preassess

Tarditive dyskinesia

-Tongue thrusting and lip smacking is correct. Individuals who have tardive dyskinesia make repetitive and uncontrollable movements such as tongue thrusting and lip smacking. -Facial grimacing and eye blinking is correct. Individuals who have tardive dyskinesia make repetitive and uncontrollable movements such as facial grimacing and eye blinking. -Involuntary pelvic rocking and hip thrusting movements is correct. Repetitive, irregular, and involuntary movements of the head, neck, trunk, and extremities can occur in tardive dyskinesia.

therapeutic lithium

0.8-1.4

extrapyrimidal symptoms

1. MUSCLE SPASM 2. FIDGETING BEHAVIOR 3. TREMORS EPS. Side effects of psychotropic drugs. 3 reversible exta-pyramidal side effects are acute dystonia, Akathisia, and pseudoparkinsonism. Tardive dyskinesia, is the most serious and is not reversible.

Clozapine should be permanently stopped if a client's WBC falls below what?

2000 mm3

suicide in adolescents

Adolescents are at risk for a "copycat" suicide if a peer or a significant role model has recently committed suicide. Adolescents often act impulsively and can be easily frustrated. The fact that an admired person committed suicide is a stressor that could put the adolescent at risk for suicide.

Dementia can be caused by such disorders as :

Alzheimer's disease, long-term alcohol use disorder, and Parkinson's disease.

Antacids and Chlorpromazine

Antacids should be administered at least 2 hr before or after chlorpromazine.

clang association

Clang association is the use of words that rhyme.

illness anxiety disorder

Clients who have illness anxiety disorder constantly worry about the presence of a serious illness even though medical tests do not support this concern.

Compensation

Compensation occurs when a person overcomes a weakness by focusing on a more desirable behavior or trait.

Delirium

Delirium is characterized by a change in cognition that occurs over a short period of time. It results from a secondary physiological condition (e.g., infection, surgery, prolonged hospitalization, hypoxia, fever, medications) and is a transient disorder. Although delirium can occur with any age, it is more common in older adults. It frequently progresses in the evening hours and is sometimes called "sundown syndrome." Delirium is characterized by alterations in memory, agitation, restlessness, illusions, or hallucinations. A client who becomes acutely confused and agitated may be showing manifestations of delirium.

dissociation

Dissociation is a disruption in the usually integrated functions of consciousness, memory, and perception of the environment. mental separation It is also manifested through compartmentalizing. If an artist is surrounded by a noisy environment, dissociation can be used to be absorbed into her work. This is considered adaptive.

echologia

Echolalia is the constant repeating of what another person is saying.

what effect should be reported with sertraline?

FEVER / MUSCLE RIGITITY Fever can indicate a potentially serious adverse effect of sertraline and should be reported to the provider. Muscle rigidity can indicate a potentially serious adverse effect of sertraline and should be reported to the provider.

MSE exam

Grooming is included in an MSE which consists of appearance, behavior, speech, mood, disorders of the form of thought, perceptual disturbances, cognition, and ideas of harming self or others. Long-term memory is included in an MSE which consists of appearance, behavior, speech, and mood, disorders of the form of thought, perceptual disturbances, cognition, and ideas of harming self or others. Affect is included in an MSE which consists of appearance, behavior, speech, and mood, disorders of the form of thought, perceptual disturbances, cognition, and ideas of harming self or others. _________________________________________________ Support systems & The presence of pain is not included in an MSE

sx of ptsd

Increasing anger and irritability are findings associated with PTSD. Avoidance of discussing the event is a finding associated with PTSD. Detachment and avoidance of relationships are findings associated with PTSD. Detachment and avoidance of relationships are findings associated with PTSD.

for pt with frequent hallucinations/delusions..

Minimizing the number of questions is appropriate since a client who has acute schizophrenia has difficulty concentrating on information and answering assessment questions. The nurse should plan to use other sources of client information, such as medical records, family members, or reports from other interprofessional sources.

Ideas of reference example:

Misconstrues trivial events and attaches personal significance to them, such as believing that others, who are discussing the next meal, are talking about him.

For anorexia

Provide the client with small meals frequently is correct. Clients who have anorexia generally will not consume large meals. Monitor the client's weight daily is correct. Daily weighing makes it difficult for the client to hide weight loss. Stay with the client during meals and for 1 hr afterward is correct. The nurse should offer support and encouragement at mealtimes but also monitor the client's behavior to prevent purging following food ingestion. Offer specific privileges for sustained weight gain is correct. Positive reinforcement includes rewards for improvements in eating behaviors and is an appropriate strategy for clients who have eating disorders.

with Chlorpromazine, you want to monitor what ?

