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Mr. D Theory
Test 6/11/2014
| Question | Answer |
|---|---|
| Psychotic Disorders | Characterized by a gross distortion of reality |
| Hallucination | Distortion of 1 of the 5 senses. Auditory and Visual most common. |
| Delusion | Fixed false belief |
| Paranoid Schizophrenia Feeding | Give sealed container of food, unpeeled fruits, unpeeled hardboiled egg, and more time to eat in dining room or unit |
| Catatonia Schizophrenia | Don’t really hallucinate often (more of mood disorder). Frenzy movement or absence of movement. Provide high caloric supplements (protein drink, shakes), finger foods for frenzy type (soft food, risk for choking) |
| Water intoxication | Need 1:1 observation, Weigh patient twice daily (morning wake up and before sleep at night), Monitor liquid intake, Lab. 2-3 times a week |
| Affective Disorders | characterized by an exaggerated mood state. |
| Chronic Depression | indigenous, suffer from loss |
| Bipolar disease | mood swing from manic to depressed |
| Seasonal Affective Disorder (SAD) | type of depression that occurs at the same time every year |
| Intervention for Affective Disorders | High caloric food intake (beef steak, dairy products, peanut butter, multi-vitamin) |
| Neurological Disorders | Brain damage caused by trauma or disease. Can affect nutrition due to: stroke, birth defects, drugs and alcohol, or dementia. Can change the smell and taste of food |
| Intervention for Constipation | take high fiber foods, Increase fluid intake, Give prune juice, Increase peristalsis (do exercise), Monitor bowel movement, Drug to drug interaction – medication to be taken with food |
| Electroconvulsive Therapy (ECT) | A procedure in which a brief application of electric stimulus is used to produce a generalized seizure. It is not known how or why ECT works. ECT treatment is generally administered in the morning, before breakfast |
| ECT has been used continuously for more than | 50 years, longer than any other physical treatment available for mental illness. |
| Role of Serotonin | Effects mood, appetite, libido, arousal, and sleep |
| The exact mechanism by which ECT affects a therapeutic response is | Unknown |
| The typical client for ECT is | White people, Females, Middle age (40 to 60), Middle class to Upper class |
| ECT preparation | Informed consent, lab reports, Take vital signs one hour before procedure, and remove glasses dentures and jewelry. Administer atropine (anti-cholinergic) 30 minutes before NPO |
| Absolute Contraindication for ECT | Intracranial Pressure, will cause hemorrhage in the brain |
| Most common side effects of ECT | Confusion and Short Term Memory Loss |
| Main clinical indication for ECT | Chronic/Severe Depression |
| The mortality rate from ECT therapy | 2 per 100,000 treatments |
| ECT post treatment period | Monitor pulse, respiration, and blood pressure every 15 minutes for the first hour, client should be in bed. Position on side to prevent aspiration. Orient to time and place. |
| Which of the following describes the average number of ECT treatments given and the timing of administration? | One treatment every other day for a total of 6 to 12. |
| Which of the following conditioned is considered to be the only absolute contraindication for ECT? | Increase intracranial pressure |
| Electroconvulsive therapy is thought to effect a therapeutic response by | Increasing the levels of serotonin norepinephrine and dopamine |
| The most common side effects of ECT are | Temporary memory loss and confusion. |
| Therapeutic Use of self | Ability to use one's personality consciously and in full awareness in an attempt to establish relatedness and to structure nursing interventions |
| Beliefs | Ideas that one holds to be true |
| Attitudes | Frames of reference around which an individual organizes knowledge about his world |
| Values | Abstract standards, positive or negative, that represent an individual's ideal mode of conduct and ideal goals. |
| Rapport | Special feelings based on warmth and acceptance |
| Trust | Confidentiality |
| Respect | Unconditional positive regard |
| Genuineness | Truth and honesty, real |
| Empathy | Ability to see something from the client's perspective |
| Sympathy | Share emotion |
| Pre-interaction phase | Obtain information about the client from chart, significant others, or other health team members |
| Orientation (introductory) phase | Create an environment for trust and rapport, formulate nursing diagnosis, and set mutually agreeable goals |
| Working phase | Maintain trust and rapport, promote client's insight, perception of reality, and use problem solving model to work toward achievement of established goals |
| Transference | When client transfers feelings developed earlier toward someone onto the nurse |
| Countertransference | When the nurse transfers feelings formed earlier onto the client |
| Termination phase | Progress made toward goals, plan adaptive coping with stressful situations, feelings terminating relationship are recognized and explored |
| Meth affects | appetite suppressant, lose weight, lose teeth by stripping enamel off |
| Social relationship | for actual friends |
| Values | are action producing |
| Attitudes and beliefs become values when | done with action |
| Johari Window: Private Self | Known to self; Unknown to others |
| Johari Window: Public Self | Known to self; Known to others |
| Johari Window: Unknowing Self | Unknown to self; Known to others |
| Johari Window: Unknown Self | Unknown to self; Unknown to others |
Created by:
Sanctus Verus
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