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Home Notes Psychiatric Nursing 225 Nursing Bullets: Psychiatric Nursing Reviewer

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Notes Psychiatric Nursing

225 Nursing Bullets: Psychiatric Nursing

Reviewer
By Matt Vera - Feb 5, 2014

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1 WaysToTreatDepression

2 ChildBehavioralDisorder

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2 ResourcesForCancer
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 1 PatientAdvocateProgram

Aneasy-peasyrevieweraboutMentalHealthNursingandPsychiatricNursing.This
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thatareperfectforyourreviewfortheNCLEXandNLE. Patients

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1. AccordingtoKbler-Ross,thefivestagesofdeathanddyingaredenial,anger,
bargaining,depression,andacceptance. Subscribe
2. Flightofideasisanalterationinthoughtprocessesthatscharacterizedbyskipping
fromonetopictoanother,unrelatedtopic.
3. Labelleindiffrenceisthelackofconcernforaprofounddisability,suchas
RECENT POSTS
blindnessorparalysisthatmayoccurinapatientwhohasaconversiondisorder.
4. Moderateanxietydecreasesapersonsabilitytoperceiveandconcentrate.The
personisselectivelyinattentive(focusesonimmediateconcerns),andthe
perceptualfieldnarrows.
5. Apatientwhohasaphobicdisorderusesself-protectiveavoidanceasanego
defensemechanism.
6. Inapatientwhohasanorexianervosa,thehighesttreatmentpriorityiscorrection
ofnutritionalandelectrolyteimbalances.
7. Apatientwhoistakinglithiummustundergoregular(usuallyonceamonth)
monitoringofthebloodlithiumlevelbecausethemarginbetweentherapeuticand
toxiclevelsisnarrow.Anormallaboratoryvalueis0.5to1.5mEq/L.
8. Earlysignsandsymptomsofalcoholwithdrawalincludeanxiety,anorexia,
Animals in Health Care
tremors,andinsomnia.Theymaybeginupto8hoursafterthelastalcoholintake.
Facilities? Consider These 6
9. Al-Anonisasupportgroupforfamiliesofalcoholics.
Points
Frieda Paton, RN - Oct 4, 2017 0
10. Thenurseshouldntadministerchlorpromazine(Thorazine)toapatientwhohas
The interaction between humans and their
ingestedalcoholbecauseitmaycauseoversedationandrespiratorydepression.
animals has been an important part of peoples
11. Lithiumtoxicitycanoccurwhensodiumandfluidintakeareinsufficient,causing lives since the beginning of time. We instinctively
lithiumretention. know that our pets are good for us without
12. Analcoholicwhoachievessobrietyiscalledarecoveringalcoholicbecausenocure needing the evidence that numerous current
scientific studies are now investigating.
foralcoholismexists.
13. AccordingtoErikson,theschool-agechild(ages6to12)isintheindustry-versus- Special Senses Anatomy and
inferioritystageofpsychosocialdevelopment. Physiology
Oct 3, 2017
14. Whencaringforadepressedpatient,thenursesfirstpriorityissafetybecauseof
theincreasedriskofsuicide.
15. Echolaliaisparrotlikerepetitionofanotherpersonswordsorphrases. 9 Reasons Why Nurse Alex
Wubbels Made Me Even Prouder
16. Accordingtopsychoanalytictheory,theegoisthepartofthepsychethatcontrols That...
internaldemandsandinteractswiththeoutsideworldattheconscious, Oct 1, 2017

preconscious,andunconsciouslevels.
4 Total Parenteral Nutrition
17. Accordingtopsychoanalytictheory,thesuperegoisthepartofthepsychethats Nursing Care Plans
composedofmorals,values,andethics.Itcontinuallyevaluatesthoughtsand Sep 20, 2017

