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CMN 350 PSYCHIATRIC-MENTAL HEALTH NURSING EXAM 3 QUESTIONS WITH COMPLETE ANSWERS

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CMN 350 PSYCHIATRIC-MENTAL HEALTH NURSING EXAM 3 QUESTIONS WITH COMPLETE ANSWERS

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1 of 175

Term



Paraphilic disorders comorbidities



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Often unanticipated loss or change experienced in everyday, often unanticipated,
life events

,-is considered the first antipsychotic drug.
-original antipsychotic drugs
-a low-potency fga (traditional) drug

•therapeutic uses:
-acute and chronic psychotic disorders
-schizophrenia spectrum disorders
-bipolar disorder: primarily the manic phase -tourette disorder
-agitation
-prevention of nausea and vomiting through blocking of dopamine in the
chemoreceptor trigger zone of the medulla

•complications:
-anticholinergic effects (dry mouth, blurred vision, photophobia, urinary hesitancy
or retention, constipation, tachycardia
-epses (acute dystonia, pseudoparkinsonism, bradykinesia, rigidity, shuffling gait,
drooling, tremors, akathisia, td, involuntary movements of the tongue and fac, such
as lip smacking and tongue fasciculations, involuntary movements of the arms, legs,
and trunk, neuroendocrine effects, gynecomastia, weight gain, menstrual
irregularities, nms, orthostatic hypotension, sedation, seizures, severe dysrhythmias,
sexual dysfunction, skin photosensitivity, contact dermatitis, liver impairment)


•contraindications/precautions:
-these medications are contraindicated in clients who are in a coma or have
parkinson's disease, liver damage, or severe hypertension
-contraindicated an older adult client to have dementia
-use cautiously in clients who have prostate enlargement, heart disorders, kidney
disease, or seizure disorders


•interactions:
-anticholinergic meds (will increase levels)
-additive effects with cns depressants
-levodopa counteracts effects




-Long-acting injectable
-Lasts up to 2 to 4 weeks
-good for noncompliant patients

, mood, substance-related, anxiety, impulse, and personality (particularly,
antisocial)


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2 of 175

Term



Naltrexone



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-Is based on a belief that a form of interconnectedness exists between human
beings and the earth and that individuals have a responsibility to take care of the
earth. Learning is accomplished through quiet observation and contemplation, and
verbal communication is minimized.
-Values interconnectedness with other people and the universe, takes responsibility
for others and the world, and feels a need to maintain peace and tranquility. These
individuals prefer a quiet, restful approach in interactions with others. Conversation
is respectful, concise, and often kept to a minimum. Individuals from some of the
indigenous or Native American cultures might embrace this worldview.

, -Is grounded in a belief in spirituality and the significance of relationships and
interactions between and among individuals. The preferred learning style is through
verbal communication.
-Values the development of interactions and relationships, usually prefers learning
through verbal communication, and views spirituality as an important context for
living life. These individuals might want to chat for a moment before getting to the
heart of the health visit. They might desire the involvement of relatives, friends, or
spiritual and religious advisors during the health visit or during the nurse's
development of the nursing process. Individuals from African American or Hispanic
cultures often possess this worldview.




•FGA (typical)

•Therapeutic Uses:
-acute and chronic psychotic disorders
-schizophrenia spectrum disorders
-bipolar disorder: primarily the manic phase
-Tourette disorder
-agitation
-prevention of nausea and vomiting through blocking of dopamine in the
chemoreceptor trigger zone of the medulla

•Complications:
-anticholinergic effects (dry mouth, blurred vision, photophobia, urinary hesitancy
or retention, constipation, tachycardia
-EPSEs (acute dystonia, pseudoparkinsonism, bradykinesia, rigidity, shuffling gait,
drooling, tremors, akathisia, TD, involuntary movements of the tongue and fac, such
as lip smacking and tongue fasciculations, involuntary movements of the arms, legs,
and trunk, neuroendocrine effects, gynecomastia, weight gain, menstrual
irregularities, NMS, orthostatic hypotension, sedation, seizures, severe
dysrhythmias, sexual dysfunction, skin photosensitivity, contact dermatitis, liver
impairment)

•Contraindications/Precautions:
-these medications are contraindicated in clients who are in a coma or have
Parkinson's disease, liver damage, or severe hypertension
-Contraindicated in older adult client to have dementia
-Use cautiously in clients who have prostate enlargement, heart disorders, kidney

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Aantal pagina's
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Geschreven in
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