Psychiatric Disorders
More Psychiatric Disorders
Substance Abuse & Addiction
Delirium & Dementia
Eating Disorders
100
Clinical manifestations of a panic attack.
What is increased pulse, elevated blood pressure, trembling, diaphoresis, shortness of breath, chest pain, nausea, dizziness, and fear of losing control or "going crazy"?
100
How to establish a therapeutic relationship.
What is being available, listening, clarifying, sharing observations, & accepting silence?
100
Defense mechanisms used by persons with substance abuse and addictive disorders.
What is denial, rationalization, intellectualization, & projection?
100
Definition of delirium and dementia.
What is Delirium- decline from a person's usual attention and awareness; develops over a short period of time; has an underlying cause. Dementia- clinical syndrome; onset and progression vary with each subtype.
100
Discuss the condition of anorexia and characteristics of this patient.
What is self-imposed starvation; girls in mid-teens, but may be young adult, occasionally men, obsessed with weight loss and image; misconception of own image?
200
Discuss obsession and compulsions that occur with obsessive-compulsive disorder.
What is obsessions are thoughts and compulsions are behaviors. Both are time consuming and interfere with functioning. If compulsions are resisted, internal anxiety may become too overwhelming to handle?
200
Components of Thought Content portion of Mental Status Exam.
What is see page 1286?
200
Medical complications of chronic alcoholism.
What is cirrhosis of the liver, pancreatitis, GI bleeding, Wernicke encephalopathy, Korsakoff psychosis, & fetal alcohol syndrome?
200
Nursing interventions to aid patient with dementia with eating.
What is assist with meals, use single utensil, finger foods high in carbohydrates and protein, small and frequent meals, remove distractions, group meals, and offer fluids frequently during day?
200
Family dynamics with anorexia and bulimia.
What is with Anorexia- family tends to be overprotective, rigid, lack of privacy, and decreased conflict resolution skills; with Bulimia- mother-daughter relationship may be strained or distant?
300
Clinical manifestations of schizophrenia.
What is see page 1291 & 1294?
300
Patient education when taking MAOI medications.
What is see page 1295 & Table 56-5 on page 1296?
300
Medications used in treatment for substance abuse disorders.
What is methadone, clonidine hydrochloride (Catapres), naloxone hydrochloride (Narcan), nalmefene (Revex), disulfiram (Antabuse), naltrexone (Revia, Depade), & metronidazole (Flagyl)?
300
Clinical features of delirium and dementia.
What is see Table 22-2 on page 340?
300
Clinical manifestations of anorexia.
What is severe weight loss, dry skin, amenorrhea, lanugo hair over back and extremities, cold intolerance, low blood pressure, abdominal pain, constipation, complaints of feeling bloated after eating small amount of food?
400
Side effects of antipsychotic medications.
What is orthostatic hypotension, extrapyramidal side effects, acute dystonic reactions, parkinsonian syndrome, tardive dyskinesia, and neuroleptic malignant syndrome?
400
Nursing interventions for the patient undergoing electroconvulsive therapy (ECT).
What is teaching, keep NPO, removing glasses-contacts-dentures, administer atropine sulfate as ordered, position on side after treatment, monitor vital signs, remaining with patient until awake, orienting patient, and safety precautions?
400
Nutritional considerations with abuse and addiction.
What is alcohol intake can impair absorption and metabolism of nutrients, need to correct deficiencies with alcohol use- folate and vitamin B6, & stimulants may induce anorexia- but as subsides, hunger develops?
400
Nursing interventions to prevent injury in patient with Delirium.
What is avoid physical restraints, ask family member or staff to remain with patient, position tubes out of sight, bed in lowest position, postpone activities that are flexible, allow to sit in chair or visit at nursing station, avoid arguing, explain procedures, decrease stimuli, limit visitors, use calm approach, and consider contributing factors (pain and constipation)?
400
Discuss binge and purge cycles associated with bulimia.
What is binging includes eating more food than is considered normal followed by self-inflicted vomiting and misuse of laxatives and/or diuretics on a weekly basis for more than 3 months duration? Binge episode may last 2 or more hours.
500
Therapeutic range for lithium.
What is 0.5-1.5 mEq/L?
500
Nursing interventions for patient experiencing mania.
What is see page 1300?
500
Nursing interventions for the patient with a substance abuse disorder.
What is physical assessment, medications, teaching about actions & consequences, adequate nutrition, reassurance & support with anxiety, rehabilitation, & relapse prevention?
500
Instruction for CNAs caring for patients with Dementia.
What is rudeness and uncooperative behavior can be managed with kindness and patience, may have to repeat information and instructions, and inform nurse if patient resists care?
500
Treatment of anorexia.
What is brief hospitalization to correct electrolyte imbalances & break from dysfunctional family, individual and family psychotherapy, behavior therapy, and antidepressant therapy?
M
e
n
u