Defense Mechanisms
The transfer of feelings from one target to another that is considered less threatening or that is neutral.
Displacement
During this level of anxiety the individual is unable to focus on even one detail within the environment. A loss of contact with reality may occur.
Panic anxiety
◦They are aware that they are experiencing distress. Neurosis or Psychosis ?
Neurosis
It is an 11-question measure that tests five areas of cognitive function: orientation, registration, attention and calculation, recall, and language.
*** extra 100 points if you can tell me the maximum score that a patient can get on the exam?***
mini mental status exam
The maximum score is 30
This extrapyramidal symptom shows the client having a stooped posture, shuffling gait and pin rolling motion of the hand.
Pseudoparkinsonism
Refusing to acknowledge the existence of a real situation or the feelings associated with it.
Denial
During this level anxiety the perceptual field diminishes greatly; concentration centers on one particular detail only. Attention span is extremely limited; the individual has much difficulty completing even the simplest task.
severe anxiety
◦They experience no loss of contact with reality. Neurosis or psychosis?
Neurosis
This contains diagnostic criteria sets and summarize syndromes of clinical manifestations. Looks at developmental history, biological and environmental factors, and physiological elements
Diagnostic and Statistical Manual of Mental Disorders (DSM V)
This negative symptom describes a condition in which the client with schizophrenia allows body parts to be placed in bizarre or uncomfortable positions.
Waxy flexibility
Integrating the beliefs and values of another individual into one’s own ego structure
Introjection
This level of anxiety prepares people for action. It sharpens the senses, increases motivation for productivity, increases the perceptual field, and results in a heightened awareness of the environment
Mild anxiety
They exhibit minimal distress. Neurosis or psychosis?
Psychosis
This member of the treatment team conducts individual, group and family therapy. They present educational programs for nursing staff and may also prescribe and manage the medication regime.
Psychiatric clinical nurse practitioner
This positive symptom is when the individual delays in reaching the point of a communication because of unnecessary and tedious details. The point or goal is usually met, but only with numerous interruptions by the interviewer to keep the person on track regarding the topic being discussed.
Circumstantiality
Attributing feelings or impulses unacceptable to oneself to another person
Projection
During this level of anxiety the individual becomes less alert to events occurring within the environment. Attention span and the ability to concentrate decrease, and assistance with problem-solving may be required.
Moderate anxiety
◦They are unaware that their behavior is maladaptive. Neurosis or Psychosis?
Psychosis
This leadership style focuses on the members, they are encouraged to participate fully in problem-solving of group issues, including taking action to effect change. Production is somewhat lower, but morale is high.
Democratic
Clients who take antipsychotic could experience this serious adverse reaction?
agranulocytosis
Attempting to make excuses or formulate logical reasons to justify unacceptable feelings or behaviors
rationalization
During this level of anxiety, physical symptoms may occur which include headaches, palpitations, and insomnia. Emotional symptoms may include confusion, dread, and horror.
Severe anxiety
They are unaware of any psychological problems. Neurosis or psychosis ?
Both Neurosis and psychosis
Give me four out of the eight roles that the nurse has in the milieu?
1. Medication administration
2. Establishing and maintaining the therapeutic milieu
3. Orienting new patients
4. Establishing trust
5. Provide support and validation
6. Setting limits
7. Educating patients
8. Works on discharge planning
There are eight atypical antipsychotics can you name four out of the eight ?
1. Clozepine(Clozaril)
2. Quetiapine (Seroquel)
3. Risperidone (Risperdal)
4. Ziprasidone (Geodon)
5. Olanzapine (Zyprexa)
6. Aripiprazole(Abilify)
7. Clozapine (Clozaril)
8. Lurasidone (Latuda)