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Nursing III > Mental Health > Flashcards

Mental Health Flashcards

1
Q

factors that influence mental health

A

individual (personal), interpersonal (relationship) & Social/cultural (environment)

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2
Q

Mental disorders affect a person’s

A

mood, behavior, thinking

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3
Q

DSM (Diagnostic and statistical manual of mental disorders purpose:

A

standardize nomenclature language, identifies defining characteristics or symptoms, assist in identifying underlying causes, allows practitioners to identify all factors that relate to a patients condition

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4
Q

Community of mental health act 1963

A

De-institutionalization, Legislation for disability income, changes in commitment laws

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5
Q

National league of nursing required schools to do what?

A

include psychiatric nursing

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6
Q

Hildegrad Peplau

A

therapeutic nurse-client relationship, dont talk down to them

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7
Q

Basic-level functions

A

self care activities, pschobiologic interventions, health teaching, health promotion/maintenance, counseling, milieu therapy, case management

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8
Q

Psychobiologic intervention

A

study of the biology of the psyche

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9
Q

milieu therapy

A

therapy that controls the environment of the patient to provide interpersonal contacts that will develop trust, assurance and personal autonomy

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10
Q

Advanced-level functions

A

psychotherapy,prescriptive authority for drugs, consultation/liaison, evaluation

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11
Q

psychotherapy

A

method of treating disease without pharmacological means eg. hypnotism

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12
Q

Issues and concerns for mental illness in the 21st century

A

revolving door effect due to deinstitutionalization, shorter hospital stays, decompensation, dual diagnosis, rehospitalization, Homelessness, lack of adequate community resources, access to address needs of full or part time homeless persons with mental illness

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13
Q

Neurotransmitters that Excite

A

dopamine, norepinephrine, Epinephrine, Glutamate

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14
Q

Neurotransmitters that Inibit

A

Serotonin, GABA

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15
Q

Norepinephrine

A

attention, learning, memory, mood regulation

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16
Q

Dopamine

A

motivation, cognition

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17
Q

Epinepphrine

A

fight-or flight response

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18
Q

Glutamate

A

major neurotoxic effects at high levels. It is shown at high levels in strokes, hypoglycemia

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19
Q

Seratonin

A

food intake, temp reg, pain control

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20
Q

GABA

A

modulate other neurotransmitters

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21
Q

Acetylcholine

A

excite or inhibitory, sleep-wakeful cycle, signals muscle to become alert

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22
Q

Chlorpromazine(thorazine)

A

Conventional, first generation

23
Q

Fluphenazine(Prolixin)

A

Conventional, first generation

24
Q

Haloperidol(Haldol)

A

Conventional, first generation

25
Clozapine (Clozaril)
Atypical, Second generation, Antipsychotic med
26
Risperidone (Risperdol)
Atypical, Second generation, Antipsychotic med
27
Ziprasidone (Geodon)
Atypical, Second generation, Antipsychotic med
28
Olanzapine (Zyprexa)
Atypical, Second generation, Antipsychotic med
29
Aripiprazole (Abilify)
3rd generation, Antipsychotic med
30
Antipsychotic med uses:
To treat psychotic symptoms and block dopamine receptors
31
Antipsychotic adverse effects
Extrapyramidal Syndrome (EPS), Acute dystonia, Torticollis, opisthotonus, oculogyric crisis, pseudoparkisnsonism, akathisia
32
Treatment of antipsychotic adverse effects
Benztropine (Cogentin)
33
Benztropine (Cogentin)
Treatment of antipsychotic adverse effects
34
Tardive dyskinesia
irreversible involuntary movements, antipsychotic adverse effect
35
Neuroleptic malignant syndrome (NMS)
increased fever, sweating, death
36
other side effects of antipschotic meds
prolonged QT intervals, Agranulocytosis (increased white blood cells), weight gain
37
Important things to tell patient about antipsychotic meds
Remain compliant,
38
Antidepressant action
interacts with norepinephrine and seratonin, Normalize reuptake of neurotransmitters (lithium), increases GABA level, kindling process
39
Antideprensant side effects
sedation, loss of appetite, priaprism (abnormal erection)
40
Serotonin Syndrome
MAOI + SSRI Aggitation, hypotention, rigidity, tachycardia, hyper-reflexia (back arching), fever, sweating, coma, death
41
When do you take an SSRI?
first thing in the morning
42
When do you take a TCA
at night
43
If you miss a SSRI dose how long do you have to take it?
up to 8 hours
44
if you miss a TCA dose how long do you have to take it
within 3 hours
45
what us Carbamazepine(Tegretol) used for and s/s?
Anticonvulsant, used to treat bipolar disorders. S/s: drowsiness,sedation, dry mouth, blurred vision, rassh, orthostatic hypotention
46
what is Valproic acid (Depakote) used for and s/s?
Anticonvulsant, used to treat bipolar disorder. S/s: drowsiness, sedation, dry mouth, blurred vision, weight gain, alopecia (hair loss), hand tremor
47
what is Lamotrigine (Lamictal) used for
Anticonvulsant, used to treat bipolar disorders
48
what is Gabapentin (Neurontin) used for
Anticonvulsant, used to treat bipolar disorders
49
what is Topiramate (Topamax) used for
Anticonvulsant, used to treat bipolar disorders
50
What is Lithium used for and s/s
Bipolar disorders, s/s: nausea, diarrhea, anorexia, fine hand tremor, polydipsia, weight gain, acne, metalic taste
51
Client teaching for mood stabilizers
periodic monitoring of blood levels (12 hrs after last dose taken), take with meals, safety measures.
52
Stages of group development
pregroup, beginning or initial, working & termination stage
53
Absolute Contraindications for ECT
increased intracranial pressure, brain tumor, recent CVA or other cerebrovascular lesion
54
Individuals at high risk for ECT
myocardial infarction or CVA within the past 3-6 months. Aortic or cerebral aneurysm & CHF, severe underlying hypertension

Nursing III (25 decks)

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