actions,rewardingthegoodandpunishingthebad.(Thinkofthesuperegoasthe
supercopoftheunconscious.) Hurricane Katrina and the Deadly
18. Accordingtopsychoanalytictheory,theidisthepartofthepsychethatcontains Choices at Memorial Medical
 Center
instinctualdrives.(Rememberiforinstinctualanddfordrive.)
Sep 14, 2017
19. Denialisthedefensemechanismusedbyapatientwhodeniestherealityofan
event. 5 Near-Drowning Nursing Care
Plans
20. Inapsychiatricsetting,seclusionisusedtoreduceoverwhelmingenvironmental
Sep 13, 2017
stimulation,protectthepatientfromself-injuryorinjurytoothers,andprevent
damagetohospitalproperty.Itsusedforpatientswhodontrespondtoless
Non-Organic Failure to Thrive
restrictiveinterventions.Seclusioncontrolsexternalbehavioruntilthepatientcan
Sep 12, 2017
assumeself-controlandhelpsthepatienttoregainself-control.
21. Tyramine-richfood,suchasagedcheese,chickenliver,avocados,bananas,meat
tenderizer,salami,bologna,Chiantiwine,andbeermaycauseseverehypertension
6 Mechanical Ventilation Nursing
inapatientwhotakesamonoamineoxidaseinhibitor. Care Plans

22. Apatientwhotakesamonoamineoxidaseinhibitorshouldbeweighedbiweekly Sep 6, 2017

andmonitoredforsuicidaltendencies.
23. Ifthepatientwhotakesamonoamineoxidaseinhibitorhaspalpitations, Load more

