Oh my nerves
Can't think
Worry Rx
Generations
Potpourri
100
Differentiating healthy vs unhealthy anxiety
How we respond to anxiety
100
Describe the main priority during the acute phase of schizophrenia.
Safety!
100
For better effectiveness these meds should be used before benzodiazepines for anxiety- give an example
Non-benzo anti-anxiety agents. Buspirone (Buspar) or Hydroxyzine (Vistaril)
100
Name two types of drug classes are used primarily in the treatment of Schizophrenia
First and Second Generation Antipsychotics
100
Describe two nursing actions when a person is experiencing a severe to panic levels of anxiety
Stay with the patient Remain calm and non-judgmental Set limits for safety Attend to physical needs- food and drink Minimize environmental stimuli
200
The most prevalent psychiatric disorder in the world
Anxiety
200
Describe the main priority in the stabilization and maintenance phase of schizophrenia.
Medication compliance
200
This drug class increases serotonin to help decrease anxiety. Name the class and an example of a medication in this class.
SSRIs. Citalopram (Celexa), Excitalopram (Lexapro), Fluoxetine (Prozac), Fluoxetine (Prozac), Paroxetine (Paxil), Sertraline (Zoloft)
200
Describe side effects of FGAs and which one may be permanent
Extrapyramidal symptoms- akathisia, dystonia, parkinsonism, tardive dyskinesia (this one may be irreversible)
200
Describe actions for suicide precautions
One-on-one supervision Remove potentially harmful items Ensure all meds are swallowed, Document mood, statements, behaviors
300
The part of the limbic system associated with processing anxiety
Amygdala
300
Describe two positive symptoms of schizophrenia
Hallucinations, Personal boundary difficulties, Delusions, Associative looseness, Concrete thinking, Neologisms, Echolalia, Clang Association, Word salad, Automatic obedience, Waxy flexibility, Eccentric dress grooming or other rituals
300
The complication when the level of serotonin gets too high.
Serotonin syndrome
300
Describe side effects of SGAs
Weight gain and metabolic syndrome
300
Defense mechanism where there is transfer of emotions from one thing/person to another
Displacement
400
Describe 2 manifestations of severe anxiety
The perceptual fields are greatly reduced, cannot learn or problem solve, confusion, physical symptoms- dizziness, insomnia, GI upset, trembling, hyperventilation
400
Describe a type of affect that may be displayed by a person with schizophrenia and whether it is a positive or negative symptom.
Flat- immobile or blank look Blunted- minimal emotional response Inappropriate- response doesn't match the situation Bizarre- grimacing, giggling, mumbling to oneself All are negative symptoms
400
Which neurotransmitters are affected with the dual action reuptake inhibitors? Give an example of a medication in the SNRIs.
Serotonin and norepinephrine. Duloxetine (Cymbalta), Venlfaxine (Effexor)
400
Which types of schizophrenia symptoms have a favorable response to antipsychotic medications?
Positive symptoms
400
Describe what you need to determine when a patient is experiencing auditory hallucinations
Whether the voice is commanding them to do harm
500
Type of anxiety disorder associated with intense fearful reaction to an object or situation
Phobia
500
Describe the type of schizophrenia that has intense strongly defended rational suspicions and usual age of onset.
Paranoid schizophrenia- onset is later usually 20's to 30's
500
Describe a precaution with taking benzodiazepines.
Dependence, Tolerance, Sedation, Withdrawal
500
Length of time it takes for noticeable improvement in symptoms from FGAs and SGAs
2-4 weeks
500
Write a statement you would make to assess suicidal ideation. Describe what you need to determine if the answer is yes.
Are you thinking of killing yourself? You need to determine the plan, the method, and whether they have availability to the means
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