Mental health 2 Flashcards
antipsychotic drugs take awhile to work
for ex.
tricyclids
2-3 weeks to work
What should you not have with Monoamine oxidase inhibitors? (MAOI’s)
do not have alcoholic drinks
Selective serotonin reuptake inhibitors (SSRI’s)
they are popular because of this
few side effects
what should you watch for with lithium?
watch electrolyte balance
avoid foods with a lot of sodium- hot dogs
female client on lithium misses a dose 5 hours ago
the nurse should suggest to skip the dose and eliminate the dose missed
bipolar female client who is bipolar and stops all meds
this is an example of being non compliant
with a schizophrenic pt they will be on antipsychotics such as
Risperdal
when you are interviewing a client what phase of ADPIE is this?
this the assessment phase
CMA/ med tech administering meds, but who is responsible for side effects?
the nurse
antipsychotic meds will cause a response to the nervous system.
A sympathetic response would be?
pupil dilation
symptoms of akinesia
a lot of movement while sitting/standing
beta blockers used for cardiac issues can be used for
social phobias
6 aspects of a individuals being
Social, Physical, Emotional, Culture, and Spiritual
the nursing process
evaluation
the nurse would ask for feedback of understanding
rueschs theory has to do with
disturbed communication interaction
with therapeutic communication
listening is a big part
when a nurse is conversing with a client that they recognize
recognize verbal and non verbal messages
if you have a client who voices a desire to become more autonomous
the nurse can have them look at a calendar first
a history of a social culture assessment would include
clients appearance, behavior and attitude
eric burney believes in the three ego’s
child
parent
and adult
patient is to take lithium and is concerned about being on that med
the nurse would respond and say you are doing well and should continue to do well as long as you are compliant with this med and treatment
a client with schizophrenia was found by the police on the street confused. They bring him into the ER. What is the first thing aa nurse is supposed to do?
a physical assessment
client is going through a difficult divorce and confides in the nurse
the nurse says “i have friends who went through a divorce it must
be difficult for you”
the orientation of a therapeutic relationship is the
trust piece
accepted criteria for inpatient admissions would be when
the client feels he is no longer able to cope with life stressors or control his behavior
when a patient has several and frequent admissions
reciduism
a psychotic pt always asks what day it is, the year and is unaware of time
a good nursing intervention would be have keep a written schedule
bright colors in the environment are
too stimulating for some pt’s
to prevent a client from reciduism
group homes is an a healthy alternative.
a patient is on demoral and nardil(MAOI)
this is a concern for too much sedation
a 22 year old is brought in with attempted suicide in regards to Maslow what is the priority?
safety and security
a nurse caring for a client too much and has protective feelings for that client
counter transference
in group therapy a client has ocd compulsively taps her head as she talks
the nurse would ignore the action for now
a female client politely tells the psychiatrist she is seeking alternative treatments.
when a client makes this decision is it is based on informed consent
rapisly changing thoughts is
flight of ideas
the technician role
what nurses do to ensure client safety
for example suicide watch or 1 to 1
if there is an increase in temperature in the environment it…?
can leave a pt distressed
part of the nursing care plan when the decides to meet with client and review with things.
it would be the planning part of treatment
