Personality Disorder
This cluster has paranoia, work in isolation, unsociable, and bizarre speech pattern.
What is Cluster A?
50% of patients with Binge Eating Disorder have a history of this.
What is depression?
This is one trait that Oppositional Defiance disorder doesn't have that is seen in all other pediatric mental health disorders
What is no physical aggression
For personality disorders these can help, but there is no cure
What are antipsychotic, anxiolytic, antidepressant, and mood stabilizing medications.
This should not be done when caring for a patient with paranoid personality disorder.
What is nurses should not show fear or insecurity when dealing with patients with paranoid PD.
When discussing confidentiality with an patient the nurse should include this
What is all information if confidential unless they say they want to hurt themselves or someone else.
These predisposing factors indicate a Schizoid patient
What is a childhood that is bleak and cold with un-empathetic and un-nurturing parents.
This trait differentiates Bulimia Nervosa from Binge Eating Disorder
What is purging
Tourette's Disorder
What is multiple motor tics and at least 1 verbal tic that is most common for children around age 6-7
If your patient with ADHD is on a stimulant and still has restlessness, you anticipate the provider will order this medication
What are guanfacine or clonidine?
These are some nursing interventions for obsessive-compulsive disorder
What are discuss triggers and don't distract patient when doing rituals as it can increase their anxiety
What is verbalize feelings
Antisocial personality disorder starts as this other mental health disorder and at this age.
Refusal to eat, excessive weight loss, hypothermia, bradycardia, hypotension, lanugo, and decreased bone density are signs of this disorder and this is what occurs when treatment is done too quickly.
What is anorexia nervosa and refeeding syndrome which is the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding.
These assessment findings are indicative of child abuse and this is the role of the nurse
What are circular bruises, spiral fractures, bruises in areas you wouldn't normally see, scared, anxious, quiet children that don't like to be touched. What is notify the chain of command as they are mandatory reporters
These medications can be used for Binge Eating disorder
What is SSRIs
This is an intervention for patients with Tourette's Disorder
Allow for time alone or "tic time" after time spent in a group
A patient is being started on an SSRI, this finding would would require immediate intervention
What is suicidal ideation
Narcissistic personality disorder belongs to this cluster and is associated with these traits.
What is Cluster B and arrogance, grandiose views of self-importance, the need for consistent admiration, lack of empathy for others, and sensitive to criticism
This is the most serious medical condition that can occur with anorexia nervosa and it has these clinical manifestations
What is cardiac arrythmia and irregular heartbeat, cardiomyopathy, peripheral edema, and acrocyanosis (blue extremities)
Agression to people and animals, distruction of property, deceitfulness or theft, and serious violations of rule are all traits of this disorder
What is conduct disorder
This drug class can lead to EPS which is seen by these clinical manifestations
What are antipsychotics and repetitive, involuntary facial movements such as lip smacking, tongue twisting, cheek puffing, grimacing, etc.
Staying with a patient for 1hr after meals, use of behavioral contract to modify behaviors and never engaging in a power struggle with the patient are all interventions for which disorder
What is Anorexia Nervosa
A nurse working with a patient who comes to the appointment wearing spiked heels, theatrical makeup, and flamboyant clothing. The nurse can diagnose the patient with this personality disorder
NONE!!! NURSES CAN'T DIAGNOSE! LOL
Anxiety, fear, insecurity and inadequacy are traits attributed to this cluster which has these disorders in it.
What is Cluster C with Avoidant, Dependent, and Obsessive-compulsive personality disorders.
These are some outcomes identified prior to discharging a patient with anorexia nervosa
What are: patient verbalizes events that lead to their anxiety and can demonstrate techniques to reduce it;
Patient needs to discuss their misconception and demonstrate ability to take control of their life without resorting to maladaptive eating behaviors
These traits are indicative of autism spectrum disorder
What are repetitive actions, inability to maintain eye contact, and strict observance of routines
This medication is often used for children with ADHD and has these side effects
What is methylphenidate (Ritalin) and nervousness, irritability, difficulty falling asleep or staying asleep, dizziness, nausea, vomiting, loss of appetite, weight loss.
During an assessment of a pediatric patient with Autism Spectrum disorder, this is important for the nurse to incorporate
What is parental involvement
This is something you should not do when taking an exam?
What is go down the rabbit hole