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block 18 psych

68WM6 Exam Block 18 Mental Health

QuestionAnswer
flight of ideas abrupt change of topic in a rapid flow of speech
Grandiosity or Delusions of Grandeur A false belief in which one's own importance is greatly exaggerated
Labile Dramatic changes in mood, often can be rapid in occurrence
Loose Association Thought disturbances in which the speaker rapidly shifts topics from one unrelated area to another
Somatic Therapy Treatment of an emotionally ill or incapacitated client by physiological means
Blocking Thoughts blocked; usually sudden & unexpected. May stop and stare in middle of conversation.
basic factor affecting mental health 1. inherited characteristics 2. childhood nurturing 3. life's circumstances
1. lithium carbonate 2. divalproex sodium 3. carbamazepine antimanics
side effects of antimanics 1. rashes 2. aplastic anemia 3. agranulocytosis 4. kidney damage from long term lithium use
lithium toxicity 1. serum levels > 1.5 mcg/L 2. symptoms- n/v, polyuria, polydipsia, tremor, slurred speech, disorientation, seizures
nursing implications for antimanics 1. maintain high fluid intake and stable salt use 2. blood tests to assess drug level
1. chlorpromazine 2. haloperidol 3. thiothixene 4. thioridazine antipsychotics
antipsychotic side effects 1. anticholinergic effects 2. extrapyramidal sife effects 3. parkinson effects 4. dystonias 5. tardive dyskinesia 6. neuroleptic malignant syndrome
tardive dyskinesia involuntary movements of lips, tongue, jaw after medications are stopped or decreased
dystonias bizarre movements of the face and neck
neuroleptic malignant syndrome 1. hyperthermia 2. muscle rigidity 3. labile blood pressure 4. confusion 5. cardiovascular collapse
nursing implications for antipsychotics 1. important to take on time, and not stop abruptly 2. wear sunscreen 3. rise slowly from sitting or standing 4. watch for neuroleptic malignant syndrome
atypical antipsychotics 1. used in treating resistant schizophrenia 2. less occurrence of adverse effects 3. i.e. clozapine, olanzapine, risperidone
effects of clozapine 1. less risk of tardive dyskinesia 2. 1-2% incidence of agranulocytosis
effects of olanzapine 1. dry mouth 2. dyspepsia 3. postural hypotension 4. no association with agranulocytosis
effects of risperidone 1. low rate of extrapyramidal effects 2. no association with agranulocytosis
1. alprazolam 2. lorazepam 3. buspirone 4. chlordiazepoxide antianxiety agents
side effects of antianxiety agents 1. drowsiness 2. ataxia 3. muscle weakness 4. "morning hangover" 5. potentially habit forming
nursing implications for antianxiety agents 1. watch for increase side effects in older adults 2. avoid alcohol 3. do not stop taking abuptly
1. amitriptyline 2. nortriptyline 3. amoxapine 4. desipramine tricyclic antidepressants
tricyclic antidepressant precautions 1. do not use in severe liver disease 2. do not use after myocardial infarction 3. use caution in cardiac patients 4. sudden stoppage can cause sleep disturbance
1. phenelzine sulfate 2. tranycypromine sulfate monoamine oxidase inhibitors (MAOIs)
MAOI side effects 1. abnormal heart rate and rhythm 2. blurred vision 3. orthostatic hypotension
what foods should a patient taking MAOIs avoid? thramine-rich foods- they pose a risk for life-threatening effects
what types of foods contain tyramine? 1. red wine 2. beer 3. aged cheese 4. chocolate 5. licorice 6. caffeine-rich 7.liver 8. beans
1. fluoxetine 2. paroxetine 3. sertraline Selective Serotonin Reuptake Inhibitors (SSRIs)
side effects of SSRIs 1. appetite loss 2. tremors 3. insomnia 4. sexual dysfunction
nursing implications for SSRIs 1. take medication in morning or early afternoon 2. monitor for signs of serotinin syndrome
1. venlafaxine 2. bupropion 3. trazodone 4. mirtazapine 1. other antidepressants 2. same side effects as SSRIs
take bupropion in ______ divided doses to minimize seizure risk three
take trazodone with food to decrease what? vertigo
taking mirtazapine within 14 days of MAOIs has the potential to cause: 1. hypertension 2. seizures 3. death
eating disorders can be treated with 1.Prozac 2. Zoloft
Created by: hegaub