Psychotic Disorders
Assessment findings of psychotic disorders to include:
hallucinations, delusions, alterations in speech, bizarre behavior
What are positive symptoms?
Drug classification to include:
SSRIs, SNRIs, TCAs, MAOIs
What are antidepressants?
Key features of this disorder include: obsessions of contamination/order/symmetry/etc.
compulsions of: cleaning/washing/arranging/checking/counting
What is Obsessive-Compulsive Disorder?
Activity highly encouraged during inpatient treatment, for the patient to have an opportunity to discuss and address psychological concerns with a trained therapist.
What is Group Therapy?
The use of manipulating eating behaviors in an effort to control weight.
What are Eating Disorders?
(Anorexia, bulimia, binge eating)
Disruptions in thinking, perception, and behavior; making it difficult to distinguish between what is real and what is not.
What is psychosis?
Therapeutic level:
0.8-1.2 mEq/L
What is Lithium?
What is Bipolar II disorder?
Asking for: SI, HI, anxiety, depression, mood swings, racing thoughts, auditory/visual hallucinations, sleep, medication compliance, hygiene, etc.
What is a Nursing Assessment?
Neurodevelopmental disorder characterized by impulsivity, inattention, hyperactivity; which can interfere with school, work, daily functioning and relationships.
What is ADHD?
Recognizing cluster of symptoms:
Lack of motivation, lack of interest, lack of energy, isolation, absence of speech, lack of emotions.
What are negative symptoms?
Benzodiazepines
Antihistamines
Beta blockers
& some antidepressants
What are anxiolytics?
Severe recurrent temper outbursts with verbal and physical rage, 3 or more times a week. Meets overlapping criteria with oppositional defiant disorder, but is more severe.
What is Disruptive Mood Dysregulation Disorder?
(DMDD)
Recognizing involuntary movements of the tongue and face, such as lip smacking. Involuntary movements of the arms, legs, and trunk.
What is Tardive Dyskinesia?
A severe form of PMS with significant mood swings, irritability, anger, depression, and can be disruptive.
What is Premenstrual Dysphoric Disorder? (PMDD)
Disorder in a patient has a combination of psychotic symptoms, cognitive impairments, emotional difficulties, and disrupts the ability to perceive reality accurately. Manifests with positive and negative symptoms.
What is Schizophrenia?
Clozapine, Quetiapine,
Lurasidone, Ziprasidone
Olanzapine, Paliperidone
What are second-generation antipsychotics?
Personality disorder with a patient detaching from social relationships and having a limited range of emotional expression. Preferring solitary activities, and appearing emotionally cold or indifferent to others.
What is Schizoid Personality Disorder?
Recognizing S/S: muscle rigidity, sudden high fever,
BP fluctuations, diaphoresis,
tachycardia, decreased LOC
What is Neuroleptic Malignant Syndrome?
Behavioral condition that is diagnosed in childhood and adolescence by angry, irritable moods, argumentative or defiant behavior and vindictiveness.
What is ODD?
Meets criteria for schizophrenia, (delusions, hallucinations, disorganized speech/behavior, negative symptoms) AND combines a major mood episode present (depressive or manic)
What is Schizoaffective Disorder?
Drug classification used as a mood stabilizer that can decrease efficacy of birth control
What are antiepileptic drugs?
(Carbamazepine, Valproic acid, Lamotrigine)
Sort the personality disorders according to cluster:
1. Antisocial, borderline, histrionic, narcissistic
2. Paranoid, schizoid, schizotypal
3. Avoidant, dependent, obsessive-compulsive
What are personality disorder clusters?
1. Cluster B
2. Cluster A
3. Cluster C
Recognizing S/S starting 2-72 hours after starting antidepressant treatment:
confusion, agitation, poor concentration, hostility, disorientation, hallucinations, delirium, seizures, tachycardia, diaphoresis, n/v/d
What is Serotonin Syndrome?
Disorder where a patient reports falsification of physical or psychological manifestations to gain fulfillment of an emotional need for attention. Can be imposed by self or on another.
What is Factitious Disorder?