2900 Exam Four Flashcards

Question

what are affective findings in schizophrenia?

Answer 1

manifestations involving emotions, like hopelessness, suicidal ideation, unstable or rapidly changing mood

Answer 2

unconscious inability to concentrate on a single thought

Answer 3

meaningless rhyming of words

Answer 4

words jumbled together with little meaning or significance

Answer 5

made up words that only have meaning to the client

Answer 6

client repeating words spoken to them

Answer 7

obsession with religious beliefs

Answer 8

belief that actions or thoughts are able to control a situation or affect others

Answer 9

switching between many unrelated topics in a very short period of time

Answer 10

nonspecific feeling that the client has lost their identity, feeling that self is different or unreal

Answer 11

perception that the environment has changed

Answer 12

hallucinations

Answer 13

auditory hallucinations that command the person to perform an action (usually to hurt self or others)

Answer 14

chlorpromazine and haloperidol

Answer 15

``` anticholinergic effects extrapyramidal symptoms neuroleptic malignant syndrome orthostatic hypotension sedation seizures dysrhythmias sexual dysfunction weight gain liver impairment ```

Answer 16

a life threatening emergency that can happen with antipsychotic medications will manifest as sudden high fever, blood pressure fluctuations, diaphoresis, tachycardia, muscle rigidity, decreased LOC, and coma

Answer 17

acute dystonia akathisia tardive dyskinesia pseudoparkinsonism

Answer 18

severe spasm of the tongue, neck, face, and back, this is a crisis that requires immediate intervention

Answer 19

antiparkinsonian agent like benztropine or anticholinergic med like diphenhydramine

Answer 20

inability to sit or stand still, continual pacing or movement

Answer 21

benzodiazapines like alprazolam or antiparkinsonian meds

Answer 22

parkinson's disease-like manifestations, such as bradykinesia, rigidity, shuffling gait, drooling, and tremors

Answer 23

antiparkinsonian agent like benztropine

Answer 24

late EPS that develop after months or years of medication therapy. will manifest as involuntary movement of the tongue and face, as well as of the arms, legs, and trunk

Answer 25

there is not one, and symptoms rarely decrease even when medication is discontinued

Answer 26

risperidone clozapine lurasidone

Answer 27

aripiprazole

Answer 28

CIWA scale

Answer 29

nurse rates the patient with a number from 0-7 in eight categories (N/V, tremors, anxiety, agitation, sweating, orientation, tactile/visual/auditory disturbances, headache)

Answer 30

benzodiazapines (often on a sliding scale based on CIWA score)

Answer 31

reassess in 30 minutes using CIWA, and give more benzos if needed. do this 3 times, and if patient is still not better, they may need to go to ICU and get benzo drip

Answer 32

common bacterial STD that affects men and women equally

Answer 33

infertility or fatal ectopic pregnancy

Answer 34

any form of sex or from mother to baby during childbirth

Answer 35

often none, but possibly vaginal discharge or burning sensation while urinating

Answer 36

often none, but possible discharge from penis, burning sensation while urinating, or pain/swelling in one or both testicles

Answer 37

urine sample or by cotton swabbing affected area

Answer 38

single dose of azithromycin or seven day course of doxycycline

Answer 39

finish entire course of antibiotic treatment | don't have sex again until patient and partner have completed treatment

Answer 40

an event that is acute and time limiting, and one in which people don't have the coping skills to handle whatever happened

Answer 41

medical nursing is more focused on giving specific directions and education, while mental health nursing is a lot more listening/questioning/letting patients arrive at their own conclusions about the situation, as well as helping patients develop new ways of coping

Answer 42

setting realistic goals with the patient listening and decreasing patient anxiety assessing patient potential for self-harm

Answer 43

a group approach used to help people involved in a serious crisis or incident. It gives them a way to talk through and process what happened

Answer 44

agitation increased volume and gesturing poor eye contact

Answer 45

``` being male (for a successful attempt) family history chronic illness older adults psychosocial issues trauma history lack of support system unemployment native american and alaskan native ```

Answer 46

risk for suicide attempt, each category is worth one point ``` Sex (male) Age (between 25 and 44 or above 65) Depression Previous attempt Ethanol abuse Rational thinking loss Social support lacking Organized plan No spouse Sickness (chronic) ```

Answer 47

if they have a plan details of the plan if they have access to what they need to carry out plan

Answer 48

when patient suddenly gets more cheerful because they've decided to follow through with their plan

Answer 49

``` one to one supervision searching belongings before admission plastic utensils hands always being visible no private rooms ensuring meds are being taken and not hoarded daily environment checks restrictions on certain visitors ```

Answer 50

every 15 minutes

Answer 51

antidepressants benzodiazapines mood stabilizers

Answer 52

a pact the patient makes to not harm self, often done before patient leaves hospital for a weekend pass. is not legally binding but can be effective

2900 Exam Four Flashcards

(78 cards)