NCLEX PN Review - Mental
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| Example of Obsession is: | pt checks his belongings over and over again
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| One sign of Anorexia Nervosa is: | hypotension
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| Bipolar pt stopped taking lithium 2 wks ago: SS is | restlessness
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| Bipolar disorder, Manic phase: | unpredictible with angry outbursts
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| SS of bipolar disorder | flights of ideas, restlessness & delusions of grandeur
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| Bipolar disorder: if challenged, expect | erratic & unpredictible behavior
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| Phobia: do not force pt to: | face phobic object or situation, risk of panic
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| SS of alcohol withdrawel: | tachycardia, disorientation, confusion, agitation, inability to sleep
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| Early ss of alcohol withdrawel | perceptual disorder
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| dystonia is: | jerking movements of head & neck
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| ss opioid withdrawel: | flushing, piloeration, N/V,abdominal cramps, lacrimation & rhinorrhea
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| Alcohol detox drug is | Librium (chlordiaze poride)
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| Librium - chlordiaze poride classification? | tranqualizer
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| Alcohol detox-early withdrawel __ days from last drink: | withdrawel is in 1-2 days (may be as early as 6 hours)from last drink
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| Manipulative behavior is a | personality disorder
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| In cases of Manipulative behavior: N should use: | verbal reinforcement when pt functions within rules
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| Schizophrenia (catatonic type) negative pt - N should: | tell pt what to do specifically & concisely
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| When may N use restraints: | as a last resort with Dr approval & check agency policy
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| Obsession: Define | a recurrent, persistant & intrusive thought
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| Compulsion: Define | drive to perform recurrent, persistant & repetitive actions
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| In acute manic state - N actions: | reduce stimulation; set limits;
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| panic attacks TX is | anti anxiety drugs help w/SS
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| panic-common SS | fear of losing mind
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| schizophrenia hints: | family can get help, support service are available; environment is important
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| bipolar dz is | rapid mood changes from elation to depression
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| Do not mix drugs & alcohol with | aspirin, anti-histamines & sedatives
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| post traumatic stress dz: pt | relives event thru dreams and recollections
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| post traumatic stress dz SS: | hyper alertness, sleep problems, exaggerated startle, survival guilt & memory impairment
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| amphetamine overdose SS | tension, irritability, diarrhea
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| amphetamines are a nervous system | stimulant subject to abuse because it produces wakefullness & euphioria
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| Amphetamine use - what body response? | stimulates norepinephrine & increases heart rate and blood flow
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| Somatoform pain dz: | real to pt BUT no organic cause found
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| opiate abuse SS | agitation, slurred speech, constructed pupils & euphoria
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| stress & anxiety - most common SS | diarrhea most common symptom
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| overdose anti anxiety meds: | emotional liability, euphoria & impaired memory
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| When may a N force meds on pt? | only if danger to self or others
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| Suicide ? to ask if suspect posibility: | How do you think you would kill yourself?
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| Pt is afraid to leave home & has a: | persistant intrusive image that seems senseless to the pt
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| N/V & diarrhea indicate which substance abuse: | opioids
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| Bulimia Nervosa is a | maladaptive coping respones to stress issues
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| Bulimia Nervosa-Pt will: | overeat and vomit
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| N must watch bulimia pt for | 1 hour and monitor ins & outs & appetite
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| Bulimia involves serious problem with | weight loss
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| Inital goal of bulimia pt: | ID anxiety cause & learn new coping skills
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| Classic Bulimia Nervosa is | binge and purge
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| Anorexia nervosa pt: | uses food to control anxiety to the point of self destruction
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| Anorexia pt-highest priority is: | basic nutritional needs
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| Anorexia nervosa care plan: | relate the pts concern for health & desire to help pt make healthy decisions
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| Parents role in anorexia: | controlling and over protective
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| Anorexia- care plan also has: | strict eating plan, monitor weight & meals (no privacy),limit & supervise exercise
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| Classis anorexia pt profile: | low self esteem, perfectionest, work for all A's,
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| Anorexia characteristic behavior: | constant dieting
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| Anorexia SS: | associative hypotension, reduced metabolism, produces bradycardia & cold extremities, lanugo may cover face, sholders & extremities
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| Lanugo is | solf, downlike hair
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| hypochrondriasis | a hypo kon dri ac
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| hyprchrondriasis-pt who | is preoccupied w/having a serious DZ.
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