Psych Disorders
Your neighbor's husband comes to talk to you. He says his wife has not left the house in 2 weeks, has a flat mood, and has lost interest in her usual activities. You recognize these as the primary symptoms of?
What is depression
What are some medications that are used to treat ADHD?
what is Methylphenidate, Vyvanse, amphetamine salts (adderall)
Subjective feeling of restlessness (anxiety, inability to relax, jitteriness, pacing, rocking motions while sitting, rapid alteration between sitting and standing
What is akathisia?
What types of food contain high levels of tyramine?
aged cheeses, aged meats, and fermented foods
(must avoid if taking MAOIs)
what is the treatment for Extrapyramidal symptoms (EPS)
1) stop the antipsychotic medication; symptoms are potentially irreversible
2) Administer anti-parkinsonian drugs: benztropine (cogentin) usually given IM
A disorder characterised by age-inappropriate inattention, impulsiveness and hyperactivity.
What is ADHD?
Drugs used to treat behavioral symptoms which indicate the patient is out of touch with reality.
Disorders treated include psychotic disorders and delirium and dementia
what are antipsychotics
Uncontrollable and painful tightening of muscles often involving the neck (torticollis), back, tongue, lateral eye muscles (oculargyric crisis), laryngeal involvement can comprise the airway
What is dystonia
MAOIS can interact dangerously with certain foods and beverages that contain high levels of _____
What is tyramine
Your patient is preoccupied with perfection and control, has difficulty relaxing, exhibits rule-conscious behavior, and cannot discard anything. What type of personality disorder does this behavior reflect?
Obsessive-compulsive disorder
A personality disorder characterised by extremely unstable interpersonal relationships, dramatic mood swings, an unstable sense of identity, intense fears of abandonment, manipulativeness and impulsive behaviour.
What is borderline personality disorder
This class of drug is used to treat Bipolar disorders and mood instability associated with aggression
What are mood stabilizers
what are Extrapyramidal Side Effects
What are some early side effects of lithium toxicity?
N/V, lethargy, tremor, and fatigue
Which of the following medical conditions has similar signs and symptoms as those seen in a major depressive episode?
Hypothyroidism.
Reason: Signs and symptoms of hypothyroidism include changes in weight, sleep disturbances, decreased energy, and difficulty in thinking—just like in depression.
A childhood disorder in which a child persistently violates the rights of others as well as societal norms.
what is conduct disorder
What is the mechanism of action for typical antipsychotics?
What is they block Dopamine, Improve hallucinations & delusions, Do not target specific dopamine pathways
This side effect is characterized by repetitive, involuntary movements, such as grimacing and eye blinking.
What is tardive dyskinesia
What are some late signs of lithium toxicity?
Delirium, confusion, vision changes
Once a patient is diagnosed with a major depressive episode, the primary nursing intervention should be associated with
Safety.
Reason: Safety is the primary focus for an intervention, as 25% to 30% of depressed patients are at risk for suicide.
A disorder that occurs when people believe they are suffering from an illness or ailment, even when there is no medical evidence to support that belief.
what is hypochondriasis
What is the mechanism of action for atypical antipsychotics?
what is they block Dopamine (less blockade) and Serotonin, less extrapyramidal effects
A rare and sometimes fatal reaction to high-potency antipsychotic medications. Symptoms include muscle rigidity, fever, hypertension, tachycardia, diaphoresis, and elevated white blood cell count.
Neuroleptic malignant sydrome
What are some examples of MAOI drugs?
what is isocarboxazid, phenelzine, selegiline, and tranylcypromine
A 21-year-old patient has a diagnosis of schizophrenia and is stuporous, yet exhibits sudden, excessive motor activity with repetitive sit-ups. What is this behavior called?
Catatonic.
Reason: Catatonic schizophrenia occurs suddenly and includes motor immobility or excessive motor activity.