Axis ____ : clinical disorders and other conditions that may be a focus of clinical attention
Axis ____: personality disorders and mental retardation
Axis _____: General medical conditions
Axis ____: Psychosocial and environmental problems
Axis ___: Global assessment of functioning.
Symptoms of _________:
Stiff, sore neck
Flushing, cold, clammy skin
Severe nosebleeds, dilated pupils
Chest pains, stroke, coma, death
Nausea and vomiting
A patient on _______ needs to avoid foods with high tyramine.
Aged cheese, red wine, beer, beef and chicken, liver, yeast, yogurt, soy sauce, chocolate, and bananas are all foods that are high in ________.
the transference of feelings to another person or object
attempt to be like someone or emulate the personality, traits, or behaviors of another person
using reason to avoid emotional conflicts
incorporation of values or qualities of an admired person or group into ones own ego structure
serparation of an unacceptable feelings, idea, or impulse from ones thought process
attributing ones own thoughts or impulses to another person
offering an acceptable, logical explanation to make unacceptable feelings and behavior acceptable
development of conscious attitudes and behaviors that are the opposite of what is really felt
reverting to an earlier level of development when anxious or highly stressed
the involuntary exclusion of a painful thought or memory from ones awareness
substitution of an unacceptable feeling by a more socially acceptable one
the intentional exclusion of feelings and ideas
communication or behavior done to negate a previously unacceptable act
meaning given to words by client to screen thoughts and feelings that would be difficult to handle if stated directly
fixed false beliefs that may be persecutory, grandiose, religious, or somatic in nature
belief that conversations or actions of others have reference to the client
ideas of reference
lack of clear connection from one thought to the next
looseness of association
failing to address the original point, giving many nonessential details
tangential or circumstantial speech
constantly repeating what is heard
creating new words
repeating the same word or phrase in response to different questions
speaking a jumbled mixture of real and made up words
gap or interruption in speech due to absent thoughts
thinking based on fact versus abstract and intellectual points
false sensory perception, usually auditory or visual in nature
misinterpretation of external environment
perceives self as alienated or detached from real body
false, fixed beliefs that cannot be changed by reason
______________ agents target negative symptoms (e.g., cognitive dysfunction, social withdrawal, inattention) and have a lower risk for extrapyramidal symptoms.
What is the purpose of a baseline complete blood count (CBC) prior to initiation of the antipsychotic medication Haldol?
A baseline CBC is indicated to allow for monitoring of the development of agranulocytosis, a potentially life-threatening side effect, as evidenced by fatigue, sore throat, and fever.
_________ is a neurological movement disorder characterized by involuntary muscle contractions, particularly of the face, tongue, neck, and jaw.
____________ is a neurological movement disorder characterized by involuntary muscle contractions. Symptoms may include sticking out the tongue, puckering of the mouth or lips, lip smacking, puffing of the cheeks, and chewing movements.
_________ is an abnormal condition that is often manifested by motor restlessness, such as the inability to sit still or feeling the need to pace.
____________ symptoms include a shuffling gait, drooling, tremors, and muscle rigidity.
A side effect of Haldol is blockade of ____________ receptors in the heart can cause orthostatic hypotension and dizziness.
A _________ is a false belief that is firmly maintained even though it is not shared by others and is contradicted by reality.
Frequent sore throats and malaise, what serious complications might these symptoms indicate?
Using the DSM-IV classification system, on which axis wouldinformation about living in a group residence and the interactionswith other residents be indicated?
___________ is a significant fatal risk with Clozaril. The nurse needs to watch for symptoms which includes sore throat, body malaise and fever.
What test is commonly used to assess a client for signs of tardive dyskinesia?
The client hears the word "match." The client replies, "A match. Ilike matches. They are the light of the world. God will light theworld. Let your light so shine." This is an example of _____________.
If a client taking an antipsychotic is experiencing involuntary muscle contractions and eyes rolling upward, what is the client experiencing?
What is the primary goal of a therapeutic nurse–client relationship?
Promoting the client's growth
A client is in ER howling and lamenting over the death of her motherfrom an auto accident 2 hours ago. From what group of medicationswould the doctor prescribe?
__________ is a lack of energy or drive
_________ refers to emotion and behaviors, such as hand and body movements, facial expression, and pitch of voice that can be observed when a person is expressing and experiencing feelings and emotions.
___________ is the inability, or decreased ability, to experience pleasure, joy, intimacy, and closeness.
Weight gain occurs with the_____________, especially Zyprexa (olanzapine) and clozapine (Clozaril).
The nurse understands that an atypical antipsychotic like olanzapine (Zyprexa) requires what period of time to reach a steady state?
Which medication with potentially life-threatening side effects should the nurse expect the healthcare provider to prescribe for clients who do not respond to the use of other antipsychotics?
Clozaril. Clozaril is used for clients with schizophrenia who have not responded to other antipsychotics. The potentially serious side effect of agranulocytosis requires that weekly, or every 2-week WBC counts be done.
A client who demonstrates ____________ demonstrates simple one- or two-word answers to questions, even when the nurse asks an open-ended question.
poverty of speech
___________ is the sudden stopping in the client's train of thought or in the middle of a sentence.
The most common causes of relapse in patients with schizophrenia relate in some way to ___________.
The greatest benefit of the ____________ is to coordinate services related to housing, finances, and medical appointments, for example.
What is the therapeutic range for lithium?
0.5 to 1.5 mEq/L
What are the early signs of lithium toxicity?
diarrhea, vomiting, drowsiness, muscle weakness, lack of coordination
What teaching is needed for lithium?
Early symptoms of lithium toxicity (diarrhea, vomiting, drowsiness, muscle weakness, lack of coordination)
Keep salt usage consistent
Use with diuretics is contraindicated
_____ is used for bipolar disorders, especially the manic phase.
_______ produce an increase in availability of serotonin.
_________ decrease dopamine produced.
_______: restlessness, agitation, and pacing. Sudden difficulty sitting still.
______: involuntary tongue and lip movements, blinking, choreiform movements of limbs and trunk.
Your client is prescribed lithium (Lithobid) and sertraline (Zoloft)for bipolar disorder: depressed phase. What is the best reason, ifany, that you need to be concerned about this order?
SSRIs can often trigger a manic phase.
Antidepressants, particularly SSRIs, can trigger a manic phase. If aclient has had a manic episode previously, they will likely need to bemaintained on lithium or an anticonvulsant to manage their moods.
When a client is placed on Haloperidol (Haldol Decanoate), what is an important factor in its administration?
The medication is administered intramuscularly every 4 weeks
What is a long term side effect of antipsychotics?
Tardive dyskinesia: tongue movement, lip smacking, involuntary movement. Monitored by AIMS (abnormal involuntary movement scale)
What are two life threatening side effects of antipsychotics?
Agranulocytosis and NMS
Clozaril is a ______ antipsychotic
Symptoms of _____ include high fever, tachycardia, stupor, increased respirations, and severe muscle rigity