Download NUR 114 Final Exam Questions and Answers: Bipolar and Depressive Disorders and more Exams Nursing in PDF only on Docsity!
NUR 114 Final Exam questions with correct
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Bipolar |I |disorder |characterized |by |- |VERIFIED |ANSWER✔✔-at |least |one |week |long |manic |episode |that |results |in |excessive |activity. |Mostly |mania |with |mix |of |depression
Mania |can |be |- |VERIFIED |ANSWER✔✔-euphoric |or |dysphoric
Bipolar |II |disorder |- |VERIFIED |ANSWER✔✔-mostly |depression |and |hypomania. |Early |ages |of | 20 |and | 60 |years |old. |Not |severe |enough |to |impair |social/occupational |life.
Cyclothymic |disorder |- |VERIFIED |ANSWER✔✔-cycle |in |and |out |of |hypomania |(no |delusions |and |hallucinations) |and |depression. |Two |years |for |an |adult, | 1 |year |for |a |child
Bipolar |II |disorders |are |more |common |- |VERIFIED |ANSWER✔✔-among |females
More |than |half |the |people |with |bipolar |disorder |have |- |VERIFIED |ANSWER✔✔-have |another |psychiatric |disorder, |most |being |panic |attacks, |social |phobia, |etc.
Bipolar |disorders |have |a |strong |- |VERIFIED |ANSWER✔✔-heritability
Diathesis |stress |model |- |VERIFIED |ANSWER✔✔-genetic |predisposition |or |chemical |imbalance |may |never |experience |symptoms, |until |an |event |triggers |the |disorder.
Bipolar |disorder |may |be |more |common |in |- |VERIFIED |ANSWER✔✔-upper |socioeconomic |classes
For |Bipolar, |Early |diagnosis |and |treatment |is |key |in |- |VERIFIED |ANSWER✔✔-preventing |suicide |attempts, |alcohol/substance |abuse, |marital/work |problems, |etc.
Mania |characteristics |- |VERIFIED |ANSWER✔✔-○ |Mood |- |highly |unstable. |May |laugh |or |joke |or |speak |in |a |continuous |stream. |Mood |can |quickly |change |to |irritation |or |anger. |Patients |have |high |self |confidence |and |know |no |strangers. |Excessive |spending, |elaborate |schemes.
○ |Behavior- |constant |activity |and |reduced |need |for |sleep |prevent |proper |rest. |Non |stop |physical |activity |can |lead |to |physical |exhaustion |and |death |if |not |treated; |this |is |an |EMERGENCY! |Act |on |impulses.
○ |Thought |processes |and |speech |patterns- |flight |of |ideas |is |continuous |flow |of |accelerated |speech- |change |in |topic |and |plays |on |word. |Speech |is |usually |loud, |vulgar |and |sexua. |Clang |associations |are |stringing |words |together |based |on |their |rhyming |sounds.
For |Mania, |Always |assess |if |the |patient |is |- |VERIFIED |ANSWER✔✔-a |danger |to |self |or |others
With |people |with |mania, |nurses |need |to |- |VERIFIED |ANSWER✔✔-SET |LIMITS! |Consistency |is |key |among |staff |if |limit |setting |is |to |be |carried |out |consistently.
Big |diagnosis |for |mania |is |- |VERIFIED |ANSWER✔✔-RISK |FOR |INJURY
Acute |phase |- |VERIFIED |ANSWER✔✔-primary |outcome |is |injury |prevention- |stabilizing |the |patient |(hydrating, |maintaining |cardiac |status, |getting |enough |sleep |and |rest)
Continuation |phase |- |VERIFIED |ANSWER✔✔-focuses |on |adhering |to |the |medication |regimen |and |preventing |relapse
Maintenance |therapy |- |VERIFIED |ANSWER✔✔-focuses |on |relapse |prevention |and |limitation |of |further |episodes
Meds |to |use |during |acute |phase |- |VERIFIED |ANSWER✔✔-use |Lithium |and |Lamictal |are |the |first |line |of |treatment |for |someone |with |bipolar |disorder
Lithium |- |VERIFIED |ANSWER✔✔-naturally |occurring |salt |in |the |body- |effective |in |tx |of |bipolar |I |disorder- |start |low |and |go |slow- |takes |about |10-21 |days |to |be |effective- |must |reach |therapeutic |level |to |be |effective |(7-14 |days)- |0.4-1.3 |mEq/L-levels |should |not |exceed |1.5 |(considered |toxic)- |Should |be |taken | 5 |days |after |beginning |lithium |therapy- |after |therapeutic |levels |are |reached, |check |every
Dysthymic |disorders |- |VERIFIED |ANSWER✔✔-feelings |of |depression |consistently |for |at |least | 2 |years
Premenstrual |dysphoric |disorder |- |VERIFIED |ANSWER✔✔-occurs |during |week |prior |to |menstrual |cycle- |sx |similar |to |major |depression |and |interfere |with |person's |life.
Depressive |disorder |associate |with |another |medical |condition |- |VERIFIED |ANSWER✔✔-Parkinson's, |kidney |failure, |etc.
