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MH2
| Question | Answer |
|---|---|
| manifestations of NMS | unstable vital signs, fever, muscle rigidity, confusion, incontinence, tremor |
| when does neuroleptic malignant syndrome occur | it can occur anytime a client is on antippsychotic medication, most commonly when treatment begins or doses are increased |
| therapeutic communication techniques | active listening, informing, focusing, broad openings, restating, sharing, indentification, reflection, silence, humor |
| elements of communication | sender, receiver, message, context |
| dimensions of hope | affective, affiliative, behavioral, cognitive, temporal, contextual |
| affective dimension | the emotional response to the experience |
| affiliative dimension | focuses on how hope is related or interwoven |
| behavior dimension | actions or behaviors that may make the hope for situations come true |
| cognitive dimension | process of thinkin |
| temporal dimension | the time and space in which something exists/takes place |
| contextual dimension | includes ones personal life situation as it relates to hope |
| phases of nurse-client relationship | preparation, orientation, working, termination |
| preparation phase | data gathering |
| orientation phase | develop mutual trust establish caregiver to client relationship |
| working phase | identification of problems and problem solving |
| termination phase | goals are achieved, assist pt, review what was learned, transfer learning to others |
| characteristics of therapeutic relationship | acceptance, rapport, genuineness |
| accepatance | receive what is being offered |
| rapport | ability to establish meaning/trust |
| genuiness | the nurse is open and honest who is actively involved in the client relationship |
| criteria for inpatient admission to mental health facility | person behavior becomes a threat to the safety of themselves or others, people within the environment are not able/wiling to support the mentally ill/troubled person, the person perceives themselves as unable to maintain behavior control |
| recidivism | repeated inpatient admissions |
| common causes for noncompliance | they lack understanding, finances to pay, access to treatment, support, ability to follow/understand OR client suffers from physical side effects, mental/emotional side effects |
| what is tardive dyskinesia | abnormal involuntary movements |
| what causes TD | long term use of antipsychotic which cause imbalance of neurotransmitters |
| manifestations of TD | involuntary/repeated movements of muscles in the face, trunk, arms, and legs. |
| serotonin syndrome | potentially life threatening condition from excess serotonin in the nervous system |
| when does serotonin syndrome take place | when starting a new dose OR increasing a SSRI or SRNI or the concurrent use with a MAOI |
| manifestations of serotonin syndrome | mental status change, agitation, confusion (MAC), fever, increased HR, sweating, tremors (FIST), rigidity, overactive movements (ROAM) |
| countertransference | a barrier in the therapeutic relationship based on the caregivers inappropriate emotina responses to the client |
| example behaviors of countertransference | I HAD (intense caring, hostility, anxiety disgust) |
| action of pyschotherapeutic drugs | acts on the bodies nervous system by altering the delicate chemical imbalances within the system |
| mechanism of action of psychotherapetuic drugs | interrupt the chemical messengeer in the brain by suppressing major nerve pathways that connect to frontal lobes and limbic system |
| reason for pregabalin to be used on patient without anxiety | neuropathic pain |
| what is not a manifestation of neurolepic malignant syndrome | hypothermia |
| symptoms of depression can be reduced/lowered by what | therapeutic touch |
| decrease paranoia of pt who thinks med is poisoned | med should be sealed |
| what is not a concept of countertransference | nurse recognizes client is attached to social worker |
| not a therapuetic communication technique | humor |
| pt stops taking excitalopram | pt should not stop taking med abruptly taper off slowly |
| what should the nurse report to the HCP when taking haldol | neck spasms (AIRWAY) |
| SSRIS (escitalopram fluoxetine) | depression, anxiety, PTSD |
| side effects of SSRIS | Weight gain, insomnia, GI upset, sexual dysfunction, suicidal thoughts |
| nursing considerations for SSRIs | do not take with st, johns wort or MAOIs or tramadol - serotnin syndrome |
| SNRI uses | depression disorders, anxiety, fibromyalgia |
| side effects of SNRIs | weight gain, insomnia, GI upset, sexual dysfunction, suicidal thoughts, |
| nursing consideration for SNRIs | st. johns wort, MAOIs, tramadol |
| MAOIs (phenelzine, trancypromine) | depression, anxiety, social phobia |
| Side effects of MAOIS | hypertensive crisis, orthostatic hypotension, thoughts of suicide, dry mouth, eyes blurred, stomach slowed, stress |
| TD manifestations | lip smacking, tounge protrusion, facial grimacing, involuntary repeitive movements, worm-like tounge movements, jerky limb mobements |
| serotonin syndrome manifestations | agitation, confusion, hyperreflexia, tremors, diaphoresis, fever, tachycardia, seizures |
| what is countertransference | occurs when the nurse projects personal feelings onto the client |
| countertransference examples | overprotectivness, favoritism, avoiding the client, becoming overly involved, trying to rescue the client, sharing excessive personal information, feeling strong anger or attachment towards the client. |
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user-2019882