mental health Flashcards
what should you not do when talking to the client
ask why ask too many qs give advice give false reassurance change the conversation topic give approval or disapproval use close-ended qs/statements
EX: don’t worry, “I think you should…,” “don’t be silly…,” “That’s great…”
odd or eccentric PD
cluster A
Paranoid
- suspiscious of others
- thinks everyone wants to harm them
schizoid
- indifferent
- seclusive
- detached
- doesn’t care for close relationships
schizotypal
- odd thinking (magical thinking)
- strange appearance
dramatic or emotional
cluster b
antisocial
- no care for others
- aggressive
- manipulative
- doesn’t follow rules
borderline
- unstable
- manipulative to self/others
- fear of neglect
histrionic
- seeks attention
- center of attention by being seductive and flirtatious
narcisstic
- egocentric
- needs consistent applause
anxious or insecure
cluster c
avoidant
- anxious in social settings
- avoids social interactions but desires close relationships
- fear of abandonment
dependent
- extremely dependent on someone
- searches urgently to find a new relationship when others fail
obsessive/compulsive
- perfectionist
- control issue
- rigid
s/s of bulimia nervosa
normal weight to overweight
teeth erosion
bad breath
may use laxatives or diuretics
what does binge eating cause
depression
hatred
shame
refeeding syndrome
potential complications when fluids, electrolytes and carbs are introduced too quickly to a malnourished client
- tx should be done slowly to avoid this
s/s Fatigue. Weakness. Confusion. Difficulty breathing. High blood pressure. Seizures. Irregular heartbeat. Edema.
diet for bipolar pts
offer energy and protein dense foods that are easily consumed on the go (finger foods)
- hamburgers
- sandwiches
- fruit juices
- granola bars
- shakes
tx for bipolar pts
provide safe environment set limits on manipulative behaviors provide finger foods and fluids re-channel energy for physical activity decrease stimuli
tx for schizophrenic pts
meds (antipsychotics, antidepressants, mood stabilizers, benzos)
therapy
exercise
NI for schizophrenic pts
- establish trust
- encourage med complicance
- promote self care
- encourage group activities
- therapeutic comm
- bring conversations back to reality
- don’t argue w patient
ECT
- client will not remember and is unaware of the procedure
- muscle relaxants may be given to decr seizure activity and decr risk for injury
- may have memory loss, confusion and headache post procedure
communication w pt with alzheimers + meds
- speak slowly
- give one direction at a time
- don’t ask complex or open-ended qs
- simple and direct questions
- face client directly when they are speaking
MEDS:
- donepezil - aricept
- galantamine - razadyne
- rivastigmine - exelon
