Mix Mash
Classification/coding system of mental health disorders. Contain diagnostic criteria sets and summarize syndromes of clinical manifestations.
Diagnostic and Statistical Manual of Mental Disorders (DSM V)
Covering up a real or perceived weakness by emphasizing a trait one considers more desirable
Compensation
This extrapyramidal symptom shows the client having a stooped posture, shuffling gait and pin rolling motion of the hand.
Pseudoparkinsonism
Characterized by an exaggerated sense of self-worth and lack of empathy. Overly self-centered and Exploits others to fulfill own desires.
Narcissistic Personality Disorder
Tristan is on Lithium and has suffered from diarrhea and vomiting. What should the nurse in-charge do first:
Correct Answer: D. Hold the next dose and obtain an order for a stat serum lithium level
have a later age at onset and near-normal body weight. They are usually ashamed and embarrassed by the eating behavior.
Bulimia
Integrating the beliefs and values of another individual into one’s own ego structure
Introjection
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
A pattern of behavior that is socially irresponsible, exploitative and without remorse. This person fails to sustain consistent employment and fails to conform to the law.
Jose, who has been hospitalized with schizophrenia tells Nurse Ron, “My heart has stopped and my veins have turned to glass!” Nurse Ron is aware that this is an example of:
Correct Answer: A. Somatic delusions
Explain what a 201 and a 302 is?
201 : Voluntary admission occurs when an individual admits themselves to the institution for services and can stay as long as treatment is deemed necessary.
~He or she may sign out of the hospital at any time unless it is determined that they are harmful to themselves or others. The client needs to give 72 hours advance notice in writing.
302:
Involuntary hospitalization is made for various reasons:
~ The person is a danger to themselves (suicide intent)
~The person is a danger to other (aggressive, violent, homicidal)
Attributing feelings or impulses unacceptable to oneself to another person
Projection
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
Characterized by a pattern of relying on others for emotional support. They have low self-worth and easily hurt by criticism and disapproval.
Dependent Personality Disorder
After seeking help at an outpatient mental health clinic, Ruby who was raped while walking her dog is diagnosed with posttraumatic stress disorder (PTSD). Three months later, Ruby returns to the clinic, complaining of fear, loss of control, and helpless feelings. Which nursing intervention is most appropriate for Ruby?
Correct Answer: D. Exploring the meaning of the traumatic event with the client.
The client with PTSD needs encouragement to examine and understand the meaning of the traumatic event and consequent losses. Otherwise, symptoms may worsen and the client may become depressed or engage in self-destructive behavior such as substance abuse. PTSD stems from events that cause moderate to severe stress reactions that may be experienced as a sense of horror, helplessness, serious injury, or threat of serious injury or death. Common precipitating events include combat, natural and man-made disasters, the sudden or unexpected death of a loved one, terrorist attacks, serious accidents or illnesses, sexual or physical assault, and various forms of abuse.
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
Rechanneling of drives and impulses that are personally or socially unacceptable into activities that are constructive
Sublimation
Clients who take antipsychotic could experience this serious adverse reaction?
agranulocytosis
Characterized by a pattern of intense and chaotic relationships with affective instability. Fluctuating and extreme attitudes regarding other people, highly impulsive and emotionally unstable.
Borderline Personality Disorder
When a client with a personality disorder begins demonstrating manipulative behavior, which of the following nursing actions are most appropriate? Select all that apply.
Correct Answers: A, C, E, F
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
Acting the opposite of what one thinks or feels
◦Reaction formation
There are seven atypical antipsychotics can you name three out of the seven ?
1. Clozepine(Clozaril)
2. Quetiapine (Seroquel)
3. Risperidone (Risperdal)
4. Ziprasidone (Geodon)
5. Olanzapine (Zyprexa)
6. Aripiprazole(Abilify)
7. Lurasidone (Latuda)
Behavior is: Excitable, Emotional, Colorful, Dramatic, Extroverted. This person is highly distractible, difficulty paying attention to detail and easily influenced by others.
Histrionic Personality Disorder
A 20-year old college student has been brought to the psychiatric hospital by her parents. Her admitting diagnosis is borderline personality disorder. When talking with the parents, which information would the nurse expect to be included in the client’s history? Select all that apply.
Correct Answers: Answer: A, B, & E