Course Wrap - Mental Health

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Sejune
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50968
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Course Wrap - Mental Health
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2010-11-22 16:38:42
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Course Wrap Mental Health
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Course Wrap - Mental Health
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  1. legal determination that a client can make reasonable judgements and decisions about medical or nursing treatment and other areas of perosnal life
    compentency
  2. freedom to choose and the ability to assume responsibilithy for one's acts
    autonomy
  3. right to receive enough information to make a desicion about tx and communicate the decision to others
    informed consent
  4. performing good acts that benifit others
    beneficience
  5. not acting in a way that cause pain or suffering to self or others
    nonmaleficence
  6. keeping promises
    fidelity
  7. telling the truth
    veracity
  8. spoken
    slander
  9. libel
    written
  10. duty to inform of threat
    tarisoff
  11. used when criminal charges have been lodged evaluates circumstances adn client state of mind at the time of the offense.
    insanity
  12. hold for up to 15 days
    emergency hold
  13. hold up to 6 months
    temporary hold
  14. subject to periodic review, long term care in residential setting
    iondefinante
  15. can a client volunteer to be restrained?
    yes
  16. dislike for self, poor self esteem
    introspection
  17. PMR
    psychomotor retardation, part of psyiologic stability in mood disorders
  18. PMA
    Psychomotor agitation, part of physiologic stability in mood disorders
  19. how to dx depression
    2 weeks or more of depressed mood that lasta all of each day or anhedomia in nearly all activities
  20. severe anhedonia, mood worsens in the morning, eraly morning awakening, excessive guilt, weight loss
    Melancholia
  21. Chronically depressed for 2 year period for adults or 1 year children
    Dysthymic disorder
  22. one week persistent elevated, expansive or irritable mood, and 3 other minors
    Manic episode
  23. This symptom can accur after 1 or 2 weeks of a dose increase of antipsychotic
    Neuroleptic malignant syndrome
  24. This med has anticholinergic effects
    clozaril
  25. Pseudoparkinsonism is a s/e of
    thorazine
  26. hyperglycemia is a side effect of
    seroquel and zyprexa
  27. Priapism s/e of
    Clozaril, risperdal, zyprexa
  28. Prolonged QT interval
    Geodon
  29. orthostatic hypotention is a s/e of
    antipsychotics
  30. Weekly labs for first 6 months on this med, due to agranulocytosis
    Clozaril
  31. WBC needs to stay above 3500, call dr if drops,...what med?
    Clozaril
  32. Tremor, shuffling gain, drooling, rigidity
    EPS
  33. Akinesia
    muscle weakness
  34. restlessness and fidgiting
    akathisia
  35. involuntary head and neck movements
    dystonia
  36. antidotes for EPS
    Cogentin, benedryl
  37. Bizarre face and tongue mvometns
    TD
  38. stif neck and difficulty swallowing
    TD
  39. Severe muscle ridigity and hyperpyrexia up to 107
    NMS
  40. antidote for NMS
    Dantrolene, parlodel
  41. who do mood stabilizing agents work?
    Increase reuptake of norepinephrine and serotinin in the brain
  42. Klonopin
    Anticonvulsant
  43. Tegretol
    Anticonvulsant
  44. Depakote
    Anticonvulsant, first line for bi polar
  45. Lamictal
    Anticonvulsant
  46. Neurontin
    Anticonvulsant
  47. Topomax
    Anticonvulsant
  48. Used for rage control...antihypertensives
    • Catapress
    • Tenex
  49. Lithium range for acute mania
    1 - 1.5
  50. Maintenance range for lithium
    .6 -1.2
  51. Level of toxicity:
    Course hand tremors, mild ataxia, mild muscle weakness and twitching and decreased concentration
    1.5-2
  52. Level of toxicity:
    Blurred vision, ataxia, N&V, diarrhea, slurred speech, blurred vision, tinnitus (like too many beers)
    2 - 2.5
  53. Altered LOC, nystagmus, seizures, coma, oliguria/anuria, arrhythmias, MI, CV, collapse
    above 2.5
  54. Cautious use of lithium with
    diuretics
  55. use of what meds with lithium increases likelihood of toxicity?
    • Motrin
    • Celebrex
  56. S/E unique to depakote
    pancreatitis
  57. S/E of lamotrigine
    Stevens Johnson Syndrom
  58. S/E of antiparkinsonian meds
    Orthostatic hypotension
  59. Family loses identity, feed off eachother
    enmeshment
  60. alcohol used to relieve stress
    phase I
  61. Alcoholuse now:
    Blcackouts
    It is a necessity
    Sneaks drinks
    Leaves work to drink
    Phase II
  62. Not a choice, it's a need and total focus
    Binge drinking, illness, loses
    Anger and aggression
    Phase III
  63. Emotional and physical disintergration
    Profound helplessness and pity
    Psychoti, life treatening illneesses
    DTs
    Phase 4
  64. confusion
    confabulation
    seen in alcoholics
    Karsakoffs psychosis
  65. Thiamine deficiency
    Ocular muscle paraylsis, diplopia
    Ataxia, somnelence and stupor
    Seen in alcoholics
    Wernike's encephalopathy
  66. Normal GTT
    4-23
  67. Normal hemoglobin
    13.5-18
  68. normal wbc
    5-10
  69. Leukopenia Thrombocytopenia
    Seen in
    Cirrhosis
  70. Cut
    Annoy
    Guilt
    Eye
    Cage assessment
  71. how long for severe DT's in w/d
    24-48 hrs
  72. treatment for alcohol w/d
    • benzodiazepines
    • Thiamine
    • Sedatives
    • Anticonvulstants
    • Antipsychotics
  73. blocks craving for alcohol
    ReVia
  74. dilated pupils seen with what drug?
    Cocaine
  75. cant function independently
    Closeness causes loss of individulaity
    Enmeshment
  76. Cluster frequently found in psychotic disorders
    Cluster A
  77. Frequently an Axis II diagnosis with schizophrenia
    Cluster A
  78. What Cluster?
    Paranoid
    A
  79. What Cluster?
    Maintains their self esteem, unwilling to forgive mionor events
    Cluster A
  80. Inability to form personal relationships or resond to other sin a meantinful, emotional way

