which of the following are important characteristics of a therapeutic relationship

sata

which statement best illustrates the strategy of clarifying in s nurse-patient interaction

In the mental status examination the nurse collects data on multiple areas including which of the following

SATA

Mr. Brooks was hospitalized after a major automobile accident in which another person died. Mr. Books reports having no sensation in his legs and is unable to them. Diagnostic studies reveal no physical basis for his symptoms. The patient's symptoms are typical of the following

john is a young collect student who has just been diagnosed with schizophrenia. his concerned parents ask for information about his diagnosis. which would be correct and appropriate

nursing interventions to promote communication with the person who schizophrenia include which of the following

SATA

several residents in a long term care facility have been taking a first generation antipsychotic for a prolonged period of time. which data should the LVN/LPN collect related to this drug therapy

SATA

people who are arrogant, need excessive administration and take advantage of others for their own gain may have which type of personality disorder is a narcissistic

t/f

a patient with bipolar who is taking divalproex ( Depakote) is advised that blood samples will taken periodically to monitor for which adverse effect

frequently irreversible side effect of antipsychotic medication that develops after years of use; symptoms include involuntary movements of upper extremities, and tonic contractions of necks and back

a state in which a person has a distorted perception of reality interfering with the capacity to function and relate to others

assumes that mental disorders are related to physiologic changes within the central nervous system

a condition that may occur after 1 - 2 weeks of treatment with antipsychotic medications consisting of mask-life face, rigid posture, shuffling gait, and resting tremor

based on the theory that people function at different levels of awareness (conscious to unconscious) and that ego defense mechanisms, such as denial and repression, are used to prevent anxiety

an individual may have impaired occupational functioning, restricted social contact, and difficulties with self-care

a term used to refer to a group of very serious, usually chronic thought disorders in which psychotic symptoms primarily impair the affected person's ability to interpret the world accurately

side effects of antipsychotic drugs on the portion of the central nervous system controlling involuntary movements

components from this approach include:

1. anxiety is often communicated interpersonally

2. the patient learns new ways of coping or maturing in therapeutic relationship

3. the establishment of trust is an important first step in working with patients

a state of feeling outside of oneself that is watching what is happening as if it were happening to someone else

key ideas from this theoretical approach to mental disorders are

1. behavior is learned

2. behavior increases because of response to that behavior from the environment (reinforcement)

3. the way a person thinks about things (his/her thoughts) influences emotional states and behavior

orientation in terms of time, date, place, person, and self, as well as the situation or circumstance the patient finds him or herself in

major or mild neurocognitive disorders that involve deficits in orientation, memory, language comprehension, and judgement

a mental disorder that involves a change in identity, memory or consciousness that enables patients to remove themselves from anxiety - provoking situations

patient experiences cycles of significantly elevated ( or very irritable) or depressed mood

fear of situations outside the home

a pattern of instability in interpersonal relationships, self-image, and affect as well as marked impulsivity

patient experiences as marked persistent fear that is excessive or unreasonable and works hard to avoid the feared objects or situation

patient experiences intense fear or discomfort reaching a peak within a few minutes

disorders that invovles deficits in orientation, memory, language comprehension, and judgement and are usually reversible with rapid onset

loss of body function (paralysis)

a disorder that is characterized by the patient experiencing one or more physical symptoms which they experience as distressing and/or result in significant disruption in their daily life

pervasie, chronic and maladaptive personality characteristics that interfere with normal functioning

a cluster symptoms after a distressing event in which the person experiences intense fears helplessness horror or a combination of those feelings

difficulty establishing and sustaining close relationships associated with a pattern of preoccupation with orderliness perfectionism and control to the extend that the major part of the activity is lost

preoccupation with having or acquiring a serious illness when medical finding are absent

disorder that occurs after exposure to a recent distressing event that is characterized by detachment derealization depersonalization and dissociative amnesia

which features are assessed during the mental status examination

sata

which are interpersonal strategies of a therapeutic relationship

sata

antidepressant drug that affects serotonin and epinephrine/norepinephrine; may cause cardiac complications

used in the treatment of bipolar disorder with narrow therapeutic range; may cause toxicity signs including tremors

- important to maintain hydration and monitor renal function and serum blood levels of drug

antidepressants that can be taken once a day without being cardiotoxic; useful in treatment of panic disorder and obsessive compulsive disorder

antipsychotic agent that treat both positive and negative symptoms of schizophrenia; example are Clozaril, Zyprexa, and Seroquel

antidepressant drugs that require strict diet restriction to avoid hypertensive crisis

mood stabilizer used in the treatment of bipolar disorders

repeated checking to see whether the door is locked is an example of

many people with obsessive-compulsive disorders have considerably reduced their symptoms once therapeutic levels of which type of drug have been reached

conversion disorders and illness anxiety disorder (hypochondriasis) are example of

amnesia and dissociative identify disorder are examples of

a symptom of dissociative disorders is

most patients with dissociative identify disorder report severe

the primary anti-anxiety medications are the

withdrawal from antianxiety medications should be medically supervised because of effect(s) of

one of the most common psychiatric disorders

as patients respond to antidepressant medication and their energy level increases, what risk may increase

what symptoms can major depression include

sata

in its most severe form, major depression can also include what symptoms

which are active signs of major depression in a patient

sata

frequently assessing a patient's suicidal potential and maintaining continuous one to one contact, if indicated are interventions for depressed patients who are at risk for

learning to limit self - criticism and to give and receive compliments are interventions for patients who are experiencing

the most common medication for patients with manic episodes is

which herbal preparation is used by many people to relieve depression

what are common physical signs and symptoms of anxiety

sata

what are side effects of anti-anxiety medications that are associated with sedation

sata

which are typical symptoms of schizophrenia

sata

anxiolytic medications which are given for anxiety disorders or as an adjunct medication for treating schizophrenia may have side effects such as drowsiness, loss of coordination, fatigue, confusion, blurred vision, and psychologic dependence

t/f

although newer medication such SSRIs are safer to use in treating depression occasionally a patient may require the use of a tricyclic antidepressant. the side effects of tricyclic antidepressants (TCAs) are drowsiness, fatigue, orthostatic hypotension, dry mouth, blurred vision, urinary retention, and constipation. these are often difficult to tolerate in older adults

t/f

older adults and medically compromised patient are exceptionally vulnerable to experiencing the side effects of all psychotropic medications especially postural hypotension, falls and confusion

t/f

used in treatment of bipolar disorders

serum level must be monitor for therapeutic range: 50 - 100

what medication narrow therapeutic range of 0.5 - 1.5 mEq/L

watch for signs toxicity:

- tremulousness; nausea and vomiting, diarrhea, change in level of consciouness