SCHIZOPHRENIA 1
SCHIZOPHRENIA 2
MOOD DISORDERS 1
MOOD DISORDERS 2
SOMATOFORM
100
what are the diagnostic criteria for schizophrenia?
What is at least 2 symptoms present for at least 6 months and 1 month of active symptoms: 1.Delusions & Hallucinations 2.Disorganized Speech 3.Grossly disorganized behavior 4.Negative symptoms 5. Significant social/occupational dysfunction
100
Describe the neurotransmitter Dopamine
What is responsible for mood, movement and emotions. Excess can lead to psychosis. Trouble may be at the synapse site in the nerve ending
100
Common comorbidity of Bipolar I in children
What is ADHD
100
#1 Nursing priority
What is SAFETY
100
List criteria for Somatoform Disorder
What is 2 GI, Reproductive, Neuro
200
NEURO-IMGING What does an MRI reveal about a patient with schizophrenia?
What is larger lateral & 3rd ventricles. Poor prognosis
200
What are the tx options? Hint: There are 3
What is 1. Setting- Hospital, Community Program, L-tac 2. Meds- Neuroleptics, typical & atypical 3. Psychosocial tx- psychosocial rehab, psychoedu, family interventions
200
Describe how a manic individual would look like or act
What is elevated mood, inappropriate speech, weight loss, grandiose thinking, delusions, distracted, decrease sleep, flight of ideas, signs begin suddenly and escalate over time
200
Nursing assessment & implementation for nutrition
What is assess intake & output q2-4hr provide high calorie finger foods and fluids
200
What is the primary and secondary gain?
What is reduce anxiety and to seek attention
300
What changes would you expect to see in these areas bilateral frontal and temporal lobe dysfunction for clients dx with schizophrenia?
What is a decrease in CSF
300
List 2 typical (traditional) & 4 atypical antipsychotic drugs
What is Typical- Haldol & Fluphenazine Atypical- Risperdol, Seroquel, Zyprexia, Clozaril, Geodon, Abilify, Invega
300
1st line drug of choice? List toxic levels
What is Lithium 06-1.2 mEq/L: therapeutic; toxic >1.5 1.5 lethargy 1.5-2 coarse hand tremors ECG changes 2-2.5 ataxia tinnitus, blurred vision, tonic clonic, stupor >2.5 MODS & death
300
Which personality disorder best benefits fro 1:1 interation
What is Schizoid
300
Define La Belle Indifference
What is lack of affect shown by client despite physical disability ie blindness, paralysis
400
Name at least 3 Hard/+ and 3 Soft/- signs
Hard: Hallucinations, Delusions, Illusions, Disorganized Speech, Bizarre Behavior, Thought Disorders Soft: Poverty of Speech, Alogia, Affective Flattening, Avolition. Neologism, Poor eye contact, Lack vocal inflection, Anthedonia
400
Extra Pyramidal Symptoms (EPS) and meds used for intervention
What is 1. Dystnonic Rxn 2.Psedo Parkinsonism 3.Akathasia 4. Tardive Dyskinesia Meds: BB, Anticholinergics, Low dose Benzodiazapines
400
Combo off label anticonvulsant in place of Lithium
What is Tegretol (S/E agranulocytosis) & Depakote (monitor liver enzymes, bleeding times, ammonia)
400
What are the discharge outcomes?
What is absence of SI/SP, compare mood pre tx and current, med compliance, absence of symptoms, coping methods, psychotherapy with FU to clinic, changes in perception about quality of life
400
Define Dissociative Identity Disorder (Multiple personality)
What is host is not aware of the personalities but the personalities are aware of each other and the host
500
Differentiate Schizophreniform vs Schizoaffective Disorders
What is Schizophreniform exhibit s/s of schizophrenia for at least 1 month but <6 months for a dx of schizophrenia Schizoaffective symptoms of thought disorder and psychosis with features of a major mood disorder meeting criterion for schizophrenia
500
Neuroleptic Malignant Syndrome (NMS) define and list 4 symptoms and 3 interventions
What is a rare life threatening rxn to neuroleptic meds Symptoms- Fever, profuse sweating, elevated WBCs, Tremors, Elevated heart enzymes, confusion, incontinence, agitation, rigidity Interventions- STOP ALL MEDS!,Tx fever, F & E, reduce muscle rigidity, consider dopamine agonists
500
Nursing assessment and implementation for safety
What is Assess for SI & SP Implement safety measures ie remove hazardous materials from environment
500
List the 4 episodes Bipolar I clients experience
What is Mania, Hypomania, Euthymic, Depression
500
Goal of Dissociative Disorders
What is to be able to recall recent events b/c facing it the client can take part in their tx and gain control in their life Less symptoms
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