Saftey/sexual dis
Why do we admit someone into mental health (please list 2 reasons)
When in danger to self or others, or cannot care for self-due to a mental health disorder.
Characteristics of Vol versus Invol. patients
-Cooperation
-Willingness to participate in treatment
-Accountability
-Medication management
-Discharge activities
What does indication for use for disulfiram (Antabuse)
used for alcoholics. If they drink while on the drug they experience severe nausea / vomiting
This medication is a tricyclic antidepressant – side effects: sleepiness, tachycardia, palpitations
amitriptyline (Elavil)
Name this medication based off its side effects: sleepiness, can increase suicide risk, resp depression, drug tolerance, drug dependence
diazepam (valium)
What are trends in mental health?
decreased hospital vs increased outpatient care - Federal Community Health Act in 1960s, better anti-psychotic drugs. Movement into the community.
A crisis is an ____that is usually ______, can develop a feeling of being overwhelmed. ______!
acute problem/ time-limited/saftey
What is St. Johns wart used for and what are its side effects
This medication is a mood stabilizer, monitor fluid and electrolyte balance, it is a sodium based drug. Understand clients start with higher dosages and move to lower maintenance dosages once stabilized. Watch renal and thyroid function.
Lithium
This medication is a antipsychotic, risk of low white blood cells (infection risk increased), used for schizophrenia
clozapine
Please name this disorder- (dressing in the clothes of the opposite gender, to become sexually aroused),
tranvestic
Please name this disorder based off of these identified below nursing interventions:
wandering interventions (child locks, lock doors, keep out of potential harm), “SAFETY”, regular supervision, avoid isolation, assessments, symptoms, treatments, home care. Risks include family history, head injury, sedentary life style, contact sports like football, boxing
Dementia / Alzheimer’s
Name this medication- it is a antidepressant, SSRI, Used with MDD, OCD, bulimia, panic disorders, Side effects: sexual dysfunction, loss of appetite, abnormal dreams
fluoxetine (Prozac)
Name four classes of anti-depressents
This patients are usually dependent for care, may negate the abuse or injury, may ignore medical care of
Elder abuse
Please name this second disorder (sexual fixation on a nonliving object or nongenital body part)
fetishistic
What nursing interventions do we use for patients in delirium?
Name this antidepressant which causes drowsiness, unusual sweating, insomnia, yawning
valafaxine (Effexor)
This medication helps with sleeping, needs continued HCP monitoring, more effective than over the counter remedies like melatonin.
hypnotics –
These patients may not tell truth about injury, rationalize injury, show fear of abuser, frequent UTIs in female children can mean sexual abuse, abnormal interest.
Child
Please name this disorder- (sexual interest in or practice of spying on people engaged in intimate behaviors, such as undressing, sexual activity, or other actions usually considered to be of a private nature)
voyeurism
Name this disorder- born one gender but feel internally as the other gender),
gender dysphoria
This medication is used with ADHD – side effects: loss of appetite, difficulty sleeping, headache, increased blood pressure
methylphenidate (Ritalin)
Name this class of medications- Benzodiazepines: should stay away from OTC drugs that can stimulate or increase anxiety such as caffeine. Highly addictive.
anti-anxiety
Who are mandated reporters
You!