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Maternal/Peds/Psych
Psych Questions
| Question | Answer |
|---|---|
| Antidepressants vs. antipsychotics | Antidepressants take longer to kick in |
| What do you give for muscle rigidity and laryngospasm | Cogentin IM |
| Tardive dyskinesia | pursed lips, tongue rolling |
| MAOI | Tyramine-free diet, contraindicated with OTC cold remedies, see severe h/a and/or blurred vision |
| Common MAOI | Nardil |
| Clozaril | Nursing Implications: prone to agranulocytosis, lowers seizure threshold, have blood draws Q2 weeks to determine agranulocytosis |
| 1st generation antipsychotics | Temperature increase and muscle rigidity indicate Neuroleptic Malignancy Syndrome |
| "I can't take it anymore" | Asking if they feel like killing themselves, if they have a plan, a means, etc. |
| If folk healer is with patients? | Let folk healer finish, come back later |
| Oedipus complex | Boy has sexual attraction to mother |
| Hallucination | Alteration in sensory processing NOT based on external stimuli |
| Irrational beliefs | Delusions |
| Delusions about special powers/abilities? | Delusions of grandeur, compensation for low self esteem |
| Pressured speech, flight of ideas? | Mania |
| Antianxiety agents | Lorazepam, Xanax, Valium = prescribe on short term basis for acute anxiety. Do not use with alcohol or other CNS depressants. Addictive, do not go off abruptly = seizure, coma, death |
| Antimanics | Lithium Carbonate = not too much salt/too little salt intake, not too much/too little fluid intake. Monitor serum levels. S/S toxicity are: tremors, slurred speech, decreased LOC, severe diarrhea |
| Assess for auditory hallucinations | Are they telling you to hurt yourself/others? |
| Nursing diagnosis for anorexia nervosa | Alteration in body image |
| Crisis theory | Previous coping with crisis and perception of event as well as effectiveness of coping mechanisms |
| Stages of group therapy | Working phase = increase in trust Termination phase = been together for a period of time and have resolved conflicts |
| Borderline personality disorders | Manipulative, set limits |
| Therapeutic relationship | emphasis on client, meeting clients needs, time limited, expectation that clients difficulties are expressed, encourage client to take on adaptive behavior |
| Co-dependency | Difficulty with boundaries, over-extend themselves, always taking care of others |
| Enabler | Spouse of alcoholic making excuses for partner |
Created by:
mollyluvender
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