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Mental Health > Quiz 3 > Flashcards

Quiz 3 Flashcards

1
Q

What is psychosis?

A

delusions
hallucinations

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2
Q

Describe hypomania

A

less severe/intense form of mania
must last at least 4 days

can be missed bc pt is high functioning

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3
Q

Describe delirious mania

A

happens quickly and suddenly

disoriented
psychosis
catatonia

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4
Q

Describe cyclothymic disorder

A

alternates between hypomania and depression

adults: for at least 2 years
children: 1 year

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5
Q

What will a nurse do during the assessment for someone with bipolar disorders?

A

look for:
dehydration
- acute mania can be severely dehydrated

cardiac status
- severe exhaustion/dehydration can lead to cardiac collapse

sleep
- constant activity can lead to exhaustion

safety
- assess danger to self

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6
Q

What will a nurse do during the implementation stage for someone with bipolar disorders?

A

address physiological needs (check VS)
milieu therapy
safety measures
seclusion/restraint

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7
Q

What will a nurse evaluate for someone with bipolar disorders?

A

stable VS
self-control
well-hydrated
adequate sleep

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8
Q

What are the comorbidities for someone with schizophrenia?

A

substance use disorders
tobacco use disorder
cannabis use
attempted suicide
anxiety disorders
metabolic syndrome
HIV/AIDS

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9
Q

Describe positive symptoms

A

alteration in:
- thinking
- thought process
- perception
- behavior
- boundaries

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10
Q

Describe the alterations in thinking for positive symptoms

A

delusions
- ideas of reference
- paranoid
- grandiosity
- somatic
- jealousy
- control
- thought broadcasting/insertion/withdrawal
- concrete thinking (literal)

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11
Q

Describe the alterations in thought process for positive symptoms

A

associative looseness (illogical shift)
circumstantiality (excessive detail)
tangential (tangents)
neologisms (made up words)
word salad (no sentence/grammar structure)
echolalia (repeating)
clang associations (rhyming)

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12
Q

Describe the alterations in perception for positive symptoms

A

hallucinations (5 senses)
illusions (misinterpretation of object)

pt senses something there but it is not there

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13
Q

Describe the alterations in behavior for positive symptoms

A

bizarre demeanor
eccentric dress, grooming, rituals
impaired impulse control

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14
Q

Describe the alterations in boundaries for positive symptoms

A

depersonalization
derealization

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15
Q

What are the negative symptoms?

A

anergia (lack of energy)
avolition (lack of motivation)
anhedonia (can’t experience pleasure)
affective blunting (can’t express emotions)
poverty of speech (speech restriction)
social withdrawal

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16
Q

What are cognitive symptoms?

A

memory impairment
disruption in social learning
poor judgment and focus
impaired insight

17
Q

What are affective symptoms?

A

depression
anxiety
demoralization
suicidality
excitability
agitation

18
Q

What is the treatment for catatonia?

A

high levels of benzos

19
Q

What will the nurse assess for someone with schizophrenia?

A

rule out medical or substance induced psychosis
SAFETY
insight
comorbidities
pt medication/adherence
support system

20
Q

What are the outcomes for someone with schizophrenia?

A

pt will:
- refrain from inflicting injury
- take meds w/o prompting
- state 2 coping mechanisms to reduce anxiety

21
Q

What will the nurse implement for someone with schizophrenia?

A

crisis intervention
acute symptom stabilization
safety
meds
community support

22
Q

Describe acute dystonia

A

facial grimacing
involuntary eye movement
muscle spasms of tongue, face, neck, back

23
Q

What is a priority for acute dystonia? What is the treatment?

A

monitor airway (it can close)

tx: benztropine. diphenhydramine

24
Q

Describe tardive dyskinesia

A

protrusion or rolling of tongue
sucking/smacking lips
chewing motion
involuntary movements
irreversible

25
Q

What is the priority for tardive dyskinesia? What is the treatment?

A

stop Rx as soon as symptoms present

tx: lower dosage or switch med
benztropine

26
Q

Describe akathisia

A

restlessness
trouble standing still
pacing
feeting moving

27
Q

What is the priority for akathisia? What is the treatment?

A

monitor for suicide (so restless, they can harm themselves)

tx: propranolol, benzodiazepines, relaxation techniques

28
Q

Describe pseudoparkinsonism

A

stooped posture
shuffling gait
rigidity
tremors at rest
pill-rolling motion of hand

29
Q

What is the priority for pseudoparkinsonism? What is the treatment?

A

risk for falls

tx: benztropine, trihexyphenidyl

30
Q

Describe neuroleptic malignant syndrome

A

muscle rigidity
high fever
fluctuating BP
irregular/increased HR
increase RR
abnormal involuntary movement scale

Mental Health (8 decks)

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