Anger, aggression, violence
Helps resolve conflicts, solve problems and make decisions
What are some positive uses of anger?
Denial, Bargaining, Anger, Depression, Acceptance
What are the stages of Kubler-Ross's theory of grief?
Blunted or flat affect, hallucinations, bizarre speech
What are symptoms of schizophrenia
Chlorpromazine (thorazine), haldol, and fluphenazine
What are older/1st generation/typical antipsychotics?
Early signs of schizophrenia, before psychosis is manifested. For example, reduced interest in activities, social life and change in academic performance.
What is the prodromal phase?
Triggering, escalation, recovery
What are some phases of the cycle of anger/violence?
A man's mistress dies and he cannot go to her funeral or publically grieve her.
What is disenfranchised grief?
Hallucinations, delusions and other manifestations of being out of touch with reality.
What is psychosis?
Olanzapine, risperidone, clozapine and quetiapine
What are newer, atypical, 2nd generation anti-psychotics?
One theory about schizophrenia focuses on higher than normal levels of a neurotransmitter related to hallucinations.
What is dopamine?
Speak firmly, in short sentences, telling them what you expect.
How should a nurse approach a highly agitated patient?
Feelings of grief and loss prior to an actual death, for example related to a fatal diagnosis.
What is anticipatory grief?
A patient is hearing voices tell him to do something when noone is really speaking to him.
What are Command auditory hallucinations?
A potentially life threatening side effect of taking clozapine (clozaril) that manifests in low WBC counts
What is agranulocytosis?
This includes encouraging the patient to attend meals with others, play basketball in the gym, and create art projects as part of their daily schedule.
What is milieu therapy?
clenched fists, facial grimaces, flushed face, loud yelling
What are some signs of increasing anger, risk for violence?
Emotional, behavioral, cognitive, spiritual, and physiologic
What are dimensions of grief?
Toenails, margarine, Betty boop, car horn!
What is word salad?
Lab ordered to determine if patient taking risperidone is at risk of gynecomastia
What is a Prolactin level?
What is medication compliance?
Antisocial Personality disorder, acute mania, Command auditory hallucinations.
What diagnoses are at high risk of other-directed violence?
Making promises or "deals" with God or others in the hopes of preventing a loss.
What is bargaining?
What is an illusion?
A life threatening reaction to anti-psychotic medication use that includes muscle rigidity, high fever and elevated CPK levels (creatinine phosphokinase).
What is neuroleptic malignant syndrome?
This is an evidence based tool that should be administered every time a patient sees their medication provider.
What is the AIMS (Abnormal Involuntary Movement Scale)?