Random info
Define Veracity
Honesty, being honest
What does the CAGE assessment stand for
C - have you ever felt you need to cut down
A - has anyone been annoyed by your drinking
G - have you felt guilty for drinking
E - have you taken a drink first thing (Eye Opener)
What are 2 nursing considerations for someone with schizo/psychosis
Nutrition, exercise/movement, ADL's, medications, headphones when mumbling, enveloping the delusion, ACT, NAMI - peer groups
Histrionic personality disorders are described as people who might live where? and why?
Hollywood bc they are highly emotional and dramatic, draw a lot of attention to themselves, can be seen as fun.
What is assertive communication and is it therapeutic or not
expressing oneself in a open and direct way, good for resolving conflicts and problems, expresses thoughts and feelings safely
What is ECT used for and do they need to be NPO?
Depression, pts with psychotic features, psychomotor disturbances
YES - must void before procedure as well with IV line started
Is Heroin a CNS depressant or stimulant
Depressant - intox causes sedation, euphoria, miosis, itching, constipation and respiratory depression
Catatonic movements that are distorted, pts usually mute, movements are stiff and rigid. If you put them in one position they will stay like that
Describe a pt with antisocial personality disorder
Lack of conscious, only care about themselves, no ability to empathize, very charming
What is sundowning
Increased agitation when the sun goes down, usually seen in dementia patients
What is NMS/ how is it caused? Name 2 symptoms seen with this
Neuroleptic malignant syndrome - cause typical antipsychotics (haldol/thorazine)
Symptoms: led pipe stiffness, high fever, LOC decreases, VS will vary
Describe 3 traits a person who is intoxicated by cocaine might show
Hyperactivity, hypervigilance, talkativeness, anxiety, grandiosity, hallucinations, repetitive behavior, anger, fighting, impaired judgement
Define clang speech, and neologisms
clang - rhyming
neologisms - words invented by pt
Describe Clusters A, B, C - can be simple description
A: odd/eccentric
B: dramatic/ emotional
C: anxious/fearful
How can you tell a patient has parkinson's disease vs too much coffee lol
tremor at rest and with movement
Lithium may cause damage to the thyroid
What is one example (class) of a sedative/hypnotic and will a pt show signs of CNS depression or stimulation
Barbiturates and Benzodiazepines
CNS depression - similar to etoh
What are two thought processes nurses might assess in pts with schizophrenia
Paranoia - sus about everything
Religiosity - only talk about religion
Magical thinking, Loose associations, Grandiosity
Thought blocking, broadcasting, insertion and withdrawal
What is the difference between a schizoid and an avoidant personality disorder
Schizoid (A)- detached, don't want contact, don't care for social interaction at all
Avoidant (C) - very very shy, want to be with others but are fearful of rejection
What does SIG CAPS stand for and what is it assessing
Sleep disturbances, Interest decreased, Guilt, Concentration decreased, Anhedonia, Psychomotor up or down, Suicidal
What is the BBW for Sertraline and what class of drug is it
SUICIDE and SSRI
What are 3 symptoms someone intoxicated with an inhalant might show
Dizziness, nystagmus, lack of coordination, slurred speech, unsteady gait, tremor, muscle weakness, blurred vision and coma
What is the difference between positive/hard symptoms and negative/soft symptoms - give 2 examples of each
Positive: hallucinations, disorganized thinking, delusions, odd thinking etc. tx: typical
Negative: flat affect, apathy, avolition (lack of interest), anhedonia (lack of pleasure), poverty of speech tx: atypical
Name 3 distinct features of borderline personality disorder and 1 nursing priority
Always in crisis, everything is a big deal, extremely unstable, chronic depression, clinging and distancing, tries to split the staff, self-destructive, impulsive
Keep pt safe from self-harm
What is dysthymia
It is a milder form of depression, no psychosis represented, 2+ years of symptoms, always down in the dumps