-6): Initiative vs. Guilt; Virtue: Purpose; Description: Take initiative on activities but might feel guilt when unsuccessful or overstepping boundaries.
  • School age (7-11): Industry vs. Inferiority; Virtue: Competence; Description: Develop self-confidence in abilities when competent or sense of inferiority when not competent.
  • Adolescent (12-18): Identity vs. Confusion; Virtue: Fidelity; Description: Experiment and develop one's identity and roles.
  • Early Adult (19-29): Intimacy vs. Isolation; Virtue: Love; Description: Establish intimacy and relationships with others.
  • Middle Adult (20-64): Generativity vs. Stagnation; Virtue: Care; Description: Contribute to society and be part of a family.
  • Older Adult (65-on): Integrity vs. Despair; Virtue: Wisdom; Description: Assess life and the meaning of contributions.

Maslow's Hierarchy

  • Self-Actualization: The desire to become the most one can be.
  • Esteem: Respect, self-esteem, strength.
  • Love and Belonging: Friends, family, intimacy, connection.
  • Safety Needs: Security, job, health.
  • Physiological Needs: Water, air, food, shelter, clothing.

Alcohol Withdrawal

  • Ask questions about alcohol consumption (frequency, quantity, when started).
  • Determine if delirium tremens (DTs) are imminent (happens within 24-36 hours after last drink).
  • Symptoms: Headaches, anxiety, tremors, insomnia, fatigue, gastrointestinal issues, mood changes, heart palpitations, increased blood pressure/heart rate, hyperthermia, rapid breathing, hallucinations, and seizures.

Increased Intracranial Pressure (ICP)

  • Management of increased ICP: Decrease cerebral edema, lower CSF volume, decrease cerebral blood flow while maintaining perfusion.
  • Methods: Administer osmotic diuretics (Mannitol), restrict fluids, drain CSF, control fever, and maintain systolic blood pressure and oxygenation.
  • Elevate the head of the bed to 30 degrees.

Shingles Virus

  • Higher risk if had chickenpox previously.
  • Follows nerve pathways, common in older adults.
  • Eye involvement can cause blindness.

Scabies

  • Contagious skin disease caused by mites.
  • Not necessarily spread by scratching.
  • Small, raised burrows, usually on the hands, fingers, wrists, and/or between the fingers.
  • Characterized by increased itching (especially during nighttime).

Diagnosing Scabies

  • Use a magnifying glass and penlight to find small, raised burrows between fingers and toes.
  • Scrape superficial epidermis off burrows with a small scalpel blade.
  • Look for threadlike lesions (brown or black).

Vascular Ulcers

  • More common than arterial ulcers.
  • Impaired return of venous blood from tissues to the heart.
  • Symptoms: Edema, moist wound, heavy exudate.
  • Treatment: Reduce edema and topical therapy, prevent complications.

Arterial Ulcers

  • Poor arterial blood flow.
  • Painful, dry wound bed, little to no edema, surrounding tissue is pale.

Seizure Priority

  • Safety is the priority.
  • Turn the patient onto their side, protect their head, move any furniture that could be a hazard.

Romberg Test

  • Test for balance.
  • Patient stands, closes eyes, assess for swaying.

Cranial Nerve III

  • Assessed by evaluating eye movement.

Multiple Sclerosis (MS) Risk Factors

  • Low vitamin D
  • More common in females.
  • Genetic factors.
  • Exposure to Epstein-Barr virus.
  • Located in northern regions.

Multiple Sclerosis (MS) Signs and Symptoms

  • Loss of balance, dizziness.
  • Muscle weakness in limbs.
  • Unilateral vision changes.
  • Relapse-remitting course.
  • Limbs weakness.
  • Spasticity.
  • Lose of balance/coordination.

Multiple Sclerosis (MS) Interventions

  • Fluid and fiber.
  • Physical therapy and steroid infusions.
  • Enhance urine and bowel functions (MiraLAX or stool softeners).
  • Improve communication and sexual function.

Aphasia Interventions

  • Provide a signboard for communication.
  • Work with speech therapy.

Eye Drops

  • Wait 5 minutes between applications.

Skin Cancer Risk Factors

  • People who live in areas with higher sunlight exposure.
  • Fair-skinned people.
  • History of burns or x-ray treatment.
  • People who use acne medication (Accutane).

Glaucoma Education

  • Educating about the importance of appointment follow-ups.
  • Demonstrate safe methods of administering eye drops (or ensure family members can do so properly).

Narcissistic Personality

  • Grandiose, inexhaustible need for admiration.
  • Believe they are superior, special, and unique.
  • Handle criticism poorly.
  • Believe they are entitled.
  • Ambitious for fame and fortune.
  • Cannot show empathy.

