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36 Cards in this Set
- Front
- Back
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________ depression means the clients present mood is normal or depressed
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Unipolar
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What are the three classifications of Depressive disorder?
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Major depressive disorder(MDD), Dysthymic disorder, depressive disorder
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A single episode or recurrent episodes of unipolar, happens every day, lasting most of the day for at least 2 weeks
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Major depressive disorder
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Last at least two years and is milder(down in the dumps)
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Dysthmic disorder
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What is the number one assessment for patients with depression?
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assess for suicide risk
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If the patient is unwilling to communicate, wht should you do?
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make observations rather than asking direct questions
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What are types of psychotherapy are for depression?
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cognitive behavior therapy, group therapy, family therapy
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This client has at least 1 episode of mania alternating with major depression
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bipolar 1 disorder
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This client has repeated hypomanic episodes alternating with major depression
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bipolar II disorder
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This client has at least 2 years od repeated hypomanic episodes alternating with minor depression
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cyclothymia
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Why would ECT be used for a client with bipolar I disorder?
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to calm extreme mania in clients with rapid cycling or if mood stabilizer(lithium) fail to work
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What is the number one nursing diagnosis for patient with bipolar I disorder in extreme manic phase?
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risk for other or self directed violence
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What schizophreniform disorder?
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symptoms like schizophrenia, duration 1-6 months, social occupational dysfunction
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What is the number one nursing diagnosis for a patient in actue stage of paranoid schizophrenia?
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disturbed thought process
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A patient with schizophrenia has difficulty personal boundries such as
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depersonalization and derealization
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What is given for alcohol withdrawl?
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benzodiapines: diazepam(valium), and lorazepam(ativan)
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heroin withdrawal signs and symptoms?
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yawning, piloerction, abd cramps, muscle pain
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What should you educate your patients on with SSRIs?
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exercise and diet
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What should you educate patients on TCAs?
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wear sunscreen, may be drowsy 1st few weeks, increase fiber, void prior to dose
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What should you monitor while on lithium?
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thyroid and renal
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What is included in personality disorder cluster A?
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paranoid, schizoid, and schizotypal
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What is included in personality disorder cluster B?
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antisocial, borderline, histronic, narcissitic
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What is included in Cluster C personality disorders?
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avoidant, dependent, obsessive-compulsive
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In catatonic schizophrenia what is the number one nursing diagnosis?
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self care deficit because the waxy flexibilty and stupor
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What is the number one nursing diagnosis in paranoid schizophrenia?
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at harm to hurt others
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Negative symptoms of schizophrenia is because _____ dopamine
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decreased
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What is neologism?
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inventing new words
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What is clang associations?
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rhyming"i am cold and bold"
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What is echolalia?
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repeat words
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What is anhedonia?
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inability to experience pleasure
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With atypical antiphychotic meds what should you educate on?
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hard candy(dry mouth), photophobia, increase fiber
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Benfits of hair sample?
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show long term use-90 days
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Alcohol withdrawal(DT's) occur when?
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24-72 hours after last drink
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Heroin withdrawal signs and symptoms?
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severe muscle cramps, bone pain, diarrhea, piloerection, PUPIL DILATION
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Overdose on opoids signs and treatment?
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pinpoint pupils, give narcan
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Cluster B(antisocial, borderline,histrionic, narcissistic) patients are at risk for?
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violence and acting out-set limits
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