Mental Health Flashcards
A therapeutic therapy for a client with a conflict with parents due to his hate with siblings.
Family therapy
Effective therapy to a client with post- traumatic stress
disorder (PTSD) (group therapy or individual therapy?)
Individual therapy
Electroconvulsive therapy (ECT) is effective to a client with.
Major depression followed by medication
A client experiencing nightmares, screaming during sleep,
unable to focus or concentrate and thoughts of guilt.
During a client-nurse interaction, it was found out of her
mental and physical abused as a child. What kind of anxiety
disorder this may be related to?
Post-traumatic stress disorder (PTSD)
ADHD medications:
Attenta, Concerta, Ritalin, Strattera
Most common form of mental illness in elderly patient
OBS (organic brain syndrome)
Newest ADHD medication
Strattera (atomoxetine) is a Psycho stimulant
ADHD medication is stimulating and calming effect in
children and adults.
Side effect of ADHD
Loss of appetite, abdominal pain, headache, and
insomnia.
Provide high calorie and snacks during the day to
overcome weight loss.
Best time to administer ADHD medication
30-45 minutes before meal TID or once daily before
breakfast for long acting form.
An antidepressant and used also to quit cessation) smoking
Zyban (buproprion)
Withdrawal signs from Strattera (Adhd medication)
Flushing, palpitations, hypertension,
tachycardia, and abdominal pain
Common side effects of Strattera
Drowsiness
Needs further teaching to relieve dryness of the mouth when
taking Prozac.
When taking large amount of water as it may deplete
electrolytes. Sugarless gum and ice chips will be the
right away to relieve dryness of the mouth.
Normal level of Lithium
0.6 - 1.2
Toxic level >2
Onset of lithium
5 to 7 days
Side effects of Lithium toxicity
Nausea, vomiting, sedation, metallic taste, polyurea and headache.
Indication of Haldol (haloperidol)
Acute and chronic psychoses
Side effects of Haldol (haloperidol)
Haldol has an anticholinergic effects:
dry mouth, blurry vision and dry eyes, constipation,
EPS (tremors, rigidity, shuffling gait),
hypotension, and tachycardia
Pristiq (desvenlafaxine) is indicated to client with?
To treat major depressive disorder.
What drug used to treat heroin and opiate addiction?
Methadone
Borderline personality
Suicidal tendency
Less severe, chronic depression for about 2 years or more
Dysthymia
Geodon (ziprazidone) is an.
Antipsychotic medication
Recurrent, multiple, physical symptoms without organic cause.
Somatoform disorder (briquet syndrome)
Zyprexa (Olanzapine)
Antipsychotic: Prevent dehydration
Supervise suicidal risk during early therapy
**(as energy level improves, as depression lessens)
What laboratory value would be a priority to monitor when
clients receiving Clozaril (clozapine) and Remeron
(mirtazapine)?
WBC due to agranulocytosis
What are the signs and symptoms of agranulocytosis?
Sudden fever and sorethroat (due to decreased WBC).
Term used to escape from uncomfortable situations.
It has no real illness, but is overly obsessed over normal
bodily functions,
Hypochondriasis
Treatment for severe depression
Electroconvulsive Therapy (ECT)
Is a person repeatedly acts as if he or she has a physical or
mental disorder when, in truth, they have caused the
symptoms. The most severe type of factitious disorder.
Munchausen Syndrome
The purpose of compulsive disorder is to?
To reduce anxiety
A defense mechanism that is normal when a client is
suddenly faced with a life threatening illness.
Denial
Antidepressant that is safe in pregnancy
Prozac and tricyclics
Antabuse type reaction
Disulfiram type reaction
Abilify (aripiprazole) is an.
Antipsychotic such as schizophrenia, bipolar disorder
(mania), and also used as antidepressant.
Side effects of Abilify (aripiprazole)
Headache, insomnia, sedation, and constipation
Remeron (mirtazapine) indication?
Antidepressant
SE: sedation, drowsiness, headache, increased
appetite. Mild visual hallucination when taken during the
day or when awake).
What to monitor when patient is taking Remeron
(mirtazapine)?
WBC, obtain WBC before starting treatment and on
going treatment for WBC (due to agranulocytosis).
Remeron(mirtazapine)
Antidepressant for children and adolescents. Patients
who are started on therapy should be observed closely
for clinical worsening, suicidality, or unusual changes in
behavior.
Symptoms of alcohol withdrawal include:
Delirium. or confusion, agitation, nervousness,
Insomnia, hallucinations, palpitations, tachycardia.
Client is on Lithium, what to monitor?
Fluid intake and Sodium
In psychiatric clients Lanugo is seen in?
