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100
List the parts of an MSE
1.General Description 2. Emotional State 3. Thought Process 4.Thought Content 5. Sensorium and cognition
100
what is a somatization disorder
physical symptoms (nausea) without a cause. Used as a way to deal with anxiety
100
1. What are EPS a side effect of? 2. list the 3 categories and explain
1. antispychotics 2. -Dystonia: involuntary muscle contractions of eyes face neck -akathesia: restlessness, rocking, repetitive movements -pseudoparkinsonism: tremor, rigidity, shuffling. cognitive impairement
100
1. what drugs is NMS a S/E of? 2.List the symptoms of NMS
1. antipsychotics 2. increased pulse fever changes in BP agitation incontinence decreased LOC slurred speech tremor
100
What is countertransference
When the nurse transfers feelings to the client
200
1. what is the CAGE assesment for? 2.list the components of the CAGE assessment
1. alcoholism assessment 2. C: ever felt the need to "cut down" A: ever "annoyed" at peoples comments about drinking G: ever feel "guilty" about drinking? E: ever need and "eye-opener" to calm nerves in the AM?
200
Explain the sensorium and cognition part of an MSE (list some of the assessments within this category)
-LOC -orientation and memory -concentration and attention -abstract thought -information and intelligence -judgement and insight** important **
200
Name some differences between dementia and delirium 9(2 disgusting features of each)
Delirium: Dementia: -rapid onset -gradual onset -acute -no perceptual changes -specific cause -hallucinations and illusions
200
What are some ways that you can assess concentration and attention
spell a word backward recite the alphabet backward
200
economic issues and issues that prevent axis to health care can be classified under which DSM axis?
Axis IV
300
Schizophrenia, somatoform disorders and anxiety are classified under which DSM IV axis??
axis I
300
1.What is CIWA 2. What is the basic protocol?
1. assessment for alcohol withdrawal that gives a score which is a guide for medical/pharm. interventions 2. the lower the score = less intervention. A score>20 indicates emergency. Call code 66
300
When a pt. discloses delusion thought content what should you focus on (3 things)
1.the feelings associated with the delusion 2. not feeding into the delusional framework 3. not breaking apart the delusional framework (safety concern)
300
Antisocial, BPD, compulsive, narcissism are classified under which DSM IV axis?
axis II
400
What medications are essential during alcohol withdrawal and why (3 key ones)
1. benzos help with withdrawal (same GABA effects as alcohol) 2. thiamine (helps to convert carbs to sugar for brain fxn and reduce swelling ) -reverses wernickes encephalopathy which if untreated progressess to korkoffs dementia which is permanent 3. anticonvulsants (seizure threshold is much lower)
400
What is psychosis
loss of touch with reality often with perceptual disturbances
400
What is delirium tremens?
severe alcohol withdrawal causes decreased LOC, confusion, disorientation, hallucinations, mood changes, agiation
400
What is believed to be 1. the cause for schizophrenia and 2. the prognosis
1. schizophrenia is believed to be caused by excess dopamine 2. there is no cure. It can be managed with treatment (anti-psychotics)
400
List the 5 DSM IV clinical Axis
Axis I: clinical disorders Axis II: personality disorders Axis III: general medical conditions Axis IV: psychosocial environmental conditions Axis V: global assessment of functioning
500
The numerical value assigned to overall level of adaptive functioning called global assessment of functioning is Axis ___ in the DSM IV.
Axis V
500
Distinguish between GAD and panic Attacks
GAD Panic -chronic anxiety -acute - interferes with daily fxn -specific cause
500
some important considerations when working with children and adolescents are (2)
-resiliency -connecting the developmental stage
500
Cardiovascular issues, alzheimers, and diabetes are classified under which DSM axis?
Axis III
500
Name some important point when working with pts with mood disorders (2)
-managing behavior by connecting with the person -walking them through issues, not putting yourself above them