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Nursing III > Mental Health > Flashcards

Mental Health Flashcards

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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
Q

Clozapine (Clozaril)

A

Atypical, Second generation, Antipsychotic med

26
Q

Risperidone (Risperdol)

A

Atypical, Second generation, Antipsychotic med

27
Q

Ziprasidone (Geodon)

A

Atypical, Second generation, Antipsychotic med

28
Q

Olanzapine (Zyprexa)

A

Atypical, Second generation, Antipsychotic med

29
Q

Aripiprazole (Abilify)

A

3rd generation, Antipsychotic med

30
Q

Antipsychotic med uses:

A

To treat psychotic symptoms and block dopamine receptors

31
Q

Antipsychotic adverse effects

A

Extrapyramidal Syndrome (EPS), Acute dystonia, Torticollis, opisthotonus, oculogyric crisis, pseudoparkisnsonism, akathisia

32
Q

Treatment of antipsychotic adverse effects

A

Benztropine (Cogentin)

33
Q

Benztropine (Cogentin)

A

Treatment of antipsychotic adverse effects

34
Q

Tardive dyskinesia

A

irreversible involuntary movements, antipsychotic adverse effect

35
Q

Neuroleptic malignant syndrome (NMS)

A

increased fever, sweating, death

36
Q

other side effects of antipschotic meds

A

prolonged QT intervals, Agranulocytosis (increased white blood cells), weight gain

37
Q

Important things to tell patient about antipsychotic meds

A

Remain compliant,

38
Q

Antidepressant action

A

interacts with norepinephrine and seratonin, Normalize reuptake of neurotransmitters (lithium), increases GABA level, kindling process

39
Q

Antideprensant side effects

A

sedation, loss of appetite, priaprism (abnormal erection)

40
Q

Serotonin Syndrome

A

MAOI + SSRI Aggitation, hypotention, rigidity, tachycardia, hyper-reflexia (back arching), fever, sweating, coma, death

41
Q

When do you take an SSRI?

A

first thing in the morning

42
Q

When do you take a TCA

A

at night

43
Q

If you miss a SSRI dose how long do you have to take it?

A

up to 8 hours

44
Q

if you miss a TCA dose how long do you have to take it

A

within 3 hours

45
Q

what us Carbamazepine(Tegretol) used for and s/s?

A

Anticonvulsant, used to treat bipolar disorders. S/s: drowsiness,sedation, dry mouth, blurred vision, rassh, orthostatic hypotention

46
Q

what is Valproic acid (Depakote) used for and s/s?

A

Anticonvulsant, used to treat bipolar disorder. S/s: drowsiness, sedation, dry mouth, blurred vision, weight gain, alopecia (hair loss), hand tremor

47
Q

what is Lamotrigine (Lamictal) used for

A

Anticonvulsant, used to treat bipolar disorders

48
Q

what is Gabapentin (Neurontin) used for

A

Anticonvulsant, used to treat bipolar disorders

49
Q

what is Topiramate (Topamax) used for

A

Anticonvulsant, used to treat bipolar disorders

50
Q

What is Lithium used for and s/s

A

Bipolar disorders, s/s: nausea, diarrhea, anorexia, fine hand tremor, polydipsia, weight gain, acne, metalic taste

51
Q

Client teaching for mood stabilizers

A

periodic monitoring of blood levels (12 hrs after last dose taken), take with meals, safety measures.

52
Q

Stages of group development

A

pregroup, beginning or initial, working & termination stage

53
Q

Absolute Contraindications for ECT

A

increased intracranial pressure, brain tumor, recent CVA or other cerebrovascular lesion

54
Q

Individuals at high risk for ECT

A

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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