Mental Health 3.txt

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Rose
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63053
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Mental Health 3.txt
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2011-01-30 22:12:07
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mental 3
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  1. you must have how many symptoms in a month to be diagnosed with schizophrenia?
    2
  2. negative symptoms of schiz?
    affect, alogia, avolition, anhendonia
  3. positive smyptoms of schiz?
    related to delusions, halucinations, tangenital speech
  4. cognitive symptoms of schiz?
    disordered thinking, inability to make decisions, poor decision making and problem solving
  5. depressing symptoms of schiz?
    hopelessness and suicidal thoughts
  6. Schizophrenia has 3 kind of hallucinations?
    auditory, visual and command
  7. what is command hallucinations?
    most serious, may cause harm to self or others
  8. types of schizophrenia?
    paranoid, disorganized, catatonic, residual and undifferentiated
  9. suspicious toward others, and hallucinations?
    paranoid schiz
  10. 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
    disorganized schizophrenia
  11. characterized by 2 abnormal movements?
    catatonic schiz
  12. constant movement, unusual movement, posturing, incohherent speech, self care needs may be predominate, danger to self or others in thsi catatonic stage
    excited
  13. client may appear comatose, waxy, flexibility, extreme self care needs in this catatonic stage?
    withdrawn
  14. active symptoms are no longer present but the client has two or more symptoms?
    resdiual schiz
  15. the client has symptoms of schiz but does not meet criteria for any other types
    undifferentiated schiz
  16. goal of psychosocial treatment?
    clinical and family support, rehab, humanitarian/public safety
  17. etiology of schiz?
    role of seratonin and glumate, brain anomolies, birth complications, loss of o2, toxin exposure, infection
  18. hwo do u assess a schiz pt?
    GAF scale
  19. schiz meds? treats pos and neg symptoms
    risperdal, zyprexa, seroquel, abilify, clozaril
  20. meds of schiz that treat pos symptoms?
    hadol, thorazine, prolixin
  21. antidepressant?
    paxil
  22. anxiolytics/benzos
    ativan and klonipin
  23. what should the nurse asses for in the psychiatric pt
    though speech perception and behavior
  24. what should we have pt monitor with bipolar disorder!?
    their caloric intake and increase activity
  25. Mood disorders with recurrent episodes of depression and mania, characterized by wide fluctations in mood and affect.
    bipolar disorder
  26. extremely elevated mood with accompying agitated behavior
    mania
  27. the altertations in mood between depression
    cycling
  28. mild of mania without significant impairment
    hypomania
  29. 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
    manic episodes
  30. flat, blunted, liable effect, tearful, crinyg, lack of energy, anhendonia, physical symptoms of discomfort/ pain, self destructive behavior, disturbed sleep
    depressive episodes
  31. a very risky sexual behavior coming forth and cant sit down!
    manic phase of bipolar disorders
  32. what meds are used if lithium doesnt work?
    anticonvulsants
  33. tegretol
    anticonvulsant
  34. side effects of anticonvulsants?
    GI, hepatotoxicity, pancreatitis, thrombocytopenia
  35. 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.
  36. personality disorders are divided in how many groups?
    3
  37. Group A
    paranoid, schizo, schizotypal
  38. Group B
    Antisocial, borderline, histrionic, narcissistic
  39. Group C
    avoidant, dependent, obsessive compulsive
  40. perfectionist, focuses on orderliness and control, individual may not be able to finish
    OCD
  41. social inhibition, avoidance of all wants a relationship but fears rejection,
    avoidant
  42. extreme dependent, relationship urge replacement, personality disorder seen in clinics
    dependent
  43. disgreduard, unlawful actions,deceitful, fails to accept respsonsibility, the anti social goes to jail
    anti social
  44. unstable , fear abandonment,manipulative and impulsive, borderline "breaks hearts"
    borderline
  45. seeks emotinoal attention, center of attention and seductive and flirtatious
    histrionic
  46. arrogant, grandiose view of self,needs admiration,lacks empathy toward others,sensitive toward critism
    narcissisitic
  47. group of conditions characterized by the disruption of thinking, memory, processing and problem solving
    cognitive disorders
  48. cognitive disorders include
    delirium, dementia
  49. 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
  50. short onset(hours or days)fluctiatin impairments
    delirium
  51. LOC altered, sundowning may occur, restless
    delirium
  52. perceptual disturbances, and unstable
    delirium
  53. gradual onset, impairments do not change thru otu the day
    dementia
  54. LOC usually unchanged, restless, agitation, sundowning can occur
    dementia
  55. persnality change is gradual, VS remain stable
    delirium
  56. what can cause delirium? is it reversible?
    infection or substance abuse and out come is reversible.
  57. caused by a chronic disease, cased by permanent trauma, irreversible
    dementia
  58. what are the 4 stages of alzhiemers?
    forgetfullness, confusion, ambulatory dementia, end stage
  59. 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
  60. obvious memory loss,wandering, confusion, impaired judgement, confabilation, sundowning, irritable,, poor spatial orientation, symptoms of stress, depression, what stage of alzhmiers is this?
    stage 2
  61. loss of reasoning and ability, increasing loss of expressive language, loss of adl's, more withdrawn, what stage of alzheimers is this?
    stage 3
  62. impaired or absent cognitive,communication and motor skills, bowel or bladder incontinence, inibility to recognize things, what stage of alzheimers is this?
    stage 4
  63. how are meds for alzhmeirs based?
    off depleted enzyme levels of acetyltransferase necessary to produce acetycholine
  64. cholinesterase inhibitor?
    increases the availibility of acetycholine at neurotransmitter sites
  65. used in mild to mdoerate alzheimers?
    cholinesterase inhibitor
  66. n/v, bradycardia?
    adverse reactions of cholinesterasi inhibitor
  67. when should u administer cholinesterase inhibitor? and what to aovid?
    at bed time and antihistamines, tricylic antidepressants, conventional antipsychotics,
  68. blocks the entry of calcium into nervee cells which slows brain cell death
    Namenda (memantine)
  69. associated wiht overwhelming stress, traumatic life events, accidents, disasters,witnessed or experienced
    dissociative amnesia
  70. amnesia, inability to recall some or all of ones past and idenit, may form new idenity, can last hours or weeks or months
    dissociative fuge
  71. formally known as multiple personality disorder
    DID
  72. DID symptoms
    headaches, bodily pain, time distortion, time lapse, amnesia
  73. a recurrent sense of detaachment from ones body or mental processes-feel like an obsever of ones life
    depersonalization disorder
  74. generally associated with child abuse
    depersonalization disorder
  75. defect in appearnance which causes significant distress or interferes with socialization, occupational or other important aspects of functioning
    body dysmorphic disorder
  76. morbid fear of obesity, body weight less than 85% of norm, calorie counters
    anorexia
  77. eats large amount of foods over a short time and then vomits it up
    bulima
  78. somatization disorder? reactions?
    multiple pain symptoms of head, neck, nack, stomach, limbs, 2 or more GI symptoms, mentrusal complaints, blindness, cant walk
  79. impaired liver function test, elevated cholesterol leverl, decreased bone density, hypokalemia, leukopenia, abnormal thyroid test
    common lab findings for anorexia
  80. hyperkalemia, hyponatremia, hypochloremia, electrolyte imbalance
    common labs for bulimia
  81. antidepressants?
    prozac
  82. antipsychotics?
    zyprexa
  83. what are the main problems with anorexia and bulimia?
    cardiac problems and we should monitor vs, electrolyte levels,ekgs

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