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
