Exam # 2 Flashcards Week 6-8
ADHD behaviors
Inattentiveness
-don’t complete tasks
-short attention span/ usually avoid tasks that require attention
-easily distracted
-don’t listen
-hard time with time management
Hyperactivity
-constant movement
-impulsive
-interrupting conversations
ADHD medications
Stimulants
- Methylphenidate
- Amphetamine Salts
- Lisadexafetamine
ADHD medication consideration
Give early in the morning before breakfast
monitor their weight couple times per week due to appetite suppression
Monitor vitals
High potential for substance abuse
Can make anxiety worse
Patches: only on for 9 hours during the day
ADHD Nursing Interventions
Safety
Low stimuli
Can be in groups
Anorexia symptoms
Poor circulation
Pallor
Palpitations
Faint
Dizziness
Menstrual disturbances
Unexplained GI disturbances (Constipation)
Cachexia
Lanugo
Hypokalemia
Anorexia: how to know if they are getting better?
Gaining weight (>30% weight, >10% body fat)
— make sure to weight pt regularly
HR goes normal (>40)
Vitals return normal (SBP >70)
Stop doing compensatory behaviors
— observe patient during eating and 1-3 hours after
Cognitive distortions are improved
they are eating something
not getting better if weight stays the same
What is Mental Status Exam (MSE) testing for?
Testing Cognition
orientation
memory
ability to follow directions (mood, behavior, perception)
counting backwards (doing basic math)
ability to focus
What to do with wandering patient?
Dementia
— Deescalate the situation first
— walk them to a room
— reorient them
— Redirect
— distract them
How would you set up a room for a patient with dementia?
Calendar
Pictures
Window
Good lighting (not too dim to avoid shadows)
No scattered rugs
Label things
Dementia assessment
4 A’s
1. Amnesia- memory loss
2. Apashia- loss of speech
3. Apraxia- loss of movement or to perform tasks
4. Agnosia - inability to interpret sensations
Priority assessment for Crisis
Psychosis
— this is the priority because they might be experience command hallucinations. Can lead to self harm or harming others.
— can also have overwhelming anxiety and panic
What makes grieving maladaptive?
More than 6 months
— still not being able to function
— still talking about grief in the present tense for more than 6 months and making plans
Ex: someone can’t sleep due to a loss. After 6 months they should start sleeping. If not.. then considered maladaptive.
Zolpidem
Sleep medication
What does it mean to have severe mental illness?
Affects ability to function
Ageism
Limiting treatment options because a person is old
Example: “he’s old, so he can’t handle it”