headaches,orsevereorthostatichypotension,thenurseshouldwithholdthedrug
andnotifythephysician.
24. Commoncausesofchildabusearepoorimpulsecontrolbytheparentsandthe
lackofknowledgeofgrowthanddevelopment.
25. ThediagnosisofAlzheimersdiseaseisbasedonclinicalfindingsoftwoormore
cognitivedeficits,progressiveworseningofmemory,andtheresultsofa
neuropsychologicaltest.
26. MemorydisturbanceisaclassicsignofAlzheimersdisease.
27. Thoughtblockingislossofthetrainofthoughtbecauseofadefectinmental
processing.
28. Acompulsionisanirresistibleurgetoperformanirrationalact,suchaswalkingina
clockwisecirclebeforeleavingaroomorwashingthehandsrepeatedly.
29. Apatientwhohasachosenmethodandaplantocommitsuicideinthenext48to
72hoursisathighriskforsuicide.
30. Thetherapeuticserumlevelforlithiumis0.5to1.5mEq/L.
31. Phobicdisordersaretreatedwithdesensitizationtherapy,whichgraduallyexposes
apatienttoananxiety-producingstimulus.
32. Dysfunctionalgrievingisabsentorprolongedgrief.
33. DuringphaseIofthenurse-patientrelationship(beginning,ororientation,phase),
thenurseobtainsaninitialhistoryandthenurseandthepatientagreetoa
contract.
34. DuringphaseIIofthenurse-patientrelationship(middle,orworking,phase),the
patientdiscusseshisproblems,behavioralchangesoccur,andself-defeating
behaviorisresolvedorreduced.
35. DuringphaseIIIofthenurse-patientrelationship(termination,orresolution,
phase),thenurseterminatesthetherapeuticrelationshipandgivesthepatient
positivefeedbackonhisaccomplishments.
36. AccordingtoFreud,apersonbetweenages12and20isinthegenitalstage,
duringwhichhelearnsindependence,hasanincreasedinterestinmembersofthe
oppositesex,andestablishesanidentity.
37. AccordingtoErikson,theidentity-versus-roleconfusionstageoccursbetween
ages12and20.
38. Toleranceistheneedforincreasingamountsofasubstancetoachieveaneffect
thatformerlywasachievedwithlesseramounts.
39. Suicideisthethirdleadingcauseofdeathamongwhiteteenagers.
40. Mostteenagerswhokillthemselvesmadeaprevioussuicideattemptandleft
telltalesignsoftheirplans.
41. InEriksonsstageofgenerativityversusdespair,generativity(investmentofthe
selfintheinterestofthelargercommunity)isexpressedthroughprocreation,
work,communityservice,andcreativeendeavors.
42. AlcoholicsAnonymousrecommendsa12-stepprogramtoachievesobriety.
43. Signsandsymptomsofanorexianervosaincludeamenorrhea,excessiveweight
loss,lanugo(finebodyhair),abdominaldistention,andelectrolytedisturbances.
44. Aserumlithiumlevelthatexceeds2.0mEq/Lisconsideredtoxic.
45. PublicLaw94-247(ChildAbuseandNeglectActof1973)requiresreportingof
suspectedcasesofchildabusetochildprotectionservices.
46. Thenurseshouldsuspectsexualabuseinayoungchildwhohasbloodinthefeces
orurine,penileorvaginaldischarge,genitaltraumathatisntreadilyexplained,ora
sexuallytransmitteddisease.
47. Analcoholicusesalcoholtocopewiththestressesoflife.
48. Thehumanpersonalityoperatesonthreelevels:conscious,preconscious,and
unconscious.
49. Askingapatientanopen-endedquestionisoneofthebestwaystoelicitorclarify
information.
50. Thediagnosisofautismisoftenmadewhenachildisbetweenages2and3.
51. Defensemechanismsprotectthepersonalitybyreducingstressandanxiety.
52. Suppressionisvoluntaryexclusionofstress-producingthoughtsfromthe
consciousness.
53. Inpsychodrama,lifesituationsareapproximatedinastructuredenvironment,
allowingtheparticipanttorecreateandenactscenestogaininsightandtopractice
newskills.
54. Psychodramaisatherapeutictechniquethatsusedwithgroupstohelpparticipants
gainnewperceptionandself-awarenessbyactingouttheirownorassigned
problems.
55. Apatientwhoistakingdisulfiram(Antabuse)mustavoidingestingproductsthat
containalcohol,suchascoughsyrup,fruitcake,andsaucesandsoupsmadewith
cookingwine.
56. Apatientwhoisadmittedtoapsychiatrichospitalinvoluntarilylosestherightto
signoutagainstmedicaladvice.
57. PeoplewholiveinglasshousesshouldntthrowstonesandArollingstone
