Psychiatric Flashcards
Setting realistic limits on a client behavior would work best on a patient with what kind of personality disorder?
Antisocial personality disorder
Behaving in a friendly manner toward a client would work best with a client with which type of personality disorder?
Avoidant personality disorder
Showing respect for the clients need for isolation would be best with a client with what type of personality disorder?
Schizotypal personality disorder
Acting as role model for assertiveness would work best with what type of personality disorder ?
Dependent or histrionic personality disorder
What is benztropine normally given for?
Parkinsonian manifestations such as shuffling gait
Weight criteria that meets requirement to be hospitalized
75% of body weight
Of less than 10% of body fat
Rapid weight loss or greater than 30% of body weight in less than 6 months
ECG changes
Electrolyte disturbances
Psychosis, suicidal, depression, family crisis
Why does a patient taking lithium need to make sure they intake sodium and fluids normally?
This maintains adequate lithium excretion
If there are low amounts of sodium the body compensates by also lowering lithium excretion which can lead to lithium toxicity
Intervention that should be a priority when newly admitting a patient after attempting suicide?
One on one watch and assessment of patient
What is a situational crisis?
Something unexpected
Like a traumatic death
What is an adventitious crisis?
An external disaster such as town getting hit by a tornado
What supplement interacts adversely with paroxetine?
St. John’s worts.
These can cause serotonin syndrome
What is an adverse effect of taking atomoxine?
What are common side effects
Liver damage which can turn into liver failure then death
So check for dark urine. Not good
-appetite suppression, weight loss, growth supression
Lamotagrine, an anticonvulsant often used as a mood stabilizer can cause what adverse affect?
Rash. Can be life threatening
Tasks a nurse can delegate to pns (practical nurses)
Monitoring finding Reinforcing client teaching from standard care plan Tracheostomy care Suctioning CheckingPeg tube placement Administering enteral feedings Inserting a urinary catheter Administering meds
Example of situational or external crisis
Unanticipated loss or change experience in everyday, unanticipated life events
Divorce or job Change
What do you do for a client with fine hand tremors?
- administer beta blockers like propranolol
- adjust dosage of lithium
- advise patient to let you know if their tremors get worse this could mean lithium toxicity
What to tell your patient when educating about Hepatoxicity
Flu like manifestations, yellowing of skin eyes, or abdominal pain
A nurse who spends adequate time with a verbally abusive is showing which ethical principle?
Justice
Because though the patient is verbally abusive she is ensuring that alll clients no matter what the case is receiving good patient care
For then12 step program the nurse should advice the patient to
Get a sponsor.
It has showen to give a higher success rate
What severe adverse effect can clozapine cause?
Agranulocytosis
A wbc could of under 3000 can indicate agranulocytosis and clozapine should be withheld
Example for primary, secondary, and tertiary prevention
Primary- provide teaching of positive coping mechanisms
Secondary- screening tools
Tertiary- legal advocacy team, group therapy
Alcohol withdrawal symptoms
Hypertension
Tachycardia
Fever above 101
Care plans for clients with depression
Starts with same care plan but then you begin to change depending on patient
Signs that a child who lost parents has ptsd
Lack of interest in upcoming holiday events
Tranylcypromine is what kind of drug and shouldn’t be mixed with what
It’s an moi antidepressant
Nothing with phenylnephrine or like congestion stuff because the sns effect. It can cause a hypertensive crisis
How often do you need to renew seclusion orders
Every 4 hrs
