Psychiatric Nursing: Psychotic, Mood, Personality and Addictive Disorders

Personality Disorders

100

These are general characteristics in most/all personality-type disorders

Inflexibility

Disability in interpersonal relationships that impair functioning

200

Cluster A personality disorder is characterized by... 

Odd and eccentric behavior

300

Elements of DBT include....

Mindfulness

Distress tolerance

Emotion regulation

Interpersonal effectiveness

400

"Bryanna is the only nurse who understands me! She said that I could keep my cell phone, and strings in my pants."

This is an example of...

Staff-splitting

500

Diagnoses under the cluster-C personality disorder sub-type

Dependent

Avoidant

Obsessive-Compulsive

Theories

100

Strong family component

Dysregulation of neurotransmitters (serotonin, norepinephrine and dopamine)

Stressors affect levels of transmitters in the brain

Biological theory of depression

200

Early life experiences lead to negative, illogical and irrational thoughts leading to emotions

Cognitive theory of depression

300

Seligman

Theory of learned helplessness

400

According to this neurobiological theory, ____ is the result of dysregulation: excess of dopamine and reduction in glutamate

Schizophrenia

500

The psychoanalytic theory of schizophrenia

The psychodynamic approach views schizophrenia as the result of the disintegration of the ego. 

It is the ego's job to keep control of the id's impulses and strike a compromise between the demands of the id and the moral restrictions of the superego.

Medications

100

WHAT CLASS OF MEDICATION ARE FLUOXETINE, PAROXETINE, AND SERTRALINE ?

SSRI's

200

These medications are a common chemical restraint

Haldol (Haloperidol)

Ativan (Lorazepam)

Cogentin (Benztropine)

Benadryl (Diphenhydramine)

300

A second generation antipsychotic

Clozaril (Clozapine)

Caplyta (Lumateperone)

Latuda (Lurasidone)

Zyprexa (Olanzapine)

Invega (Paliperidone)

Seroquel (Quetiapine)

Geodon (Ziprasidone)

Abilify (Aripiprazole)

400

This medication is not often a first choice treatment for depression due to the significant sexual/reproductive side effects

Paxil (Paroxetine)

500

Lipid panel, HgB A1C, (CBC- *WBC), and EKG should all be monitored during this therapy

Antipsychotic (typical and atypical)

Substance Use Disorders

100

An opiate antagonist that can be used to prevent/reverse an overdose

Narcan (Naloxone)

200

____ alcohol withdrawal is when the client experiences 5-6 symptoms.

Moderate

300

Peaks 2-3 days after last use, and is characterized by a clouding of sensorium, hallucinations (A/V/T), anxiety, agitation, tremors and sweating. 

Alcohol withdrawal delirium (DT's)

400

Name (any) TWO medications used in the treatment of an individual with substance use

Revia (Naltrexone)

Antabuse (Disulfiram)

Methadone

Subutex/Suboxone (Buprenorphine)

500

A dopamine-receptor agonist used in the treatment of Cocaine dependence

Parlodel (Bromocriptine)

Psychosis

100

"I know that everyone can hear my thoughts about my work with the FBI"

Thought broadcasting

200

These improve the NEGATIVE symptoms of schizophrenia-related disorders

Atypical (second-generation) antipsychotics

300

A diagnosis with symptoms that includes hallucinations, delusions, depression, and/or mania

Schizoaffective disorder

400

Alogia, avolition, anhedonia, and attention deficits

Negative symptoms of schizophrenia

500

You notice a client is experiencing excessive drooling, lip-smacking, new-onset fever and rigid movements. 

What do you suspect they are experiencing AND which medications would you want to obtain an order for? Which route?

Extrapyramidal symptoms (EPS)

HOLD current antipsychotic therapy

Intramuscular (IM) Cogentin (Benztropine) / Artane (Trihexyphenidyl)