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transitions in mental health exam 1 > class worksheets > Flashcards

class worksheets Flashcards

1
Q

______ is an antipsychotic used to promote connection with reality. It also helps with delusions and hallucinations

A

chlorpromazine

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2
Q

chlorpromazine does NOT help with _______

A

motivation

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3
Q

______ helps pt take care of themselves and helps with delusions and hallucinations

A

risperidone

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4
Q

what 2 antipsychotics help with hallucinations and delusions?

A

chlorpromazine
risperidone

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5
Q

_______ is an SSRI used to decrease depression and long term anxiety

A

citalopram

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6
Q

_______ is used for short term anxiety

A

lorazepam

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7
Q

lorazepam is also called ______

A

Ativan

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8
Q

__________ is used for depression with high degree of lethality on overdose

A

amitriptyline

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9
Q

_______. treats the side effects of antipsychotics

A

benztropine

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10
Q

201 is ________

A

voluntary; sign self in

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11
Q

302 is _________

A

involuntary

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12
Q

a pt is 302ed if:

A

they are a danger to self or others

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13
Q

when is the nurse allowed to force meds?

A

if the pt is in clear and present danger to self or others

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14
Q

_______ can cause low sodium levels

A

antidepressants

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15
Q

antidepressents can cause _______(high/low) _____ levels

A

low sodium

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16
Q

normal sodium lab values

A

135-145

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17
Q

normal potassium lab values

A

3.5-5

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18
Q

normal total serum cholesterol lab value

A

<200 mg/dl

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19
Q

normal LDL lab value

A

<100 mg/dl

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20
Q

normal HDL lab values:

men: ______

women:_______

A

men: >40 mg/dl

women: >50 mg/dl

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21
Q

normal triglycerides lab

A

<150 mg/dl

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22
Q

an irritational thought pattern is a _____ _______

A

cognitive distortion

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23
Q

what does the nurse need to do before medicating?

A

assess the pt

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24
Q

normal WBC

A

5,000-10,000

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25
Q

normal hemoglobin:

males: _____

females: _____

A

males: 14-18

females: 12-16

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26
Q

normal RBC:

males:_____

females:______

A

males: 4.7-6.1

females: 4.2-5.4

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27
Q

PRN meds can occur only after what has been utilized

A

non medication means

28
Q

acronym for 6 rights of med administration

A

PMDDTR

right Patient
right Med
right Dose
right Documentation
right Time
right Route

29
Q

3 checks of med administration:

1.) check ______ ______with MAR when obtaining med

2.) check when ______ meds

3.) check ____ administering at bedside

A

1.) drug label

2.) preparing

3.) before

30
Q

what 2 things to do before administering meds?

A

1.) assess pt
2.) check for allergies

31
Q

only use _____-______ tie for restraints

A

quick-release

32
Q

_______, _____, and ______ of restrained limbs needs to be assessed every 10-15 mins

A

sensation
pulse
movement

33
Q

sensation, pulse, and movement of restrained limbs needs to be assessed every ___-___ minutes

A

10-15

34
Q

medical order must be obtained within ______ of application of restraints

A

1 hour

35
Q

______ _____ must be obtained within 1 hour of application of restraints

A

medical order

36
Q

antipsychotics are _____ _____ soluble

A

highly lipid

37
Q

antipsychotics have _______ half life

A

long

38
Q

antipsychotics useful in _______

A

Tourettes

39
Q

antipsychotics MOA:

block ______ _____ receptors leading to increase of the _______ concentration of 2nd messenger _______

A

-dopamine D-2
-intracellular
-cAMP

40
Q

______ inhibits prolactin and regulates body movement

A

dopamine

41
Q

dopamine inhibits _______ and regulates _____ ________

A

-prolactin
-body movements

42
Q

antipsychotics can cause ______ from increased prolactin production

A

galactorrhea

43
Q

antipsychotics can cause galactorrhea from increased _____ production

A

prolactin

44
Q

________ ________ can occur from long term antipsychotic use

A

tardive dyskinesia

45
Q

dopamine blockage can cause ______, _______ reactions, and _______ ______ syndrome

A

-akathisia
-dystonic reactions
-neoleptic malignant syndrome

46
Q

______ blockage can occur from long term antipsychotic use

A

dopamine

47
Q

_______ is the inability to remain still

A

akathisia

48
Q

what type of reactions are reactions from thorazine

A

dystonic reactions

49
Q

what is the rare, life threatening idiosyncratic reaction to neuroleptic meds?

A

neuroleptic malignant syndrome

50
Q

neuroleptic malignant syndrome is characterized by:

______
muscle _____
altered ____ ____
_____ dysfunction

A

-fever
-rigidity
-altered mental status
-autonomic dysfunction

51
Q

antipsychotics block _____ __ adrenergic receptors resulting in _______

A

-alpha 1
-hypotension

52
Q

antipsychotics block _______ receptors

A

cholinergic

53
Q

anticholergic symptoms caused by antipsychotics (2)

A

-dry mouth
-constipation

54
Q

what level of anxiety:

-increased alertness
-heightened perception

A

mild

55
Q

what level of anxiety:

-narrowed perception
-difficulty focusing
-shaking

A

moderate

56
Q

what level of anxiety:

-ineffective problem solving
-automatic behaviors and thoughts
-hyperventilation

A

severe

57
Q

what level of anxiety:

-hallucinations
-inability to function or communicate

A

panic attack

58
Q

malignant hyperthermia is caused by genetic mutation of _______ receptor 1

A

ryanodine

59
Q

malignant hyperthermia is treated with ______

A

dantrolene

60
Q

neuroleptic malignant syndrome is caused by _________ meds

A

antidopiminergic

61
Q

muscle breakdown is often seen with _______ _______ syndrome

A

neuroleptic malignanct

62
Q

what is the treatment for neuroleptic malignant syndrome?

A

dantrolene

63
Q

treatement for serotonin syndrome

A

cyproheptadine

64
Q

ADPIE

A

Assessment
Diagnosis
Planning
Implementation
Evalutation

65
Q

what are the most dangerous type of hallucinations?

A

command

transitions in mental health exam 1 (8 decks)

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