Histrionic Personality

  • Excessive needs for admiration; attention-seeking.
  • Excessively emotional and excitable.
  • In love with attention, love approval.
  • Speech is dramatic.
  • Strong dependency; single relationships; uncomfortable.
  • Innate sensitivity to the moods and thoughts of those they wish to please.
  • Depressed when not center of attention.

Antisocial Personality

  • Disregard for and violation of the rights of others.

Suicide Assessment

  • Assess for thoughts of self-harm.
  • Determine if they have a plan.
  • Determine if they have acted on a plan.
  • Determine if they have attempted before.

Antipsychotic Treatment and Side Effects

  • Used to reduce hallucinations and delusions (positive symptoms).
  • Side effects can include EPS (extrapyramidal symptoms) which include tardive dyskinesia.

Lithium Levels

  • Monitor lithium blood levels to ensure optimal effectiveness.
  • Therapeutic range is 0.6-1.2 mEq/L.

Benzodiazepines

  • Short-term management of anxiety.
  • Risk of dependence and tolerance

SSRIs and Suicidal Thoughts

  • SSRIs may increase suicidal thoughts, especially in patients under 25.

Anorexia Nervosa

  • Characterized by extreme food restriction, intense fear of gaining weight, and distorted body image.

Purging

  • Imbalances in electrolytes, dental erosion as a consequence of disordered behavior.

Posttraumatic Stress Disorder (PTSD)

  • Intrusive symptoms, avoidance behaviors, negative alterations in mood and cognition, and heightened arousal and reactivity.

Anhedonia

  • Inability to experience joy or pleasure (symptom of depression).

Somatic Symptoms

  • Children with depression and anxiety more likely to report these as opposed to adults.

Monoamine Oxidase Inhibitors (MAOIs)

  • Cannot eat foods containing tyramine.

Suicide Precautions

  • Necessary precautions in inpatient psychiatric hospitals.

Serotonin Syndrome

  • Possible with OD of SSRIs & SNRIs.

Autism Spectrum Disorder

  • Displays little eye contact and few facial expressions.

Child with ADHD

  • Requires minimal distractions and consistent rules.

Bullies and Contact Disorder

  • Can be linked to a contact disorder when severe or repeated.

Obsessive-Compulsive Disorder

  • Checking behaviors, fears of contamination or illness.

Oppositional Defiant Disorder

  • Argumentative behavior towards authority figures.

Pelvic Organ Prolapse (Cystocele)

  • Bulge of tissue through the vaginal opening, pain and fullness.
  • Signs/Symptoms: fullness, heaviness, pain in pelvic area, frequent UTIs, trouble starting or slowing a urine stream or leakage of urine, difficulty inserting tampons/feminine products.

APGAR Score

  • Used to assess a newborn's physical condition immediately after birth.
  • 0 - 3: severely distressed, 4 - 6: moderately distressed, 7 - 10: good condition.
  • Appearance, Pulse, Grimace, Activity, Respiration.

Ectopic Pregnancy

  • Fluid status is the priority, then a CBC to determine blood needs.

Contraindications for Oral Contraceptives

  • Blood clots, stroke, pregnancy, cancer

Breast Exams

  • Yearly mammograms are essential for women.

Postpartum Breastfeeding

  • Teach about breastfeeding techniques and what to look out for in the event of mastitis.

Menstrual Cycle Teaching

  • Normal bleeding cycle is approximately 5-7 days.

Peri Menopause

  • Hot flashes, vaginal dryness, and irregular periods.
  • Menopause occurs when there is no menstruation or period for 12 months.

Infertility Assessment

  • Look for a history of infections (childhood and STDs).

Burn Patient Priority

  • Fluid status is a priority for burn patients, especially those with neck or face burns.

Rule of Nines

  • Used to estimate the extent of burns.

Autonomic Dysreflexia

  • Life-threatening condition (occurs in spinal cord injuries) that causes very high blood pressure.
  • Sit the patient up first, before looking at other possible causes.

Myasthenia Gravis Concern

  • Falls, difficulty with eye movements and ptosis, and possible aspiration.

Spinal Tap Complications

  • Check for signs of infection post-procedure.

Stages of Labor

  • Stage 1: onset of labor until cervix is fully dilated; Stage 2: from full dilation to delivery; Stage 3: delivery of placenta and membranes; Stage 4: recovery.

Meniere's Disease

  • Inner ear condition characterized by vertigo, tinnitus, and hearing loss.

Parkland Burn Formula

  • Provides calculations for fluid amounts to give with burns.

Scar Management

  • Compression wraps are used for reducing scarring.

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