Substance abuse
Defense mechanisms used by drug abusers.
What is denial, rationalization, and blame?
Physical symptoms are caused by psychological issues.
What is somatization? clients believe these physical symptoms are real. examples: smatic symptoms, illness anxiety, factitious, and conversion disorder.
Restrict food intake and purge if they do. Underweight, low vitals signs, lanugo, constipation, lanugo, dental erosions, Russel's sign, amenorrhea, dehydration, organ failures...
What is anorexia nervosa?
Conduct disorder, intermitent explosive, oppositional defiant
What is disruptive behaviors disorders?
What are the risk factors for substance use disorders?
An individual who is afraid to go out on date start complaining of a severe stomach pain.
What is defense mechanism called somatization.
lack control of eating then purge or use laxatives. normal weight, electrolytes imbalance(hypokalemia), dental erosions, Russel's sign, menses irregularity, constipation
What is bulimia nervosa?
Limit setting, acceptance of individuals not behaviors, Reward system, Praise good behaviors, behavioral contracts, Be consistent and firm with consequenses of behavior.
What is nursing interventions for disruptive behaviors?
Assess for neurological and ABC systems first.
What is the priority in care for clients with substance use emergencies?
acknowledge clients symtpoms as real, try to refocus clinet to express their feelings, safety for factiius directed towards a vulnerable person. Assess for depression and anxiety.
What are nursing considerations for clinets with somatic illness.
Eat large amounts of food i one sitting without compensating. Obese or morbidly obese, risk for hyperlipidemia, hypertension, diabetes.
What is binge eating
Ensuring nurses' attitudes and frustrations do not interfere or crowd their empathy to clients with disruptive behaviors
What is nurses' self-awareness
Signs and symptoms of alcohol withdrawal
What are tremors, anxiety, elevated BP, HR, and diaphoresis?
Inattetion, hyperactive, and impulsive.
What are cardinal symtoms of ADHD?
Journaling, Cognitive reframing, CBT
What are therapeutic approaches for eating disorders? Change their perception of food and their body. Outcome: self-awareness and sense of control over eating
Sudden onset, always has a cause, addresing cause treat the disorder.
What is delirium?
The medical emergency alcohol withdrawal symptoms
What is delirium tremens?. Signs- hallucinations, delusions, seizures, very high BP, HR, dysthymia
loss of appetite, elevated BP, insomnia
What is side effect of stimulants? take mediation before 4pm, no caffeine, cough meds, eat healthy breakfast, monitor BP.
Stay with the client during meals and 2 hrs after meals, accompany to the bathroom, monitor exercise, and make behavioral contracts.
What is nursing intervention for eating disorders? expected outcome; normalize food and maintain healthy weight.
Slow progression, leads to cognitive and memory decline over time.
What is dementia?
Detoxification treatment?
What is benzodiazepines as alcohol substitutes (LAMS and PAMS). What is given B6 and B12 and folic acid? Assess for albumin, and give IV fluids. get EKG. Delirium tremens-cardiac monitoring, transfer to ICU..?
methylphenidate, atomoxetine, amphetamines
ADHD medications
Nutritional needs
What is highest priority nursing consideration for eating disorders?
Confabulation, perseveration, denial,
What is defence mechanism used by client with dementia?
medication that ends with LAMs and PAMS
What is benzodiazepines used as alcohol substitutes during detoxification.
Deficit in social interactions, repetitive behaviors, communication challenges.
What is autism spectrum disorder
Hypokalemia and hypernatremia.
What is electrolyte imbalance for anorexia and bulimia nervosa?
Cognitive changes for dementia.
What is aphasia, apraxia, and agnosia?
Disulfiram
What is alcohol abstinence medication given at discharge that can cause seevre reaction if one conusme alcohol?
Jerks, grimaces, sniffs, snorts
What is motor and vocal tics of tourrette disorder?
Art therapy, bibliotherapy, play therapy.
What is therapies specific to children
Cholinesterase inhibitors- Donepezil
What is medication to slow donw demential progression? not a cure. need to be given as early as possible.
Condependency
What is maladaptive family member behavior/relationship with a substance user that enable the with behavior.
An intelligence quotient (IQ) of below 70
Interllectual disability
childhood obesity, dieting at an early age, controlling parents, overachievers, OCD, athletes, female gender...
What are risk factors for eating disorders?
Home safety for clients with dementia.
Remove scattered rugs, Install door locks that cannot be easily opened, Good lighting, Place the mattress on the floor, Store cleaning supplies in locked closets,Secure electrical cord.
CIWAS: Clinical Institutes withdrawal assessment for alcohol.
Used for detoxification protocol. It helps in decision-making on when and how much benzodiazepine to give and if the client is out of danger of delirium tremens for discharge
Factitious disorder.
What if the client falsifies a physical or psychological manifestation in the absence of personal gain by the client other than emotional fulfillment need for attention?
Bradycardia, hypotension, no improvement in outpatient treatment, low temp.
What are the hospitalization criteria for anorexia nervosa?
Safety is the priority due to confusion.
What is delirium?