Personality Disorders
attention seeking, mellow dramatic, seductive, frustrates easily
Histrionic Personality Disorder
What type of question would you NEVER ask in a mental health setting?
WHY?
Therapeutic Range for Lithium:
0.4-1.4
gabapentin
anticonvulsant
reverting into an earlier developmental level
regression
three Nursing interventions for Borderline Personality Disorder
set boundaries
clear communication
assess for self harm
Therapeutic or Not therapeutic:
Client: "I wish everyone would leave me alone!"
Nurse: "You're going to be fine you'll see"
Nontherapeutic (false reassurance)
what drug do you give a patient who is overly sedated on a benzodiazepine?
Flumazenil
tranylcypromine
MAOI
do not restrict sodium, monitor electrolyte levels, monitor cautiously when on diuretics like furosemide- what is that diet and what is the therapeutic range?
lithium diet ; 0.4-1.4
Name the difference between Bipolar I vs Bipolar II
BPI: mood d/o at least one week long of manic episodes and then goes back and forth
BPII: low level mania alternating with profound depression
Therapeutic or nontherapeutic:
Patient: "I am so worried.."
Nurse: "What specifically are you worried about?"
name that syndrome:
Agitation, confusion, hypertension, tachycardia, diaphoresis, seizures, emesis, diarrhea
serotonin syndrome
donepezil
cholinesterase inhibitor
Final phase of the nurse/patient relationship
termination phase
positive vs negative symptoms of Schizophrenia
Positive: hallucinations, alterations in speech ex: word salad, fixed beliefs that cannot be corrected through reasoning
Negative: things that should be there but are gone: flat/blunted affect, inappropriate emotional responses
List all three clarifying techniques:
restating, reflecting, and exploring
name a nursing intervention for mild, moderate, severe, and panic anxiety attacks!
mild anxiety: help the client identify the anxiety, anticipate the anxiety triggers; moderate: ask questions to clarify, encourage problem solving; severe: remain with client, minimize environmental stimuli; panic: attend to physical and safety needs
venlafaxine
SNRI
What does CAGE stand for and when is it used?
C- cut down
A- annoyed
G- guilty
E- eye opener
to assess for alcohol abuse/dependence
Name one drug that treats only positive and a drug that treats both positive and negative schizophrenia symptoms:
Positive symptoms: First generation antipsychotic ex: thioridazine, haloperidol, laxapine
Both Negative and Positive Symptoms: Second Generation antipsychotics
ex: clozapine, olanzapine quetiapine, risperidone
name the three therapeutic factors of group therapy:
instill hope, altruism, universality
short term memory loss, lethargy, and confusion can happen after several ______ treatments?
Electroconvulsive therapy
Risperidone
second generation antipsychotic
Name the three cycles of violence
tension building, battering stage, honeymoon stage