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Slouched posture, minimal eye contact, psychomotor retardation, latency in responses, fatigue.
What is behavioral assessment data in major depression?
Lithium, carbamazepine, valproic acid, gabapentin, topiramate, oxcarbazepine, lamotrigine.
What are examples of mood stabilizing medications used to treat bipolar disorder?
Set and maintain limits, decrease environmental stimuli, reorient the patient, provide a consistent and structured environment, make realistic promises, spend time with the client.
What are nursing actions for bipolar patients?
uncooperative, defiant, disobedient, and hostile behavior towards authority figures, reduced sensitivity to reward/punishment, impaired problem-solving abilities, deficiencies in attention/flexibility of thinking/decision-making.
1. Grandiosity
2. Decreased need for sleep
3. More talkative than usual
4. Flight of ideas
5. Distractibility
6. Increase in goal-directed activity
What are DSM-5 criteria for manic episodes?
Buspirone and SSRIs
What are the most effective treatments for generalized anxiety disorder?
frequent unexplained injuries, denial of injury existence, disorientation/grogginess, fear/edginess in presence of caregiver, isolation, hesitancy to speak openly, withdrawal/depression, missing valuables, lack of personal care items, poor hygiene, rashes/sores
What are symptoms of elder abuse?
hypoxemia, electrolyte disturbances, drugs, alcohol, sepsis, UTI, exposure to substances, hospitalization, ICU/end-of-life care, hearing impairment, older age, trauma to the CNS, etc.
What are things that can precipitate delirium?
Lengthy and detailed medical history, labile mood, exaggerated emotions, exaggerated responses to physical health, attention seeking, unimpaired intellectual function.
What are characteristics of somatic symptom disorder?
Anorexia, weight loss, nausea, irritability, dizziness, dry mouth, blurred vision, palpitations.
What are side effects of stimulant medications used for ADHD?
Initial episode of violence
Honeymoon period
Tension-building phase
Violent episode
Repeated Cycle
What are the cycles of violence?
Genetic factors are polygenic, less brain tissue and CSF, decreased brain volume and abnormal brain function in the frontal and temporal lobes.
Neurochemical factors suggest excess dopamine and excess serotonin are involved.
Immunovirologic factors focus on infections and roles of cytokines.
What are factors that may contribute to the development of schizophrenia?
Weight differences
Nutritional intake
Judgement and insight
What are some differences between anorexia and bulimia?
Increased pulse/BP/respirations, hand tremor, insomnia, anxiety, nausea, psychomotor agitation.
What are symptoms of anxiolytic withdrawal?
Key concepts include: Empowerment, Collaboration, Patient-centeredness, Metaphor. Uses the metaphor of water and describes how people in distress can become emotionally, physically and spiritually shipwrecked. Ten core commitments include:
What is the Tidal Model of recovery?
What is the frontal lobe?
Use of transitional objects, pervasive mood, splitting, self-harm behaviors, impaired judgement with suicidal threats/gestures/attempts, difficulty accepting responsibility, extreme fear of abandonment, reckless behaviors.
What are characteristics of borderline personality disorder?
Holistic approach, viewing symptoms as part of the norm rather than an aberration. It also emphasizes that recovery is a personal journey, not a set outcome. Components include:
Hope: The foundation of recovery
Personal responsibility: Encourages people to take charge of their recovery
Self-advocacy: Speaking up for one's needs and rights
Education: Provides knowledge about mental health conditions
Support: Building a network of positive relationships
Individualized care: Tailoring treatment plans to each person's needs
Empowerment: Focusing on one's strengths and having control over one's life
Dignity: A core principle of the recovery model
Self-determination: People should be able to make decisions about their own lives and mental health
What is the Psychological Recovery Model?