Somatic Disorders
What is conversion disorder
Positive symptoms of schizophrenia
Bizarre behavior/speech patterns, hallucinations, delusions, illusions
Amount of days I have to be opioid free before starting Naltrexone
What is 10 days
Define dissociative amnesia
What is:
Characterized by an inability to remember
personal information that cannot be explained by
ordinary forgetfulness
Most of these memory lapses are related to
extremely stressful events
Can remember the whole day but not the stressful
event but still feels the emotions from the trauma
Define a SANE nurse
What is a sexual assault nurse examiners
Remember all victims of sexual assault must give informed consent to be examined
I always get so worried I have a major illness... Oh no is it cancer?
What is illness anxiety disorder?
Negative symptoms of Schizophrenia
What is social wd, apathy, avolition, anhedonia
Define Detox
What is abstain from or rid the body of toxic or unhealthy
substances.
Define Dissociative fugue
What is: An Escape from reality
Sudden, unexpected travel with an inability to
recall the past
Occurs in response to an overwhelmingly
stressful or traumatic event
Define IED
What are
Individuals fail to resist
aggressive impulses that
result in the destruction of
property or assault on
another individual.
Frequent anger outburst out of
proportion to the stressor
I have had abdominal pain for many year but all my lab work returns normal
Somatic symptom disorder
What are EPS symptoms?
What are involuntary movements (dystonias, akathisia, dyskinesia, TD)
Define DTs
What is a severe form of alcohol withdrawal that
involves sudden and severe physical, mental,
behavioral, and nervous system changes.
Symptoms begin 48 hours to 10 days after
the last drink
can include changes in mental function,
tremors, delirium, hallucinations, and
seizures.
Delirium tremens is a medical emergency.
Define DID
What is:
The Presence of two or more identities or
personalities that repeatedly take control of
an individual’s behavior (host and alters)
Occurs during the escalation stage
What is the building stage to loss of control-
We use Level 2 interventions Protect
Protect the client, yourself, and
others from potential harm.
Suggest a “time-out” in a quieter, but
safe, place. Keep client talking. Stay
close to exit.
10 year old girl here for 4th visit to ER this month. Client is having nausea and vomiting again. Mom will not leave her side because she has to take care of her.
What is Factitious disorder imposed on another
Definition of psychosis
What is The inability to recognize reality, relate to
others, or cope with life’s demands
Symptoms of opioid intoxication
What is
constricted pupils, increased
sedation, decreased respirations, slurred speech
Treatment of choice for DID
What is long-term therapy provided in an
outpatient setting.
The must work on the TRAUMA!
Level 3 interventions
What is Level 3—Control violence Client is out of control. Protect
client and others through
seclusion, restraints, and injected
medication.
Remember to monitor the condition of the
restrained client at least every 15 minutes.
38 year old female being seen for another broken arm. She states, "I hope my husband will come to take care of me"
What is Factitious disorder
Characteristis of catatonic schizophrenia
What is immobility or
excessive activity with no purpose; odd movements, rigid
posture, stereotyped movements,
WD symptoms of cannabis
What is restless, anxious, irritable
What is significant about a patients history when they have DID
TRAUMA!
Difference between ODD and Conduct disorder
What is Conduct DO
Pattern of behavior whereby the basic rights of others or major age-appropriate societal norms or rules are violated
• Bully, threaten humans and animals
• No empathy and feel no guilt
• May lead to APD
ODD
• Pattern of negative, aggressive behaviors that focuses
on authority figures in the child’s life
• Always fighting for control and attention, temper tantrums
• May lead to Conduct D/O