Flashcards in Psych Unit 5 Deck (54)
Pt taking antipsychotic meds often have problems with what?
What specific antipsychotic meds are more problematic for weight gain?
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
____ are permanent involuntary muscle spasms of the face, truck or pelvis.
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
____ is the excessive maintenance of posture for long periods?
A pt who makes up stories in order to maintain self esteem when they cannot remember is performing____?
What phase of schizophrenia includes signs and symptoms that "precede" the acute phase, fully manifested disease like social withdrawal, depressive mood, and peculiar behavior.
A pt who repeats phrases or behaviors to maintain self-esteem when they cannot remember is performing ____?
Decreased LOC, increased muscle tone, autonomic instability, hyperpyrexia, and elevated CPK are all s/s of ____.
Neuroleptic Malignant Syndrome (NMS)
____ is a term for made up words that have special meaning for he pt.
____ is extreme motor function restlessness.
____ two common drugs used to treat EPS'.
benzotropine mesylate (Cogentin)
diphenhydramine hydrochloride (Benadryl)
In what phase of schizophrenia does the pt experience positive/negative symptoms.
Acute Phase (Phase 1)
In what phase of schizophrenia does the pt's symptoms decrease in severity. Specifically the positive.
Stabilization (Phase 2)
In what phase of schizophrenia do the pt's symptoms go into remission?
Maintenance (Phase 3)
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
____ is a condition that develops slowly, is progressive, and base multiple cognitive deficits.
____ is a state of mental confusion that develops quickly and has an underlying cause.
These symptoms of schizophrenia include blunt affect, a logia, abolition, and anhedonia.
____ are sensory perceptions for which no external stimulus exists?
5 types of hallucinations.
____ is different from a hallucination in that it s a misperception or misinterpretation of a real experience.
____ are hallucination that may command a person to hurt themselves or others.
____ is a complex disease that begins to damage the brain long before the symptoms appear. Consists of 4 stages.
In stage 1 (Mild) of Alzheimer's the pt will experience____.
Pt shows short-term memory loss, loses things, forest. Uses memory aids and is aware of the problem
In stage 2 (Moderate) of Alzheimer's the pt will experience ____.
Pt shows progressive memory loss, withdrawn from social activities, decline in ADL's. Denial is common.
In stage 3 (Moderate to Sever) of Alzheimer's the pt will experience ____.
Shows ADL losses: willingness and ability. Shows loss of reasoning and verbal communication. Frustration. Family recognition disappears, may not recognize self.
In stage 4 (Late) Alzheimer's the pt will experience ____.
Nonambulatory, mute, forgets how to eat, swallow, chew, etc. Incontinence. Infantile.