    What Cluster?
    A Schizoid
  81. Lack of desire to socialize, enjoy solitude
    What Cluster?
    A
  82. Psychotic features, magical thinking, ideas of reference, illusions, depersonalization, hallucinations, preoccupied with paranormal phenoma
    anxiety around strangers

    What Cluster?
    A Schizotypal
  83. Have history of phsycail and sexual abuse, neglect, hostile confilct and early parenteral loss or separation
    Cluster B Borderline
  84. In a perpetual state of crisis

    What Cluster?
    B Borderline
  85. See things as black white good bad
    What Cluster?
    B boarderline
  86. This cluster has trains that predisopition to develop anxity related Axis I disorders

    What Cluster?
    Cluster C - Avoidant
  87. Fearful of critisism, disapproval, rejection and hypersensitive

    What Cluster?
    C Avoidant
  88. Most frequent personality disorder
    Pervasive need to be take care of
    Don't want to be alone

    What Cluster?
    Cluster C Dependent
  89. What Cluster? OCD
    C
  90. Therepay that has feeback from peers
    Milieu
  91. What med for borderline
    SSRI
  92. What med for Cluster A
    Antipsychotics
  93. Med for avoidant personality
    Anxiolitcs and antidepressantesw
  94. PMR and PMA seen in
    Depression
  95. major mental disorder

    What axis?
    I
  96. Personality and developmental disorders

    What axis?
    II
  97. Related infui9cing physical disorders

    What axis?
    III
  98. Psychosicla stressors severity

    What axis?
    IV
  99. GAF scores

    What axis?
    V
  100. Parents refuse to conset for life saving medical care, state can overide
    Parens patrie
  101. A persona ows a duty to another and failure of duty causes harm
    negligence
  102. professional negligence
    malpractice

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