SOLUTIONS SCORED A+
✔✔Splitting - ✔✔viewing persons or situations as all good or bad. Failing to integrate
the positive and negative characteristics of oneself.
Ex: A co-worker tells you that you are such a wonderful person one day, and when you
disagree with her ideas the next day, she tells you that she dislikes you intensely.
✔✔Sublimation - ✔✔Rechanneling of driver or impulses that are personally or socially
unacceptable into goals or activities that are socially approved or constructive.
Ex: A woman channels her rage for a rapist by developing a program to teach other
women how to protect themselves from rape
✔✔Suppression - ✔✔A process often considered a defense mechanism but is actually
part of the conscious counterpart of repression. It is a voluntary blockage of feelings and
experiences from one's consciousness.
Ex: A fire fighter, while on his way to a raging fire, is told by a follow fire fighter that his
wife is having an affair. He says I can't think about that now.
✔✔Undoing - ✔✔An act or communication that symbolically negates or cancels out a
previous behavior that the person finds intolerable.
Ex: Sam has an affair while his wife is on a business trip. On her return, he buys her
four dozen roses and makes love to her immediately.
✔✔Anxiety - ✔✔-A feeling of apprehension, uneasiness, uncertainty, or dread resulting
from a real or perceived threat
-A vague feeling of dread or apprehension, a response to external or internal stimuli that
can be behavioral, emotional, cognitive, and/or have physical symptoms
-A subjectively distressful experience activated by the perception of threat, which has
both a potential psychological and physiological etiology and expression
-An alertness to the human condition of impending doom either real or imagined, this is
accompanied by the autonomic responses that serve as protective mechanisms
✔✔Panic - ✔✔The highest level of anxiety characterized by extreme terror and dread.
May see dissociation, complete loss of control, and undesirable autonomic physiological
responses are present (increased HR, BP, respirations, numbness, jitteriness, flushing
or pallor, dilated pupils). Can be life threatening or from the loss of control that puts the
person or others in dangers
✔✔Common perfusion diagnostics and labs - ✔✔-ABG
-BNP
, -CMP
-CBC
-Echo
-EKG
-Chest x-ray
✔✔Hyperlipidemia - ✔✔An elevation or serum cholesterol or triglycerides. HDL and
LDL. Secondary causes of hyperlipidemia include DM, hypothyroidism, obstructive liver
disease, chronic renal failure, nephrotic syndrome, alcohol and tobacco, and some
medications such as progestins, estrogen, androgens, corticosteroids, thiazides, beta-
blockers, protease inhibitors, isotretinion
✔✔Results of hyperlipidemia - ✔✔-CAD
-PVD
-Stroke
-MI
-HTN
✔✔Why would a patient with hyperlipidemia be placed on aspirin? - ✔✔-Acts as an anti-
platelet aggregator, do not stick to fatty plaque
-Plavix might be prescribed as well
✔✔Populations at greatest risk for hyperlipidemia - ✔✔-men older than 45
-women older than 55
-middle age and older adults
-african americans
-infants with congenital heart defects
✔✔Individual risk factors for hyperlipidemia - ✔✔-smoking, obesity, sedentary lifestyle,
traumatic injury, severe illness or personal history of hyperlipidemia, diabetes,
hypertension, atherosclerotic heart disease, family history of hyperlipidemia
-diabetes has fatty plaque buildup 6 times more than a regular person
✔✔ Safety - ✔✔-Minimizes risk of harm to patients and providers through both system
effectiveness and individual performance
-Safety is the prevention of healthcare errors and the elimination or mitigation of patient
injury caused by health care errors
-Health care errors are unintended health care outcomes caused by a defect in the
delivery of care to a patient. These errors can include errors of commission, omission,
or execution
✔✔Adverse event - ✔✔-An event that results in unintended harm to the patient by an
act of commission rather than by the underlying disease or condition of the patient