gathersnomossareexamplesofproverbsusedduringapsychiatricinterviewto
determineapatientsabilitytothinkabstractly.(Schizophrenicpatientsthinkin
concretetermsandmightinterprettheglasshouseproverbasIfyouthrowa
stoneinaglasshouse,thehousewillbreak.)
58. Signsoflithiumtoxicityincludediarrhea,tremors,nausea,muscleweakness,
ataxia,andconfusion.
59. Alabileaffectischaracterizedbyrapidshiftsofemotionsandmood.
60. Amnesiaislossofmemoryfromanorganicorinorganiccause.
61. Apersonwhohasborderlinepersonalitydisorderisdemandingandjudgmentalin
interpersonalrelationshipsandwillattempttosplitstaffbypointingto
discrepanciesinthetreatmentplan.
62. Disulfiram(Antabuse)shouldntbetakenconcurrentlywithmetronidazole(Flagyl)
becausetheymayinteractandcauseapsychoticreaction.
63. Inrarecases,electroconvulsivetherapycausesarrhythmiasanddeath.
64. Apatientwhoisscheduledforelectroconvulsivetherapyshouldreceivenothingby
mouthaftermidnighttopreventaspirationwhileunderanesthesia.
65. Electroconvulsivetherapyisnormallyusedforpatientswhohavesevere
depressionthatdoesntrespondtodrugtherapy.
66. Forelectroconvulsivetherapytobeeffective,thepatientusuallyreceives6to12
treatmentsatarateof2to3perweek.
67. Duringthemanicphaseofbipolaraffectivedisorder,nursingcareisdirectedat
slowingthepatientdownbecausethepatientmaydieasaresultofself-induced
exhaustionorinjury.
68. ForapatientwithAlzheimersdisease,thenursingcareplanshouldfocusonsafety
measures.
69. Aftersexualassault,thepatientsneedsaretheprimaryconcern,followedby
medicolegalconsiderations.
 70. Patientswhoareinamaintenanceprogramfornarcoticabstinencesyndrome
receive10to40mgofmethadone(Dolophine)inasingledailydoseandare
monitoredtoensurethatthedrugisingested.
71. Stressmanagementisashort-rangegoalofpsychotherapy.
72. Themoodmostoftenexperiencedbyapatientwithorganicbrainsyndromeis
irritability.
73. Creativeintuitioniscontrolledbytherightsideofthebrain.
74. Methohexital(Brevital)isthegeneralanestheticthatsadministeredtopatients
whoarescheduledforelectroconvulsivetherapy.
75. Thedecisiontouserestraintsshouldbebasedonthepatientssafetyneeds.
76. Diphenhydramine(Benadryl)relievestheextrapyramidaladverseeffectsof
psychotropicdrugs.
77. Inapatientwhoisstabilizedonlithium(Eskalith)therapy,bloodlithiumlevels
shouldbechecked8to12hoursafterthefirstdose,thentwoorthreetimes
weeklyduringthefirstmonth.Levelsshouldbecheckedweeklytomonthlyduring
maintenancetherapy.
78. Theprimarypurposeofpsychotropicdrugsistodecreasethepatientssymptoms,
whichimprovesfunctionandincreasescompliancewiththerapy.
79. Manipulationisamaladaptivemethodofmeetingonesneedsbecauseitdisregards
theneedsandfeelingsofothers.
80. Ifapatienthassymptomsoflithiumtoxicity,thenurseshouldwithholdonedose
andcallthephysician.
81. Apatientwhoistakinglithium(Eskalith)forbipolaraffectivedisordermust
maintainabalanceddietwithadequatesaltintake.
82. Apatientwhoconstantlyseeksapprovalorassistancefromstaffmembersand
otherpatientsisdemonstratingdependentbehavior.
83. AlcoholicsAnonymousadvocatestotalabstinencefromalcohol.
84. Methylphenidate(Ritalin)isthedrugofchoicefortreatingattentiondeficit
hyperactivitydisorderinchildren.
85. Settinglimitsisthemosteffectivewaytocontrolmanipulativebehavior.
86. Violentoutburstsarecommoninapatientwhohasborderlinepersonalitydisorder.
87. Whenworkingwithadepressedpatient,thenurseshouldexploremeaningful
losses.
88. Anillusionisamisinterpretationofanactualenvironmentalstimulus.
89. Anxietyisnonspecificfearisspecific.
90. Extrapyramidaladverseeffectsarecommoninpatientswhotakeantipsychotic
drugs.
91. Thenurseshouldencourageanangrypatienttofollowaphysicalexerciseprogram
asoneofthewaystoventilatefeelings.
92. Depressionisclinicallysignificantifitscharacterizedbyexaggeratedfeelingsof
sadness,melancholy,dejection,worthlessness,andhopelessnessthatare
inappropriateoroutofproportiontoreality.
93. Free-floatinganxietyisanxiousnesswithgeneralizedapprehensionandpessimism
