Schizophrenia & related disorders
Risk factors for schizophrenia include...
Male gender and genetics
Anorexics typically have this comorbidity....
What is OCD?
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?
Occurs when the nurse transfers or responds their personal feelings to a patient who reminds them of their own family member or friend.
What is countertransference?
Anhedonia, poor hygiene, lack of social skills, lack of emotion...
What are negative symptoms of schizophrenia?
Clients with anorexia continue to have this belief.
What is the feeling that they are fat?
Important education for a client taking an SSRI includes...
What is reporting an increase in suicidal ideations?
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
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?
Hallucinations, delusions, paranoia....
What are positive symptoms of schizophrenia?
The term for when a client who was in the military experiences the feeling that they are back in the war...
What is a flashback?
One of the best communication strategies to improve the orientation of a client.
What is call the person by name everytime you see them?
Providing an older client with dementia with a PRN benzo can have this effect.
What is the increased risk of falls?
Three reasons a person will be a 302.
What is danger to self, danger to others, and unable to care for self?
A disorder that includes disturbance of thought & mood
What is schizoaffective disorder?
When refeeding syndrome is suspected, it is vital to...
What is assessing lung sounds and peripheral edema?
These types of antipsychotics have the fewest side effects.
What are second-generation antipsychotics?
The recommended diet which promotes cognitive function in adults.
MIND diet
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 this instance.
What is when the client threatens the life of another individual?
This phase of schizophrenia is where the client is withdrawn and has fewer delusions.
What is the prodromal phase?
What is panic?
A shuffling, propulsive gait, masklike face, and drooling side effects caused by antipsychotics.
What is Pseudoparkinsonism?
Term refers to recognizing emotions, and being able to theorize what others are thinking.
What is social cognition?
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?
It is imperative that a nurse working with a client in a panic ensures they...
What is the feeling that they are safe?
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
Aggressive
Demonstrating self-injurious behaviors
Delusional/Paranoid
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?
This model assists in identifying risk factors or vulnerabilities for stress.
What is the diathesis-stress model?
A potential adverse effect of atypical antipsychotics may include sore throats and muscle aches. This could lead to....
What is agranulocytosis?
Interventions for a client experiencing delirium (name 5)
Monitor neurological status
Monitor vital signs
Decrease Stimuli
Arrange for a 1:1
Assess for pain
Assess if the client needs fluids/food/elimination
Sign that a client is escalating in anger (includes physiological and psychological). Name 3
Who is a client that...
Has increased blood pressure
Has tachycardia
Pacing back and forth
Has clenched fists
Is yelling at other clients
The historical nursing leader who helped focus practice to recognize the importance of science in psychiatric nursing...
Who is Hildegard Peplau?