Let's Talk Therapy
Screenings for mental illness such as depression scales and suicide risk screenings.
What are secondary levels of prevention?
Criticizing a coworker when a boss disagrees with you.
What are examples of displacement defense mechanisms? p.7
Alcohol and drug use, suicidal ideation, history of TBI, signs/symptoms of PTSD, triggers
What are assessment topics to explore for veterans and active duty military personnel experiencing crisis?
Temperature, sedation level, vision changes, urinary retention, orthostatic hypotension, constipation, dystonic reactions, seizure potential.
What are side effects of antipsychotic medications that need to be monitored?
Drug and alcohol abuse, acting out, high-risk sexual behaviors.
What are behaviors related to feelings of abandonment?
Relaxation exercises, positive reinforcement, distraction, role-playing, promoting positive coping mechanisms, etc.
What are nursing interventions for behavioral therapy?
Ethical principle that supports patients having a choice whether or not to participate in components of care
What is autonomy? pg 151
High poverty levels, lack of affordable health care, substance use disorders, lack of resources for mental illness
What are things that contribute to increasing homelessness?
Lithium carbonate, valproic acid, clozapine, carbamazapine
What are medications that require regular monitoring of laboratory tests?
Environmental, interpersonal, and biological factors
What are factors that contribute to depression?
p.409-414 & 430
Displacement, projection, denial, suppression, rationalization.
What are ego defense mechanisms?
Providers can override treatment refusal for these patients
What are suicidal and homicidal? 42-45
Biological, environmental, and interpersonal.
What are factors that contribute to depression?
Rigidity, high fever, unstable blood pressure, diaphoresis, pallor, delirium, confusion.
What are symptoms of neuroleptic malignant syndrome?
Part of the brain that controls the pituitary, ANS, and regulates appetite/temperature
What is the hypothalamus? p.16
Part of the brain responsible for temp regulation, appetite control, endocrine function, sex drive, and impulsive behaviors.
What is the hypothalamus?
A person's right to self-determination and independence.
What is autonomy?
Disturbance in a person's thought process, mood, or behavior that requires immediate intervention to prevent harm. Can be triggered by factors such as substance use, medical illness, mood disorder, anxiety/trauma, stressful events like loss, poverty, etc.
What is a psychiatric emergency?
Decreasing taper of a benzodiazepine and medications to prevent seizure activity in severe withdrawal.
What is the treatment process for benzodiazepine withdrawal?
Communication, physical distance/space, social organization, time orientation, environmental control, biologic variations.
What are factors in cultural assessment?
Instillation of hope, universality, imparting information, altruism, development of socializing techniques, interpersonal learning, group cohesiveness, catharsis, existential factors, corrective recapitulation of the primary family group.
What are Yalom's curative factors?
Medical emergencies, mental incapacity, court-ordered treatment, risk of harm to self or others.
What are conditions where patients cannot refuse components of treatment?
The nurse's FIRST priority when caring for patients in crisis.
What is safety?
Assist respirations as needed, monitor vital signs, place the patient on their side to prevent aspiration until return of gag reflex, utilize seizure precautions.
What are nursing interventions with ECT?
Longer life spans due to progressive medical therapy and treatment modalities.
What is a contributing factor to prevalence of neurocognitive disorders?