PSYCHIATRIC
MENTAL HEALTH
NURSING, 9TH
EDITION BY SHEILA L.
VIDEBECK, CHAPTERS
1 - 24 COMPLETE
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Chapter 1
Duloxetine
used to treat both generalized anxiety disorder and depression
can worsen uncontrolled angle-closure glaucoma
Lithium
used to treat manic episodes but is contraindicated in clients with
renal or cardiovascular disease
therapeutic range of serum levels is 0.5 to 1.5
Selegiline
MAOI antidepressant used to treat Parkinson disease
Oxcarbazepine significantly raises the level
The most common adverse reaction is a localized rash.
It is the only transdermal treatment for major depression.
Mirtzapine
treatment of depression and also helpful in reducing the adverse
sexual side effects in the male client receiving selective serotonin
reuptake inhibitors therapy
drowsiness and abnormal dreams are the adverse effects
Bupropion
used to treat depression and also aid in smoking cessation
contraindicated in clients with eating and seizure disorders
can cause high blood pressure
contraindicated
Schizophrenia, bipolar depression, Alzheimer disease, and
dementia are _____________________ for St. John's Wort herbal
therapy.
oxazepam administration during detoxification
Reduces the anxiety-tremor state and prevents more serious
withdrawal symptoms
, side effects
On what basis would the primary healthcare provider choose a
neuroleptic/First-generation antipsychotic drug (blocks access to
dopamine receptors)?
Foods high in tyramine
Fermented, smoked, aged foods, bologna, foods with yeast, beer,
wine, chocolate, Ginseng, medications (cough meds)
DELIRIUMS (causes mnemonic)
Drugs, Emotional factors, Low arterial oxygen level, Infections,
Retention of urine or feces, Ictal or postictal state, Undernutrition,
Metabolic conditions, and Subdural hematoma
histrionic personality disorder
draw attention to themselves, are vain, and demonstrate
emotionality and attention-seeking behavior
antisocial personality disorder
Aggressive and manipulative behaviors
obsessive-compulsive disorder
controlling feelings of anxiety and guilt by maintaining an
absolute set pattern of action
Rigid, perfectionistic, controlling behaviors
Barbiturates
Seizures are a serious side effect that may occur with abrupt
withdrawal from ___________________.
empathy
the projection of self into another's emotions to share the emotions
and the other's state of mind; this technique helps the nurse
understand the meaning and significance of the experience to the
client
confabulation
Imagination is used to fill in memory gaps; defense mechanism
used by people experiencing memory deficits
first
During the ___________ stage of alcohol detoxification, nausea,
anorexia, hypertension, tachycardia, and irritability are expected.
Regression
an unconscious defense mechanism that reduces anxiety by
returning to behavior that was successful in earlier years
commonly is used by clients with undifferentiated schizophrenia
to reduce anxiety
Projection
attributing of unacceptable feelings or thoughts to others
organized defense used by clients with paranoid schizophrenia
undifferentiated schizophrenia
, has psychotic manifestations that are extreme; may have
ineffective thought processes
are unable to repress disturbing thoughts/feelings out of the
conscious mind and therefore have a need to escape from reality
Conversion
unconscious defense mechanism in which a person develops
physical symptoms that have no organic cause
serves the purpose of reducing anxiety
borderline personality disorder
tend to be engaging and to establish intense relationships. They
may be manipulative because they are opinionated and want
people to conform to their agendas. These clients are often
decisive and opinionated, have a pronounced intolerance for being
alone, and are usually quite social. These clients are not
perfectionists.
irresponsible, amoral, and dishonest and do not learn from
negative experiences.
are often charming and calculating when exploiting others; they
show no remorse for hurting others and do not develop insight
into predictable consequence
Impulsive, potentially self-damaging behaviors
initial intervention after forming therapeutic relationship is to
establish clear boundaries
abandonment vs identity loss
Alternating clinginess and distance reflects a reenactment of the
mother-child relationship and is based on a desire to avoid being
rejected.
schizoid personality disorder
neither desire nor enjoy close relationships; prefer solitary
activities; and demonstrate emotional coldness, detachment, and a
flattened affect
schizotypal personality disorder
interpersonal problems, inappropriate affect, paranoid/magical
thinking, odd beliefs
demonstrate superstitious and socially anxious behavior
repression vs suppression
coping with overwhelming emotions by blocking awareness or
memory of the stressful event