forunknownreasons.
94. Inapatientwhoisexperiencingintenseanxiety,thefight-or-flightreaction(alarm
reflex)maytakeover.
95. Confabulationistheuseofimaginaryexperiencesormade-upinformationtofill
missinggapsofmemory.
96. Whenstartingatherapeuticrelationshipwithapatient,thenurseshouldexplain
thatthepurposeofthetherapyistoproduceapositivechange.
97. Abasicassumptionofpsychoanalytictheoryisthatallbehaviorhasmeaning.
98. Catharsisistheexpressionofdeepfeelingsandemotions.
99. Accordingtothepleasureprinciple,thepsycheseekspleasureandavoids
unpleasantexperiences,regardlessoftheconsequences.
100. Apatientwhohasaconversiondisorderresolvesapsychologicalconflictthrough
 thelossofaspecificphysicalfunction(forexample,paralysis,blindness,orinability
toswallow).Thislossoffunctionisinvoluntary,butdiagnostictestsshowno
organiccause.
101. Chlordiazepoxide(Librium)isthedrugofchoicefortreatingalcoholwithdrawal
symptoms.
102. Forapatientwhoisatriskforalcoholwithdrawal,thenurseshouldassessthe
pulserateandbloodpressureevery2hoursforthefirst12hours,every4hours
forthenext24hours,andevery6hoursthereafter(unlessthepatientscondition
becomesunstable).
103. Alcoholdetoxificationismostsuccessfulwhencarriedoutinastructured
environmentbyasupportive,nonjudgmentalstaff.
104. Thenurseshouldfollowtheseguidelineswhencaringforapatientwhois
experiencingalcoholwithdrawal:Maintainacalmenvironment,keepintrusionstoa
minimum,speakslowlyandcalmly,adjustlightingtopreventshadowsandglare,
callthepatientbyname,andhaveafriendorfamilymemberstaywiththepatient,
ifpossible.
105. Thetherapeuticregimenforanalcoholicpatientincludesfolicacid,thiamine,and
multivitaminsupplementsaswellasadequatefoodandfluids.
106. Apatientwhoisaddictedtoopiates(drugsderivedfrompoppyseeds,suchas
heroinandmorphine)typicallyexperienceswithdrawalsymptomswithin12hours
afterthelastdose.Themostseveresymptomsoccurwithin48hoursand
decreaseoverthenext2weeks.
107. Reactivedepressionisaresponsetoaspecificlifeevent.
108. Projectionistheunconsciousassigningofathought,feeling,oractiontosomeone
orsomethingelse.
109. Sublimationisthechannelingofunacceptableimpulsesintosociallyacceptable
behavior.
110. Repressionisanunconsciousdefensemechanismwherebyunacceptableorpainful
thoughts,impulses,memories,orfeelingsarepushedfromtheconsciousnessor
forgotten.
111. Hypochondriasisismorbidanxietyaboutoneshealthassociatedwithvarious
symptomsthatarentcausedbyorganicdisease.
112. Denialisarefusaltoacknowledgefeelings,thoughts,desires,impulses,orexternal
factsthatareconsciouslyintolerable.
113. Reactionformationistheavoidanceofanxietythroughbehaviorandattitudesthat
aretheoppositeofrepressedimpulsesanddrives.
114. Displacementisthetransferofunacceptablefeelingstoamoreacceptableobject.
115. Regressionisaretreattoanearlierdevelopmentalstage.
116. AccordingtoErikson,anolderadult(age65orolder)isinthedevelopmentalstage
ofintegrityversusdespair.
117. Familytherapyfocusesonthefamilyasawholeratherthantheindividual.Its
majorobjectiveistoreestablishrationalcommunicationbetweenfamilymembers.
118. Whencaringforapatientwhoishostileorangry,thenurseshouldattemptto
remaincalm,listenimpartially,useshortsentences,andspeakinafirm,quiet
voice.
119. Ritualismandnegativismaretypicaltoddlerbehaviors.Theyoccurduringthe
developmentalstageidentifiedbyEriksonasautonomyversusshameanddoubt.
120. Circumstantialityisadisturbanceinassociatedthoughtandspeechpatternsin
whichapatientgivesunnecessary,minutedetailsanddigressesintoinappropriate
thoughtsthatdelaycommunicationofcentralideasandgoalachievement.
121. Ideaofreferenceisanincorrectbeliefthatthestatementsoractionsofothersare
relatedtooneself.
122. Grouptherapyprovidesanopportunityforeachgroupmembertoexamine
interactions,learnandpracticesuccessfulinterpersonalcommunicationskills,and
exploreemotionalconflicts.
123. KorsakoffssyndromeisbelievedtobeachronicformofWernickes
