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Mr. D Theory

Test 6/11/2014

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