RESPIRATIONS q4hr!!

Reaction-formation

Reaction-formation occurs when the client behaves in an opposite manner from his actual feelings.

Regression

Regression is reverting to an earlier, more primitive and child-like pattern of behavior. If a promotion is lost, maladaptive regression is seen through poor work performance, missing appointments, and being late.

repression

Repression is the temporary or long-term exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness. This happens on an unconscious level. Forgetting a difficult event is considered adaptive use of repression.

for electroconvulsive therapy, pre- you want to

Request an ECG!! -A baseline ECG allows the provider to identify cardiac changes that can occur during ECT. Witness the informed consent!! -Informed consent is required prior to ECT unless the client is receiving involuntary treatment .Check the client's blood pressure!! -A baseline blood pressure allows the provider and nurse to identify cardiac stress that can occur during ECT.

Sertraline (Zoloft)

SSRI

alcohol withdrawal sx

Seizures are an expected finding of severe alcohol withdrawal. ILLUSIONS are an expected finding of alcohol withdrawal. Tremors are an expected finding of alcohol withdrawal. N/V

sublimation

Sublimation is an unconscious process of substituting an acceptable activity for unacceptable impulses.

Suppression

Suppression occurs when a person consciously denies a feeling that is disturbing to him.

associate looseness

The nurse should recognize associate looseness occurs when the client's verbal communication jumps from one unrelated topic to another. The client is often unaware he is not making sense.

delusions of grandeur

The nurse should recognize that delusions of grandeur occur when a client attaches special significance to his self-stature and has a drastically exaggerated sense of self-importance.

magical thinking

The nurse should recognize that magical thinking occurs when a client believes his actions or thoughts can magically make things happen.

if lithium level is 2.0

The nurse should recognize the client could require hospitalization and report the finding to the provider. The nurse should check the client for findings associated with advanced to severe lithium toxicity like *vision changes, *neurological impairment, and *hypotension. also hyponatremia

haloperidol SE

The side effects of haloperidol can include extrapyramidal (parkinsonian) symptoms, such as fine hand tremors and pill rolling. Haloperidol can cause anticholinergic effects, such as dry mucous membranes, urinary retention, and constipation.

sertraline therapeutic effect

Therapeutic effect of sertraline takes at least 7 days to occur.

Victimizer/Abuser signs

Victimizers typically have low self esteem and diminished feelings of self-worth. They may show a different type of personality to the community than the one shown to the partner. A typical victimizer gains power and control by intimidating his victim. A typical victimizer has few social supports and may lack social skills. A typical victimizer has few social supports and may lack social skills.

so monitor what??

WBC

Ideas of reference

When ideas of reference are present, the client believes all events, situations, or interactions are directly related to him.

word salad

Word salad is the use of real words spoken in a sequence so that the words have no logical meaning with one another.

Chlorpromazine

a drug that reduces the symptoms of schizophrenia by blocking dopamine D2 receptors

The client who takes clozapine is at risk for

agranulocytosis

Delirium

altered level of consiousness

Clozapine (Clozaril)

antipsychotic anticholinergic

The presence of a medical condition, such as infection or dehydration might cause the onset of _____

delirium

Dementia is

irrevervible

ethical principles of nursing

justice, beneficence, nonmaleficence, accountability, fidelity, autonomy, and veracity.

neologism

neologism which is the use of a fictitious word that has meaning only to the client.

Chlorpromazine can cause

respiratory depression, dyspnea, and laryngospasm. IT CAN ALSO CAUSE ANTICHOLINERGIC EFFECTS LIKE BLURRED VISION SEXUAL DYSFUNCTION IS POTENTIAL ADVERSE EFFECT

Flumazenil is antagonists that

reverses the effects of benzodiazepines!! by recognition site on the GABA/benzodiazepine receptor complex.

sertraline SE

sexual dysfunction, including anorgasmia, impotence, or decreased libido.

Dementia has _____ onset

slow, over months or yrs

Delirium has ____ onset

sudden ; . The client who has delirium might experience confusion, decreased ability to focus, and disorganized thinking.

WBC of less than 3000 mm3 should have clozapine what?

withheld and treatment stopped until the WBC returns to normal.