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Psychiatric Nursing study guide with complete solutions.

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Relationship between hereditary and mood disorders Hereditary factors account for 60% to 80% of mood disorders Agoraphobia Anxiety attack for individuals who avoid other people, places, or events 00:01 01:17 Loose association Disorder in thinking that occurs when the individual cannot interpret the information and the conversation does not flow Schizophrenia A profoundly disabling thought process disorder Catatonic schizophrenia Characterized by a rigid pose for long periods of time Obsessive-compulsive disorders Characterized by thoughts that are recurrent, intrusive, and senseless; and behaviors that are performed repeatedly and ritualistically Anorexia nervosa A severe form of self-starvation Prodromal stage The beginning stage of schizophrenia Fluoxetine (Prozac) A SSRI drug Serotonin Syndrome Signs and symptoms include anxiety, agitation, sweating, confusion, tremors, restlessness, lack of coordination, and rapid heart rate Lithium Monitor serum drug level; can cause diabetes insipidus Citalopram increases the amount of serotonin in the brain by inhibiting reuptake

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Psychiatric Nursing
Relationship between hereditary and mood disorders - Answer Hereditary factors
account for 60% to 80% of mood disorders

Agoraphobia - Answer Anxiety attack for individuals who avoid other people, places, or
events

Loose association - Answer Disorder in thinking that occurs when the individual cannot
interpret the information and the conversation does not flow

Schizophrenia - Answer A profoundly disabling thought process disorder

Catatonic schizophrenia - Answer Characterized by a rigid pose for long periods of time

Obsessive-compulsive disorders - Answer Characterized by thoughts that are recurrent,
intrusive, and senseless; and behaviors that are performed repeatedly and ritualistically

Anorexia nervosa - Answer A severe form of self-starvation

Prodromal stage - Answer The beginning stage of schizophrenia

Fluoxetine (Prozac) - Answer A SSRI drug

Serotonin Syndrome - Answer Signs and symptoms include anxiety, agitation, sweating,
confusion, tremors, restlessness, lack of coordination, and rapid heart rate

Lithium - Answer Monitor serum drug level; can cause diabetes insipidus

Citalopram - Answer increases the amount of serotonin in the brain by inhibiting
reuptake

Amitriptyline - Answer a tricyclic antidepressant that can cause unstable ventricular
dysrhythmias

Benzodiazepines - Answer Can cause birth defects when used during the first trimester
of pregnancy

Clonazepam (Klonopin) - Answer Can cause potentially life-threatening withdrawal
symptoms

Quetiapine (Seroquel) - Answer Avoid grapefruit and grapefruit juice

St. John's Wort - Answer Can cause hypertension in people who are also taking MAOIs

Chlorpromazine (Thorazine) - Answer Can cause tardive dyskinesia; can also cause
orthostatic hypotension

, Psychiatric Nursing
Tardive dyskinesia - Answer involuntary movements of the facial muscles, tongue, and
limbs; a possible neurotoxic side effect of long-term use of anti psychotic drugs that
target certain dopamine receptors; severe reaction associated with the long-term use of
anti psychotic medication; s/s abnormal movements (dyskinesia) and involuntary
movements of the mouth, tongue, and face; severe form, involves the fingers, arms,
trunk, and respiratory muscles - when this occurs, STOP the medication

Neuroleptic Malignant Syndrome - Answer Adverse reaction to anti-psychotics with
severe "lead pipe" rigidity, FEVER, and mental status changes

Mirtazapine (Remeron) - Answer Antidepressant that can cause bone marrow
depression

Prochlorperazine (Compazine) - Answer Antiemetic that causes urine to turn pink or
reddish brown

Amitriptyline (Elavil) - Answer A tricyclic antidepressant

neurosis - Answer has insight that he has an emotional problem

psychosis - Answer out of touch with reality and has severe personality deterioration

Clozapine (Clozaril) - Answer Antipsychotic, s/e constipation

Oxazepam (Serax) - Answer Benzodiazepine; s/e sedation, sleepiness, depression,
light-headedness, ataxia, and unsteadiness

Adjunctive therapies - Answer to increase self-esteem, promote positive interaction, and
enhance reality orientation

Common anxiety disorders - Answer panic disorder, generalized anxiety disorder,
phobic disorder, obsessive-compulsive disorder, and post traumatic stress disorder

Common treatments for depression - Answer counseling or psychotherapy and
antidepressants drugs

Warning signs of suicide - Answer sharing suicide plans openly. dropping hints through
words and actions, sudden fascination with the topic of death, dramatic changes in the
persons appearance, self-destructive behavior, withdrawal from friends, family and
regular activities, sudden change in mood.

Aromatherapy - Answer uses essential oils and scented candles to soothe the senses
and make people aware of the here and now of the pleasant environment

Restraints and Seclusion - Answer A client may request to be secluded or restrained.
Federal laws require the consent of the client unless an emergency situation exists in

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