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my ch. 35
mental health
| Question | Answer |
|---|---|
| What is a muted disorder of bipolar? | cyclothymic |
| An early phase of manic episode is ? | hypomanic |
| Affective disorder (mood disorder) | SAD(winter depression) Postpartum depression Bipolar Disorder Cyclothymic disorder |
| What is SAD treated with? | ultraviolet light |
| TX for mood disorders? | Antidepressants Lithium eclectroconvulsive therapy(ECT) psychotherapy |
| Why should lithium be monitored closely? | because the therapeutic level and the blood toxicity are so narrow |
| What is lithium used for? | Bipolar disease |
| Antidepressants for depression | Prozac, Desyrel, Elavil, Effaxor |
| How long do antidepressants take to work? | 2-4 weeks |
| Amitrityline side effects | best to take in the pm. drug promotes sedation. |
| SSRI stands for | Selective Serotonin Reuptake Inhibitors |
| fluoxetine(Prozac), paraoxetine(Paxil) | SSRI that do not cause sedation effects that cause PT to stop taking thier meds. |
| Flooxetine(Prozac) | should be taken in the morning to avoid insomnia |
| Lithium blood level | 0.6 - 1.2mEq/L is common range for maintenence. |
| What kind of diet should you never do with a person on Lithium? | Low salt diet - can cause toxicity |
| What other helpful aspect does Bupropion do? | Helps w/smoking sessation |
| When would you use ECT electroconvulsive therapy? | when drug therapy isn't working |
| What are the side effect of ECT | h/a, convulsion, short term amensia |
| When would ECT therapy not be done | when you don't have anyone to drive. |
| An IV for an ECT pt establishes | neuromuscular blockade to reduce risk for spinal injury, bone fracture, muscle tears |
| Agorophobia pt avoid? | people, places and events |
| Why do agorophobias avoid situations because | they believe people won't help them when they have a panic attack in public. |
| interventions of agorophobia | education coping skills blocking attacks with meds |
| How well do OCDs show emotion? | not well, they find it hard to express emotions |
| other drugs to treat mental illness | duloxetine(Cymbalta), bupropion(Wellbutrin), mirtazapine(Remeron). |
| Mood is defined by DSM-IV-TR | prolonged emotion that affects a person's psyche. |
| Extremes in depression can range from | 60-80%. |
| What is the reason for mood swings? | Insufficiency or excesses of norenepherine or serotonin. |
| Excess and insufficiency | Can be hereditary and sometimes from prolonged stress or brain trauma |
| compensation | person makes up for a deficiency in one area by excelling in or emphasizing another area. |
| A boy who is small emphasises on academics rather than sports | compensation |
| conversion | a person who witnesses a murder then expresses sudden blindness w/no organic cause |
| Denial | reality does not exsist |
| pt has MI has to severely chg. PE. then the pm nurse finds him doing situps and push ups | denial |
| dissociation | seperation and detachment of emotional significance and affect from and idea |
| the person who has been severely attacked smiles and jokes when retelling the story | dissociation |
| identification | person displays traits of another person or group |
| The teenager the dresses like a favorite rock star | identification |
| Introjection | quality of another is internalized and becomes part of the person |
| a child who follows her parents instruction when the parents are not present | introjection |
| Projection | attributing to toher traits that a person does not want to admit possessing-blaming shortcomings on someone else. |
| Student does poorly on an exam and states - The test was unfair, the teacher did not present the material correctly | projection |
| Regression | Behavior, thoughts, feelings, used at an earlier stage of development are exhibited. |
| 8 year old that referts to bedwetting and thumb sucking | regression |
| repression | unconscious process of barring from conscious thought of painful, disagreeable thoughts. |
| psychiatric disorder | dementia and delirium |
| Dementia | slow and progressive worsening Altered mental state, irreversilbe |
| Alzehiemer's Disease | most common disease of dementia, effects ability to do ADLs |
| Vascular deminia, 2cd most common deminia | Nursing tech - reality orientation and safe environment |
| Negative behavior pattern | apathy (avolition, social withdrawl, alogia, blunted emotional responses, anhedonia |