Schizophrenia
Name three interventions or educational topics a patient should be taught when taking Clozaril, a second-generation antipsychotic used to treat schizophrenia.
Monitor for:
Orthostatic hypotension
Monitor for s/s of infection
Monitor blood count biweekly
Can cause sedation, no other CNS depressants.
May cause sexual dysfunction
Impaired glucose tolerance
How long can marijuana remain detectable in the urine and in the hair of someone who uses it frequently after they stop?
What is 30 and 90 days?
What intervention involves engaging the patient in activities that promote cognitive function, such as puzzles and games?
What is cognitive stimulation?
This term constitutes 59 % of all reported cases involving children and reflects a failure to provide physical or emotional support.
What is neglect?
These are the two main types of symptoms in schizophrenia, one involving hallucinations and delusions, and the other involving lack of motivation and social withdrawal.
What are positive and negative symptoms?
This test is used for infants and children up to 6 years of age to assess potential delays.
Denver II Developmental Screening
These medications are the primary treatment for managing the positive symptoms of schizophrenia.
What are first-generation antipsychotics?
The management of withdrawal from a substance requires this as part of their treatment plan.
What is rest, adequate nutritional support, and potentially medication-assisted treatment
What interventions could a nurse discuss with a family member of a patient experiencing caregiver-role strain?
What are support services or respite care?
If the patient is not ready to take action against their abuser at this time, what should the nurse ensure the patient has available?
What are community resources and support services?
This term describes the physical and psychological symptoms that occur when a person stops using a substance they are dependent on.
What is withdrawal?
Common symptoms of this childhood disorder include difficulty maintaining attention, hyperactivity, and impulsive behavior.
What are the symptoms of ADHD?
This intervention focuses on helping patients with schizophrenia develop social skills and improve their interactions.
What is social skills training?
This condition involves severe confusion, hallucinations, and the potential for seizures due to alcohol withdrawal.
What is delirium tremens?
This consideration involves ensuring that patients have access to regular follow-up appointments and ongoing support from healthcare providers.
What is continuity of care?
This psychological state, characterized by persistent negative thoughts about oneself, can be a sign of
What are self-deprecation, self-doubt, and negative thoughts?
When a child displays intense fear or anxiety, regresses to previous developmental stages, and shows injuries on the back, buttocks, or thighs that appear to be at different healing stages, the nurse should consider __and___?
Abuse, and is legally mandated to report to protective services.
An appropriate care plan for a child with ODD would include?
Complies with treatment by participating in therapies without negativism.
Accepts responsibility for their part in the problem.
Takes direction from staff without becoming defensive.
Does not manipulate other people.
Verbalizes positive aspects about self.
Interacts with others in an appropriate manner
What term describes sensory experiences that appear real but are created by the mind, often occurring in psychiatric conditions?
What are hallucinations?
If a patient takes this drug, unpleasant symptoms would occur within 5 to 10 minutes of alcohol ingestion.
What is Disulfiram (Antabuse)?
What assessment tool is commonly used by nurses to evaluate cognitive function in patients, including orientation, attention, memory, and problem-solving abilities?
What is the Mini-Mental State Examination (MMSE)?
Abusers often plan before the abuse takes place. What are the three things they consider?
Where (place)
When (when no one is around)
How (where there are no visible marks)
An adolescent who presents with GI upset, hypoactive reflexes, ataxia, abdominal pain, and nausea/vomiting may be abusing what substance?
What are inhalants?
This disorder was previously known as Asperger's, and each child tends to exhibit a distinct behavior pattern and varying severity, ranging from low functioning to high functioning.
What are Autism Spectrum disorders?
What medication is commonly administered to treat a condition characterized by sudden muscle contractions and spasms?
What is Benztropine?
This term refers to the need for increasing amounts of a substance to achieve the same effect.
What is tolerance?
Primary goal for treating delirium?
What is to identify the underlying cause?
An individual who is a victim of IPV should have a safety plan. What should it consist of?
Move to a room with more than one exit
Know the quickest route out of the workplace.
Have a code word to use with the kids, family, and friends.
Pack a bag beforehand
Include legal documents
What type of delusion involves a person believing they have exceptional abilities, wealth, or fame?
What are grandiose delusions?
What are some common side effects of stimulant medications used to treat ADHD
What is:
Headache, upset stomach, increased blood pressure, growth delay, and difficulty sleeping?
Name three things that formal thought disorder includes.
