Behavioral Health Final Exam Practice Flashcards

Comprehensive practice vocabulary flashcards covering behavioral health nursing concepts, ethical principles, psychotropic medications, and substance use disorders based on lecture notes.

Advanced Practice Behavioral Health Nurse

A nurse who diagnoses psychiatric disorders, prescribes medications, and performs psychotherapy.

Generalist Behavioral Health Nurse

A nurse who performs assessments, administers medication, and provides patient education.

Therapeutic Milieu

A safe environment that provides activities, socialization, and coping skills to prevent harm.

Denial

A defense mechanism involving the refusal to admit a problem exists.

Rationalization

A defense mechanism where an individual makes excuses for behavior, such as 'I only drink because i’m stressed'.

Projection

A defense mechanism where an individual blames others for their own problems or feelings.

Minimization

A defense mechanism involving downplaying the severity of a situation.

ABCs

The standard priority assessment for airway, breathing, and circulation.

High Priority Safety Risks

Patients who are suicidal, violent, experiencing severe withdrawal, or have sudden onset confusion.

Autonomy

The ethical principle regarding the patient's right to choose.

Beneficence

The ethical principle of doing good.

Nonmaleficence

The ethical principle of doing no harm.

Justice

The ethical principle of fair treatment.

Fidelity

The ethical principle of keeping promises.

Veracity

The ethical principle of telling the truth.

HIPAA Privacy Exceptions

Information can only be disclosed to the treatment team, with patient consent, if the patient is a danger to self/others, for child abuse reporting, or via court order.

Transference

When the patient transfers feelings towards the nurse, such as viewing the nurse as their mother.

Counter transference

When the nurse transfers feelings towards the patient, such as viewing the patient like their own child.

Nursing Model of Care

A model focusing on patient responses and holistic care.

Trauma informed care

An approach that assumes trauma may exist and focuses on safety, trust, collaboration, and empowerment.

Anhedonia

A symptom of depression characterized by the inability to feel pleasure.

Positive Symptoms of Psychosis

The addition of behaviors including hallucinations, delusions, paranoia, disorganized speech, and agitation.

Negative Symptoms of Psychosis

The loss of behaviors including flat affect, avolition, anhedonia, alogia, and social withdrawal.

Hallucination

A false sensory perception, such as hearing voices.

Delusion

A false fixed belief, such as believing the FBI implanted a chip in one's body.

Illusion

The misinterpretation of a real stimulus, such as mistaking a coat rack for a person.

MAOI Dietary Restrictions

Avoid tyramine foods such as aged cheeses, cured meats, and smoked meats or fish.

Lithium Intake Requirements

Requires normal sodium intake and adequate fluids; low sodium can lead to lithium toxicity.

Benzodiazepines

Medications such as lorazepam, diazepam, and alprazolam used for anxiety, which carry risks of sedation, falls, respiratory depression, and dependence.

ADHD Medication Administration

Give in the morning before meals and avoid bedtime dosing; monitor weight and growth.

Antabuse (Disulfiram)

Used for alcohol use disorder; causes flushing, vomiting, and hypotension if alcohol (including mouthwash/syrups) is consumed.

Acute dystonia

Extrapyramidal symptom (EPS) characterized by muscle spasms.

Akathisia

Extrapyramidal symptom (EPS) where a patient cannot sit still.

TDK (Tardive Dyskinesia)

Often irreversible symptoms including lip smacking and tongue movements.

NMS (Neuroleptic Malignant Syndrome)

A medical emergency characterized by high fever, muscle rigidity, altered mental status, and autonomic instability.

Clozapine (Closerol)

Antipsychotic requiring monitoring for agranulocytosis (sore throat/fever), myocarditis, and seizures.

Methadone

Used for opioid use disorder and chronic pain; requires monitoring for respiratory depression.

Narcan

A medication that only reverses opioids, such as heroin, morphine, oxy, and fentanly.

Wernicke's Encephalopathy

A condition caused by thiamine ($Vitamin B_1$) deficiency, usually due to chronic alcoholism.

Wernicke's Classic Triad

The symptoms of confusion, ataxia, and ophthalmoplegia.

Thiamine Administration Rule

Always give thiamine before glucose in Wernicke's Encephalopathy.

Tolerance

The need for more of a drug to achieve the same effect.

Dependence

A state where withdrawal symptoms occur if the drug is stopped.

Cocaine Withdrawal Symptoms

Fatigue, depression, increased sleep, increased appetite, and vivid dreams.

Alcohol Withdrawal Symptoms

Tremors, anxiety, sweating, tachycardia, hypertension, hallucinations, and seizures (Delirium tremens).

Opioid Withdrawal Symptoms

Dilated pupils, yawning, lacrimation, sweating, muscle aches, runny nose, and diarrhea.

CIWA

The tool used to assess alcohol withdrawal.

COWS

The tool used to assess opioid withdrawal.

Rohypnol

A date rape drug that causes sedation, amnesia, and loss of consciousness.

Maturation Crisis

A crisis triggered by normal life transitions.

Situation Crisis

A crisis triggered by unexpected events.

Adventitious Crisis

A crisis caused by disasters or violence.

Autism Spectrum Disorder (ASD)

Characterized by poor eye contact, delayed communication, repetitive behaviors, and sensory sensitivities.

Dementia Interventions

Routine, reality reorientation, and safety measures.

Antisocial Personality Disorder

A disorder characterized by manipulation, lack of remorse, and violation of rights.

Borderline Personality Disorder

A disorder characterized by splitting, fear of abandonment, self-harm, and unstable relationships.

Anorexia Nervosa

Characterized by restrictive eating, very low weight, and fear of gaining weight.

Bulimia Nervosa

Characterized by binge eating and purging, often resulting in dental erosion and parotid swelling.