Mental health test Flashcards
Disulfiram (Antabuse): why is it given? What are some SE that are attributed to this drug? Is there any pertinent blood work that needs to be checked? and what are some Nursing Interventions / Teaching?
- Is given as a deterrent to alcohol ingestion.
- N/V, hypotension, respiratory depression, MI, tachycardia, HF, Death.
- Blood alcohol level needs to be checked
- Do not given client unless no alcohol within 12 hours. And no alcoholic substances (Beer, mouthwash, vanilla extract, etc.) for 2 weeks after discontinuation.
Diazepam (Valium): why is it given? What are some SE that are attributed to this drug? Is there any pertinent blood work that needs to be checked?
- Anti-anxiety, sedative, and muscle relaxation
- Dizzy, depression, hypotension, and respiratory depression.
- Monitor renal and liver function.
Fluoxetine (Prozac): why is it given? What are some SE that are attributed to this drug? Is there any pertinent blood work that needs to be checked?
- Treats depression, OCD, and bulimia nervosa.
- Seizures, suicidal thoughts, sexual dysfunction.
- CBC, proteinuria, and serum alkalosis.
Bupropion (Wellbutrin): why is it given? What are some SE that are attributed to this drug? Is there any pertinent blood work that needs to be checked? and what are some Nursing Interventions / Teaching?
- Treats depression, ADHD, and aids cessation of smoking
- Seizures, suicidal thoughts, general anxiety.
- May cause false positive in urine test.
- Drug has high interactions with other drugs - Monitor drug regimen closely
Valproic acid (Depakote): why is it given? What are some SE that are attributed to this drug? Is there any pertinent blood work that needs to be checked? and what are some Nursing Interventions / Teaching?
- Treats bipolarism
- N/V, Prolonged bleeding, blood dyscrasias, suicidal thoughts.
- Monitor hepatic function
- Give with food, regular blood tests.
Risperidone (Risperdal): why is it given? What are some SE that are attributed to this drug?
- Bipolar, schizophrenia, and OCD
2. Agitation, extrapyramidal symptoms, dry mouth
Carbamazepine (Tegretol): why is it given? What are some SE that are attributed to this drug? Is there any pertinent blood work that needs to be checked?
- Treatment of seizures and bipolarism
- N/V, Prolonged bleeding, blood dyscrasias, suicidal thoughts.
- Monitor CBC and platelet count
Paroxetine (Paxil): why is it given? What are some SE that are attributed to this drug?
- Antidepressant (SSRI)
2. Dizziness, neuroleptic malignant syndrome, suicidal thoughts, Stevens-Johnsons.
Lithium: why is it given? What are some SE that are attributed to this drug?and what are some Nursing Interventions / Teaching?
- Treats manic episodes related to bipolarism
- Drys you out, N/V, polyuria, weight gain, hypotension
- Sugar free intake, give with meals, don’t participate in actives that require alertness.
Why do nurses use the DSM-V? What information does it provide?
Helps the nurse to give holistic care of the client.
Axis I: Principal disorder- What needs immediate attention.
Axis II: Personality disorder- May shape current response to axis I via a developmental deficit
Axis III: Medical issue that may effect current abnormality
Axis IV: Stressor that precipitates current situation
Axis V: Codes level of function
What nursing care is important in caring for a client in restraints?
Clients in restraints must be observed and assessed every 10-15 minutes to monitor: Circulation, respiration, nutrition, hydration, and elimination. Document accordingly.
What is the preinteraction phase?
Obtain background information and examine ones own feelings, fears, and anxieties about working with this type of patient.
What is the Orientation ( Introductory ) phase?
Establish trust and rapport. Set goals. Formulate plan of care. Gather assessment data.
What is the Working phase?
Where the therapeutic work is done. Maintaining trust and rapport.
What is transference?
Where the client unconsciously attributes the nurse to someone in their past.
What is countertransference?
Where the nurse emotionally response to the clients situation.
What is the termination phase?
When the goals have been met and the therapeutic timing is complete the relationship ends.
What is mild anxiety?
Seldom a problem. Productivity increases and performance is at the optimal level.
What are symptoms of moderate anxiety?
Perceptual field decreases. Restless and muscularly tense.
What are symptoms severe anxiety?
Headache, confusion, dread, horror, and discomfort all over. Only able to focus on one detail at a time.
What are symptoms of panic disorder?
Unable to focus on any one detail.May experience hallucinations or delusions. severe terror.
What is justice?
The right to be treated equally regardless of race, sex, etc…
What is nonmaleficence?
The requirement of healthcare providers to do no harm to their clients.
What is veracity?
One’s duty to always be truthful.
What is a tort?
An unintentional or intentional violation of civil law which an individual has been wronged.
What is sublimation?
Rechanneling negative behaviors into something positive
Whats the difference between repression and suppression?
Repression is involuntary and Suppression is voluntary
What is introjection?
When you integrate your beliefs from someone else (i.e. child from parent)
Why is ECT done?
To treat depression in patients whose anti-depressants medications proved ineffective.
What is a advanced directive?
Either a living will or power of attorney.
What is the difference between a living will and power of attorney?
A living will is written document made by the individual expressing what should be done when he/she can’t communicate anymore. A power of attorney allows someone else to make decisions regarding end-of-life care once the patient cannot speak from himself.
What are some signs of elder abuse?
Depression
Sleep disorders
Poor hygiene
Genital itching/bleeding
