Substance Use
A nurse notices medication missing on a co-worker's shift. What do they do?
Report immediately to nursing supervisor
Conversion disorder
sudden and debilitating physical symptoms not otherwise caused by organic reasons
Serotonin Syndrome
Symptoms: agitation, confusion, hyperthermia, and increased heart rate
What does clonus look like?
Occurs when combination of serotonergic medications
A nurse is caring for a teenager diagnosed with conduct disorder. What is the nurse's priority intervention?
Safety plan to prevent self-harm or aggression towards others
Types of abuse
Neglect
Abandonment
Financial
Physical
Sexual
Emotional
Verbal
Exploitation
Disulfiram patient education teaching by nurse
Avoid alcohol, including cough-syrup with alcohol, to avoid negative side effects
Compassionate Care
Always do thorough physical assessment and history, despite possible multiple drs/ED visits
CBC with diff
Clozapine therapy monitoring lab test
Watch out for white blood cell count!
Caregiver neglect
Caregiver rejection
Lack of role model
Negative peer influence
POSSIBLE Contributing factors for developing conduct disorder
Burns
Bruising on abdomen or back
Injuries that look like specific objects
Multiple healed fractures
Signs of physical abuse of a child
CAGE Questionnaire
For who?
C-
A-
G-
E-
Nurse therapeutic response to conversion disorder
Focus instead on underlying psychological stressors and alternative coping strategies.
Neuroleptic Malignant Syndrome
Symptoms: Muscle stiffness, especially in the context of antipsychotic medication use, may be an early sign of extrapyramidal side effects (EPS) or the potentially life-threatening
Muscle rigidity
Hyperthermia
Autonomic instability
Altered mental status (confusion/agitation)
ADHD Interventions?
Positive reward system
Medication treatment plan and monitor for side effects
Cal, firm, respectful approach
Therapeutic response for crisis victim
“It sounds like you are feeling guilty about being out alone.”
Chronic ETOH abuse presents with confusion and memory impairment
Thiamine deficiency -
Korsakoff
Assessment findings for anorexia nervosa
Significant weight loss
Extremely low body mass index
Obsessive thoughts about food and weight
Bradycardia
Hypotension
Hypothermia
Medication: Lamotrigine
Findings: rash
What to do: DISCONTINUE
CNS Stimulants
Common psychopharmacology treatment plan for ADHD
Situational Crisis
Maturational Crisis
Adventitious Crisis
Situational (internal): unanticipated loss or change experienced in everyday life events (divorce or job change)
Maturational (external): New developmental stages (getting married/retiring)
Adventitious: natural disasters, crimes, large-scale psychological trauma
What is your theory of effective substance abuse treatment?
?
Assessment findings for Bulimia
abusing laxatives, extreme fasting, and participating in exercise "boot camps"
Extrapyramidal Symptoms (EPS)
Antipsychotics
Examples: Haloperidol, Seroquel, Risperidone
Nursing intervention for 1st of Maslow's hierarchy of needs in ASD
Priority meeting basic needs including nutrition and sleep
Effective communication strategy for patient experiencing crisis
Ask questions related to the client's feelings and event