Ch. 94: Psychiatric Nursing

Client taking MAIOs (antidepressant) should avoid

-OTC meds & - cheese, avocados, bananas, beer, bologna, caffeine, chocolate, liver, pepperoni, pickle food, red wine, fruit, Salami, smoked food, yeast, meat cooked w/ tenderizer, raisins, herrinf and yogurt

Principles of rational emotive behavior therapy (REBT): treatment for substance abuse disorders and Rehab

-People are accepted unconditionally -nothing is awful or terrible, even though it may be frustrating and difficult -support is helpful in learning and practicing new ways to react to stress

Signs and symptoms of PTSD

-Recurrent and intrusive flashbacks to or dreams of the event -insomnia, inability to concentrate -persistent avoidance of stimuli associated with the event -inability to recall all or part of it - person exhibits hypervigilence, exaggerated startled response

Signs and symptoms of depressive disorders

-Sleep disturbances: hyper/ insomnia -psychomotor retardation: slow movement -fatigue, diminished ability to concentrate -recurring thoughts of death or suicidal ideation

Sore throat

After client receives ECT treatment they may complain of

Disadvantages of ECT

Anxiety before treatment and short term memory loss

Extra pyramidal side effects (EPSE)

Causes adverse neurologic side effects (tardive dyskinesia, cognitive impairment, and other unwanted symptoms)

Neuroleptic malignant syndrome (NMS), a rare, life-threatening complication of certain neuroleptic meds

Causes muscle rigidity, hyperthermia, diaphoresis, tachypnea, tachycardia

Vulnerable adults

Clients with mental illnesses or intellectual impairment. Physical, sexual or verbal abuse or neglect of any client is illegal

Suppression

Consciously inhibiting an impulse or emotion that is unacceptable to the person

The nurse is caring for a client with schizophrenia who is experiencing positive symptoms. Which symptoms observed by the nurse will be documented as positive? Select all that apply

Delusions, hallucinations, disorganized speech

Reaction formation

Displaying a behavior, attitude are feeling opposite to that which one would normally exhibit in the same situation

Grandiosity

Excessive attention to clothing and makeup "entitlement" the world owes me everything

The nurse is caring for a client who is on the behavioral health unit. What cluster of symptoms reported by the client should the nurse recognize indicate suicidal ideation

Flat affect, Catatonia, hallucinations

A client treated for substance abuse disorder is being discharged from an inpatient facility to a facility that will make the transition into the community less traumatic. When should the nurses sure the client has a room?

Halfway house

side effects of buspirone (Buspar)

Hypotension, Headache, nausea, dry mouth

Organic disorder

Identifies a physical cause for the mental disorder

Acute psychotic episodes (APE)

Include visual hallucinations: things that others don't see; images, Shadows, visions

Agoraphobia

Irrational fear of crowds, public places and places from which Escape would be difficult (this client may be unable to leave home)

a mentally healthy person

Is able to adjust to new situations and handle stress without severe discomfort

Reality therapy

It's important for the client to learn that what happened in the past cannot be changed. Clients are encouraged to look forward to the future and live accordingly

the client being treated for bipolar Mania with lithium must

Maintain daily fluid intake (8 glasses) and should not use NSAIDs

OCD (Obsessive Compulsive Disorder)

Marked By obsessions - recurrent, persistent, intrusive thoughts or beliefs that they cannot ignore

A parent brings her 2 year old child to the emergency department frequently, reporting seizure activity that has not been Witnessed by anyone other than the parent. Diagnostic test reveal no organic cause. What should the nurse monitor the parent for?

Münchhausen syndrome by proxy

Dual diagnosis

Person has two separate chronic conditions

Goal of psychiatric care

Safety of the client, his or her family and others in the community

milieu

Therapeutic environment where the nurses try to assist people to return to as near normal functioning as possible

Electroconvulsive therapy (ECT)

Used to treat chronic depression and clients who don't respond to antidepressant meds (shocks the brain into a seizure)

The nurse says to a client, how are you today? The client repeats, today, today, today, today. How will the nurse document this Behavior?

echolalia

Malingering

feigning or faking symptoms so that he or she can stay in the hospital, receive medication, avoid arrest or get attention

Buspirone (Buspar)

given for anxiety (OCD, PTSD)

Transportation hold ("T" Hold)

placed by the police, to bring the unstable person to the hospital or mental health facility in an emergency

Halfway house

provides a buffer between the inpatient facility and the community. The client is there for a short time after discharge, making Readjustment into the community less traumatic

MMSE (mini mental state examination)

stated as (AMSIT): Appearance Mood Senserium Intelligence Thought process