Communication
What is your best response to someone saying "I think my family is being whunked?"
Clarify
I don't understand what' whunked' means
What is the typical age range for schizophrenia to occur?
What is between 18-25
What symptoms of schizophrenia are slow in appearance and indicate a worse outcome for the client? are most
Negative symptoms
How can /should you assess concentration of your client?
Serial Sevens
or
spelling WORLD backwards
Name two therapies that are useful with depression.
CBT
interpersonal therapy
Behavioral therapy
Name FIVE S&S of moderate anxiety
1. Perceptual field is narrowed to task at hand
2. Cannot connect thoughts or events independently
3.Muscle Tension
4.Diaphoresis
5.Pounding Pulse
6.HA
7.Dry mouth
8.High voice pitch
9.Faster rate of speech
10.GI upset
11.Frequent urination
What is the best type of communication technique to respond to someone saying "I didn't sleep at all last night?"
What is restating
You had trouble sleeping?
If one has a genetic predisposition for schizophrenia, what needs to occur for schizophrenia to occur?
What is 2 early traumas such as:
child abuse; malnutrition; in utero flu; high level s of anxiety/chaos in the home; trauma; drugs
What type of communication is the following?
"i like sometimes, bugs, toilet, going outside, football and thus."
Word Salad
How can we assess ones ability to abstract?
Ask a proverb.
ie.
A stitch in time, saves nine.
What type of drug would you initially prescribe for a person with depression and why
SSRI
non lethal side effects
Name FIVE S&S of severe anxiety
1.Severe HA
2.N&V and diarrhea
3.Trembling
4.Rigid stance
5.Vertigo
6.Pale
7.Tachycardia
8.Chest pain
9.Perceptual field reduced to one detai or scattered details
10.Cannot problem solve or learn
11.Does NOT respond to redirection
12.Feels awe, dread or horror
What is the main difference between a social communication and a therapeutic communication.
The responsibility
What is the drug most commonly associated with the presentation of schizophrenia?
Marijuanna
How do you test for insight? Give an example of a question you might ask?
What brought you to the hospital?
What are the 4 levels of orientation with regard to psychiatry?
What is:
person
place
time
situation
What drug classification would you expect NOT to be prescribed for a suicidal client?
TCA tricyclic antidepressant
Name FIVE S&S of Panic level of anxiety
1. Loss of rational thought
2. Dilated pupils
3. Fight, flight or freeze
4.Chest pain
5. May bolt or run
6. Distorted perceptions
7. Loss of rational thought
8. Can't communicate verbally
9.Possible delusions and Hallucinations
10. Cannot process any environmental stimuli
During a one-to-one interaction with the nurse, a patient frequently looks nervously at the door.
What TC should the nurse use/say?
Making observations such as
I notice you keep looking at the door.
What 2 items cause cognitive decline with schizophrenia?
Ventricular enlargement (esp. 3rd ventricle)
Course of exacerbations and remission
A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?
Aripiprazole
What is the following testing?
You go to the post office and see a stamp addressed envelope laying on the ground. What do you do?
Judgement
What is the questionnaire that we have client fill out to access depression?
PHQ-9
Defense mechanisms are unconsciously used to relieve anxiety. When is usage of defense mechanisms considered maladaptive?
When they are used repeatedly and excessively and stunt emotional growth, lead to poor problem-solving skills and create difficulty with relationships
A patient says, "Please don't share information about me with the other people." How should the nurse respond?
Honestly. I will share information with coworkers and physician that care for you, but I will not share with anyone else.
What is the best way to prevent exacerbations of schizophrenia?
LAI's
What is it called when you, the HCP, really like and or really hate your client, for some unknown reason?
Counter transference
Name 3 types of delusions
Nihilistic
Somatic
Erotomanic
Grandiose
Paranoid
Religious
What must we always assess with a client with depression?
Suicidal ideation and behavioral changes
What medication class is best for treating anxiety? Specifically, what drug is best for anxiety (name).
SSRI's
Paxil