ati mental health Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Levels of consciousness | Alert - responsive and able to fully respond Lethargy- respond but are drowsy and fall asleep quickly Obtundation- pts need to be lightly shaken confused coma- no response from painful stimuli |
Basic assessment | Pts LOC, appearance, behavior, cognitive and intellectual ability, mmse, pts description of their illness. |
Physical examination | Appearance- grooming attire Behavior- body movements, mood, and affect |
Cognitive and intellectual | Recent and remote memory, calculate, abstract thinking, judgement, speech |
Interview strategies | Private quiet space, introduce yourself, pts name preference, sit close and at eye level, questions about sleeping, incontinence, family, medical hx, summarize when interview is over and get pt feedback |
Dsm axis codes | Axis 1- abnormal behavior and mh dx not coveted in axis 2 Axis 2- personality disorder and MR Axis3- general medical ex: asthma axis4- gaf |
While performing a MMSE the nurse notices that the pts facial expression constantly conveys anger she should document this as the pts | Affect |
During the MMSE a hospitalized pt states she is undergoing tx to "learn to be a doctor" the nurse should record this as | Poor perception of illness |
Examples of subjective data collection | Pt states that he has no reason to live Pt states that he drinks 3 beers a day |
A nurse is caring for a client dx with schizophrenia, DM, and anti social personality which is the axis2? | Antisocial personality disorder |
An ex of a pt who requires emergency admission is | PTSD who assaulted his son with a bat |
Pacing | Pt not giving information because the nurse seems busy |
Connotative meaning | Charting pt complains of instead of client reports |
Vocabulary | Using words the pt understands instead of medical jargon |
Timing | Pt education when the patient is comfortable and ready to learn |
Factors that foster a therapeutic relationship | Consistency, pace with the pt, attentive listening, positive initial impression, comfort, and availability |
Ocd | Ritualistic behavior that interferes with adls |
Gad | At least 3 of the following clinical manifestations: fatigue, restlessness, problems with concentration, irritability, muscle tension, sleep disturbances |
Specific therapies for anxiety | Relaxation - controls pain tension and anxiety Modeling- allows the pt to see appropriate behavior in a stressful situation Systematic desensitization - begins with the mastery of relaxation techniques then exposes them to increasing levels anx pro stim |
Specific therapies for anxiety continued | Flooding- exposes pt to great deal of stimulus Thought- teaches pts to say stop to negative thoughts and replace with positive ones |
Medications for anxiety | Antidepressants like Zoloft elavil Hypnotic anxiolytics valium ssri effexor Nonbarbituate anxiolytics BuSpar |
Depressive disorder 5 of the following at least 2 weeks | Depressed mood, difficulty sleeping or excessive sleeping, indecisiveness, decreased concentration, suicidal ideation, increase or decrease in motor activities, inability to feel pleasure,increase or decrease in weight of more than 5% in 1 month |
Ssri | Celexa, Prozac, Zoloft May cause sexual disfunction or cns stimulation which can lead to insomnia |
Tca | Elavil Orthostatic hypotension |
Maoi | Nardil Hypertensive crisis |
Benzo diazepines | Valium ativan Cns depression avoid driving etc |
Ssnri | Effexor Nausea, weight gain sexual dysfunction |
Nonbarbituate | BuSpar 2 to 4 weeks to become effective |
Mood stabilizer | Lithium depakote Klonopin neurotin |
Types of schizophrenia | Paranoid- hallucinations and delusions Disorganized- loose association, bizarre, Catatonic- psychomotor retardation Residual- active clinical manifestations gone but 2 or more residual finding Undifferentiated |
Atypical anti psychotic | Risperdone ziprexa seroquel geodon abilify Sedation weight gain |
Conventional anti psychotic | Haldol thorazine prolixin Anticholinergic effects, Orthostatic hypotension, eps |
Antidepressants for schizophrenia | Paxil Suicidal ideation withdrawal effects with abrupt withdrawal |
Personality disorders | Cluster A odd or eccentric Cluster B dramatic emotional or erratic cluster C anxious or fearful |
4 common characteristics of personality disorders | Inflexible maladaptive response to stress Disability in social and professional relationship Tendency to provoke interpersonal conflict Ability to merge personal boundaries with others |
Cluster A | Paranoid - distrust of others Schizoid- disinterested emotional detachment with others do not have psychotic symptoms Schizotypal odd beliefs eccentric appearance |
Cluster B | Antisocial disregard for others, deceit, failure to accept personal responsibility Borderline fear of abandonment, splitting, manipulation histrionic seductive flirtatious, emotional attention seeking Narcissistic arrogance sensitive to criticism |
Cluster C | Avoidant avoidance of all situations from fear of rejection Dependant urgent search for relationship when the other one ends |
Obsessive compulsive | Focus on orderliness and control no ritualistic behavior |
Data collection for pts with eating disorders | Dietary habits and hx, ht, wt, skin condition, vs, feeling about body image, and family dynamics |
Cognitive distortions for those who have an eating disorder | Over generalization no one will like her if she's fat All or nothing any carb will make her fat and lead to unbearable weight gain |
F Expected findings for pt with bulemia | ECG changes peripheral edema and tooth decay |
Antidote for benzo od or toxicity | Romazicon |
A nurse knows that pt teaching for a client with new prescription for BuSpar is understood when | The pt states I will not take this medication with grapefruit juice |
Created by:
100000839384613
Popular Nursing sets