Psychology of Denial and Manipulation

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28 Questions

What is the purpose of confronting someone who denies they have a problem?

To point out the difference between what they say and what they do

What is a common characteristic of bad answer choices on a board exam?

They use 'you' pronouns

What is Wernicke's syndrome?

A type of encephalopathy

What is the first stage of grief in the DABDA model?

Denial

How should you approach someone who is in denial about their problem?

Support them and point out their denial

What is Korsakoff's syndrome?

A type of psychosis

What is the primary innervation site of the diaphragm?

Cervical spine

What is the most important pre-op assessment for a thoracic laminectomy?

Bowel sounds and cough mechanism

What is innervated by the lumbar spine?

Bladder and legs

Why is location important in neuro assessments?

Because it determines symptoms, prognosis, and treatment

What is the most important pre-op assessment for a cervical laminectomy?

Breathing and arm function

What is the definition of diabetes mellitus?

An error of glucose metabolism

What is a characteristic of Flight of Ideas?

Producing coherent phrases that are not connected

What is Neologism?

Making up imaginary words

What is the primary role of a nurse when working with patients experiencing psychotic symptoms?

To teach reality

What is NPH insulin?

A type of intermediate-acting insulin

Why is it not recommended to put cloudy substances in an IV bag?

Because the particles can precipitate and clog the IV

What type of delusion involves a false, fixed, idea or belief with no sensory component?

Delusion

What is the first step in teaching reality to a patient with delusions?

Acknowledge feeling

What is the opposite syndrome of diabetes insipidus?

SIADH

What type of delusion involves a belief that one's body is malfunctioning or has a problem?

Somatic Delusion

What is the goal of setting a limit when working with patients with delusions?

To establish structure

What is the primary difference between a delusion and a hallucination?

A delusion involves a false, fixed, idea, while a hallucination involves a sensory experience

What happens to Lithium when Sodium levels are low?

It becomes more toxic

What is Prozac?

A Selective Serotonin Reuptake Inhibitor

What is a common side effect of Prozac?

Insomnia

What is a special consideration when changing the dosage of Prozac for a young adult/adolescent?

Monitoring for increased suicidal risk

What is a significant side effect of Haldol?

Neuroleptic Malignant Syndrome (NMS)

Learn how to recognize and confront denial and manipulation in relationships. Understand the difference between confronting a problem and aggressive behavior. Improve your communication skills and deal with dependencies and self-esteem issues.

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