Mental Health 3.txt
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Mental Health 3.txt
you must have how many symptoms in a month to be diagnosed with schizophrenia?
negative symptoms of schiz?
affect, alogia, avolition, anhendonia
positive smyptoms of schiz?
related to delusions, halucinations, tangenital speech
cognitive symptoms of schiz?
disordered thinking, inability to make decisions, poor decision making and problem solving
depressing symptoms of schiz?
hopelessness and suicidal thoughts
Schizophrenia has 3 kind of hallucinations?
auditory, visual and command
what is command hallucinations?
most serious, may cause harm to self or others
types of schizophrenia?
paranoid, disorganized, catatonic, residual and undifferentiated
suspicious toward others, and hallucinations?
with drawl from society and very inappropriate behaviors such as poor hygiene and muttering constantly to self, more in homeless, bizarre mannerisms, speech hallucination and delusions
characterized by 2 abnormal movements?
constant movement, unusual movement, posturing, incohherent speech, self care needs may be predominate, danger to self or others in thsi catatonic stage
client may appear comatose, waxy, flexibility, extreme self care needs in this catatonic stage?
active symptoms are no longer present but the client has two or more symptoms?
the client has symptoms of schiz but does not meet criteria for any other types
goal of psychosocial treatment?
clinical and family support, rehab, humanitarian/public safety
etiology of schiz?
role of seratonin and glumate, brain anomolies, birth complications, loss of o2, toxin exposure, infection
hwo do u assess a schiz pt?
schiz meds? treats pos and neg symptoms
risperdal, zyprexa, seroquel, abilify, clozaril
meds of schiz that treat pos symptoms?
hadol, thorazine, prolixin
ativan and klonipin
what should the nurse asses for in the psychiatric pt
though speech perception and behavior
what should we have pt monitor with bipolar disorder!?
their caloric intake and increase activity
Mood disorders with recurrent episodes of depression and mania, characterized by wide fluctations in mood and affect.
extremely elevated mood with accompying agitated behavior
the altertations in mood between depression
mild of mania without significant impairment
euphoria, agitation, irritability, increased talking, activity, impulse, flight of ideas, grandiose view of self, poor judgement, attention seeking, decreased sleep, delusions, halucinations, denial of illness
flat, blunted, liable effect, tearful, crinyg, lack of energy, anhendonia, physical symptoms of discomfort/ pain, self destructive behavior, disturbed sleep
a very risky sexual behavior coming forth and cant sit down!
manic phase of bipolar disorders
what meds are used if lithium doesnt work?
side effects of anticonvulsants?
GI, hepatotoxicity, pancreatitis, thrombocytopenia
what are four common characteristics of personality disorders?
inflexibility/maladaptive responses to stree, disability in social/professional relationships, tendency to provoke interpersonal conflict, capacity to cause irritation or distress in others.
personality disorders are divided in how many groups?
paranoid, schizo, schizotypal
Antisocial, borderline, histrionic, narcissistic
avoidant, dependent, obsessive compulsive
perfectionist, focuses on orderliness and control, individual may not be able to finish
social inhibition, avoidance of all wants a relationship but fears rejection,
extreme dependent, relationship urge replacement, personality disorder seen in clinics
disgreduard, unlawful actions,deceitful, fails to accept respsonsibility, the anti social goes to jail
unstable , fear abandonment,manipulative and impulsive, borderline "breaks hearts"
seeks emotinoal attention, center of attention and seductive and flirtatious
arrogant, grandiose view of self,needs admiration,lacks empathy toward others,sensitive toward critism
group of conditions characterized by the disruption of thinking, memory, processing and problem solving
cognitive disorders include
should you use rugs for people with cognitive disorders?
no! short simple sentences, eye contact, clocks, low visual stimulation, monitor i and o, make routine
short onset(hours or days)fluctiatin impairments
LOC altered, sundowning may occur, restless
perceptual disturbances, and unstable
gradual onset, impairments do not change thru otu the day
LOC usually unchanged, restless, agitation, sundowning can occur
persnality change is gradual, VS remain stable
what can cause delirium? is it reversible?
infection or substance abuse and out come is reversible.
caused by a chronic disease, cased by permanent trauma, irreversible
what are the 4 stages of alzhiemers?
forgetfullness, confusion, ambulatory dementia, end stage
short term loss, decreased attn span, substitute personality disorders, mild cognitive deficits, diff with depth perception, what stage of alzhiemers is this?
stage 1 alzheimers
obvious memory loss,wandering, confusion, impaired judgement, confabilation, sundowning, irritable,, poor spatial orientation, symptoms of stress, depression, what stage of alzhmiers is this?
loss of reasoning and ability, increasing loss of expressive language, loss of adl's, more withdrawn, what stage of alzheimers is this?
impaired or absent cognitive,communication and motor skills, bowel or bladder incontinence, inibility to recognize things, what stage of alzheimers is this?
how are meds for alzhmeirs based?
off depleted enzyme levels of acetyltransferase necessary to produce acetycholine
increases the availibility of acetycholine at neurotransmitter sites
used in mild to mdoerate alzheimers?
adverse reactions of cholinesterasi inhibitor
when should u administer cholinesterase inhibitor? and what to aovid?
at bed time and antihistamines, tricylic antidepressants, conventional antipsychotics,
blocks the entry of calcium into nervee cells which slows brain cell death
associated wiht overwhelming stress, traumatic life events, accidents, disasters,witnessed or experienced
amnesia, inability to recall some or all of ones past and idenit, may form new idenity, can last hours or weeks or months
formally known as multiple personality disorder
headaches, bodily pain, time distortion, time lapse, amnesia
a recurrent sense of detaachment from ones body or mental processes-feel like an obsever of ones life
generally associated with child abuse
defect in appearnance which causes significant distress or interferes with socialization, occupational or other important aspects of functioning
body dysmorphic disorder
morbid fear of obesity, body weight less than 85% of norm, calorie counters
eats large amount of foods over a short time and then vomits it up
somatization disorder? reactions?
multiple pain symptoms of head, neck, nack, stomach, limbs, 2 or more GI symptoms, mentrusal complaints, blindness, cant walk
impaired liver function test, elevated cholesterol leverl, decreased bone density, hypokalemia, leukopenia, abnormal thyroid test
common lab findings for anorexia
hyperkalemia, hyponatremia, hypochloremia, electrolyte imbalance
common labs for bulimia
what are the main problems with anorexia and bulimia?
cardiac problems and we should monitor vs, electrolyte levels,ekgs