Name that Disorder
A Neuro cognitive disorder characterized by memory loss, loss of executive functions, poor judgement and changes in mood and personality. Stages are early, middle and late. Associated with tau protein and neurofibliary tangles in the brain.
what is Alzheimer's Disease
Developed in the 50s, they are dopamine antagonists, ex. are haloperidol and chlorpromazine. Best used to treat "positive" symptoms with little effect on the "negative" symptoms.
What are first generation antipsychotics
A major drawback for all these types of drugs is that it can take 2-6 weeks for an improvement in mood.
what are antidepressant meds?
"I think you should go back to your boyfriend and tell him you're sorry". This type of communication is...
what is giving advice?
I have an acute onset with noticeable disturbances in consciousness and symptoms of disorientation and confusion. I am usually secondary to a underlying condition such as infection but I'm often mislabeled as dementia.
What is delirium?
A set of disorders grouped in 3 clusters, Cluster A,B, and C.
What are Personality Disorder
A EPS side effect of 1st gen antipsychotic. Presents as a sudden sustained contraction of the muscle s in the head and neck. Appears frightening but is uncomfortable and easily treated with IV or IM diphenhydramine.
What is acute customized
These antidepressants block the reuptake of serotonin so it remains available in the synaptic cleft. These are the first line treatment for depression and can also be used to tx some anxiety disorders such as OCD and bulimia nervosa.
what are ssri's?
Patient states " I can't sleep. I stay awake all night". Nurse: " you are having difficulty sleeping "? What therapeutic technique is the nurse utilizing?
What is restating
I am the intentional threat that causes a person to be fearful that they will be harmed. I am an intentional tort. I'm often confused with battery.
What is assault?
Develops gradually and insidiously usually beginning between 15-25 y.o. Is associated with at least one psychotic symptom such as hallucinations, suspiciousness and/or eccentric or disorganized speech or though.
What is schizophrenia
A persistent EPS involving involuntary rhythmic movements. More common with 1st gen is usually seen after prolonged use of med and often will continue after med is dc'd. Nurses will use the AIMs worksheet to assess and monitor.
what is tardive dyskinesia
A rare and life threatening event associated with SSRI use. The symptoms include abdominal pain, diarrhea, sweating, fever, tachycardia, elevatBP, altered mental status, myoclonus, irritability, hostility.
What is serotonin syndrome?
Physical appearance, tone of vpive, body posture, eye contact, hand gestures fidgeting etc are examples of?
what is non_verbal communication
I must have a provider order before being used. I need to be documented on every 15 minutes. When I am in use someone must observe me and provide nutrition, hydration and elimination. Staff must assess vitals, circulation, ROM when I am being used. Once removed another order must be sought before reapplication
what is restraint/s?
Most common psych disorder in US affecting 17 million adults. Is characterized by a depressed mood lasting for a minimum of 2 weeks can be 5-6 months becoming chronic. Symptoms include sadness and loss of pleasure or interest, feelings of emptiness and hopelessness. Can lead to suicidal behavior.
What is Major Depressive Disorder
Also referee to as atypicals, are serotonin and dopamine antagonists are equally effective in positive symptoms and may also help with negative symptoms. Examples are clozapine and risperidone.
what are second generation antipsychotics
This type of antidepressant is lethal in overdose and must be used with extreme caution. Side effects are anticholinergic such as dry mouth, constipation, urinary retention, blurred vision, hypotension. Examples are amitriptyline, amoxapine, doxepin, imipramine, nortriptyline.
What are tryclyclic antidepressant s (tca's)
Therapeutic touch can help convey warmth and support. When is this technique contraindicated?
What is sexual/physical abuse?
I have a small window between therapeutic and toxic levels.I must reach therapeutic blood levels to be effective and this takes7-14days. Nurses need to watch for excessive diarrhea, vomiting and sweating which leads to dehydration. Client needs well educated on when to call provider on side effects and toxicity symptoms that can be life threatening. I am used to tx bipolar disorder
what is lithium?
Fear of gaining weight, distorted body image and restricts food intake. Uses compensatory behaviors such as purging such as self induced vomiting, use of laxatives and/ or excessive exercise.
What is anorexia nervosa
This 2nd generation med initially dramatically improved negative symptoms. But it was soon noted it causes severe neutropenia in 0.5-1% of patients. Patients on this med must have strict monitoring of Absolute Neutrophil Count (ANC). It causes many other life threatening conditions . it must have FDA approval to be used at all.
What is clozapine?
Most commin is phenelzine. These are rarely used due to dietary restrictions of tyramine and tryphtophan. Severe hypertensive crisis results from ingestion of tyramine rich foods most common are aged, fermented, pickled or smoked meats such as cheese, wine and beer, sour cream, Lebanese bologna, fava beans, dry sausage, bananas, figs, raisins and soy sauce. Patients must be off of SSRI,SNRIs and TCAs for at least 2 weeks.
What is Monoamine oxidase inhibitor s MAOIs. Most common phenalzine.
The nurse asks " why didn't you leave when he kept hitting you"? This is examp!e of whst?
what is non-therapeutic communication
The nurse is assessing a 8 yo child in the ER. The nurse assesses injuries to the child's upper arms, back and backs of legs in various stages of healing. When asked how all the bruises happened the child makes no eye contact and shrugs shoulders saying " I don't know". What should the nurse suspect
what is child abuse?