Personality Disorders
What is people with schizoid do not fear rejection, whereas those with avoidant do
Foods to avoid with Phenelzine
What are aged cheese, pickled/fermented/smoked foods, soy, yeast, alcohol, avocados, overripe bananas, figs, lunch meats
This disorder is characterized by real, but idiopathic, somatic symptoms
What is somatic symptom disorder
The predictor of conduct disorder in childhood progressing into antisocial personality disorder in adulthood
What is callousness (lack of empathy and lack of concern for others' feelings)
This takes priority for a patient in acute mania
What is the patient's physical needs (water, food, rest)
What is callousness or profound lack of empathy
Patient education for lithium
What includes drinking 1500-3000 ml/day of fluid, maintaining consistent sodium intake (low sodium=higher lithium level), may gain 5 pounds in first week, stop taking if excessive diarrhea, sweating, vomiting, take with food
How individuals with conversion disorder respond to their physical symptoms
What is the la belle indifference
The kind of environment that is linked to the development of impulse control disorders
The treatment for acute dystonia
What includes maintaining airway, giving antiparkinson drug, giving Benadryl, staying with the patient
Conduct disorder in childhood can manifest as this in adulthood
What is antisocial personality disorder
The signs of lithium toxicity that will be experienced with a lithium level of 1.7
What are GI upset, COARSE hand tremors, confusion, muscle hyperirritability, EKG changes, sedation, incoordination
How the patient's functional ability with dissociative fugue differs from that in an amnesic state
What is the patient is able to still function adequately in dissociative fugue, but the patient with amnesia is more dysfunctional
The 3 most important nursing interventions for impulse control disorders
The interventions for a delusion
What include having the patient describe their belief, convey doubt in an empathetic manner, validate correct parts of the delusion, focus on the feelings or theme behind the belief, refocus on reality based topics
This is a prominent feature in borderline personality disorder
What is self-destructive behaviors
Three different meds that could be ordered for a patient experiencing hallucinations, anhedonia, disorganized speech
What are second generation antipsychotics (Aripiprazole, clozapine, lurasidone, olanzapine, quetiapine, risperidone, etc)
The difference between somatic symptom disorder and illness anxiety disorder
What is the symptoms are authentic and debilitating with somatic symptom disorder, whereas with illness anxiety disorder the symptoms are mild or absent
The adverse childhood experiences (ACEs) that may contribute to the development of impulse control disorders
What are family distress, inadequate parenting, attachment problems, marriage conflict, low socioeconomic status, larger families
The side effects of electroconvulsive therapy (ECT)
What are confusion, disorientation, retrograde amnesia
People with narcissistic personality disorder use arrogance to cover up a sense of what
What is intense shame and fear of abandonment
HR 130, temp 101, BP 153/89, delirium, diarrhea, abdominal bloating
Describe the awareness of the alternate personalities in dissociative identity disorder
What is the primary personality is unaware of the alters, but the alters may be aware of one another
List the 2 main differences between oppositional defiant disorder and conduct disorder
OOD includes emotional dysregulation (anger and irritability)
The type of delusion when the patient believes that Alexa is playing certain songs to send her a message
What is referential delusion