chapter 8: medications and other therapies Flashcards

1
Q

cognitive ability

A
  • altered emotional health = potential alterations in other parts of daily living
  • cognition = ability to think and process thoughts
  • emotions = may be increased or decreased
  • grooming = may be ignored or over accentuated
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2
Q

phenothiazines (1950s)

A
  • first classification of medications used for treating mental health issues
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2
Q

two reasons for using medications

A
  • symptom control
  • may increase compliance with other therapy
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3
Q

major drug classifications used in treating mental health issues

A
  • antipsychotics (neuroleptics)
  • antianxiety agents/anxiolytics
  • antidepressants (mood elevators)
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4
Q

types of antidepressants

A

tricyclic
tetracyclic/hetrocyclic
SSRIs
SNRIs
MAOIs
antimanic agents
stimulants
anticholinergics
nonprescriptive tx

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5
Q

common side effects

A
  • antipsychotic: extrapyramidal symptoms
  • antianxiety: dependency
  • antidepressants: lethargy (especially tricyclic antidepressants)
  • MAOI: lethargy
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6
Q

extrapyramidal symptoms side effect: antipsychotics

A
  • symptoms 1-8 weeks post medication
  • akinesia
  • shuffling gait
  • drooling
  • fatigue
  • muscle rigidity
  • mask like facial expression
  • tremor
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7
Q

tardive dyskinesia antipsychotic side effect

A
  • symptoms appear 1-8 weeks after starting medication
  • involuntary movements that resemble chewing or licking motions
  • frowning and blinking constantly
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8
Q

psychoanalysis

A
  • result of Freud’s theory
  • works in the “past”/unconscious
  • “free association”
  • “dream analysis”
  • catharsis
  • hypnosis (used in several types of therapies)
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9
Q

behavior modification

A
  • result of Skinmer, pavlov, and other behaviorists
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10
Q

purpose of behavior modification

A
  • to eliminate or reduce unwanted behaviors
  • behaviors that are learned can be “unlearned” or “re-learned”
  • uses positive reinforcement for best results
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11
Q

cognitive therapies

A
  • result of Albert Ellis and other cognitive or CBT therapists
  • rational emotive behavioral therapy
  • person centered/humanistic (Maslow and Rogers)
  • unconditional positive regard (Carl Rogers)
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12
Q

milieu

A
  • the therapeutic environment
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13
Q

beliefs about milieu

A
  • environment affects behavior
  • therapeutic
  • combines social and therapeutic environment
  • safe
  • affords feeling of acceptance
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14
Q

counseling

A
  • very broad topic/many types of counseling
  • counseling is geared to patient needs and type of disorder
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15
Q

some types of counseling

A

pastoral
cultural
group therapy

16
Q

electroconvulsive therapy (ECT)

A
  • used for forms of illness (depression, schizophrenia) not responding to other frms of therapy
  • patients are premedicated
  • nursing responsibilities include careful monitoring of vital signs
  • subjective/objective data collection regarding pt’s response to treatment
  • pt should be NPO 4 hours before treatment and should have empty bladder. other safety precautions are also the responsibility of the nurse (dentures out, etc.)
17
Q

Humor therapy

A
  • smiles, hugs, and humor done as directed therapy
  • humor can be inappropriate and should be used carefully
  • breakthroughs have been documented in people previously deemed “untreatable” and moe recently in the area of Alzheimer’s treatment
18
Q

crisis

A
  • is unexpected
  • changes normal routines
  • creates an imbalance in a person’s homeostasis
  • out of control
19
Q

crisis phases

A
  • pre crisis: initial exposure
  • crisis
  • adaptive
  • post crisis
20
Q

crisis intervention

A
  • crisis = sudden, unexpected event in a person’s life
  • drastically changes routine
  • body is out of homeostasis
  • crisis leads to risk for physical and/or emotional harm to self and/or others
  • respond according to your agency policy and scope of practice
21
Q

goals of crisis intervention

A
  • safety for yourself and the patient
  • if you are in danger, leave and get help
  • diffuse the situation
  • determine the problem
  • return to pre crisis or better level of functioning
22
Q

legal considerations in crisis intervention

A
  • “do no harm”
  • do something: call for help, secure the area, try to talk the person down
  • stay within your level of preparation and scope of practice
  • know when and if you are protected under “Good Samaritan” laws