Therapeutic Interventions
The nurse mirrors the patient's overt and covert message with use of patient's key words.
What is restating?
A client tends to be insensitive to others, engages in abusive behaviors, and does not have a sense of remorse.
What is antisocial personality disorder?
Auditory hallucinations, delusions, hallucinations, disorganized speech.
What is a positive symptom of schizophrenia?
First-line agents for long-term management of anxiety disorders, with control gradually achieved over a 2-to 4-wk course, depending on required dosage increases.
What are SSRI's? (selective serotonin reuptake inhibitors)
Focus is on distraction, radical acceptance, self-soothing and emotional regulation strategies, and recognizing self-destructive behaviors.
Example: "I am a failure." >> "Sometimes I fail."
What is dialectical behavior therapy?
The nurse takes the COW (computer on wheels) into the dayroom. She sits at a table next to her patient who is finishing their lunch and does her charting.
What is offering self?
Irritable mood, argumentative, aggression, vindictiveness, anger.
What is oppositional defiant disorder (ODD)?
Serious life-threatening condition characterized by mood changes, diarrhea, dilated pupils, arrhythmias, muscle stiffness, fever, sweating or shivering, increased HR and BP.
What is serotonin syndrome?
Need to be concerned with dietary interactions, including cheeses and wine.
What are MAOIs?
Delirium tremens, hallucinations, delusions, racing heart rate, confusion, increased BP, fever, heavy sweating.
What is 48-72hrs into ETOH withdrawal?
Helping the client become more aware of inconsistencies in his or her feelings, attitudes, beliefs, and behaviors. Only to be used after trust has been established, & should be done gently, with sensitivity.
What is confrontation?
This patient seeks attention, talks dramatically with strong opinions, is easily influenced, has rapidly changing emotions, and thinks relationships are closer than they are.
What is histrionic personality disorder?
Pretending to have a physical or psychological condition in order to gain a reward or avoid something.
What is malingering?
Often used with antidepressants as adjunct treatment; they are especially useful in the management of acute situational anxiety disorder and for the rapid control of panic attacks.
What are benzodiazepines?
Helps patients understand how intrusive thoughts and false beliefs or distortions lead to exaggerated emotional responses, such as anxiety.
What is cognitive behavioral therapy (CBT)?
Making it explicit that the client has the lead in the interaction.
What is broad openings?
Prefers solitary activities and rarely express strong emotions. Tend to be distant, detached, and indifferent to social relationships. Often reclusive and avoid contact with other people.
What is schizoid personality disorder?
Serious and irreversible side effects which involve involuntary tonic muscle spasms involving tongue, fingers, toes, neck, trunk, or pelvis.
What is tardive dyskinesia?
A complex group of drugs that have central and peripheral anticholinergic effects, as well as sedative effects.
What are tricyclic antidepressants?
Severe nausea & vomiting, uncontrolled shaking/tremors, confusion, vision changes.
What is a lithium toxicity?
When it is obvious that the client is misinterpreting reality, the nurse can indicate what is real.
What is presenting reality?
Instability in a patient's relationships, self-image, and emotions. Lack of self-esteem, strong dependency needs, impulsive behavior. May experience issues of identity, self-harm, feelings of emptiness.
What is borderline personality disorder?
A rare but potentially fatal syndrome involving muscle rigidity, fever, and elevated WBC's.
What is Neuroleptic Malignant Syndrome?
Class of drugs used to address both positive and negative symptoms of schizophrenia.
What are atypical antipsychotics?
Monoamine oxidase inhibitors (MAOIs) block monoamine oxidase, which is an enzyme that breaks down excess ________ in the body. Blocking this enzyme helps relieve depression.
What is tyramine?