NUR 114 Test 5 (Part 1 & 2) | Verified with 100% Correct Answers

NUR 114 Test 5 (Part 1 & 2) | Verified with 100% Correct Answers PART 1 ___ ___: face to face process of interacting that focus on advancing the physical and emotional well-being of a patient. Therapeutic Communication Disease:___- a psychological spectrum characterized by a range of emotional/cognitive dysfunctions that affect speech, drive, and the ability to make decisions. Schizophrenia What are the five types of schizophrenia? paranoid, disorganized, catatonic, undifferentiated, residual When caring for schizophrenic patients, it is important to establish ___, maximize level of ___, and assess ___ systems. Trust, functioning, support What two things are we aiming to reduce in schizophrenic patients? Symptoms and acute episodes Halopendol, Risperidone, Olanzapine, Quetiapine, and Ziprasidone are all ___ meds used to treat ___. Antipsychotic, Schizophrenia What are three common interventions for suicide risk? Psychotherapy, medications, and a crisis hotline When dealing with suicidal patients, it is important to determine their __ level, provide a ___ ___, develop a ___ ___, involve ___, and ___ throughly. risk, safe environment, safety plan, family, and document ___: medical treatment where controlled electric currents are passed through the brain to induce brief seizures, aimed at treating severe psychiatric conditions. Can be used for MDD, bipolar disorder, schizophrenia, and acute suicidal behavior. ECT ECT: electroconvulsive therapy ___: perceptions without an external stimulus, often involving any of the 5 senses. Hallucinations What is the most common type of hallucination? Auditory (hearing voices) What are the four types of delusions? persecution, reference, grandeur, somatic Type of delusion:___- belief that you are someone other than yourself Grandeur Type of delusion:___- belief that a person/group wants to hurt you Persecution Type of delusion:___- belief that an unsuspicious occurrence refers to you Reference Type of delusion:___- belief that you have a physical defect or medical problem. Somatic ___ is essential for effective therapeutic communication, ensuring patient cooperation and engagement in treatment; allows the patient to feel safe, understood, and respected. Trust Disease:___- persistent feelings of sadness and loss interest. MDD MDD: Major depressive disorder Class of MDD:___- irritability, anger, hopelessness, guilt, despair, self loathing, lack of motivation, insomnia, lack of interest in things once enjoyed, and difficulty concentrating. Mild Class of MDD:___- self esteem issues, reduced productivity, feelings of worthlessness, sensitive, and excessive worrying. Moderate Class of MDD:___- delusional, hallucinations, thoughts about suicide and/ or self harm. Severe Tricyclics, MAO inhibitors, and selective serotonin reuptake inhibitors (SSRIs) are all ___ drugs. Antidepressant Drug class:___- Amitriptyline HCl, Desipramine HCl, Nortriptyline HCl, Protiptyline HCl Tricyclics Drug class:___- Isocarboxazid, Phenelzine sulfate, Tranylcypromine sulfate, selegiline MAO Inhibitors Drug class:___- Fluoxetine Hcl, Paroxetine, Sertraline, Fluroxamine, Citatopram, Escatalopram, Vilazodone SSRIs Disease:___- can cause unusual changes in mood, activity, energy, concentration, and the ability to do everyday tasks. Bipolar disorder What are the two types of bipolar disorder? B1 and B2 Class of bipolar disorder:___- manic episodes that last at least once a week B1 Class of bipolar disorder:___- less severe episodes B2 __ disorder has a higher risk for suicide while in depressive episodes and mixed states. Bipolar Schizophrenia can lead to suicide due to the ___ and ___. Delusions and hallucinations (especially command.) GAD, panic disorder, and PTSD can increase suicide risk due to what? Co-occurring depression ___ puts the patient at risk for suicide due to impulsive behavior and chronic feelings of emptiness and abandonment. Borderline Personality Disorder ___ and __ increase suicide risk due to exacerbating mental health symptoms, impairing judgement, and leading to impulsive behavior. Drugs and alcohol What are four general alternatives to lithium? Anticonvulsants, atypical antipsychotics, mood stabalizers, and antidepressants. Drug class:___- Valproate, Carbamazepine, Lamotrigine Anticonvulsants Drug class:___- Quetiapine, Olanzipine, Risperidone, Anpiprazole, Lurasidone Atypical antipsychoticsDrug class:___- Tropiramite Mood stabilizer Drug:___- Used to treat mania associated with bipolar disorder, as well as reduce the frequency and severity of episodes. Lithium What three things will cause lithium to be unsafe for use? Pregnancy, breastfeeding, and children 7 years old What two adverse reactions can lithium cause? Hyponatremia and arrhythmias (may also affect kidney and thyroid gland) What is the normal dosage of lithium? Between 0.6-1.2 mmol/L Disease:___- characterized by excessive, uncontrollable worry about various aspects of daily life. Generalized anxiety disorder Cognitive behavioral therapy, mindfulness, SSRIs, SNRIs, Benzos, Busipirone, Pregablin, and beta blockers are all used to treat ___. GAD Drug class:___- venifaxine, duloxetine SNRIs SNRI: serotonin norepinephrine reuptake inhibitor SSRI: selective serotonin reuptake inhibitor Drug class:___- alprazolam, lorazepam, clonazepam Benzodiazepines Patients diagnosed with GAD should avoid ___ and ___. Caffeine and alcohol Disease:___- recurrent, unexpected panic attacks that cause constant concern. Panic disorder Drug class:___- drugs used for their anxiolytic, sedative, muscle relaxant, and anticonvulsant properties. Commonly prescribed in anxiety disorders, insomnia, seizures, muscle spasms, and alcohol withdrawal; can be addicting Benzodiazepines Disease:___- bouts of extreme over eating following by depression and self induced vomiting, purging, or fasting. Bulimia Disease:___- emotional disorder characterized by an obsessive desire to lose weight by not eating. Anorexia ___: state of emotional and mental strain resulting from adverse or demanding circumstances. Stress What does stress do to a patients vitals? Raises HR, BP, and RR ___ increases the risk for hypertension, heart disease, stroke, suppressed immune function, digestive issues (such as changes in appetite), high cortisol levels, and risk for metabolic issues. Stress ___: primary inhibitor neurotransmitter in the CNS. It plays a crucial role in reducing neural excitability throughout the nervous system. GABA What is the role of GABA? Reduces neural excitability throughout the nervous system. What is the difference between HIPPA and confidentiality? HIPPA is legal binding, while confidentially is ethical. Disease:___- anxiety disorder that causes extreme, irrational fear about a situation, place, object, or living creature. Phobia What is the best treatment for phobias? Exposure therapy Disease:___- the normal or hazardous use of psychoactive substances, alcohol, and illicit drugs. Substance abuse What are the three required criteria for substance abuse? Failure to fulfill major role obligations, use in physically hazardous situations, and legal & interpersonal problems.