Severe anorexia nervosa
most commonly known MAO medications:
Parnate, Nardil, and Marplan (PaNaMa)
Foods high in Tyramine
When ingested will develop into hypertensive crisis.
When taking MAO and food containing tyramine.
Fermented, smoked, aged, such as dried fish,
Smoked fish, pickled herring, bologna, salami, sour
cream, yoghurt, caffeinated beverages, chocolates,
beer containing alcohol, and non-alcohol beer.
Manic client
Give finger foods such as raisins, carrot sticks, celery
sticks, etc.
Borderline personality
Suicidal tendency
Depressed and Manic
Give separate activity
Alcoholism what to assess
Alcoholism what to assess - Dilated pupils and asystole
Initial therapeutic approach for manic behavior
Be firm and consistent
A mechanism to raise self esteem seen in Korsakoff’s syndrome
Confabulation
Most important risk to client with Bipolar
Risk for suicide and also likely abusing alcohol or other
substance.
Patient on patient on Lithium
Increase Sodium and fluid intake
A brain disorder involving loss of specific brain functions cause by thiamine deficiency.
Wernicke-Korsakoff’s syndrome
Alcohol should not be consumed for at least ___ hours On Antabuse (disulfiram).
Alcohol has been consumed in the last 12 hours.
Indications of disulfiram (Antabuse)
- To support the treatment of chronic alcoholism
producing an acute sensitivity to alcohol. - As a treatment for cocaine dependence.
Tricyclic drug takes effect (in days)
12 to 14 days
Side effects of Thorazine (chlorpromazine)
Other brand name Largactil (antipsychotic)
drowsiness, blurred vision, decreased sweating,
difficulty urinating, constipation
Dizziness, increased appetite
What to report to the physician when taking Stelazine
(trifluoperazine)?
Indication: antianxiety/antipsychotic
Difficulty of urinating and Extra pyramidal reactions
(EPS), and dystonia.
A common symptom seen with Korsakoffs syndrome
Confabulation
What to monitor to a client taking Clozaril (clonazepine)
WBC (due to agranalunocytosis)
Autistic child best intervention
Behavior modification and not by a play therapy
A mother is silent and not looking on her son who is laying on
the floor, rebelling, screaming, kicking and this is called
Negative punishment
Common side effects of L-dopa and Sinemet.
Depression, confusion, and hallucinations.
Antidepressant bupropion (Zyban®) is contraindicated in
Epilepsy, psychosis and diabetes and may help also
helps with withdrawal symptoms,cravings, and urges.
Effects of anticholinergic (tricyclic antidepressant)
Dryness of the mouth, blurred vision, urinary retentions,
constipation
Indication disulfiram (Antabuse)
Alcohol abuse
When taking Tofranil (imipramine), instruct client to avoid.
Caffeinated drinks such as coffee, soda, chocolate, and
tea. (not recommended due to sleep disturbances)
Tofranil (imipramine) therapeutic level?
150 to 250 mg /ml.
Side effect of Tofranil (imipramine), a tricyclic antidepressant
- Photosensitivity (Advised to use sunscreen and to
wear protective clothing when exposed to sun). - Dryness of the eyes (reduced lacrimation and may
use artificial tears) - Gynecomastia
Side effect of Sinequan (doxepin)
Orthostatic hypotension
Common side effect of Paxil (paroxitine)
Dryness of the mouth
Other side effect: may decrease sexual drive in male
and decreased orgasm in female.
Common side effect of Zoloft (sertraline HCL)
Dryness of the mouth
Decreased libido in male and female
What to monitor when client is on Zoloft (sertraline)
Suicidal ideation
Rationale: client has renewed energy that may support
the implementation of suicidal ideation
Remeron (mirtazapine) is administer preferably
During bedtime. Remeron is antidepressant
When taking Nardil (phenylzine), food to avoid
Nardil is a MAOI.
Avoid foods high in tyramine: Bologna, salami, aged
cheeses, dried fish, beverages with caffeine, chocolate,
pickled herring, and beer including alcohol-free beer.
A behavior of crying without tears and laughing simultaneously.
Labile affect
“I am the master of the universe”, this is an example of?
Grandiose delusion
Rapid speech pattern from topic to topic without making
sense of ideas stated.
Flight of ideas
Patient is saying aloud, “Rain, rain go away, and asked who
let the dog out and looking for cat under the rug” the client is
indicating?
Flight of ideas
More rapes are perpetrated by who
Someone the victim knows
Strattera (Atomoxetine)
Newest ADHD medication
Side effects: increased heart rate and blood pressure
Antidepressants: Monoamine oxidase inhibitors (MAOIs)
Marplan (isocarboxasid)
Nardil (phenelzine)
Parnate(tranicypromine)