 encephalopathy.Itsmarkedbyhallucinations,confabulation,amnesia,and
disturbancesoforientation.
124. Apatientwithantisocialpersonalitydisorderoftenengagesinconfrontationswith
authorityfigures,suchaspolice,parents,andschoolofficials.
125. Apatientwithparanoidpersonalitydisorderexhibitssuspicion,hypervigilance,and
hostilitytowardothers.
126. Depressionisthemostcommonpsychiatricdisorder.
127. Adversereactionstotricyclicantidepressantdrugsincludetachycardia,orthostatic
hypotension,hypomania,loweredseizurethreshold,tremors,weightgain,
problemswitherectionsororgasms,andanxiety.
128. TheMinnesotaMultiphasicPersonalityInventoryconsistsof550statementsfor
thesubjecttointerpret.Itassessespersonalityanddetectsdisorders,suchas
depressionandschizophrenia,inadolescentsandadults.
129. Organicbrainsyndromeisthemostcommonformofmentalillnessinelderly
patients.
130. ApersonwhohasanIQoflessthan20isprofoundlyretardedandisconsidereda
total-carepatient.
131. Reframingisatherapeutictechniquethatsusedtohelpdepressedpatientstoview
asituationinalternativeways.
132. Fluoxetine(Prozac),sertraline(Zoloft),andparoxetine(Paxil)areserotonin
reuptakeinhibitorsusedtotreatdepression.
133. TheearlystageofAlzheimersdiseaselasts2to4years.Patientshave
inappropriateaffect,transientparanoia,disorientationtotime,memoryloss,
carelessdressing,andimpairedjudgment.
134. ThemiddlestageofAlzheimersdiseaselasts4to7yearsandismarkedby
profoundpersonalitychanges,lossofindependence,disorientation,confusion,
inabilitytorecognizefamilymembers,andnocturnalrestlessness.
135. ThelaststageofAlzheimersdiseaseoccursduringthefinalyearoflifeandis
characterizedbyablankfacialexpression,seizures,lossofappetite,emaciation,
irritability,andtotaldependence.
136. Threateningapatientwithaninjectionforfailingtotakeanoraldrugisanexample
ofassault.
137. Reexaminationoflifegoalsisamajordevelopmentaltaskduringmiddleadulthood.
138. Acutealcoholwithdrawalcausesanorexia,insomnia,headache,andrestlessness
andescalatestoasyndromethatscharacterizedbyagitation,disorientation,vivid
hallucinations,andtremorsofthehands,feet,legs,andtongue.
139. Inahospitalizedalcoholic,alcoholwithdrawaldeliriummostcommonlyoccurs3to
4daysafteradmission.
140. Confrontationisacommunicationtechniqueinwhichthenursepointsout
discrepanciesbetweenthepatientswordsandhisnonverbalbehaviors.
141. Forapatientwithsubstance-induceddelirium,thetimeofdrugingestioncanhelp
todeterminewhetherthedrugcanbeevacuatedfromthebody.
142. TreatmentforalcoholwithdrawalmayincludeadministrationofI.V.glucosefor
hypoglycemia,I.V.fluidcontainingthiamineandotherBvitamins,andantianxiety,
antidiarrheal,anticonvulsant,andantiemeticdrugs.
143. Thealcoholicpatientreceivesthiaminetohelppreventperipheralneuropathyand
Korsakoffssyndrome.
144. Alcoholwithdrawalmayprecipitateseizureactivitybecausealcohollowersthe
seizurethresholdinsomepeople.
145. Paraphrasingisanactivelisteningtechniqueinwhichthenurserestateswhatthe
patienthasjustsaid.
146. ApatientwithKorsakoffssyndromemayuseconfabulation(madeupinformation)
tocovermemorylapsesorperiodsofamnesia.
147. Peoplewithobsessive-compulsivedisorderrealizethattheirbehavioris
unreasonable,butarepowerlesstocontrolit.
148. Whenwitnessingpsychiatricpatientswhoareengagedinathreatening
confrontation,thenurseshouldfirstseparatethetwoindividuals.
149. Patientswithanorexianervosaorbulimiamustbeobservedduringmealsandfor
sometimeafterwardtoensurethattheydontpurgewhattheyhaveeaten.
150. Transsexualsbelievethattheywerebornthewronggenderandmayseek
hormonalorsurgicaltreatmenttochangetheirgender.
151. Fugueisadissociativestateinwhichapersonleaveshisfamiliarsurroundings,
assumesanewidentity,andhasamnesiaabouthispreviousidentity.(Itsalso
describedasflightfromhimself.)
152. Inapsychiatricsetting,thepatientshouldbeabletopredictthenursesbehavior
andexpectconsistentpositiveattitudesandapproaches.
153. Whenestablishingascheduleforaone-to-oneinteractionwithapatient,thenurse
