Schizophrenia & related disorders
Risk factors for schizophrenia include...(name two)
What is...
Male gender
Genetics
Neurobiological changes
Jerking movements and twitching of the face and tongue are referred to as this side effect
What is tardive dyskinesia?
Inability to smell; can occur in dementia
What is anosmia?
This must occur prior to removing restraints
What is the client must demonstrate calm, appropriate behaviors?
Anorexics typically have this comorbidity....
What is OCD?
Anhedonia, poor hygiene, lack of social skills, poverty of thought and lack of emotion...
What are negative symptoms of schizophrenia?
Sudden onset mental status change usually brought on by substances, hospitalization, and infections
What is delirium?
Priorities in caring for a patient in the manic phase...name 3
Safety
Nutrition
Rest/Sleep
Medication adherence
Verbal Deescalation (if needed)
Inappropriate feelings projected onto a patient by a nurse
What is countertransference?
Hallucinations, delusions, paranoia....
What are positive symptoms of schizophrenia?
These types of antipsychotics have the fewest side effects.
What are second-generation antipsychotics?
Assessment used to determine if the antipsychotics are causing a movement disorder
Providing an older client with dementia with a PRN benzo can have this effect.
What is the increased risk of falls?
A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints, referring to this ethical principle.
What is nonmalificence?
Major depression and mania occur during the active phase of this disorder
What is schizoaffective disorder?
Side effects of some antipsychotics which include shuffling gate, drooling, and masklike facial expression
What is Pseudoparkinsonism?
Type of dementia that causes visual/tactile hallucinations and cognitive changes
What is Lewy Body Dementia?
Assess these things when a client is in restraints. Name 2
What is...?
Circulation
Need to use the bathroom
Need to eat
Comfort/basic needs
Confidentiality can be breached in these circumstances...(name 2)
What is....?
This phase of schizophrenia is where the client is withdrawn, has poor concentration, and has religious preoccupation
What is the prodromal phase?
A potential adverse effect of atypical antipsychotics may include sore throats and muscle aches. This could lead to....
What is agranulocytosis?
One of the best communication strategies to improve the orientation of a client.
What is call the person by name everytime you see them?
This is a good technique to use when two clients are arguing in the therapeutic milieu
What is distraction?
A nonpharmacologic treatment utilized to treat a variety of mental health disorders. Focuses on changing a person's thinking patterns.
What is cognitive behavioral therapy (CBT)?
A diagnosis that typically only has a duration of symptoms from one to six months...
What is schizophreniform disorder?
A life-threatening side effect that includes severe HTN, tachycardia, tachypnea, and pyrexia rarely induced by antipsychotics.
What is Neuroleptic Malignant Syndrome?
One of the first things affected by a client with Alzheimer's consists of multitasking, planning, and organization
What is executive functioning?
Name which types of clients should have rooms assigned closer to the nurses' station. (name 3)
Who are clients that are...?
Suicidal/homicidal
Aggressive
Demonstrating self-injurious behaviors
Delusional/Paranoid
Those with frequent anger outbursts
Enacted in 2008, this act requires that insurances cover mental health conditions
What is The Mental Health Parity and Addiction Equity Act?
This complication during pregnancy can actually place a child at risk for developing schizophrenia.
What is a viral infection?
Antipsychotic used for treatment-resistant schizophrenia; decreases suicidal ideations
What is Clozapine?
Term refers to recognizing emotions, and being able to theorize what others are thinking.
What is social cognition?
Sign that a client is escalating in anger (includes physiological and psychological). Name 3
Who is a client that...
Is hypertensive
Has tachycardia
Pacing back and forth
Has clenched fists
Is yelling at other clients
Continuous or absent eye contact
The historical nursing leader who helped focus practice to recognize the importance of science in psychiatric nursing...
Who is Hildegard Peplau?