Psych Unit 5

Question 1

Pt taking antipsychotic meds often have problems with what?

Answer 1

Weight Gain

Question 2

What specific antipsychotic meds are more problematic for weight gain?

Answer 2

SGA’s

Question 3

Name some concerns regarding weight gain the nurse should teach a pt on SGA’s.

Answer 3

Monitor Glucose (diabetes)
Monitor Cholesterol (Hypercholesterolemia)
Monitor B/P (Hypertension)
Diminished self esteem r/t weight gain usually causes problems in medication regime adherence

Question 4

____ are permanent involuntary muscle spasms of the face, truck or pelvis.

Answer 4

Tardive Dyskinesia

Question 5

How do you treat Tardive Dyskinesia?

Answer 5

There is no known treatment, it is irreversible. Pt’s on FGA’s should be screened every 3 months

Question 6

____ is the excessive maintenance of posture for long periods?

Answer 6

Waxy Flexibility

Question 7

A pt who makes up stories in order to maintain self esteem when they cannot remember is performing____?

Answer 7

Confabulation

Question 8

What phase of schizophrenia includes signs and symptoms that “precede” the acute phase, fully manifested disease like social withdrawal, depressive mood, and peculiar behavior.

Answer 8

Prodromal Phase

Question 9

A pt who repeats phrases or behaviors to maintain self-esteem when they cannot remember is performing ____?

Answer 9

Perseveration

Question 10

Decreased LOC, increased muscle tone, autonomic instability, hyperpyrexia, and elevated CPK are all s/s of ____.

Answer 10

Neuroleptic Malignant Syndrome (NMS)

Question 11

____ is a term for made up words that have special meaning for he pt.

Answer 11

Neologisms

Question 12

____ is extreme motor function restlessness.

Answer 12

Akathesia

Question 13

____ two common drugs used to treat EPS’.

Answer 13

benzotropine mesylate (Cogentin)
diphenhydramine hydrochloride (Benadryl)

Question 14

In what phase of schizophrenia does the pt experience positive/negative symptoms.

Answer 14

Acute Phase (Phase 1)

Question 15

In what phase of schizophrenia does the pt’s symptoms decrease in severity. Specifically the positive.

Answer 15

Stabilization (Phase 2)

Question 16

In what phase of schizophrenia do the pt’s symptoms go into remission?

Answer 16

Maintenance (Phase 3)

Question 17

Describe positive and negative symptoms of schizophrenia.

Answer 17

Positive: more developed. Hallucinations & Delusions, disorganized speech, and bizarre behavior.
Negative: Lack of motivation, no grooming, apathy, withdrawal, blunt affect, a logia, abolition, and anhedonia

Question 18

____ is a condition that develops slowly, is progressive, and base multiple cognitive deficits.

Answer 18

Dementia

Question 19

____ is a state of mental confusion that develops quickly and has an underlying cause.

Answer 19

Delirium

Question 20

These symptoms of schizophrenia include blunt affect, a logia, abolition, and anhedonia.

Answer 20

Negative symptoms

Question 21

____ are sensory perceptions for which no external stimulus exists?

Answer 21

Hallucinations

Question 22

5 types of hallucinations.

Answer 22

Auditory
Visual
Olfactory
Gustatory
Tactile

Question 23

____ is different from a hallucination in that it s a misperception or misinterpretation of a real experience.

Answer 23

Illusion

Question 24

____ are hallucination that may command a person to hurt themselves or others.

Answer 24

Command hallucinations

Question 25

____ is a complex disease that begins to damage the brain long before the symptoms appear. Consists of 4 stages.

Answer 25

Alzheimers

Question 26

In stage 1 (Mild) of Alzheimer's the pt will experience____.

Answer 26

Forgetfulness. | Pt shows short-term memory loss, loses things, forest. Uses memory aids and is aware of the problem

Question 27

In stage 2 (Moderate) of Alzheimer's the pt will experience ____.

Answer 27

Confusion. | Pt shows progressive memory loss, withdrawn from social activities, decline in ADL's. Denial is common.

Question 28

In stage 3 (Moderate to Sever) of Alzheimer's the pt will experience ____.

