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Flashcards in Psych Unit 5 Deck (54)
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1

Pt taking antipsychotic meds often have problems with what?

Weight Gain

2

What specific antipsychotic meds are more problematic for weight gain?

SGA's

3

Name some concerns regarding weight gain the nurse should teach a pt on SGA's.

Monitor Glucose (diabetes)
Monitor Cholesterol (Hypercholesterolemia)
Monitor B/P (Hypertension)
Diminished self esteem r/t weight gain usually causes problems in medication regime adherence

4

____ are permanent involuntary muscle spasms of the face, truck or pelvis.

Tardive Dyskinesia

5

How do you treat Tardive Dyskinesia?

There is no known treatment, it is irreversible. Pt's on FGA's should be screened every 3 months

6

____ is the excessive maintenance of posture for long periods?

Waxy Flexibility

7

A pt who makes up stories in order to maintain self esteem when they cannot remember is performing____?

Confabulation

8

What phase of schizophrenia includes signs and symptoms that "precede" the acute phase, fully manifested disease like social withdrawal, depressive mood, and peculiar behavior.

Prodromal Phase

9

A pt who repeats phrases or behaviors to maintain self-esteem when they cannot remember is performing ____?

Perseveration

10

Decreased LOC, increased muscle tone, autonomic instability, hyperpyrexia, and elevated CPK are all s/s of ____.

Neuroleptic Malignant Syndrome (NMS)

11

____ is a term for made up words that have special meaning for he pt.

Neologisms

12

____ is extreme motor function restlessness.

Akathesia

13

____ two common drugs used to treat EPS'.

benzotropine mesylate (Cogentin)
diphenhydramine hydrochloride (Benadryl)

14

In what phase of schizophrenia does the pt experience positive/negative symptoms.

Acute Phase (Phase 1)

15

In what phase of schizophrenia does the pt's symptoms decrease in severity. Specifically the positive.

Stabilization (Phase 2)

16

In what phase of schizophrenia do the pt's symptoms go into remission?

Maintenance (Phase 3)

17

Describe positive and negative symptoms of schizophrenia.

Positive: more developed. Hallucinations & Delusions, disorganized speech, and bizarre behavior.
Negative: Lack of motivation, no grooming, apathy, withdrawal, blunt affect, a logia, abolition, and anhedonia

18

____ is a condition that develops slowly, is progressive, and base multiple cognitive deficits.

Dementia

19

____ is a state of mental confusion that develops quickly and has an underlying cause.

Delirium

20

These symptoms of schizophrenia include blunt affect, a logia, abolition, and anhedonia.

Negative symptoms

21

____ are sensory perceptions for which no external stimulus exists?

Hallucinations

22

5 types of hallucinations.

Auditory
Visual
Olfactory
Gustatory
Tactile

23

____ is different from a hallucination in that it s a misperception or misinterpretation of a real experience.

Illusion

24

____ are hallucination that may command a person to hurt themselves or others.

Command hallucinations

25

____ is a complex disease that begins to damage the brain long before the symptoms appear. Consists of 4 stages.

Alzheimers

26

In stage 1 (Mild) of Alzheimer's the pt will experience____.

Forgetfulness.
Pt shows short-term memory loss, loses things, forest. Uses memory aids and is aware of the problem

27

In stage 2 (Moderate) of Alzheimer's the pt will experience ____.

Confusion.
Pt shows progressive memory loss, withdrawn from social activities, decline in ADL's. Denial is common.

28

In stage 3 (Moderate to Sever) of Alzheimer's the pt will experience ____.

Ambulatory Dementia.
Shows ADL losses: willingness and ability. Shows loss of reasoning and verbal communication. Frustration. Family recognition disappears, may not recognize self.

29

In stage 4 (Late) Alzheimer's the pt will experience ____.

End Stage.
Nonambulatory, mute, forgets how to eat, swallow, chew, etc. Incontinence. Infantile.

30

What type of care is provided by a team to a person who is generally within 6 months of dying, to provide holistic care to that person and family.

Hospice