It's a Bear!
When this is present, experiencing illness becomes a higher likelihood.
What is stress?
Delusions, hallucinations, and disturbed thinking.
What are examples of positive symptoms of schizophrenia?
Stringing words together that rhyme without logical association and do not convey rational meaning.
What are clang associations?
Patient symptoms (bradypnea, AMS, tachycardia, rhinorrhea, myosis) that may lead the nurse to suspect this.
What is an opioid overdose?
High risk with alcohol withdrawal; nursing uses CIWA to score and treat/prevent.
What are seizures or delirium tremens?
How the mind, body, and immune systems communicate to affect each other's functions.
What is psychoneuroimmunology?
Problems with attention, concentration, and memory associated with schizophrenia.
What are cognitive symptoms?
False sensory perceptions not associated with real external stimuli that can include any of the five senses.
Intervention: protect airway, activated charcoal, N-acetylcysteine.
What are treatments for acetaminophen overdose?
Withholding or delaying pain medications care or not engaging with the patient unless absolutely necessary.
What is the nurse's negative response to SUD?
Remember: SUD is a chronic illness, not a character flaw or moral weakness.
Alcohol, drugs, denial, avoidance.
What are examples of maladaptive coping mechanisms?
Anhedonia, lack of motivation, and social withdrawal.
What are negative symptoms of schizophrenia?
Repetition of another person's words.
What is echolalia?
Opioid antagonist; may take several doses to reverse effects of drugs taken.
What is naloxone (Narcan)?
Screening question for suicide ideation.
What is: Do you want to kill yourself?
A symptom of various mental illnesses, but can also be caused by other things like medical conditions, sleep deprivation, and drug side effects.
This treatment affects the postsynaptic blockade of dopamine receptors in the brain and can cause extrapyramidal side effects (EPS).
What are typical (eg: chlorpromazine, haloperidol; target positive signs) or atypical antipsychotics (eg: olanzapine, clozapine; affect positive & negative)?
Remember? Atypical is second generation and has less risk of EPS but more weight gain and risk of metabolic syndrome.
A pronounced increase or decrease in the rate and amount of movement.
What is catatonia?
Moderate patient symptoms (tachycardia, HTN, hyperthermia, mydriasis, diaphoresis, hyperreflexia/clonus) that may lead the nurse to suspect this.
What is serotonin syndrome?
Can be caused by the overuse of SSRIs, MAOIs, MDMA/Ecstasy.
A patient at risk for hurting themselves or others; would not be allowed to leave the hospital.
What is a 72-hour hold?
This treatment can help people with schizophrenia pursue life goals (eg. working, school, etc.), form relationships, and be less likely to be hospitalized or relapse.
What are psychosocial treatments?
Ex: Cognitive behavioral therapy, behavioral skills training, supported employment, cognitive remediation interventions.
An episode that can include delusions, hallucinations, disorganized speech, and grossly disorganized or catatonic behavior.
What is a psychotic episode?
Versus delirium (psychosis caused by medical issues).
A fixed, false belief not held by cultural peers and persisting in the face of objective contradictory evidence.
What is a delusion?
Bradycardia, arrhythmias, hypothermia, AMS, and respiratory depression; symptoms of an overdose of this drug.
What are beta-blockers?
RN documentation during periods of restraint use includes these things.
What are patient circulation/ROM, offering foods/fluids/toileting.