shouldstatehowlongtheconversationwilllastandthenadheretothetimelimit.
154. Thoughtbroadcastingisatypeofdelusioninwhichthepersonbelievesthathis
thoughtsarebeingbroadcastfortheworldtohear.
155. Lithiumshouldbetakenwithfood.Apatientwhoistakinglithiumshouldntrestrict
hissodiumintake.
156. Apatientwhoistakinglithiumshouldstoptakingthedrugandcallhisphysicianif
heexperiencesvomiting,drowsiness,ormuscleweakness.
157. Thepatientwhoistakingamonoamineoxidaseinhibitorfordepressioncaninclude
cottagecheese,creamcheese,yogurt,andsourcreaminhisdiet.
158. Sensoryoverloadisastateinwhichsensorystimulationexceedstheindividuals
capacitytotolerateorprocessit.
159. Symptomsofsensoryoverloadincludeafeelingofdistressandhyperarousalwith
impairedthinkingandconcentration.
160. Insensorydeprivation,overallsensoryinputisdecreased.
161. Asignofsensorydeprivationisadecreaseinstimulationfromtheenvironmentor
fromwithinoneself,suchasdaydreaming,inactivity,sleepingexcessively,and
reminiscing.
162. Thethreestagesofgeneraladaptationsyndromearealarm,resistance,and
exhaustion.
163. Amaladaptiveresponsetostressisdrinkingalcoholorsmokingexcessively.
164. Hyperalertnessandthestartlereflexarecharacteristicsofposttraumaticstress
disorder.
165. Atreatmentforaphobiaisdesensitization,aprocessinwhichthepatientisslowly
exposedtothefearedstimuli.
166. Symptomsofmajordepressivedisorderincludedepressedmood,inabilityto
experiencepleasure,sleepdisturbance,appetitechanges,decreasedlibido,and
feelingsofworthlessness.
167. Clinicalsignsoflithiumtoxicityarenausea,vomiting,andlethargy.
168. Askingtoomanywhyquestionsyieldsscantinformationandmayoverwhelma
psychiatricpatientandleadtostressandwithdrawal.
169. Remotememorymaybeimpairedinthelatestagesofdementia.
170. AccordingtotheDSM-IV,bipolarIIdisorderischaracterizedbyatleastonemanic
episodethatsaccompaniedbyhypomania.
171. Thenursecanusesilenceandactivelisteningtopromoteinteractionswitha
depressedpatient.
172. Apsychiatricpatientwithasubstanceabuseproblemandamajorpsychiatric
disorderhasadualdiagnosis.
173. Whenapatientisreadmittedtoamentalhealthunit,thenurseshouldassess
compliancewithmedicationorders.
174. Alcoholpotentiatestheeffectsoftricyclicantidepressants.
175. Flightofideasismovementfromonetopictoanotherwithoutanydiscernible
connection.
176. Conductdisorderismanifestedbyextremebehavior,suchashurtingpeopleand
animals.
177. Duringthetension-buildingphaseofanabusiverelationship,theabusedindividual
feelshelpless.
178. Intheemergencytreatmentofanalcohol-intoxicatedpatient,determiningthe
blood-alcohollevelisparamountindeterminingtheamountofmedicationthatthe
patientneeds.
179. Sideeffectsoftheantidepressantfluoxetine(Prozac)includediarrhea,decreased
libido,weightloss,anddrymouth.
180. Beforeelectroconvulsivetherapy,thepatientisgiventheskeletalmusclerelaxant
succinylcholine(Anectine)byI.V.administration.
181. Whenapsychoticpatientisadmittedtoaninpatientfacility,theprimaryconcernis
safety,followedbytheestablishmentoftrust.
182. Aneffectivewaytodecreasetheriskofsuicideistomakeasuicidecontractwith
thepatientforaspecifiedperiodoftime.
183. Adepressedpatientshouldbegivensufficientportionsofhisfavoritefoods,but
shouldntbeoverwhelmedwithtoomuchfood.
184. Thenurseshouldassessthedepressedpatientforsuicidalideation.
185. Delusionalthoughtpatternscommonlyoccurduringthemanicphaseofbipolar
disorder.
186. Apathyistypicallyobservedinpatientswhohaveschizophrenia.
187. Manipulativebehaviorischaracteristicofapatientwhohaspassiveaggressive
personalitydisorder.
188. Whenapatientwhohasschizophreniabeginstohallucinate,thenurseshould
redirectthepatienttoactivitiesthatarefocusedonthehereandnow.
189. Whenapatientwhoisreceivinganantipsychoticdrugexhibitsmusclerigidityand
tremors,thenurseshouldadministeranantiparkinsoniandrug(forexample,
CogentinorArtane)asordered.
