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The purpose of epidemiology is
Study patterns of disease distribution
Nurses have this obligation if their patients states they plan to kill someone
Unhealthy coping mechanisms?
Binge eating, drinking, self-medicating etc
Name three biogenic amine neurotransmitters
Dopamine, norepinephrine, serotonin.
What is Acetylcholine? (Cholinergic)
symptoms of serotonin syndrome
mental status changes, vomiting, diarrhea (gi tract issues), hypertension, hyperthermia, muscle rigidity
Difference between prevalence and incidence
Incidence are new cases in a clearly defined time frame, usually 1 year. Prevalence is total number of people with an illness in the population no matter when the disorder started for them.
When administering a prn we must document?
Reason for administration, dosage, route, and response to the medication every time it is administered to a client.
Transference is?
Transference is the displacement of the thoughts, feelings, and behaviors originally associated with a significant other from childhood onto a person in a current therapeutic relationship
Define drug tolerance
Tolerance is a gradual decrease in the action of a drug at a given dose or concentration in the blood
Why is it important to ask patients about abuse?
Most survivors do not report violence to health care workers without specifically being asked about it
Self stigma can be defined as
A person's internalized negative stereotype
What are three criteria that can be used to admit someone involuntarily?
Threat to self, others, or unable to care for self
Distinguish mild, moderate, severe, and panic levels of anxiety
a moderate level of anxiety as evidenced by a narrowing of awareness with the client being selectively focused on immediate tasks. Mild anxiety is evidenced by a heightened awareness where the client is alert, senses are focused and a growing perceptual field. Severe anxiety is evidenced by a significantly narrowed, focused awareness where the client is able to look at only one detail or issue but cannot complete tasks. Panic level is characterized by an inability to function.
This involves involuntary muscle spasms that lead to abnormal postures, especially of the head and neck muscles
Dystonia
What should you do if you have concerns about potential abuse?
Report it!
Alteration in mood or thinking
What is mental illness
Restraints when do we use them.....when do we stop using them?
Use them: When patient is directly harming themselves or others
Stop them: When patient has calmed down
Dysfunction in this part of the brain produce common psychiatric symptoms such as sleep and appetite problems
Hypothalamus
inability to “sit still” and/or frequent pacing
Akathisia
In a room where should we position ourselves if we are worried about a patient escalating?
Close to an exit
Demonstrating an appreciation of and genuine interest in the individual and their cultural believes is
Cultural competence
Difference between unfit to stand trial and not guilty by reason of insanity?
Not guilty by reason of insanity: Unable to distinguish right or wrong or unable to control themselves during the time of the crime
Unfit to stand trial: Unable to understand the nature and purpose of the proceedings or to assist in defense
Define chronobiology
Chronobiology involves the study and measure of time structures or biologic rhythms
Symptoms of neuroleptic malignant syndrome
Hyper pyrexia, tachycardia, arrhythmia, tachypnea, muscle rigidity "lead pipe", altered mental status
Describe Maslow's hierarchy of needs
Physiological needs, safety and security, love and belonging, self-esteem, and self actualization