Answer 28

Ambulatory Dementia. Shows ADL losses: willingness and ability. Shows loss of reasoning and verbal communication. Frustration. Family recognition disappears, may not recognize self.

Question 29

In stage 4 (Late) Alzheimer's the pt will experience ____.

Answer 29

End Stage. | Nonambulatory, mute, forgets how to eat, swallow, chew, etc. Incontinence. Infantile.

Question 30

What type of care is provided by a team to a person who is generally within 6 months of dying, to provide holistic care to that person and family.

Answer 30

Hospice

Question 31

What is the focus of care with hospice?

Answer 31

Pain management and trying to provide the best quality of life during the remainder of time the pt has left.

Question 32

____ is the pathologic repeating of anthers words.

Answer 32

Echolalia

Question 33

____ is the mimicking of the movements of another.

Answer 33

Echopraxia

Question 34

____ is the meaning less rhyming of words.

Answer 34

Clang associations

Question 35

____ is a treatment modality for kids that is used to deal with specific issues in the child's life and is performed based upon the child's age group.

Answer 35

Group Therapy

Question 36

____ is the most serious of the tic disorders and may have periods of remission.

Answer 36

Touretes Disorder.

Question 37

____ is a loss that is not publicly sanctioned, openly acknowledged, or publicly mourned.

Answer 37

Disenfranchised Grief

Question 38

What med is used to treat aggression in autism and also used for Tourettes?

Answer 38

Guanfacine

Question 39

When a person is suffering ____ grief, they may have been very dependent on the one who died, or it may have been a child, they may have poor coping skills, or the deceased person may have died from a condition that had a stigma.

Answer 39

Complicated Grief

Question 40

____ is a condition that children exhibit extreme anxiety when they are separated from their familial surroundings.

Answer 40

Separation Anxiety.

Question 41

____ is persistent pattern of negativity, disobedience, defiance, and hostility directed toward authority figures.

Answer 41

Oppositional Defiant Disorder.

Question 42

Symptoms of Oppositional Defiant Disorder

Answer 42

``` Excessive arguing with authority figures Actively defying or refusal to comply Spiteful attitude and revenge seeking Touch/easily annoyed Loses temper often Anger and resentment Blaming ```

Question 43

____ is a serious behavioral and emotional disorder characterized by a persistent pattern of behavior in children and adolescents in which the rights of others and society rules are violated.

Answer 43

Conduct Disorders

Question 44

Symptoms of Conduct Disorders.

Answer 44

Aggressive behavior toward others (Cruelty to others/animals) Forcing others into sexual acts Destructive behavior (vandalism) Deceitfulness (conning, lying) rule violations (running away, sexually active very young) antisocial personality disorder

Question 45

What is the most common class of medications for kids with ADHD?

Answer 45

CNS stimulants. methylphendiate (Ritalin) Adderall Guanfacine for aggression

Question 46

4 EPS's.

Answer 46

Pseudoparkinsonism Acute Dystonic Reactions Akathisia Tardive Diskinesia

Question 47

____ is an eps that consists of mask like facies, stiff and stooped posture, shuffling gait, drooling, tremor, and pill-rolling. (Anticholinergic agent: benztropine or trihexyphernidyl)

Answer 47

Pseudoparkinsonism

Question 48

____ is an eps that consists of acute contractions of tongue, face, neck, and back. (Diphenhydramine hydrochloride first, 2nd benztropine)

Answer 48

Acute Dystonic Reactions

Question 49

____ is tetanic heightening of the entire body, head and belly up.

Answer 49

Opisthotonos

Question 50

____ is the term for when the eyes are locked upward.

Answer 50

Oculogyric crisis

Question 51

____ is an eps that consists of motor inner driven restlessness. (MD may change antipsychotic or may give antiparkinsonian. Also may receive beta blocker or anti anxiety)

Answer 51

Akathisia

Question 52

____ is an eps that consists of protruding and rolling tongue, blowing, smacking, licking, spastic facial distortion, smacking movements. (No treatment)

Answer 52

Tardive diskinesia

Question 53

____ is a needed defense that lasts for a few days and protects the person emotionally from a painful loss.

Answer 53

Denial

Question 54

a child with ____ has inattention, impulsivity and hyperactivity. Often has problems at school.

Answer 54

ADHD