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Mental Health-MJ > T2-Blueprint Part 2 > Flashcards

T2-Blueprint Part 2 Flashcards

1
Q

What are the symptoms of ADHD?

A
  • Persistent pattern of inattention
  • Hyperactivity
  • Impulsiveness
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2
Q

ADHD diagnosis of “risk for injury r/t impulsive and accident prone behavior and the inability to perceive self harm”…What is the outcome?

A

Experience not physical harm

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3
Q

ADHD diagnosis of “impaired social interaction r/t intrusive and immature behavior”..What is the outcome?

A

Interacts appropriately

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4
Q

ADHD diagnosis: “Low self esteem r/t dysfunctional family system and negative feedback”…What is the outcome?

A

Verbalize positve aspects about self

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5
Q

ADHD diagnosis: “Noncompliance with task expectations r/t low frustration tolerance and short attention span”..What are the outcomes?

A
  1. Demonstrate fewer demanding behaviors

2. Cooperates with staff in an effort to complete assigned tasks

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6
Q

What is the first aim of nursing interventions for ADHD? What is second?

A

Insure client safety

Increase feelings of self worth and fostering motivation for compliance with tasks

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7
Q

What are some interventions we can do as nurses for ADHD?

A
  • Decrease environmental stimuli
  • Set limits on behaviors
  • Provide safe environment
  • Behavior contract
  • Administer ordered meds
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8
Q

What are the meds classes for ADHD?

A
  • Antidepressants
  • CNS stimulants
  • Atomoxetine
  • Buproprion
  • Centrally acting alpha agonists
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9
Q

Autism symptoms:

  1. Withdrawal of the child into ___.
  2. Often do not like to be ____
  3. Inappropriate ____
  4. No real fear of ____
  5. Apparent insensitivity to ___
  6. Avoid ____
  7. Difficulty expressing ___ and interacting with others
  8. Sustained unusual or repetitive ___
  9. ____ of words/phrases
A
  1. Withdrawal of the child into SELF
  2. Often do not like to be TOUCHED
  3. Inappropriate LAUGHING/GIGGLING
  4. No real fear of DANGERS
  5. Apparent insensitivity to PAIN
  6. Eye contact
  7. Difficulty expressing NEEDS and interacting with others
  8. Sustained unusual or repetitive PLAY
  9. ECHOING of words/phrases
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10
Q

Nursing process for autism: what is the outcome for self multilation r/t neurological alterations

A

Exhibits no evidence of self harm

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11
Q

Nursing process for autism: What is the outcome for impaired social interaction r/t inability to trust and neurological alterations

A

Interacts appropriately with at least one staff member

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12
Q

Nursing process for autism: what is the outcome for impaired verbal communication r/t withdrawal into self; neurological alterations

A

Able to communicate so that he can be understood by at least one staff member

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13
Q

Nursing process for autism: what is the outcome for disturbed personal identity r/t neurological alterations

A

Demonstrates behaviors that indicate he has begun the separation/indivuduation process

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14
Q

What are symptoms of Tourette’s Syndrome?

A

Presence of multiple motor tics and one or more vocal tics

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15
Q

What are the motor symptoms of Tourette’s Syndrome?

A

Eye blinking
Neck jerking
Shoulder shrugging
Facial grimacing

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16
Q

What is the complex motor symptoms of Tourette’s?

A

Squatting, hopping, skipping, tapping, retracing

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17
Q

What are the vocal symptoms of Tourettes?

A

Words/sounds like squeaks, grunts, barks, sniffs, snorts, coughs, and possible uttering of obscenities

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18
Q

Nursing diagnosis for Tourettes: What is the outcome for risk for self directed or other directed violence r/t low tolerance for frustration?

A

Has not harmed self or others

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19
Q

Nursing diagnosis for Tourettes: What are the 3 outcomes for impaired social interaction r/t impulsiveness and to oppositional and aggressive behavior

A
  1. Interacts with staff and peers in appropriate manner
  2. Demonstrates self control by managing tic behavior
  3. Follows rules without being defensive
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20
Q

Nursing diagnosis for Tourettes: What is the outcome of low self esteem r/t embarrassment associated with tic behaviors?

A

Verbalizes positive aspects about self

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21
Q

What are the DOC to manage Tourettes?

A

Haloperidol
Pimozide
Atypical antipsychotics
Alpha agonists

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22
Q

Tourettes DOC: Pimozide

What kind of cases? Who is this not recommended in?

A

Only for severe cases; not recommended for children less than 12 yrs

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23
Q

Tourettes DOC: Haloperidol. When should this be used?

A

Only with children who have severe symptoms or symptoms that impede functioning

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24
Q

What disorder: Persistent pattern of angry mood and defiant behavior (occurring more frequently than usual in comparison to individuals of same age/developmental level)

A

Oppositional defiant disorder

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25
Q

What are some characteristics of a child with oppositional defiant disorder?

A
  • Stubborn
  • Procrastinates
  • Disobeys
  • Negative
  • Careless
  • Tests limits
  • Resistance to directions
  • Does cooperate
  • Runs aways
  • Avoids school
  • Temper tantrums
  • Fights
  • Argumentative
26
Q

T/F: Oppositional defiant disorder interfers with social, educational, or vocational activities

A

TRUE

27
Q

Nursing diagnosis for oppositional defiant disorder: What is the outcome for noncompliance with therapy r/t negative temperament, denial of problems, underlying hostility?

A
  1. Complies with treatment by participanting in therapies without negativism
  2. Accept responsibility for his part in the problem
28
Q

Nursing diagnosis for oppositional defiant disorder: What are the outcomes for defense coping r/t retarded ego development, low self esteem, unsatisfactory parent/child relationship?

