Psych Unit 5 Flashcards
Pt taking antipsychotic meds often have problems with what?
Weight Gain
What specific antipsychotic meds are more problematic for weight gain?
SGA’s
Name some concerns regarding weight gain the nurse should teach a pt on SGA’s.
Monitor Glucose (diabetes)
Monitor Cholesterol (Hypercholesterolemia)
Monitor B/P (Hypertension)
Diminished self esteem r/t weight gain usually causes problems in medication regime adherence
____ are permanent involuntary muscle spasms of the face, truck or pelvis.
Tardive Dyskinesia
How do you treat Tardive Dyskinesia?
There is no known treatment, it is irreversible. Pt’s on FGA’s should be screened every 3 months
____ is the excessive maintenance of posture for long periods?
Waxy Flexibility
A pt who makes up stories in order to maintain self esteem when they cannot remember is performing____?
Confabulation
What phase of schizophrenia includes signs and symptoms that “precede” the acute phase, fully manifested disease like social withdrawal, depressive mood, and peculiar behavior.
Prodromal Phase
A pt who repeats phrases or behaviors to maintain self-esteem when they cannot remember is performing ____?
Perseveration
Decreased LOC, increased muscle tone, autonomic instability, hyperpyrexia, and elevated CPK are all s/s of ____.
Neuroleptic Malignant Syndrome (NMS)
____ is a term for made up words that have special meaning for he pt.
Neologisms
____ is extreme motor function restlessness.
Akathesia
____ two common drugs used to treat EPS’.
benzotropine mesylate (Cogentin) diphenhydramine hydrochloride (Benadryl)
In what phase of schizophrenia does the pt experience positive/negative symptoms.
Acute Phase (Phase 1)
In what phase of schizophrenia does the pt’s symptoms decrease in severity. Specifically the positive.
Stabilization (Phase 2)
In what phase of schizophrenia do the pt’s symptoms go into remission?
Maintenance (Phase 3)
Describe positive and negative symptoms of schizophrenia.
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
____ is a condition that develops slowly, is progressive, and base multiple cognitive deficits.
Dementia
____ is a state of mental confusion that develops quickly and has an underlying cause.
Delirium
These symptoms of schizophrenia include blunt affect, a logia, abolition, and anhedonia.
Negative symptoms
____ are sensory perceptions for which no external stimulus exists?
Hallucinations
5 types of hallucinations.
Auditory Visual Olfactory Gustatory Tactile
____ is different from a hallucination in that it s a misperception or misinterpretation of a real experience.
Illusion
____ are hallucination that may command a person to hurt themselves or others.
Command hallucinations
____ is a complex disease that begins to damage the brain long before the symptoms appear. Consists of 4 stages.
Alzheimers
In stage 1 (Mild) of Alzheimer’s the pt will experience____.
Forgetfulness.
Pt shows short-term memory loss, loses things, forest. Uses memory aids and is aware of the problem
In stage 2 (Moderate) of Alzheimer’s the pt will experience ____.
Confusion.
Pt shows progressive memory loss, withdrawn from social activities, decline in ADL’s. Denial is common.
In stage 3 (Moderate to Sever) of Alzheimer’s the pt will experience ____.
Ambulatory Dementia.
Shows ADL losses: willingness and ability. Shows loss of reasoning and verbal communication. Frustration. Family recognition disappears, may not recognize self.
In stage 4 (Late) Alzheimer’s the pt will experience ____.
End Stage.
Nonambulatory, mute, forgets how to eat, swallow, chew, etc. Incontinence. Infantile.
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.
Hospice
What is the focus of care with hospice?
Pain management and trying to provide the best quality of life during the remainder of time the pt has left.
____ is the pathologic repeating of anthers words.
Echolalia
____ is the mimicking of the movements of another.
Echopraxia
____ is the meaning less rhyming of words.
Clang associations
____ 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.
Group Therapy
____ is the most serious of the tic disorders and may have periods of remission.
Touretes Disorder.
____ is a loss that is not publicly sanctioned, openly acknowledged, or publicly mourned.
Disenfranchised Grief
What med is used to treat aggression in autism and also used for Tourettes?
Guanfacine
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.
Complicated Grief
____ is a condition that children exhibit extreme anxiety when they are separated from their familial surroundings.
Separation Anxiety.
____ is persistent pattern of negativity, disobedience, defiance, and hostility directed toward authority figures.
Oppositional Defiant Disorder.
Symptoms of Oppositional Defiant Disorder
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
____ 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.
Conduct Disorders
Symptoms of Conduct Disorders.
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
What is the most common class of medications for kids with ADHD?
CNS stimulants.
methylphendiate (Ritalin)
Adderall
Guanfacine for aggression
4 EPS’s.
Pseudoparkinsonism
Acute Dystonic Reactions
Akathisia
Tardive Diskinesia
____ 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)
Pseudoparkinsonism
____ is an eps that consists of acute contractions of tongue, face, neck, and back.
(Diphenhydramine hydrochloride first, 2nd benztropine)
Acute Dystonic Reactions
____ is tetanic heightening of the entire body, head and belly up.
Opisthotonos
____ is the term for when the eyes are locked upward.
Oculogyric crisis
____ 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)
Akathisia
____ is an eps that consists of protruding and rolling tongue, blowing, smacking, licking, spastic facial distortion, smacking movements.
(No treatment)
Tardive diskinesia
____ is a needed defense that lasts for a few days and protects the person emotionally from a painful loss.
Denial
a child with ____ has inattention, impulsivity and hyperactivity. Often has problems at school.
ADHD
