Miscellaneous 1
Weight loss > 30% over 6 months
Heart rate < 40 BPM , SBP < 70 mm Hg
Body Temperature < than 36 degree C
EKG abnormalities
Electrolyte imbalance
What are signs and symptoms of a person with Anorexia Nervous who needs hospitalization?
Disorder in a child or adolescent characterized by defiant behavior against authority figures. Manifestations may include disobedience, hostility, argumentative, refusal to compromise etc.
What is Oppositional Defiant Disorder?
The recurrent failure to resist impulses to to pull ones hair.
(Can be eyelashes, eyebrows or hair of arms or head)
What is Trichotillomania?
(Hair pulling disorder)
An unrealistic or inaccurate interpretation of physical symptoms or sensations, leading to a preoccupation about having the fear of a serious disease.
What is Illness Anxiety Disorder.
Also know as hypochondriac
At least one episode of Mania alienating with major depression.
What is Bipolar 1?
Psychotic thinking or behavior greater or equal to 6 months. Functioning and relationships are significantly impaired.
What is the definition of Schizophrenia?
Examples: Modeling, Operant Conditioning, Systematic Desensitization, Aversion Therapy
What are types of Behavioral Therapies.
Patient may display calluses on the knuckles, self induced vomiting, enlargement of the parotid gland, tooth erosion , metabolic alkalosis or metabolic acidosis.
What are signs and symptoms of a person with Bulimia Nervosa ?
Persistent behavior in children or adolescents that violates the rights of others and disregards societal norms. Some manifestations are cruelty towards animals or people, bullying, lies and steals.
What is Conduct Disorder?
Recurrent thoughts or ideas that an individual is unable to put of one's mind and actions or rituals bring the person relief.
What is Obsession - Compulsion disorder?
This disorder involves conscious , intentional faking of physical or psychological symptoms.
What is a Fictitious Disorder?
Most common term is Munchausen syndrome
One or more hypomania episodes , alternating with Major Depression.
Bipolar 2
Hallucinations, delusions, delusions, strange motor movements, speech alterations and agitation.
What are positive symptoms of a psychotic disorder.
Allows members to share common feelings and experiences, learn alternative ways to solve problems.
What is group therapy?
This patient with this form mental illness may experience physical manifestations that are the result of psychological factors without any evidence of physical pathology.
What is Somatic Symptom Disorder?
A condition characterized by inattention to detail, hyperactivity , and impulsivity.
What is ADHD?
The fear of being in places or situations from which escape might be difficult.
What is Agoraphobia?
This Disorder is characterized by two or more personalities in a single person.
Dissociative Identity Disorder.
Formerly called Multiple Personality Disorders
Maybe the most prescribed medication for the Treatment of Bipolar Disorder
What is Lithium?
Needs 2-3 liters of fluids and adequate sodium intake.
Therapeutic level is 0.6 - 1.2
Haldol and Thorazine
Examples of Conventional antipsychotic medications
The use of electrical activity to induce a seizure, which may enhance the effects of neurotransmitters in the brain.
What is ECT?
To stay sober and help others with ETOH addiction achieve sobriety through peer support.
What is the purpose of AA?
A genetic neurodevelopment disorder that affect an individual's ability to communicate, and interact with other people. ( various levels)
What is Autism?
The inability to discard or parting of possessions , regardless of their value.
What is hoarding?
This Mental Disorder is marked by symptoms or deficits affecting one fo the five senses. Symptoms include loss of sense of touch, double vision to blindness, deafness, paralysis or even hallucinations.
What is Conversion Disorder?
Two years of repeated hypomanic episodes alternating with minor depression.
What is Cyclothymic Disorder?
Personality is impaired , but not as much as a person with known schizophrenia.
What is Schizotypal Personality Disorder?
Occurs every day for more than 2 weeks with 5 or more symptoms: depressed mood, insomnia, excess sleeping, difficulty concentrating, suicide ideation.
What is MDD ?
Denial
Anger
Bargaining
Depression
Acceptance
What are the 5 stages of Grief as researched by
Kugler-Ross?
The presence of multiple motor tics and one or more vocal tics, which may present simultaneously or at different times.
What is Tourettes Disorder?
The exaggerate belief that one's body is deformed or defective in some shape or form.
What is Body Dysmorphic Disorder?
This disorder is characterized by a temporary change in the quality of self awareness, which often takes the form of feelings of unreality , changes in body image, feelings of not being in touch with the environment or even a feeling of an out of body experience.
What is Depersonalization - Derealization Disorder?
Mood swings, restlessness, flight of ideas , pressure speech, grandiosity, poor judgement, neglect of ADLs, Anergy, flat affect , possible risk of suicide.
What are manic and depressive symptoms of Bipolar?
Patient exhibits psychotic thinking for at least 1-6 months. May or may not affect social or occupational functioning.
What is Schizophreniform Disorder?
Tension building
Acute battering
Honeymoon
What is the cycle of Violence?
If a patient consumes ETOH while on this medication may experience unpleasant side effects.
What is Antabuse?
A disorder with the onset during the developmental period that includes both intellectual and adaptive functioning deficits in conceptual , social and practical domains. Measured by IQ.
What is an Intellectual Development Disorder?
Exposure to a traumatic event from rape to military combat, may include flashbacks, guilt, anxiety, and detachment from others.
What is PTSD?
The number one cause which produces a Dissociative Response.
Anxiety!
The stress becomes overwhelming and personality becomes disorganized. Usually the responses go into aremission until the next uncontrollable episode of Anxiety.
Anti-epileptics used also in the treatment of Bipolar.
What are Tegretol and Depekote
* carbamazepine and Valporic Acid
This client experiences psychotic thinking behavior for 1- 6 months. May not affect social and occupational functioning.
What is Schizophreiform Disorder?
Trained nurse that examines and collects forensic evidence
What is a SANE nurse?
Sexually Assault Nurse Examiner
Defense mechanism a person Alzzheimer's disease may use?
Denial, Confabulation and preservation.
1. refuses to believe changes are taking place
2. Makes up stories to prevent admitting they do not remember.
3. Repeats phrases to avoid answering questions.
Provide high calorie portable snacks , 1:1 observation
Nursing care plan interventions for a person in a manic phase.
Patient meets the criteria for schizophrenia and Bipolar disorder.
What is schizoaffective disorder.
Absence of things that are normally present such as :
5 A's: flat affect, alogia ( decreased thought or speech), Anergia ( lack of energy) Anhedonia ( lack of pleasure) , and Avolition ( lack of motivation).
What are negative symptoms of a psychotic disorder?
other S&S include disorganized thinking poor problem solving, difficulty concentrating, SI,