A
  1. Takes direction from staff without being defensive

2. Does not manipulate other people

29
Q

Nursing diagnosis for oppositional defiant disorder: What is the outcome for low self esteem r/t lack of positive feedback, retarded ego development?

A

Verbalizes positive aspects about self

30
Q

Nursing diagnosis for oppositional defiant disorder: What is the outcome of impaired social interaction r/t negative temperament, underlying hostility, manipulation of others?

A

Interacts with others in appropriate manner

31
Q

What disorder is a precursor to antisocial personality disorder?

A

Conduct disorder

32
Q

Conduct disorder: SYmptoms- persistent pattern of behavior in which the basic rights of others and major age appropriate societal norms or rules are ____

A

Violated

33
Q

Conduct disorder: Use of ____ in the violation of the rights of others

A

Physical aggression

34
Q

Conduct disorder: Use of __ & ___.

A

Drugs and alcohol

  • display sexual permissivemness
35
Q

COnduct disorder: What is their low self esteem manifested by?

A

“Tough guy image”

36
Q

What are some other characteristics of conduct disorders?

A

Problems with inattentiveness, impulsiveness, hyperactivity

Lack of feelings or guilt or remorse

37
Q

Conduct disorders: What type of defense mechanism do they use?

A

Projection

38
Q

Conduct disorders: Able to control anger? How are their academics?

A

Inability to control anger

Low academic achievement

39
Q

Nursing diagnosis for conduct disorders: What is the outcome for risk for other direct violence r/t characteristics of temperament, peer rejection, negative parental role models, dysfunctional family dynamics?

A

Has not harmed self or others

40
Q

Nursing diagnosis for conduct disorders: What is the outcome for impaired social interaction r/t negative parental role models, impaired peer relations leading to inappropriate social behaviors?

A

Interacts with others in a socially appropriate manner

41
Q

Nursing diagnosis for conduct disorders: What is the outcome for defense coping r/t low self esteem and dysfunctional family system?

A

Accepts direction without becoming defensive

42
Q

Nursing diagnosis for conduct disorders: What is the outcome for low self esteem r/t lack of positive feedback and unsatisfactory parent/child relationship?

A

Demonstrates evidence of increased self esteem by discontinuing exploitative and demanding behaviors towards others

43
Q

What are the positive signs of schizophrenia?

A
  • Hallucinations
  • Disorganized thinking/speech
  • Disorganized behavior
44
Q

What are the negative signs of schizophrenia?

A
  • Affective flattening
  • Alogia
  • Avolition/apathy
  • Anhedonia
  • Social isolation
45
Q

Nursing diagnosis for schiz.. What is disturbed thought processes?

A

Delusions

46
Q

Nursing diagnosis for schiz..What is disturbed sensory perception?

A

Hallucinations

47
Q

Nursing diagnosis for schiz..Why do they have social isolation as diagnosis?

A

Fearful of people/interacting with others

48
Q

Nursing diagnosis for schiz..Why are they at risk for violence?

A

Command hallucinations…not always violent though!

49
Q

Nursing diagnosis for schiz..Why may they have impaired verbal communication diagnosis?

A

Abnormal thoughts= abnormal communication

50
Q

Nursing diagnosis for schiz..Why is self-care deficit a problem?

A

They won’t bathe; lack of clean underwear

51
Q

Meds to manage schiz.

Typical antipsychotics:

  1. First or second gen?
  2. Conventional or novel?
  3. Block what receptors?
  4. Who are they contraindicated in?
  5. Don’t take with what?
  6. Known for what?
  7. What may happen usually within first 3 months?
  8. What other serious problem may occur?
A
  1. First
  2. Conventional
  3. Block DOPAMINE receptors
  4. Contraindicated for CNS depression
  5. Don’t take with ANTI HYPERTENSIVES
  6. Known for EPS
  7. Agranulocytosis may happen in first 3 months
  8. Neuroleptic malignant syndrome
52
Q

Meds for schiz: Atypical antipsychotics

  1. First or second gen?
  2. Conventional or novel?
  3. Block what receptors?
  4. Watch for what drugs?
  5. What are 3 side effect of these?
  6. Lower or higher incidence of EPS, anticholinergic, agranulocytosis, and NMS?
A
  1. Second
  2. Novel
  3. Weak dopamine blockers; potent serotonin blockers
  4. Watch for antihypertensive and CNS depressant drugs
  5. Orthostatic hypotension, sedation, weight gain
  6. LOWER
53
Q

What is the main nursing goals for schiz.?

A

Non-threatening low stimuli milieu to reduce anxiety and build trust

54
Q

Schiz. What do hallucinations have to deal with?

A

5 senses—something has gone awry in the senses

55
Q

Schiz. Example of visual hallucinations?

A

I see the dead people over there

*calmly explain you don’t see them

56
Q

Schiz. What are objective s/s of auditory hallucinations?

A
  • Covering ears
  • Talking with another persons (that isn’t there)
  • Agitiation
  • Looking away/off into distance
57
Q

Schiz. What are the subjective s/s of auditory hallucinations?

A
  • pt. tells you they are hearing voices

* they don’t always do this though

58
Q

Schiz. What type of hallucinations: feeling bugs crawling on your skin; this floor is so hot

A

Tactile

59
Q

Schiz.

Define: mispercetions/misinterpretation in the enviroment

A

Illusion

60
Q

Szhiz.
Define: Fixed false feliefs

What is nursing intervention?

A

Delusion

Nursing intervention: Refocus patient toward an activity

61
Q

Schiz. What is the nurses focus when client is showing abnormal behavior?

A

To focus on feelings communicated by the clients behavior

Mental Health-MJ (39 decks)

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