Personality Disorders
All individuals diagnosed with personality disorders display this problem.
What is problems with empathy or intimacy within relationships
What is one mental health risk of marijuana?
What are:
Panic attacks/anxiety
Psychosis
addiction
Decline in MH illness
What is the best predictor of violence?
What is past violence
Medication is life saving for an opioid overdose?
What is Narcan or (Naloxone)
What primitive defense mechanism is used by a person with borderline personality disorder
What is splitting
People with __________________ come across as arrogant and as having an inflated view of their self importance.
What is
narcissitic
Your patient is detoxing. What would the nurse anticipate giving the patient to discourage alcoholic encephalopathy?
What is:
Thiamine
How would the nurse assess for anger?
What is:
Do you feel or have a wish to harm someone?
Do you have a plan to do this?
Does the person have the means available to carry out the plan
Does the patient have the dangerous demographic risk factors ( male gender, age 14-24, low SES, inadequate support system and prison time)
A patient is displaying depression and self mutilation associated with BPD, what medication might the nurse expect the patient to be prescribed?
What is:
SSRI, or
Mood stabilizer
Self destructive behaviors are prominent in BPD. What are 2 self destructive behaviors often associated with BPD?
What is:
Cutting, excessive promiscuity, or numbing with substances (50% co-occuring SUD)
What is the defining feature of antisocial personality disorder?
callousness
What are 3 symptoms of an opioid overdose?
What is:
Respiratory depression, unresponsiveness, coma, hypothermia, hypotension, and bradycardia.
Three most strongly suggestive: Coma, pinpoint pupils and respiratory depression
Name the 3 stages in the cycle of violence
What is
tension building phase,
battering phase
honeymoon phase
What medications are used for acute management of anger?
What is
antianxiety medications (Ativan, Xanax, Valium)
1st gen antipsychotics (Haldol)
2nd gen antipsychotics (Zyprexa, Risperdone or Geodon)
Combination Meds (Haldol, Benedryl and Ativan)
Many survivors of sexual assault experience the criteria for ______________________. This disorder is persists for at least 3 days and can extend for up to ________.
What is acute stress disorder and 1 month.
Criteria includes:
What is one nursing intervention to help with paranoia?
What is:
Use limit setting when threatening behaviors occur
Strictly adhere to unit schedule
Give clear, concise, straightforward directions
Name 3 important resource to help with treatment of opioid addiction?
NA, residential treatment, methadone clinic or MAT, individual therapy such as CBT, family therapy, and social skills training.
What are 3 common injuries seen by those battered who enter the ER
Broken or fractured jaw, arm, pelvis, ribs, clavical or leg,
Bleeding of the head and face
Back injuries
Internal injuries (concussions, perforated eardrum, abdominal injuries, strangulation marks)
Psychological trauma (anxiety, suicide, severe crying spells)
Miscarrriage
Burns (cigarette or scalding liquid)
Your patient has opted for disulfiram therapy. What pt. teaching is essential?
What is educate on products that contain alcohol, such as:
mouthwash, lotions, paint fumes, medications such as ovc cough syrup, hand sanitizers
Name 4 de-escalating techniques for someone who is angry?
What is:
Maintain calmness (yours and pts), ID stressors, Respond early, Use a calm clear tone of voice, invest time, remain honest, Determine what the patient considers to be needed, ID goals, Give more space, Don't argue, Give several clear options, Use empathy and genuineness, Be assertive, maintain the pts. dignity and self esteem
What are the 3 disruptive behaviors associated with personality disorders?
What is
anger/aggression, manipulation and impulsiveness
Name 5 areas that are assessed when a person is likely to experience alcohol withdrawals.
What is:
B/P, N & V, Diaphoresis, Agitation, Anxiety, Level of Conciousness, tremors, visual hallucinations, auditory hallucinations, tactile hallucinations, and headache.
Any bruising in a child younger than _____________ should be considered suspicious and reported to ____________ by __________ and/or _________ within a ___________ timeframe
What is 6 months and
Child protection Services
phone or writing
72 hour
https://www.michigan.gov/mdhhs/0,5885,7-339-73971_7119_50648_44443---,00.html
Name a medication for each category below
1) Antianxiety
2) Antidepressant
3) Antipsychotic
4) Used to treat alcoholism relapse prevention
What is
benzo or buspar
SSRI, SNRI, tricyclic
1st gen, 2gen or 3 gen
Disulfiram, Naltrexone(Vivitrol) or Campral
What are 3 symptoms associated with acute stress disorder?
intrusive thoughts,
negative mood or feelings (numbness guilt an depression)
Dissociatve symptoms
Avoidance
Arousal symptoms such as poor concentration, feeling tense, angry outbursts