Module 14 Exam 3 part 2 Flashcards Preview

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Flashcards in Module 14 Exam 3 part 2 Deck (69):
1

what is tardive dyskinesia

involuntary movements of the mouth, lips, tongue, and jaws,associated with use of antipsychotic medication

2

what is schizophenia

complex, chronic mental disorder, disturbances in feeling, thinking, behavior significantly impair function to a level below normal for the individual

3

is a schizophrenic in touch or out of touch with realiy

out

4

what age is the onset for schizophrenics

15-24 in males
25 to 35 in women

5

what is the onset like of schizophrenia

it can be gradual or abrupt, patients remain chronically ill, where as others have periods of remission and recurrence

6

what are the phases of schizophrenia

prodromal, active, residual

7

what may prodromal symptoms appear as and for how long

signs of deterioration for as long as 1 year before the active phase

8

active phase symptoms are_______ those that reflect unusual, exaggerated behavior

positive

9

active phase symptoms are______ those that show absence of behavior that might be expected normally

negative

10

what can aggravate psychiatric symptoms

drugs and alcohol, rates of use are high in pts with schizophrenia

11

what are the objectives of tx of schizophenia

to reduce of alleviate the delusions, hallucinatons, and other symptoms and enable the pt to function in daily living

12

schizophrenia is associated with an excess of

dopamine

13

what are the common antipsychotic drugs in schizophrenia tx

phenothiazines, butrophenones,thioxanthenes

14

after an acute schizophrenic episode what is adjusted for the remission period

dosage

15

what is integrated with pharmacotherapy in schizophrenic patients

psychosocial therapy

16

what may psychosocial therapy of a schizophrenic include

vocational rehab, training in social skills

17

what should you do at a DH appt with some who who has schizophrenia

-plan for future
-simple, familiar organized routine
-review meds,
-decrease stimulation
-instruction on oral care
-mouth prop to assist with tardive dyskinesia
-look for signs of xerostomia

18

is dental care carried out during an acute exacerbatoin of schizophrenia

no, tx is done when pts symptoms are under control

19

what is dysotonia

muscle contractions

20

what is dysarthria

difficult speech

21

what is akathisia

restlesness, pacing

22

what is among the most common of the many psychiatric illnesses

depression

23

when does depression occur

at any age

24

What are characteristics of a major depressive disorder

-depressed mood
diminished interest or pleasure
significant weight loss or gain
insomnia or hypersomnia
psychomotor agitation or retardation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished ability to concentrate
recurrent thoughts of death or suicide

25

what is the primary treatment of depression

antidepression medications, tx may also include lifestyle changes, correction of sleep disorders, new diet and eating patterns, exercise, counseling

26

what are antidepressive medications inicated for

major depressive disorder and depressive stage of bipolar disorder

27

what are SSRI's

-initial therapy for depression
-prozac, paxil, zoloft, luvox

28

what is a serious side effect of tricyclic and heterocyclic antidepresents

xerostomia

29

what are things that need to be avoided with taking MAOIs

certain foods and drugs to prevent a hypertensive crisis

30

can some patients with lesser degrees of depression benefit from psychotherapy alone

yes

31

what are indications for patients to have electroconvulsive therapy in depression

-antidepressants contraindicated
-nonresponsive to pharmacotherapy
-delusions
-overwhelming sucidal preoccupation
-need for immediate response

32

What kinds of foods do depressed people turn to to help them cope which cause oral complications

alcohol, sweets- relate to periodontal breakdown

33

what are the side effects of antidepressants

xerostomia

34

what oral implications may happen in patients with depression

loss of taste perception can result in a diet high in cariogenic foods

35

what are the 4 apointment interventions in a patient with depression

assessment
approach-pos reinforcement
preventative instruction- dental biofilm control, xerostomia
implementation of a care plan

36

what is a bipolar disorder

major mood disorder in which episodes of of varying degrees of mania and depression occur

37

what are characteristics of a manic episode of bipolar disorder

-inflated selfesteem
-decreased need for sleep
-more talkative than ususal
-flight of ideas
-distractibily
-increase in goal directed activity
-exessive involvement of pleasureable activity

