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68WM6 Exam Block 18 Mental Health

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