190. Apatientwhoisreceivinglithium(Eskalith)therapyshouldreportdiarrhea,
vomiting,drowsiness,muscularweakness,orlackofcoordinationtothephysician
immediately.
191. Thetherapeuticserumleveloflithium(Eskalith)formaintenanceis0.6to1.2
mEq/L.
192. Obsessive-compulsivedisorderisananxiety-relateddisorder.
193. Al-Anonisaself-helpgroupforfamiliesofalcoholics.
194. Desensitizationisatreatmentforphobia,orirrationalfear.
195. Afterelectroconvulsivetherapy,thepatientisplacedinthelateralposition,withthe
headturnedtooneside.
196. Adelusionisafixedfalsebelief.
197. Givingawaypersonalpossessionsisasignofsuicidalideation.Othersignsinclude
writingasuicidenoteortalkingaboutsuicide.
198. Agoraphobiaisfearofopenspaces.
199. Apersonwhohasparanoidpersonalitydisorderprojectshostilitiesontoothers.
200. Toassessapatientsjudgment,thenurseshouldaskthepatientwhathewoulddo
ifhefoundastamped,addressedenvelope.Anappropriateresponseisthathe
wouldmailtheenvelope.
201. Afterelectroconvulsivetherapy,thepatientshouldbemonitoredforpost-shock
amnesia.
202. Amotherwhocontinuestoperformcardiopulmonaryresuscitationaftera
physicianpronouncesachilddeadisshowingdenial.
203. Transvestismisadesiretowearclothesusuallywornbymembersoftheopposite
sex.
204. Tardivedyskinesiacausesexcessiveblinkingandunusualmovementofthetongue,
andinvoluntarysuckingandchewing.
205. Trihexyphenidyl(Artane)andbenztropine(Cogentin)areadministeredto
counteractextrapyramidaladverseeffects.
206. Topreventhypertensivecrisis,apatientwhoistakingamonoamineoxidase
 inhibitorshouldavoidconsumingagedcheese,caffeine,beer,yeast,chocolate,
liver,processedfoods,andmonosodiumglutamate.
207. Extrapyramidalsymptomsincludeparkinsonism,dystonia,akathisia(antsinthe
pants),andtardivedyskinesia.
208. Onetheorythatsupportstheuseofelectroconvulsivetherapysuggeststhatit
resetsthebraincircuitstoallownormalfunction.
209. Apatientwhohasobsessive-compulsivedisorderusuallyrecognizesthe
senselessnessofhisbehaviorbutispowerlesstostopit(ego-dystonia).
210. Inhelpingapatientwhohasbeenabused,physicalsafetyisthenursesfirst
priority.
211. Pemoline(Cylert)isusedtotreatattentiondeficithyperactivitydisorder(ADHD).
212. Clozapine(Clozaril)iscontraindicatedinpregnantwomenandinpatientswhohave
severegranulocytopeniaorseverecentralnervoussystemdepression.
213. Repression,anunconsciousprocess,istheinabilitytorecallpainfulorunpleasant
thoughtsorfeelings.
214. Projectionisshiftingofunwantedcharacteristicsorshortcomingstoothers
(scapegoat).
215. Hypnosisisusedtotreatpsychogenicamnesia.
216. Disulfiram(Antabuse)isadministeredorallyasanaversiontherapytotreat
alcoholism.
217. Ingestionofalcoholbyapatientwhoistakingdisulfiram(Antabuse)cancause
severereactions,includingnauseaandvomiting,andmayendangerthepatients
life.
218. Improvedconcentrationisasignthatlithiumistakingeffect.
219. Behaviormodification,includingtime-outs,tokeneconomy,orarewardsystem,is
atreatmentforattentiondeficithyperactivitydisorder.
220. Forapatientwhohasanorexianervosa,thenurseshouldprovidesupportat
mealtimeandrecordtheamountthepatienteats.
221. Asignificanttoxicriskassociatedwithclozapine(Clozaril)administrationisblood
dyscrasia.
222. Adverseeffectsofhaloperidol(Haldol)administrationincludedrowsiness
insomniaweaknessheadacheandextrapyramidalsymptoms,suchasakathisia,
tardivedyskinesia,anddystonia.
223. Hypervigilanceanddjvuaresignsofposttraumaticstressdisorder(PTSD).
224. Achildwhoshowsdissociationhasprobablybeenabused.
225. Confabulationistheuseoffantasytofillingapsofmemory.

See Also

NursingBullets
NursingBullets:PediatricNursingReviewer1(40Items)
NursingBullets:Maternal&ChildHealthNursingReviewer1(350Items)
NursingBullets:FundamentalsofNursingReviewer1(220Items)
NursingBullets:FundamentalsofNursingReviewer2(246Items)
NursingBullets:Medical-SurgicalNursingReviewer1(160Items)
NursingBullets:PsychiatricNursingReviewer1(225Items)

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