Scc Mental Health Final

Front 1

DT's tx

Back 1

Benzo's
Librium drug of choice 25-100mg q4h tappered to zero for 5-7 days
valium has anticonvulsant properties used also but very addicting.

Front 2

antisocial personality disorder

Back 2

consistant disregard for others with exploitation and repeated unlawful actions. No remorse for hurting others. Neglegt responsiblities

Front 3

delirium

Back 3

disturbance in consciousness and change in cognition . always secondary to another dx. Transiant

Front 4

confabulation

Back 4

filling of memory gap w/ detailed fantasy belived by the teller to maintain self esteem.

Front 5

bipolar

Back 5

quite area get more info

Front 6

first signs of narcotic with drawl
Same as ETOH

Back 6

The symptoms of withdrawal from a narcotic drug depend on how severe your addiction is. On a scale of 0 to 4, the symptoms are:

0: anxiety and strong desire for the drug

1: watery eyes, watery discharge from the nose, and yawning

2: above symptoms plus dilated (enlarged) pupils of the eyes, loss of appetite, shakes, hot and cold flashes, and aching of your whole body

3: severe shakes, hot and cold flashes, aching, fever, high blood pressure, fast pulse, and rapid breathing

4: diarrhea, vomiting, low blood pressure, and dehydration.

Additional symptoms of withdrawal from severe addiction may include:

* weight loss
* spontaneous ejaculation or orgasm.

Front 7

anorexia

Back 7

foucus on underlying issues: anxiety, dysphoria, low self esteem, lack of control

Front 8

encourage indepence w/ alzhimers

Back 8

help them, short simple explantations, symbols on doors, simple activites , excercise groups etc

Front 9

Ericksons elderly stage

Back 9

Stage 8: Integrity vs Despair (resolved in old age)
An elderly person will either look back on a constructive life or concentrate on missed opportunities and the grim specter of Death. "Wisdom" is the virtue to be gained through integrity and leads to the ritualization of "intergralism". "Sapientism" (false wiseness) is the negative ritualism that results from exaggerated integrity.

Front 10

agoraphobia

Back 10

Agoraphobia is an anxiety disorder, often precipitated by the fear of having a panic attack in a setting from which there is no easy means of escape. As a result, sufferers of agoraphobia may avoid public and/or unfamiliar places. In severe cases, the sufferer may become confined to their home, experiencing difficulty traveling from this "safe place."

Front 11

establish trust w/abused pt

Back 11

let them tell the whole story dont interrupt make them feel confortable and not judged

Front 12

bipolar nursing interventions

Back 12

Nursing Interventions

1. Observe the client every 15 minutes while suicidal, remove all dangerous, sharp objects from room.

2. Reinforce that she is worth while, a.) Assist the client in evaluating the positive as well as the negative aspects of her life
b.) Encourage the appropriate expression of angry feelings.
c.) Schedule regular periods of time throughout the day for recreational/occupational therapy, encourage client to groom self, offer praise for completing grooming.
d.) Ensure client's participation in taking mood stabilizing medications. Watch client swallow medication.
3. Engage client in interpersonal therapies, cognitive-behavioral therapy,
4. Encourage client to attend group therapy, and journal episodes.

Front 13

decreased stimuli w/bipolar pt

Back 13

decrease lights loud noises and people

Front 14

bipolars feed them

Back 14

hand helpd high cal high protein food

Front 15

depression and suicide increased r/f p

Back 15

2 weeks of being on meds now they feel good enough to kill themselves

Front 16

ETOH long term

Back 16

Some drinkers develop alcoholic hepatitis, or inflammation of the liver, as a result of long-term heavy drinking. Its symptoms include fever, jaundice (abnormal yellowing of the skin, eyeballs, and urine), and abdominal pain
heart disease cancer pancriatitis cirrhosis you know these already!

Front 17

depression

Back 17

definition

Front 18

bipolar

Back 18

dont make decsions when manic

Front 19

cocaine

Back 19

nasal septum, resp.paralysis, cardio collapse,hyperpyrexia

Front 20

cocaine od

Back 20

resp.distress, ataxia, fever, convulsions, coma , stroke, mi, death

Front 21

how to appoach a crying pt

Back 21

+++++++++++cant find answer+

Front 22

antisocial nursing goals

Back 22

to to prevent outward effects of mainpulation set clear relistic goals, document manipulations and aggression, provide clear boundries

Front 23

bulimia

Back 23

check electrolytes esp. k. glucose, tyroid, cbc, ekg

Front 24

how to deal w/mild to mod anxiety

Back 24

are you comfortable now? aviod anxirty situations, use nonverbals, foucus on pts concerns, identify thought and feelings

Front 25

acute anxiety

Back 25

calm manner, remain w/pt, minimize environmental stimuli,speak low, listen for themes

Front 26

how to communicate w/ a diificult pt

Back 26

************`

Front 27

schizo activities

Back 27

calm , structures, increase self esteem draw pictures listen to music

Front 28

weed

Back 28

long term= lathargy memory loss od and w/d other then craving not really

Front 29

w DT's check BAL

Back 29

0.05% 1-2 drinks
0.50 death

Front 30

depression

Back 30

how to build trust

Front 31

hearing voices?

