FOUNDATIONS OF PSYCHIATRIC MENTAL HEALTH NURSING Flashcards
Disorders that affect mood, behavior, and thinking,such as depression, schizophrenia, anxiety disorders, and addictive disorders.
MENTALL ILLNESS
a state of complete physical,
mental, and social wellness, not merely the absence of disease or infirmity.
MENTAL HEALTH
a taxonomy published by the American Psychiatric Association. Describes all mental disorders, outlining
specific diagnostic criteria for each based on clinical experience and research.
Diagnostic and Statistical Manual of Mental Disorders, fifth edition
(DSM-5)
drugs used to treat mental illness.
PSYCHOTROPIC DRUGS
What were the first (2) drugs to be developed.
- Chlorpromazine (Thorazine)-antipsychotic drug
- Lithium (Antimanic agent)
Antianxiety agents called
BENZODIAZEPINES
the first American psychiatric nurse;
she believed that “the mentally sick should be at least as well cared for as the
physically sick”
LINDA RICHARDS
authoritative statements by professional organizations that describe the responsibilities for which nurses are accountable.
STANDARD OF CARE
therapeutic nurse–client relationship
HILDEGARD PEPLAU
moral treatment of the mentally ill
DOROTHY DIX
The primary purpose of the Community Mental Health Center Act of
1963 was to
move patients to their home communities for treatment.
A drug will prove effective for a disease that differs from the one involved in original
testing and FDA approvaL
OFF LABEL USED
the time it takes for half of the drug to be removed from the bloodstream
HALF LIFE
package inserts must have a highlighted box, separate from the text, which contains a warning about the serious or life-threatening side effects.
BLACK BOX WARNING
Two first-generation antipsychotics use sesame oil as the vehicle for these injections, so the
medication is absorbed slowly over time; thus, less frequent administration isneeded to maintain the desired therapeutic effects
FLEPHENAZINE (Prolixin)
HALOPERIDOL (Haldol)
Dystonia is most likely to occur in the
FIRST WEEK
Antidepressants are divided into four groups:
1.Tricyclic and the related cyclic antidepressants
2. Selective serotonin reuptake inhibitors (SSRIs)
3. MAO inhibitors (MAOIs)
4. Other antidepressants such as desvenlafaxine (Pristiq)
common side effects of MAOIs
daytime sedation
insomnia,
weight gain, dry mouth, orthostatic hypotension, and sexual dysfunction.
Avoid When Taking
Monoamine Oxidase Inhibitors, ecause the combination produces a hypertensive
crisis that can become life-threatening.
TYRAMINE (E.g. cheese, aged meat, broad beans, avocado, beers, soybeans condiments, yogurts and MSG.
DAILY DOSAGE OF LITHIUM
900-3,600 MG
therapeutic levels of Lithium
0.5 mEq/l - 1.5 mEq/l
used to treat anxiety and anxiety
disorders, insomnia, obsessive-compulsive disorder (OCD), depression,
posttraumatic stress disorder, and alcohol withdrawal.
ANXIOLYTICS
the major
inhibitory neurotransmitter in the brain.
GABA
mediate the actions of the amino acid GABA
BENZODIAZEPINES
Potential for abuse is high. Administration for prolonged periods may lead to
drug dependence
AMPHETAMINES
inhibits the enzyme aldehyde dehydrogenase, which is involved in the metabolism of ethanol
DISULFIRAM
