Week 3 & 5 Flashcards

1
Q

One symptom of schizophrenia that means `loss of pleasurable feelings previously associated with favoured activities is?

A
  • Anhedonia
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2
Q

Schizophrenia is most often diagnosed in:

A
  • Late adolescence
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3
Q

An older adult client has been taking an antipsychotic medication for 1 week. the nurse observes that the patient has muscle rigidity that resembles parkinson disease. The nurse anticipated that the physician will order:

A
  • Benzodiazepine
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4
Q

Neuro-epleptic malignant syndrome is a medical emergency with a high mortality rate. Symptoms are a combination of hyperthermia, severe motor and muscular rigidity, disturbances in consciousness and cardiovascular functions, bp, sweats, pyrexia, hypotension, tachycardia. The syndrome is a relation to:

A
  • High-potency typical antipsychotics.
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5
Q

Client has been taking clozapine for 2 weeks. When the client says he has a sore throat, flue like symptoms, the nurse would expect that the client is ordered:

A
  • A WBC (white blood cell count)
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6
Q

The mortality rate for people with schizophrenia who are also homeless is four times that of the general population;

A
  • True
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7
Q

People with schizophrenia has significantly shorter life expectancy than others. The prime cause of early death is suicide, following by poor disease related to obesity, hypertension, lock of physical exercise and smoking.

A
  • True
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8
Q

Although schizophrenia is a severe, frightening illness, its fortunately confined to small minority or people (1 in 1000), modern treatment methods can mean that consumers recover without suffering any residual disability.

A
  • False
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9
Q

The first major tranquilliser, chlorpromazine, was originally created as an antihistamine drug until french surgeon found in 1950`s it was useful for calming patients, reducing amount of general anaesthesia required during surgery.

A
  • True
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10
Q

When pt/client displays delusional thinking, nurse needs to acknowledge they believe delusion are real to the client by entering their world. This can be done either agreeing with the client about ideas or reality testing using logical argument.

A
  • False
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11
Q

Define Depression and list signs and symptoms:

A
  • A complex mind/body illness persistent symptoms sadness , worthlessness, lack of desire to engage in activities
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12
Q

Define Mania and list signs and symptoms:

A
  • Psychotic episodes manifested by mental and physical hyperactivity, disorganization of behaviour, elevation of mood.
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13
Q

Define Self-harm:

A
  • Deliberate self injury or poisoning
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14
Q

Define Suicide:

A
  • The act or instance of taking ones life or attempt to take ones life.
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15
Q

Define Hypomania:

A
  • Mild form of mania, marked by elation of hyperactivity
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16
Q

Define grandiose delusions:

A
  • Is a subtype of delusion

- Occurs in range of patient suffering a wide range of mental illness i.e. schizophrenia and manic state bipolar

17
Q

List types of substances that are abused:

A
  • Alcohol
  • Caffeine
  • Cannabis
  • Opioids
  • Nicotine
  • Sedatives & Hypnotics
18
Q

Discuss importance of alcohol/drug use assessment:

A
  • To see if there is a history of drugs abuse
  • General appearance/nutritional status
  • Signs of intoxication/withdrawals
    Impaired mentality affect, social, physical state.
19
Q

Explain principles of nursing management-alcohol/drugs use problems

A
  • Recognise reality/problems
  • Consult GP
  • Counselling/mental health clinics
20
Q

What is MSE?

A
  • A process of obtaining information about specific aspects of ones mental experiences/behaviours at time of interview
  • A variety of gathering data required to help treat patient