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block 18 psych
68WM6 Exam Block 18 Mental Health
| Question | Answer |
|---|---|
| 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
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