Body Dysmorphic & IDD
True or False
A person with BDD has decreased anxiety after performing rituals.
False
Despite the rituals the anxiety doesn't decrease
What are delusions, hallucinations and concrete thinking?
Positive Syptoms
A client is admitted with acute psychosis. What labs might be done to help determine potential reasons for the symptoms?
What is a toxicology screen?
CBC
Electrolytes
Two components of the patho of Alzheimer's disease?
Enlarged ventricles
shriveled cortex
decreased acetycholine
excess glutamate
senile plaques
neurofibrillary tangles
Misinterpretation of actual environmental stimuli
What is an illusion
True or False
BDD is based on an irrational misperception of body image
True
Receiving special messages from the television or computer.
What is ideas of reference?
Initial nursing approaches for a paranoid client
What is rapport and trust?
Inability to recognize and identify objects
What is Agnosia?
Agnosia: inability to recognize and identify objects
Criteria for Mild neurocognitive decline
What is?
Mild Cognitive decline from prior level
Does not interfere with capacity for independence in daily living
Delirium & other Mental Illness are ruled out
Individuals with BDD will often suffer from other mental health disorders such as substance abuse and other disorders of anxiety.
(True or False)
True
Sang, hang, bang
What is clang associations
Treats both positive and negative symptoms of schizophrenia.
What are atypical or second generation antipsychotics?
•aripiprazole (Abilify)
•clozapine (Clozaril)
•olanzapine (Zyprexa)
•paliperidone (Invega)
•quetiapine (Seroquel)
•risperidone (Risperdal)
•ziprasidone (Geodon)
Approach when you do not worry about orienting to reality.
What is validation therapy?
Inability to perform purposeful actions.
What is apraxia?
Agnosia: inability to recognize and identify objects
Aphasia: loss of ability to express speech
Apraxia: Inability to perform purposeful actions.
What specific treatment strategies/approaches might be used in treatment of individuals with BDD?
•Early Detection/Family History
•Cognitive Behavioral Therapy journals, support groups)
Turn negative into positive
Manage negative thoughts, behaviors & reaction
Limit/reduce rituals
Positive strategies to improve mental health
Medications: No specific medications to treat SSRI’s
Informing an individual of an individuals thought of harm to them
What is duty to warn?
Side effects of:
Weight gain, dyslipidemia, altered glucose
Risk of diabetes, hypertension, atherosclerosis, and increase in heart disease
What is metabolic syndrome? Side effects of second generation antipyschotics.
Defense Mechanisms used in Alzheimer's
Denial
Confabulation
Perservation
Avoidance of questions
Type of assessment when you note a change in the level of consciousness.
What is a neuro assessment?
Which of the following are true regarding IDD. (SATA)
A. It can be mild, moderate or severe
B. It can not be diagnosed until after age 6
C. Primary prevention includes early prenatal care
D. Individuals with IDD will have specific learning needs
E. Looks at conceptual, social & practical domains to determine severity
C, D, E
Mild, Moderate, Severe and Profound
Up to age 18 for diagnosis
•DSM-5 Domains to Determine Severity:
•Conceptual: Academic learning, speech
•Social: Interactions with others
•Practical: Ability for self-care and life management
The inability to experience or even imagine something pleasurable
What is Anhedonoia? Negative symptom of schizophrenia
Acute onset, painful and frightening muscle spasms of the neck, head, & face.
What is acute dystonia? SE of antipsychotics.
Treated with diphenhydramine or benztropine
Which of the following is true regarding Alzheimer's disease? (SATA)
A. Symptoms begin 2-3 years before diagnosis
B. Protective factors may reduce onset
C. Everyone who lives long enough will suffer from it
D. In the mild stage clients may be able to live independently
E. Death from Alzheimer's disease is painful
B and D
6th Leading cause of adult death (US)
50% of long term care clients
Begins long before symptoms occur
Risks related to lifestyle
>65 (Risk increases)
Which of the following is true regarding delirium? (SATA)
A. Always has an acute onset
B. Resolves when underlying cause resolved
C. It poses a significant safety risk
D. Has a genetic predisposition
E. Change in level of consciousness
A,B,C, E