Personality Disorders
Characteristics include being excitable with bold external behaviors; limited ability to develop meaningful relationships; excessive emotions and attention seeking behaviors
What is Histrionic Personality Disorder
History of dieting, varying methods to lose weight, value attached to interpersonal and social functioning
What is Anorexia Nervosa
Need to educate on possible weight gain, increased feelings of depression, suicidality, headache, n/v, dry mouth, insomnia, dizziness, agitation.
What are teaching points for antidepressants
Safety 1st, Safety 2nd, Safety Always
What is the priority nursing intervention for most mental health diagnoses
Characteristics include feelings of entitlement, exaggerated self importance, lack of empathy, and constant need for admiration
What is Narcissistic Personality Disorder
Appear well (at or near ideal body weight), enlarged parotid glands, dental erosion, impulsivity and compulsivity
What is Bulimia Nervosa
Stiffness and shakiness, Uncomfortable restlessness (akathisia), Movements of the jaw, lips and tongue (tardive dyskinesia), QT Prolongation, Sexual problems due to hormonal changes, Sleepiness and slowness, Weight gain
What are side effects of antipsychotic medications
Are the voices telling you to harm yourself or someone else?
What is the priority safety question after assessing for hallucinations (command)
Characteristics include antagonistic behaviors, profound lack of empathy and absence of remorse or guilt
What is AntiSocial Personality Disorder
Frequently consume unusually large amounts of food and feel unable to stop eating
What is Binge Eating Disorder
Drugs that can help with aggression, depression, and impulsivity
What are Mood stabilizing drugs (Depakote, Lithium, Lamictal)
Speaking incoherently, responding to questions with unrelated answers, saying illogical things, or shifting topics frequently
What are signs and symptoms of disorganized speech (pertaining to Schizophrenia)
Characteristics include emotional lability, self-destructive behaviors, impulsivity, and unstable interpersonal relationships
What is Borderline Personality Disorder
Surgical intervention such as an elective bariatric surgery for obesity
What is an intervention for Binge Eating Disorder
Drugs that can decrease irritability and help decrease both anxiety and depressive symptoms
What are antidepressants
"How does this problem typically make you feel?"
What is a therapeutic question for effective communication
Characteristics include high need ti be taken care of, submissiveness, fear of separation/abandonment, and intense anxiety when left alone even briefly
What is Dependent Personality Disorder
Imbalanced nutrition: More than Body Requirements, Powerlessness, Disturbed Body Image, Chronic Low Self-Esteem
Do not stop taking this class of medication abruptly due to side effects of withdrawal and respiratory depression
What are benzodiazepines
Emphasis on realistic limits and consistency in response and consequences