Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
36 Cards in this Set
- Front
- Back
|
What is Bipolar I?
|
Combinations of one or more manic episodes and one or more depressive episodes.
|
|
|
What is a manic episode?
|
A distinct peroid of abnormally and persistently elevated, expansive, or irritable mood, lasting a week.
|
|
|
For a manic mood you need three of more of the following:
|
Inflated self-esteem or grandiosity.
Needing little sleep, great amount of energy Talking fast, other can't follow racing thought or flights of ideas easily distracted increase in goal-directed activities or psychomotor agitation inflated feeling of power, greatness or importance reckless behavior (money,sex,drugs) |
|
|
Manic/Hypomanic Episode
"FASTDIGGERS" |
F-functioning is severely impaired.
A-activities pursued with the potential for painful consequences S-substance related disorders need to be excluded T-talkative both rate and amount of speech are increased D- distractability I - Ideas racing (flights of ideas) G-grandiose- inflated self-esteem E- elevated or expansive mood R-rule out general medical conditions S-sleep requirement is lessened |
|
|
Cyclothymia
|
Numerous periods of mood swings between hypomania and depressed mood lasting less than four days
|
|
|
Mood and affect of bipolar?
|
they are on cloud 9, euphoria, exuberant, grandiosity, false sense of well-being, angry, verbally aggressive, sarcastic, irritable
|
|
|
Judgement and insight of the bipolar?
|
Judgement is poor, insight is limited here is where you see reckless behavior
|
|
|
Roles and relationships of the bipolar?
|
rarely can fulfill role responsibilities, invade intimate space and personal business of others, can become hostile to others
|
|
|
Physiologic and self care consideration for the bipolar?
|
inattention to hygiene and grooming, hunger or fatigue, bowel and sleep disturbance, here the patient is not sitting still so you should feed them finger foods.
|
|
|
What are some nursing diagnoses for Bipolar?
|
Risk for injury
risk for violence Imbalanced nutrition disturbed thought processes |
|
|
What is a delusiuon
|
a fixed belief you can't change it for the patient and your best response should be "I understand this is what your feeling however it's not my reality"
|
|
|
List the mood stabilzers used for bipolar?
|
Lithium
Tegretol Klonopin Depakote Lamictal Neurontin Topamax |
|
|
List the antipsychotics used for bipolar?
|
Abilify
Clozaril Geodon Risperdal Seroquel Zyprexa |
|
|
Other medications are given besides mood stabilizer and antipsychotics for bipoloar what are they?
|
antidepressants - used during the depressed phase
benzodiazepine - short term agitation |
|
|
JACHO patient safety goal #15 is?
|
Always screen for suicide.
|
|
|
Suicide ideation
|
Thoughts and ideas of suicide
|
|
|
Suicide
|
the act of killing oneself
|
|
|
Parasuicide
|
failed attempts
|
|
|
Passive death wish
|
think about suicide but don't act on it
|
|
|
Lethality
|
the degree of probability that an individual will be successful in completing the suicide
|
|
|
Who is at high risk for suicide?
|
Higher in males - white, divorced, single or widowed
unemployment or wealthy certain medications certain diseases such as cancer, AIDS Hopelessness Risk takers Distortion is no way out |
|
|
Whne coming onto the ward when is suicide most likely going to happen with a patient?
|
Within the first week but very high with the first 48 hours of being admitted high risk for suicide or elopement
|
|
|
You should check for suicide how often?
|
everyday
|
|
|
Predisposing factors of suicide
|
Genetics
Low levels of serotonin Anger turned inward Hopelessness past history of suicide attempts lack of support interpersonal stress |
|
|
What are the main Red Flags for suicide?
|
Previous attempts and a sense of hopelessness
|
|
|
What to look for in behavior before suicide?
|
Verbal cue and or statements,
changes in school work performance, people contemplating suicide begin to withdraw from relationships and become more isolated, sudden interest in their assets, obtaining a weapon such as a gun. |
|
|
Guidelines for treatment of the suicidal client on an outpatient basis:
|
Do not leave the person alone,
enlist the help of family or friends, schedule frequent appointments and most important only give MEDS FOR THREE DAYS otherwise at risk for overdosing. |
|
|
What is a no-suicide contract
|
Normally don't see anymore also not a legal contract it is written or verbal agreement between health professional and the client.
|
|
|
What is psychosis?
|
a state in which a person is unable to comprehend reality and has trouble communicating to others.
|
|
|
Schizophrenia of all other mental illnesses causes more:
|
Lengthy hospitalizations, chaos in the family, exorbitant costs to people and causes the most fears
|
|
|
What is schizophrenia?
|
A disorder in the brain with a combo of affective, behavioral, cognitive abnormalities, disordered thinking, perceptual disturbances, impaired social competency.
|
|
|
Define Hallucinations
|
sensory perceptions of people or objects that are not present in the environment. Hear, see, feel things that other people do not
|
|
|
Delusions
|
False fixed belief
|
|
|
Whta part of the neurotransmitters affect schizophrenia?
|
Dopamine. It is thought that there is increased dopmaine activity in the schizophrenic brain. Therefore anti-psychotic drugs block dopamine there by decreasing the levels.
|
|
|
What are the three phases of schizophrenia?
|
First Phase - Schizoid Personality (isolate and often very alone - don't enjoy close relationships.
Second Phase - Prodromal Phase (Neglect of hygiene, socially withdrawn, bizarre ideas and blunted affect - negative symptoms) Third phase - Schizophrenia (Decompensate and now have full blown disease both positive and negative symptoms hallucinations and delusions) |
|
|
List the positive symptoms of schizophrenia?
|
Delusions - erotomanic, grandiose, jealous, *persecutary most common*, somatic
Hallucinations -auditory *most common* gustatory, olfactory, tactile, visual Disorganized speech - clang, concrete thinking, echolalia(repeating back the other person's words), incoherence, word salad Grossly disorganized behavior - disheveled appearance, inappropriate sexual behavior, restless, agitated behavior. |