38

what is mania

characterized by excessive elation, hyperactivity, and accelerated thinking and speaking

39

what kind of tx is used in bipolar disorder

pharmacotherapy and psychosocial therapy

40

what kind of pharmacotherapy is used in tx of bipolar disorder

three pronged approach

41

in an acute manic phase what is done to stablize the patients mood

-sedation
-anticonvulsants
-antipsychotics
-lithium carbonate- mood stablizer

42

what is maintenence therapy of bipolar patients

goal is to obtain long term mood stablilzatoin and prevent the occurrence of both manic and depressive episodes

43

what meds are used in maintenence of bipolar disorder

lithium carbonate and anticonvulsants

44

what do psychosocial interventions do in a patient with bipolar disorder

-educates family
-encourages aherence to drug regimens
-recognize early warning signs of mood
-develop stress coping technique

45

what are the oral health implications of bipolar disorder

-oh needs unmet
-unlikely to report injury or illness
-tissues may appear abraded and lacerated from brushing
-xerostomia
-lithium may cause disgeusia, metallic taste in mouth

46

what should you do at an appointment with a patient with bipolar disorder

-dont rush pt
-simplify surroundings
-help pts caregiver to learn procedures
-3-4 month maintenence
-pt instruction may be difficult due to short attention span

47

what are the postpartum blues

nonpsychotic depression for few days after giving birth, not uncommon, crying irritability mood shifs

48

what is post partum depression

moderate to severe depression may being by the 2nd to 3rd week post partum

49

what are symptoms of post partum depression

-excessive fatigue, insomnia, loss of appetite, loss of interest and enthusiasm

50

what is post partum psychosis

mood disorder and may be of a depressive or manic state

51

what are risk factors for postpartum psychosis

- prexisting mental illness
-stress
-conflicts about motherhood

52

what are early symptoms of post partum psychosis

complaints of insomnia, restlessness, tearfulness, fatigue, emotional unsteadness

53

what are the progressive symptoms of postpartum psychosis

confusion, irrationality, delirium, obsessive concerns about the baby

54

with out tx of postpartum psychosis what can happen

risk of sucicide, infanticide or both

55

what kind of sucicidal precautions should be taken with postpartum psychosis

dont leave baby alone with mother

56

what is anxiety

apprehension, tension, or dread that results from the anticipation of danger, the source of which is unknown or unrecognized.

57

what is a panic attack

-overwhelming sense of impending doom is the cardinal symptom of the attack, may be unexpected or situationally bound

58

what are symptoms of a panic attack

-shortness of breath
-diziness
-palpitatons
-trembling
sweating
choking
nausea
numbness
flushes or chills
chest pain
fear of dying, going crazy, losing control

59

what is a panic disorder characterized by

recurrent panck attacks that are usually unexpected

60

what is agoraphobia

fear of being in places or situation from which escabe might be difficult or emarassing or in which help might not be available in the event of a panic attach

61

what is post traumatic stress disorder

- an intiating traumatic event has occurred outside the range of unusual human expereince, a child may have this brought on by abuse

62

what is generalized anxiety disorder

persistent, pervasive anxiety and exessive worry but they are not associated with life threatenting fears or attacks

63

what is the basic theraputic approach to the treatment of anxiety disorders

-elimiante intake of caffine alcohol and other drugs of abuse
-diagnose and treat other med ical and psychiatric problems
-exercise

64

what is cognitive behavioral therapy

skilled behavior therapist is needed,

65

what is pharmacotherapy in the tx of anxiety disorders

-as few meds a possible
-tx can best be focused on pts sleep habits, physical activity, and attainment of personal control

66

when drug tx in anxiety is indicated what kinds of meds are used

antianxiety and antidepressants

67

what are antianxiety medications

benzodiazepines

68

what are oral implicaitons of anxiety disorders

hypersensistive of teeth associated with patients general tenderness and irritability
xerostomia from meds
oral clealniness may not be present

69

what can you do during appointments in patients with anxiety disorder

-help pt feel in control
-explain each step to pt, keep communication open