psych Flashcards
What med should be administered for acute dystonia? (an EPS associated with chlorpromazine use)
Benztropine, an anticholinergic agent
Community mental health center
A community health center can provide a variety of services to clients including education, group therapy, and medication administration. However, a community health center does not offer services at the client’s home.
Mental health day program
Day programs offer services for clients who need supervision or assistance throughout the daytime hours. However, mental health day programs do not offer services at the client’s home.
Partial hospitalization program
A partial hospitalization program provides intense short-term treatments for clients during the day. However, a partial hospitalization program does not offer services at the client’s home.
Assertive community treatment
Assertive community treatment provides comprehensive, community-based services to clients who have severe mental illness based upon individualized needs. Services are available in any setting, including the client’s home, 24 hr per day and provide crisis intervention, medication services, and advocacy.
What to do while the pt is in restraints
- Document the client’s condition every 15 min while the client is in restraints.
- Ensure a staff member remains with the client continuously while the client is in restraints.
- Remove one restraint at a time with assistance from other staff members as necessary as the client regains control.
- Provide nutrition and hydration for the client, as well as address elimination needs, while the client is in restraints.
- The nurse should place the client in a comfortable position where aspiration is prevented. The client should never be restrained in a prone position
- The nurse should conduct debriefing with other staff members and pt
OCD therapies
- Systematic desensitization
- ## Fluoxetine (SSRI decreases repetitive behavior
risk factors for delirium
- hospital environment
- age
- postop
- fever
Hospital environment is correct. Risk factors for delirium include a change in hospital rooms, such as moving from the ICU to a private room, client’s age, vision or hearing impairments, recent surgical procedures, and infection. A change in room location can be disorienting to a client and lead to delirium.
Clients who are taking tranylcypromine, an MAOI antidepressant, should not take phenylephrine and other over-the-counter medications for sinus congestion, colds, or allergies due to their actions on the sympathetic nervous system, which can result in severe hypertension.
Extreme distractability is a hallmark manifestation of… __________
delirium
who cannot give informed consent?
- younger than 18
- intoxicated
- person whu has just received morphine
alcohol withdrawal
- hypertension,
- tachycardia,
- fever > 101F (38.3 C) –> rule out infection
- profuse sweating
- dilated pupils
- hypoglycemia symptoms (shakiness, diaphoresis)
Spending adequate time with a client who is verbally abusive is an example of which principle of care?
By spending adequate time with a client who is verbally abusive, the nurse is demonstrating the ethical principle of justice. When the nurse spends an appropriate amount of time with each client regardless of their behavior and in keeping with their individual needs, the nurse guarantees that all clients receive equal care.
common anorexia nervosa findings vs bilimia
- amenorrhea
- lanugo
- cold extremeties
bulimia:
tooth erosion
manifestation of autism spectrum disorder in children
language delay
