Mental Health Test 2

Front 1

How long must Schizo be present for to count?

Back 1

>6 months

Front 2

Positive symptoms of schizo

Back 2

Hallucinations

Delusions

Disorganized speech

disorganized behavior

Front 3

Negative Symptoms of Schizo

Back 3

5 A's

•Flat Affect –the absence or near absence of any signs of affective expression, as well aspoor eye contact.

•Apathy – feelings of indifference towardpeople, events, activities, and learning.

•Avolition – aninability to pursue and persist in goal-directed activities; oftenmisinterpreted as being lazy or unwilling to support themselves which affectsthe ability of friends/family to stay involved in relationships with theclient.

•Anhedonia –the inability to experience pleasure.

•Alogia – brief, empty verbal responses; povertyof speech; thought to be symptomatic of diminished thoughts and is differentthan a refusal to speak.

Front 4

communication issues with Schizophrenia

Back 4

*problem really is started from thought process

-Associative looseness: go from topic to topic without relation to question asked

-Neologisms: Made up words that have meaning to them, but not us

-Concrete thinking: literal thinking

-Clang associations: Rhyming (words chosen for related sounds rather than logical connection)

Word Salad: Not making sentences, random words, similar to aphasia

Circumstantiality- includes irrelevant details, eventually answers questions

Tangentiality: goes off on tangents and doesnt answer questions

Mutism: doesnt talk

Perseveration- repetition of response (word, phase, gesture)

Front 5

associated looseness

Back 5

go from topic to topic without relation to question asked

Front 6

Neoglisms

Back 6

Made up words that have meaning to them, but not us

Front 7

concrete thinking

Back 7

Literal thinking

Front 8

Clang associations

Back 8

Rhyming (words chosen for related sounds rather than logical connection)

Front 9

word salad

Back 9

Not making sentences, random words, similar to aphasia

Front 10

Circumstantiality

Back 10

includes irrelevant details, eventually answers questions

Front 11

tangetiality

Back 11

goes off on tangents and doesnt answer questions

Front 12

mutism

Back 12

Doesnt talk

Front 13

perserveration

Back 13

repetition of response (word, phase, gesture) to different questions

Front 14

Echolalia

Back 14

Repeats what interviewer says

Front 15

Blocking

Back 15

More than listing train of thought and not being able to come back to it

Front 16

Magical thinking

Back 16

Delusional thinking

Front 17

nursing diagnoses schizo

Back 17

-Social isolation (feeling uncomfortable with people around them, lack of apathy for others, no goal directed behavior)

-Risk for violence (self or others)

-Impaired verbal communication

-Self-care deficit

-Disabled family coping

-Ineffective health maintenance

-Impaired home maintenance

Front 18

First generation/Conventional antipsychotics

Back 18

-Mostly to control positive symptoms

Reserved for patients who are:

-using them successfully and can tolerate adverse effects

-Violent or particularly aggressive

Front 19

Second-generation /atypical anti-psychotics

Back 19

-preferred over the conventional anti-psychotics because there are fewer adverse effects.

-Med of choice for:

-patients recieving inital treatment

Front 20

Side effects for 2nd generation/atypicals

Back 20

D: diabetes/ uncontrolled blood glucose

A: anticholenergic effects

W: weight gain

H: hypercholesterolemia, HTN

O: orthostatic hypotension

E: EPS (slight tremor)

S: Sedation, agitation, sleep disruption, dizziness

Front 21

Symptoms of Anxiety

Back 21

Subjective and actual physical symptoms

(heartburn, epigastric distress, diarrhea, constipation)

Front 22

Anxiety disorders are characterized by a mixture of physiological, psychological, behavioral, and cognitive symptoms: a common theme is__________________________________

Back 22

excessive, irrational fear, dread, and or worry

Front 23

How long do panic attacks last?

Back 23

minutes-hour

Front 24

S/S of panic attack

Back 24

-Palpitations, nausea, diarrhea, dyspnea, rapid HR, feeling of suffocation/choking, flushed face, faint/dizziness, impending doom, death

Front 25

panic attacks can mimic _____________ &____________

Back 25

-MI

-Mitral valve prolapse

Front 26

when is panic attacks usually diagnosed?

Back 26

Adolescence/early adulthood

Front 27

Agoraphobia

Back 27

-Fear of leaving the safety of home, worrying they might develop an incopacitating symptoms (dizziness, loss of bowels, or bladder control/cardiac distress)
Ex.) public transportation, open spaces, crowded spaces, lines, being alone

Front 28

Social phobia

Back 28

social anxiety

-persistent fear and avoidance of situations in which the person might be exposed to scrutiny by others

-Overwhleming anxiety/ self-conciousness

-onset in early adolescences or late childhood

Front 29

Specific Phobia:

Back 29

-Isolated fear focused on one situation or object, such as darkness, heights, or animals

-Many phobias disappear as one ages

Females>males

Front 30

4 types of specific phobias

Back 30

1. Animal

2. natural environment

3. blood injection injury type

4. situational type

Front 31

GAD-generalized anxiety disorder

Back 31

-Pervasive, persistent anxiety that lasts at least 6 months duration without phobias, obsessions, panic attacks and compulsions

-Chronic nervousness and apprehnsion for no apparent reason. Cannot control worry

S/S: muscle tension, dizziness, irritability

Front 32

OCD

Back 32

Obsession: recurring thought that cannot be dismissed from conciousness.

