I'm not Crazy
Confabulation is a symptom of this cognitive disorder
What is dementia
An intense fear of gaining weight or becoming fat even though underweight is associated with what disorder
What is anorexia nervosa
mental processes of perception, memory, judgment, and reasoning
What is cognition
What is memory loss
Define "elderspeak"
Elderspeak is a way of communicating with older adults, that is, infantile, over-simplistic, over-solicitous, and demeaning.
When a patient is threatening suicide, is it crucial to ask about these two things
What is a plan and means?
Your patient is anxious about his upcoming surgery. He says "What if I wake up in the middle of the procedure. What if I die."
A calm approach and reassurance will help the anxious patient
Nurses do this to orient older patients with dementia
Increasing verbal and environmental cues (e.g., signs indicating bathroom and room locations)
This medication's toxicity is characterized by uncoordinated movement
What is lithium
It takes this long for lithium to reach therapeutic levels in the body
7 to 14 days
Describe how to communicate with an Alzheimer's patient
Placing self directly in front of the patient and using pictures or symbols is helpful.
Explain substance induced delirium. Give three examples
Caused by withdrawal from a substance, intoxication with a substance, or side effects from a medication.
Anesthetics, analgesics, sedative-hypnotics, any products with anticholinergic activity (tricyclic antidepressants, antihistamines, theophylline derivatives, and antipsychotics), histamine (H2)-receptor blockers (e.g., famotidine, cimetidine, and ranitidine), beta blockers and nonsteroidal antiinflammatory drugs (NSAIDs)
Because of the manic patient’s abbreviated focus, eating an entire meal may not be possible. How could you encourage nutrition
Offering a small amount of high-energy foods and drinks every hour will support nutrition
Alzheimer's patients receiving this medication should be monitored for active or occult GI bleeding.
What is donepezil?
What is the difference between dementia and delerium
characterized by a change in overall cognition and level of consciousness over a short time. Dementia is characterized by several cognitive deficits, memory in particular, and tends to be more chronic. The difference between the two conditions is that delirium is an acute condition that requires immediate treatment, and is reversible, whereas dementia is a chronic condition that is irreversible
Effective antidepressant therapy puts a patient at increased risk of this r/t increased energy
What is suicide
Define the following:
agnosia - aphasia - alexia - apraxia
Agnosia is the inability to recognize an object and use it as intended. Expressive aphasia is difficulty in expressing oneself. Alexia is the inability to recognize the written language. Apraxia is the inability to do an activity despite having the motor function to accomplish it.
Define peripheral neuropathy
numbness and muscle weakness of the extremities
This disorder causes remembrance of events that produces feelings of intense horror, with recurrent symptoms of anxiety and nightmares or flashbacks.
What is PTSD?
How does vascular dementia occur?
Vascular dementia occurs from brain tissue becoming hypoxic and necrotic in local areas due to small emboli. The deficits may be intellectual or loss of sensory function.
Explain an obsession vs. a compulsion
an obsession, recurrent, or intrusive thoughts that he cannot stop thinking about, and these thoughts create anxiety. A compulsive act is an act that the person feels compelled to perform.
Name nursing interventions that are an alternative to restraints
Nursing interventions that can be used as an alternative to restraints include assigning a sitter for one-on-one observation, reducing noise, and keeping the patient close to the nurse’s station
Explain characteristics of bulimia nervosa
Patients with bulimia nervosa induce vomiting after consuming large quantities of food. This binge eating occurs in a frenzied state and usually in secrecy; afterward, the patient experiences feelings of shame and self-criticism. Laxatives may be taken to purge the system after the binge.
What disorder are these medications used for:
Diazepam(Valium) -
Rivastigmine(Exelon) -
Diazepam(Valium) - anxiety
Rivastigmine(Exelon) - Alzheimer's Disease
What is ECT? When is it chosen as a treatment option?
ECT is the oldest form of brain stimulation therapy used for severe depression. After several regimens of medication are unsuccessful, or if the patient is severely depressed or actively suicidal, ECT is considered