Exam 1 Flashcards
Caring theory
Watson
Energy field
Rogers
Environmental theory
Nightingale
Interpersonal relationship
Paplau
Tarasoff case
Landmark court decision in CA which holds a mental health therapist responsible for being proactive in preventing harm by a particular patient. Duty to protect Duty to inform Duty to report Charting Assess. Violence Parameters: type of harm, seriousness, imminence, likelihood. Discharge the duty
Physiological
Breathing Food Water Sex Sleep Homeostasis Excretion
Safety
Security of: Body Employment Resources Morality Family Health Poverty
Love and belonging
Friendship
Family
Sexual intimacy
Self-esteem
Self esteem
Confidence
Achievement
Respect of others
Self actualization
Morality Creativity Spontaneity Problem solving Lack of prejudice Acceptance of facts
Axis 1
Clinical disorders: Depression Bipolar Insomnia Anorexia Dementia Autism
Axis 2
Personality disorders and mental retardation: Paranoid personality disorder Borderline personality disorder Antisocial personality disorder Dependent personality disorder Mental retardation
Axis 3
General medical conditions: Asthma CHF Diabetes Liver disease Cancer
Axis 4
Psychosocial and environmental problems: Divorce Abuse Homelessness Poverty Educational problems Unemployed Inadequate health care
Axis 5
Global assessment of functioning:
Individuals overall level of functioning
5150
Involuntary hold
DTS DTO
72 hour hold
Traditional antipsychotics
Used for schizophrenia acute & chronic psychoses.
Action: alters effects of dopamine in the CNS.
SE: neuroleptic malignant syndrome, extrapyramidal RXN, sedation, tardive dyskinesia, agranulocytosis.
Haldol
Thorazine
Prolixin
Navane
SE of traditional antipsychotics
SE: neuroleptic malignant syndrome, extrapyramidal RXN, sedation, tardive dyskinesia, agranulocytosis. Haldol Thorazine Prolixin Navane
Examples of Traditional Antipyschotics
Haldol
Thorazine
Prolixin
Navane
Examples of atypical Antipsychotics
Abilify Zyprexa Resperidal Geodone Clozapine
Indication for atypical antipsychotics
Schizophrenia
Bipolar disorder
Action: antagonizes dopamine and serotonin type 2 in CNS
SE of atypical antipsychotics
Extrapyramidal symptoms, Akathisia, tardive dyskinesia, acute dystonia, neuroleptic malignant syndrome. Agranulocytosis, sedation, contra indicated in dementia patients.
Examples of Anticholinergics
Cogentin
Benadryl
Artane
Indication of Anticholinergics
Drug induced extrapyramidal effects and acute dystonic RXNs
Action: block the action of neurotransmitter acetylcholine.
SE of Anticholinergics
Dry mouth, nose and throat. Constipation Drowsiness Blurred vision Confusion Memory loss.
Examples of Tricyclic antidepressants
Amitriptyline
Desipramine
Imipramine
Indication for tricyclic antidepressants
Depression
Action: block the reabsorption of serotonin.
SE of tricyclic antidepressants
Arrhythmias Drowsiness fatigue Blurred vision Hypotension Constipation
Examples of MAOI antidepressants
Nardil
Pamate
Indication for MAOI antidepressants
Pt. W/ depression. Tricyclic, SSRI, SSNRI, and electroconvulsive therapy were ineffective.
Action: inhibits serotonin reuptake
SE of MAOI antidepressants
HTN crisis, seizures, Arrhythmias, dizziness, headache.
Patient teaching for MAOI antidepressants.
Avoid tyramine:
Cheese, meats, wine. Can cause HTN crisis.
Examples: SSRI antidepressants
Prozac
Paxil
Zoloft
Indications for SSRI
Depression
Bulimia nervosa
Panic disorder
Action: inhibits serotonin reuptake.
SE of SSRI
Seizures, drowsiness, sexual dysfunction, insomnia, nervousness.
Examples of Mood stabilizers
Lithium
Depakote
Carbamazepin
Trileptal
Examples:
Anxiolytics
Benzodiazepines
Valium
Xanax
Ativan
Klonopin
Indication of anxiolytics and benzodiazepines
Anxiety disorders
Action: depresses the CNS
Potentiating GABA sedation, and decreased anxiety.
SE of anxiolytics and benzodiazepines
Apnea, cardiac arrest, dizziness, drowsiness, lethargy.
Pt teaching for anxiolytics and benzodiazepines
Habit forming and overdose can be fatal.