•Loose associations: Words and phrases are jumbled together without logical connections.
•Neologisms: Making up new words or using existing words in unusual ways.
•Clang associations: Words are chosen based on their sound rather than their meaning.
•Word Salad: a symptom of schizophrenia that involves disorganized and incoherent speech
This demographic is most likely to abuse inhalants, often due to their accessibility and low cost.
Who are adolescents?
What are the common causes of delirium?
Severe illness, electrolyte imbalances, infections, surgery, certain medications, and substance use or withdrawal?
These three questions should be asked and are usually sufficient to reveal IPV, which should be done privately.
1. Have you been hit, kicked, punched, or otherwise hurt by someone within the past year? If so, by whom?
2 .Do you feel safe in your current relationship?
3. Is there a partner from a previous relationship who is making you feel unsafe now?
This cardiovascular condition, characterized by chest pain, is commonly associated with cocaine use.
What is acute coronary syndrome?
What psychiatric disorder is characterized by a pattern of behavior that violates the rights of others and societal norms, including aggression, destruction of property, deceitfulness, and serious rule violations?
What is conduct disorder?
What drug could have these symptoms, including, but not limited to, tardive dyskinesia, extrapyramidal symptoms, neuroleptic malignant syndrome, akathisia, agranulocytosis, and Parkinson-like symptoms?
What are Antipsychotics?
This medication is used to help individuals with opioid addiction by reducing cravings and withdrawal symptoms.
What is methadone?
What is the correct term for a nurse who uses calendars and clocks and introduces themselves along with their title to assist patients with cognitive impairments?
What is reality orientation?
What is reorienting?
Offering toys or art supplies during an interview with a potentially abused child allows them?
Use play as a way to describe what might be happening to them.
What life-threatening condition can occur as a side effect of antipsychotic medications like haloperidol, characterized by symptoms such as hyperthermia, muscle rigidity, altered mental status, and autonomic dysfunction?
What is neuroleptic malignant syndrome?
Many children and adolescents grow up threatened by hardships that put them at risk for?
What is emotional or physical illness?
In what ways can a nurse communicate to help minimize paranoid delusions in a patient with schizophrenia?
Using clear, simple, and direct communication
This drug is used to reverse the effects of an opioid overdose from drugs such as heroin, morphine, or fentanyl.
What is Narcan?
What visual clue might indicate dementia in an elderly patient?
What is poor personal hygiene?
A priorty intervention for an individual who has just been raped involves?
Providing continuous support and emotional care.
This symptom involves the repetition of words or phrases, often seen in schizophrenia or autism
What is echolalia?
What psychiatric disorder, which most children display at some point, is characterized by a pattern of angry or irritable mood, argumentative or defiant behavior, and vindictiveness lasting at least six months?
What is Oppositional Defiant Disorder (ODD)?
What type of delusion involves a person believing they are being persecuted, conspired against, poisoned, or stalked?
What are paranoid delusions?
What type of therapy involves helping patients understand their addiction, identify triggers, and develop coping strategies to maintain sobriety?
What is cognitive-behavioral therapy (CBT)?
What disease process involves the rapid onset of difficulty concentrating, listening, cognitive impairment, or understanding information?
What is delirium?
This communication technique involves acknowledging the victim's feelings and experiences to show empathy and support.
What is validation?
Which patient should a nurse assess first?
A patient who can't remember what happened after a party.
A patient with altered mental status
A patient with chest pain after ingesting poison
A patient with stable vital signs but reporting dizziness
A patient with chest pain after ingesting poison
What treatments should patients with ASD receive?
Behavior modification therapy, parent training, and school accommodations
What potential consequence might a patient experience if they abruptly stop taking a first-generation antipsychotic medication?
What is the risk of relapse or worsening of psychotic symptoms?
What would be the most essential assessment for an individual with a rapid onset of cognitive impairment?
What is a priority intervention for a patient with Alzheimer's in the end stages?
What is fluid and nutritional status?
Documentation in the Emergency Department for a patient who has been raped should?
Ensure that all documentation is accurate and thorough, as it serves as legal evidence.
This neurological symptom, marked by intense shaking and convulsions, may also be accompanied by severe hypertension and is a complication of alcohol withdrawal. It can be managed short-term with a benzodiazepine.
What are seizures from the withdrawal of alcohol?
ODD may progress to Conduct Disorder, and both may lead to a greater risk for?
What is antisocial personality disorder in adulthood?