Ch. 14, 16 (Psychosocial Ass. & Mental Health) Flashcards
1
Q
What are the most common symptoms of depression?
A
- insomnia
- fatigue
- anorexia
- weight loss
- constipation
- lack of interest in previous enjoyed activities (anhedonia)
- problems with hygiene, relationships, social interactions
2
Q
Substance abuse increases the risk of what?
A
- falls
- decreased cognition
- abuse
- self-neglect
3
Q
What are screening tools that can be performed for patients with substance abuse?
A
clinical institute withdrawal assessment (CIWA)
4
Q
How do you treat/manage paranoia?
A
- honest, basic explanations & approaches reducing insecurity & misperception
- delusion should NOT be supported
5
Q
What population is six times more likely to commit suicide?
A
older white men
6
Q
What are some important considerations/notes for antidepressants?
A
- fall precautions are necessary
- initial treatment = sedation is common
- requires 1 month of therapy before effects are noted
7
Q
What are the suicide risk factors?
A
- hx of suicide attempts
- family hx of suicide
- hx of alcohol/substance abuse
- isolation
- access barriers to treatment
- physical illness
- easy access to lethal methods
- unwillingness to seek help
8
Q
What are nursing interventions for managing behavioral problems/verbal abuse?
A
- remain calm (keep distance)
- try to distract
- avoid arguing, reasoning, & reacting