Back 31

what are they saying to you?

Front 32

anxiety coping goals for pt

Back 32

anxiety self control
coping
self esteem
knowledge

Front 33

hepatic encephalopathy

Back 33

With severe liver impairment, toxic substances normally removed by the liver accumulate in the blood and impair the function of brain cells. If there is also portal hypertension, and subsequent bypassing of the liver filtration system of blood flowing in from the intestines, these toxic substances can travel directly to the brain, without being modified or purified. Signs can include impaired cognition, a flapping tremor (asterixis), and a decreased level of consciousness including coma (hepatic coma or coma hepaticum), cerebral edema, and, ultimately, death.

Front 34

teach about inhalants

Back 34

resp.arrest tachycardia, arrhtymias, nervous system damage

Front 35

hepatic encephlopathy tx

Back 35

diet cathartics/lactalose abx,zinc helps inprove the pt

Front 36

haldol

Back 36

low sedative properties
monitor for hypotension
can reduce irratiblity and liable effect

Front 37

what PRN to give an angry pt

Back 37

ask
SSRI?

Front 38

how to discharge a boardeline

Back 38

ask

Front 39

lithium

Back 39

maintance 0.4-1.3 meq. ask are you takin as perscribed?

Front 40

lithium tox sx

Back 40

n/v/d thirst progress to habd tremmos, confusion, clonic, stupor, death

Front 41

methadone od

Back 41

dilated pupils resp depression, decreased bp, slurred speech

Front 42

anorexic goals w/eating

Back 42

normalizing eating habits, assist w/ daily meal 3 times qd. dietary intake maintained by pt. weekly wt's.

Front 43

elder abuse

Back 43

many pt's are at risk just think about it

Front 44

disturbed thought process

Back 44

r/t alteration in biochemical compunds
interventions are to help deal w/problem meet w/him use clear sentanes provide activities

Front 45

bipolar mania

Back 45

saftey then quite place

Front 46

saftey plan

Back 46

for fast escape from violence

Front 47

somatization

Back 47

physical symptoms instead of emotional distress

Front 48

LITHIUM – S&S OF TOXICITY

Back 48

• Early Signs of toxicity: Thirst!!!!, confused, N&V, diarrhea, , tremors, increased Bp , ireg H.beat

Front 49

LITHIUM

Back 49

Maintenance level: 0.4-1.3
• Levels should not exceed 1.5
• Lithium needs to be tapered! Do not stop abruptly !
• If Lithium ↓ check NA----lithium decreases sodium reabsorption in the kidneys and could lead to deficiency in NA
• A low NA level can lead to an increase in Lithium retention and produce toxicity.
• Take with meals!
• If signs of toxicity: you can say don’t take the next dose but make an immediate appointment to get the dosage changed – dr. may order a lavage - don’t just stop abruptly.
• ALWAYS ASK “ARE YOU TAKING IT AS PRESCRIBED?”
• Early Signs of toxicity: Thirst!!!!, confused, N&V, diarrhea, , tremors, increased Bp , ireg H.beat

Front 50

RESPERIDAL

Back 50

• Risperidone is an antipsychotic medication. It works by changing the effects of chemicals in the brain.
• Risperidone is used to treat schizophrenia and symptoms of bipolar disorder (manic depression). Risperidone is also used in autistic children to treat symptoms of irritability.

Front 51

Wernicke’s encephalopathy

Back 51

o Wernicke encephalopathy is a serious disorder caused by thiamine (vitamin B-1) deficiency
o Wernicke's encephalopathy involves damage to multiple nerves in both the central nervous system (brain and spinal cord) and the peripheral nervous system (the rest of the body).
o The cause is generally attributed to malnutrition, especially lack of vitamin B1 (thiamine), which is common in those with alcoholism.
o Heavy alcohol use interferes with the break down of thiamine in the body, so even if someone with alcoholism follows a well-balanced diet, most of the thiamine is not absorbed
o Korsakoff syndrome, or Korsakoff psychosis, tends to develop as Wernicke's symptoms do away. This involves damage to areas of the brain involved with memory. Patients often attempt to hide their poor memory by creating detailed, believable stories about experiences or situations. This is not usually a deliberate attempt to deceive because the patient often believes what he is saying to be true.

Front 52

erickson 55-65 y/o

Back 52

• Ego Development Outcome: Integrity vs. Despair
• Basic Strengths: Wisdom