Psychotic Disorders Flashcards
Personality Disorders - Cluster A
Paranoid
Schizoid
Schizotypal
Paranoid A
S/s: Mistrust and suspicions of others; guarded, restricted affect
NI: serious, straight-forward approach; teach client to validate ideas before taking action; involve client in treatment planning
Schizoid A
s/s: detached from social relationship; restricted affect; involved with things more than people
NI: improve client’s functioning in the community; assist client in finding case manager
Schizotypal A
s/s: actuate discomfort in relationships; cognitive or perceptual distortions; eccentric behavior
NI: develop self-care skills; improve community functioning; social skills training
Personality Disorders - Cluster B
Antisocial
Borderline
Histrionic
Narcissistic
Antisocial B
s/s: disregard for rights of others, rules, and laws
NI: limit setting; confrontation; teach client to solve problems effectively and manage emotions of anger or frustration
Borderline B
s/s: unstable relationships, self-image, and affect; impulsivity; self-mutilation
NI: promote safety; help client to cope and control emotions; cognitive restructuring techniques; structure time; teach social skills
Histrionic B
S/s: excessive emotionality and attention seeking
NI: teach social skills; provide factual feedback about behavior
Narcissistic B
S/s: grandiose; lack of empathy; need for admiration
NI: matter-of-fact approach; gain cooperation with needed treatment; teach client any needed self-care skills
A patient asks, “What are neurotransmitters? The doctor said mine are imbalanced.” Select the nurse’s response that provides the most accurate information.
A. “What medications are you taking, are you experiencing side effects?”
B. “They protect us from harmful effects of free radicals, much like our nerves and white matter.”
C. “Neurotransmitters are substances we consume that influence memory and mood”
D. “Neurotransmitters are natural chemicals that pass messages between brain cells”
D. “Neurotransmitters are natural chemicals that pass messages between brain cells”
The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?
A. Reduced anxiety
B. Improved memory
C. More organized thinking
D. Fewer sensory perceptual alterations
A. Reduced anxiety
Exclusive use of Western psychological theories by nurses making client assessments will result in…
A. A high level of care for all clients
B. Standardization of nomenclature for psychiatric disorders
C. Inadequate assessment of clients of diverse cultures
D. Greater ease in selecting appropriate treatment interventions
C. Inadequate assessment of clients of diverse cultures
Which part of the nursing care plan would the nurse expect to find this statement: Decreased severity and frequency of hallucination and delusional statements.
A. Assessment
B. Diagnosis
C. Intervention
D. Evaluation
D. Evaluation
A nurse assesses a newly admitted client diagnosed with psychosis NOS. The nurse asks the client’s sibling for information about the reason for admission and any medication. What statement by the sibling would help to identify the cause of psychosis?
A. “I told my brother to stop drinking so much juice”
B. “He keeps claiming that he is the chosen one”
C. “He just finished his first year in college and failed all of his classes”
D. “The other day he said he saw angels sitting with him in his room”
C. “He just finished his first year in college and failed all of his classes”
A nurse taught a client about important precautions associated with a new prescription. Afterward, the client accurately summarized major self-management strategies associated with this drug. Which step of the nursing process applies to the client’s summarization?
A. Assessment
B. Diagnosis
C. Intervention
D. Evaluation
D. Evaluation
Which of the following would be assessed as a negative symptom of schizophrenia?
A. Anhedonia
B. Hostility
C. Agitation
D. Hallucinations
A. Anhedonia
Which symptoms would NOT be assessed as a positive symptom of schizophrenia?
A. Delusion of persecution
B. Auditory hallucinations
C. Affective flattening
D. Idea of reference
C. Affective flattening
Which side effect of antipsychotic medication is generally nonreversible?
A. Anticholinergic effects
B. Pseudoparkinsonism
C. Systolic reaction
D. Tardive dyskinesia
D. Tardive dyskinesia
A client diagnosed with disorganized schizophrenia would have greatest difficulty with the nurse:
A. Interacting with neutral attitude
B. Using concrete language
C. Giving multi-step directions
D. Providing nutritional supplements
C. Giving multi-step directions
The major feature of a personality disorder is what?
A. Onset in the thirties
B. Extreme set of personality traits
C. Flexible personality styles
D. Personality traits are adaptive
B. Extreme set of personality traits
A personality disordered person who lacks social skills and has no desire for personal intimacy probably has what personality disorder?
A. Schizotypal personality disorder
B. Schizoid personality disorder
C. Paranoid personality disorder
D. Borderline personality disorder
B. Schizoid personality disorder
Chloropromazine (Thorazine)
Anti-psychotic,1st generation
Block dopamine; avoid OTC meds that can cause anticholinergic
SE: weight gain; orthostatic hypotension, sedation, seizures, sexual dysfunction, skin effects, liver impairment
NMS - Hyperpyrexia, BP fluctuations, tachycardia, tachypnea, decreased LOC
EPS - akathisia, Parkinsonism, acute dystonia, Tardive dyskinesia
C/I: liver issues, Parkinson’s disease, severe hypotension, dementia
Haloperidol (Haldol)
Anti-psychotic,1st generation
Block dopamine; avoid OTC meds that can cause anticholinergic
SE: weight gain; orthostatic hypotension, sedation, seizures, sexual dysfunction, skin effects, liver impairment
NMS - Hyperpyrexia, BP fluctuations, tachycardia, tachypnea, decreased LOC
EPS - akathisia, Parkinsonism, acute dystonia, Tardive dyskinesia
C/I: liver issues, Parkinson’s disease, severe hypotension, dementia
Fluphenazine (Prolixin)
Anti-psychotic,1st generation
Block dopamine; avoid OTC meds that can cause anticholinergic
SE: weight gain; orthostatic hypotension, sedation, seizures, sexual dysfunction, skin effects, liver impairment
NMS - Hyperpyrexia, BP fluctuations, tachycardia, tachypnea, decreased LOC
EPS - akathisia, Parkinsonism, acute dystonia, Tardive dyskinesia
C/I: liver issues, Parkinson’s disease, severe hypotension, dementia