Compulsion: uncontrollable, persistent urge to perform certain acts or behaviors in order to relieve an otherwise unbearable tension, most compulsive acts are attemps to control or modify obsessions

Front 33

What people with OCD fear the most

Back 33

-Harming someone or something

-rely heavily on avoidance to control themselves

-OCD males>females

Front 34

Benzodiazepine sedative hypnotic anxiolytic prototype

Back 34

Alprazolam (Xanax)

others: Valium, Ativan

Front 35

Atypical anxiolytic/Nonbarbiturate anxiolytics prototype

Back 35

Buspirone (BuSpar)

Front 36

List a few antidepressants that are used for anxiety

Back 36

Paxil-SSRI

Zoloft-SSRI

Effexor-SNRI

Front 37

Use for benzodiazepine anxiolytics

Back 37

-Anxiety

-Seizures

-Insomnia

-Muscle spasms

-Alcohol withdrawl

-Anesthesia

Front 38

Side Effects for Benzodiazepine anxiolytics

Back 38

"PA CAW"

P: Paradoxical response (opposites)

A: Amnesia

C: CNS depression (sedation, light headed, ataxia , decreased cognition)

A: Acute toxicity
W: Withdrawal effects (anxiety, insomnia, diaphoresis, tremors, and lightheaded)

Front 39

PO benzo toxicity SE

Back 39

Drowsy, lethargy, confusion

*Use gastriv lavage to correct & activated charcoal

Front 40

IV toxicity benzo SE

Back 40

-Respiratory depression, hypotension, cardiac arrest

Front 41

Benzodizepine contraindications

Back 41

-Substance abuse history

-Liver disease

-Sleep apnea

-Resp. depression

-Glaucoma

Front 42

Benzodiazepin patient teaching

Back 42

-Eat with meals if GI upset

-Do not crush tablets

-take as prescribed

-Avoid abrupt discontinuation

-Notify is s/s of withdrawal occur

Front 43

Atypical anxiolytic/nonbarbiturate anxiolytic prototype

Back 43

Buspirone (BuSpar)

Front 44

Why atypical> benzodiazepine

Back 44

-Less risk for dependency

-no sedation!

-Doesnt potentiate the effects of other CNS depressants

Front 45

Therapeutic use for atypical anxiolytics

Back 45

Panic disorder

OCD

Social anxiety

PTSD

Front 46

BuSpar SE

Back 46

-CNS effects (dizzy, HA, light headedness, agitation)

-NO SEDATION :)

Front 47

Contraindications for Buspirone (atypical anxiolytic)

Back 47

-breast feeding

-use cautiously in OA

-Cautiously use in liver/renal dysfunction

-CONTRAINDICATED with concurrent MAOI use or 14 days after MAOIs

Front 48

Buspirone (atypical anxiolytic) med/food interactions

Back 48

-Erythromycin

-St. johns wort

-Grapefruit juice

Front 49

Teaching about atypical anxiolytics

Back 49

-take with meals

-Effects do not immediately occur

-Take on regular basis (NOT PRN)

-Withdrawal doesnt occur

Front 50

When do effects kick in for atypical anxiolytics

Back 50

-week for first few effects. and 3-6 weeks for full effects

Front 51

First generation/conventional antipsychotic prototype

Back 51

Chlorpromazine (thorazine)

Others: haldol, "Zines"

Front 52

SE of conventional/1st gen antipsychotics

Back 52

"Always ask extra nerdy nerds or start studying soon stupid dummy"

A: anticholenergic effects

A: Agraulocytosis

E: EPS

N: neuroendocrine effects

N: neuroleptic malignant syndrome

O: orthostatic hypotension

S:sedation

S: sexual dysfunction

S: seizures

S: skin effects

D: dysrhtymias

Front 53

List the diff EPS's:

Back 53

Acute dystonia, parkinsonism, akathisia, tardive dyskinesia

Front 54

acute dystonia medication

Back 54

Anticholenergics:

Bentropine (Cogentin)

Diphenhydramine (Benadryl)

Front 55

Parkinsonism Medication

Back 55

Amantadine (symmetrel) =anticholenergic

Front 56

Akathesia medication

Back 56

-Anticholenergics

-Beta blockers

-Benzos (Xanax)

Front 57

TD Medication

Back 57

-Stop antipsychotic medication

-wait two weeks before starting up again (switch to atypical)

Front 58

Abnormal Involuntary Movement scale (AIMS)

Back 58

Screen for EPS

Front 59

Dyskinesia Identification condnsed users scale (DISCUS)

Back 59

-monitor for tardive dyskinesia

Front 60

Neuroleptic malignant syndrome s/s

Back 60

"Surely boys do make cocoa cola"

S-sudden high fever

B-blood pressure fluctuations

D-dysrhythmias

M-muscle rigidity

C- Change in LOC

C- Coma

Front 61

Interventions for Neuroleptic malignant syndrome

Back 61

-Stop med

-Monitor VS

-Cooling blanket

-antipyretics (aspirin/acetaminophen)

-increase fluid intake

-Administer dantrolene (Dantrium) and bromocriptine (Parlodel) for muscle relaxation

-wait 2 weeks before resuming therapy (may want to switch to atypical)