Psychiatric Flashcards
What is anhedonia
Loss of pleasure in usually pleasurable things
Weight gain versus weight loss in depression….(mild vs severe)
Weight gain in mild depression and weight loss in severe depression
Sleeping for depressed patients (mild vs severe)
Mild depressed sleep all the time and severely depressed have insomnia
What is a delusion
False idea (granduer, persecution)
Treatment for a depressed person
Go an get them; prevent isolation, be active, for severely depressed then sitting with them and making no demands; assess suicide risk, silence is good too,
Treatment for mania patient
Decrease stimuli. limit group activities, remove hazards, one on one, stay with them as anxiety increases, structured schedule, brief and frequent contact with the staff, writing activities, weigh daily, increase calories, finger foods, don’t argue or try to reason, walk with client during meals, maintain dignity
What is echolalia
repeated speech
What is neologism & what is nurse response
making up new words; nurse clarifies and ask.
What is word salad
jumble of words that don’t go well together
S/sx of suicide
collecting harmful objects, isolating themselves, writing a will, giving away belongings.
Activity for suicide &angry client
Re-channel anger through exercise because it gets negative energy out of the body. Pick the most exerting answer like “punching bag”
Restraint care for suicide/psych patient.
Check every 15 min, remember hydration nutrition and elimination, not used much on psych units, observation at 15-30 minute intervals or one to one if the client cannot contract for safety
Obsession
Recurrent thought
Compulsion
Recurrent action
purpose of obsession /compulsion
relief from anxiety
Stage 1 of alcohol withdrawal
Mild tremors, nervous and nauseaus
Stage 2 of alcohol withdrawl
increased tremors, hyperactive, nightmares, disorientation, hallucinations, increased pulse, increased BP
Stage 3 of etoh withdrawal
Most dangerous, severe hallucinations, (visual and kinesthetic), grand mal seizure
Tx for stage 1 and 2 etoh withdrawal
walk and talk to them; reorient
Stage 2 and 3 etoh withdrawl are what
Withdrawal delirium (DTs)…keep light on
Detox protocols include what
thiamine injections, multivitamins, and magnesium. Thiamin and niacin deficiencies.
Wernikes syndrome
Emotional labile, moody and tire easily
Korsakoffs syndrome
disoriented to time and confabulate
What is peripheral neuritis caused by
vitamin b deficiencies
What two electrolytes do alcoholics lose
K and Mg
Antabuse is what and what do we need to tell them
deterrent to drinking. Sign consent form. Stay away from all types of alcohol. (cough syrups, aftershave, cologne, alcohol prep, vanilla).
Treatment for bulimic patient
Sit with client at meals and observe for 1 hr after. Allow 30 minutes for meals. Take focus off the food.
Treatment for hallucinations
Involve them in an activity, turn off TV, elevate HOB, limit stimuli, offer reassurance.
ECT therapy
NPO, Atroping (Aztreza)–> to dry up secretions to prevent aspiration, signed permit, series of treatments, Succinylcholine chloride (anectine) relaxes muscles. Look for injury after procedure, position on side, stay with client, temporary memory loss is expected so reorient them.
