Psych Drugs
Anti-anxiety medications classification?
Azapirones
Benzodiazepines
Beta-blockers
What are principles of mental health?
Do no harm, accept the client as a whole person, develop trust, explore behaviors and emotions, encourage responsibility, adaptation, provide consistency.
What is the DSM-5?
Diagnostic and Statistical Manual of Mental Health disorders used in diagnosing mental illnesses
What are ineffective way of therapeutic communication?
Failure to listen
Giving inaccurate information
parroting
Giving advice
Being defensive
What are behavioral problems seen in childhood?
Colic
Feeding disorders
Sleep disorders
Temper tantrums, Breath holding spells
Antidepressant medication classifications?
Tricyclics (CTAs)
Monoamine oxidase inhibitors (MAOs)
Selective Serotonin reuptakes inhibitors(SSRIs)
Selective Serotonin norepinephrine reuptake inhibitors (SSNRIs)
Atypical antidepressants
what are the steps of crisis intervention?
care is needed right away to reduce the anxiety level
control. The provider must take charge by proving safety
Assessment
Determine the client's disposition
Referral and follow up
Assessment
subjective and objective data
Data collection:use our senses
listen to what the client is saying by the interview
observe to what the client is doing
inspect, auscultate, percuse, and palpate
Types of communication?
Intrapersonal: from within
Interpersonal: communication takes between 2 people or more
Mental health problems in childhood?
environmental (poverty, homelessness)
Parent-child interaction (primary caregiver dysfunction)
Emotional (anxiety, depression, PTDS)
Behavioral (ADHD, disruptive, antisocial, defiant, compulsive)
Developmental
Pervasive: Autism, shcozophrenia
Common anxiolytics side effects/adverse effects?
drowsiness
memory loss
dizziness, headache, hypotension. c
adverse effects: confusion, apnea, seizures
What is holistic assessment?
physical, social, cultural, intellectual, emotional, and spiritual.
Ruesch's Theory of communication?
Communication is a circular process. The message goes from one person to another and back again. It also depends how the message is receive and how it is process.
Warning signs of violence in childhood?
Loss of temper, frequent fighting, vandalism, carrying a weapon, announces the threat to others, uses drugs/alcohol, enjoys hurting animals, engage in risky behaviors, commits violence
Tricyclics adverse reactions?
cardiac dysrhythmias, heart failure, seizures, risk for suicide, avoid in patients with glaucoma (Increase ocular pressure).
What are common emotional client responses (affects)?
Labile: rapid changes in emotions
Inconsistent: affect and mood do not agree
Flat: unresponsive to emotions
Euphoria: excessive feeling or feeling too good
aggression: anger, hostile, rage
agitation
anxiety, depression and fear
What are therapeutic communication skills?
Acceptance, Interest, respect, honesty, concreteness (be specific), assistance, permission, and protection.
What is rumination?
The infant regurgitates and rechews the food. it can happen in infants, children and adults with intellectual disabilities.
Lithium nursing implications?
monitor lithium labs Normal range 0.6-1.2 mEq/L, CBC, BMP, thyroid function panel, VSm mental status, bipolar symptoms (irritable, pacing, rapid speech, hyperactivity)
What mental conditions will the client to have hallucinations?
Schizophrenia
Acute stage of alcohol
Drug withdrawal
Organic brain disorders
Therapeutic communication techniques?
listening, broad opening (What are you thinking about?), restating, clarification, reflection, silence, suggesting.
What is dyslexia?
reading problems, children are able to recognize letter, but have difficulty putting them together therefore they tend to twist, substitute, distort or omit words.