If |depression |occurs |in |childhood |or |adolescence |- |VERIFIED |ANSWER✔✔-recurrence |is |high
Cognitive |theory |- |VERIFIED |ANSWER✔✔-people |who |have |positive |thoughts |will |experience |positive |emotions, |people |who |have |negative |thoughts |will |experience |negative |emotions
Learned |helplessness |- |VERIFIED |ANSWER✔✔-a |person |believes |that |when |something |bad |happens |it |is |his/her |fault |and |nothing |at |all |can |be |done |to |change |it! |Common |in |the |ELDERLY
Serotonin |- |VERIFIED |ANSWER✔✔-sleep, |regulates |appetite, |sex |drive
Norepinephrine |- |VERIFIED |ANSWER✔✔-attention |and |behavior
Anergia |- |VERIFIED |ANSWER✔✔-lack |of |physical |energy
Psychomotor |agitation |- |VERIFIED |ANSWER✔✔-pacing |or |wringing |of |hands
Psychomotor |retardation |- |VERIFIED |ANSWER✔✔-slowed |movements
Somatic |complaints |- |VERIFIED |ANSWER✔✔-h/a, |malaise, |backaches
Vegetative |signs |of |depression |- |VERIFIED |ANSWER✔✔-changes |in |BM, |eating |habits, |sleep |disturbance |and |disinterest |in |sex.
Affect |- |VERIFIED |ANSWER✔✔-poor |posture, |and |facial |expressions |reflects |sadness
for |depression, |Children |and |adolescents |may |display |- |VERIFIED |ANSWER✔✔-irritability, |isolation, |withdrawal, |etc.
for |depression, |Older |adults |have |- |VERIFIED |ANSWER✔✔-somatic |complaints
Patient's |mood |is |an |- |VERIFIED |ANSWER✔✔-subjective |experience, |can |be |only |assessed |by |asking |the |person |how |he/she |feels
Acute |phase |(depression) |- |VERIFIED |ANSWER✔✔-6-12 |weeks- |reducing |depressive |symptoms
Continuation |phase |(depression) |- |VERIFIED |ANSWER✔✔-4-9 |months |directed |at |prevention |of |relapse |through |medication
Maintenance |(depression) |- |VERIFIED |ANSWER✔✔-1 |month- |prevention |of |further |episodes
● |Safety |is |priority
Suicide |precautions |are |in |place |with |removal |of |- |VERIFIED |ANSWER✔✔-all |harmful |objects- |sharps |and |things |that |can |be |used |for |strangulation
Antidepressants |- |VERIFIED |ANSWER✔✔-first |line |drugs- |can |take |1-3 |weeks |for |mood |to |improve
SSRIs |- |VERIFIED |ANSWER✔✔-increases |serotonin, |norepinephrine, |dopamine. |Prozac |and |Zoloft. |Do |not |take |with |MAOIs
Narcissistic |Personality |- |VERIFIED |ANSWER✔✔-Arrogant, |need |constant |admiration, |low |self-esteem. |Lack |empathy |for |others. |Have |fear |of |being |abandoned. |Benefit |from |group |therapy. |Never |get |in |an |argument |with |these |patients
Avoidant |Personality |- |VERIFIED |ANSWER✔✔-low |self |esteem, |feel |inferior |to |everyone, |don't |like |to |be |involved |in |new |activities |with |new |people. |Use |SSRIs, |benefit |from |group |therapy. |Do |NOT |push |into |social |interactions!
Dependant |Personality |- |VERIFIED |ANSWER✔✔-clingy, |submissive, |need |to |be |taken |care |of |by |others, |May |have |had |chronic |illness |growing |up. |Main |goal |is |to |get |patient |to |become |more |independent. |Patients |will |model |what |they |see, |understand |(as |the |nurse) |why |this |patient |is |being |excessively |clingy.
Obsessive |Compulsive |- |VERIFIED |ANSWER✔✔-perfectionists, |rigid, |inflexible, |very |critical |of |themselves |and |others- |Rituals |are |performed |to |relieve |anxiety- |Isolation |is |defense |mechanism. |Benefit |from |Prozac |and |group |therapy. |Be |consistent |and |set |limits.
Antisocial |- |VERIFIED |ANSWER✔✔-sociopaths, |deceitful, |manipulative, |everything |is |for |personal |gain- |have |superficial |affect |(nice |on |outside, |deceit |on |inside). |Think |"Ted |Bundy." |Seen |in |teen |years, |not |diagnosed |until |adult |years. |Do |not |enter |tx, |unless |court |ordered. |Risk |for |directed |violence. |Be |aware |of |their |manipulation, |set |boundaries, |be |consistent.
Borderline |Personality |- |VERIFIED |ANSWER✔✔-unstable |mood, |identity |or |self |image |distortions- |splitting |(can't |view |both |positive |and |negative |aspects |of |a |person)- |emotionally |lability |(move |from |one |emotional |extreme |to |another)- |have |self |destructive |behaviors |(cutting, |substance |abuse). |Goal |of |tx |is |getting |patient |to |seek |help: |"I |am |here |today |because |I |am |afraid |of |hurting |myself."
Suicide |Soft |methods |- |VERIFIED |ANSWER✔✔-overdose, |cutting
Suicide |Hard |methods |- |VERIFIED |ANSWER✔✔-shooting |themselves, |jumping |off |a |roof.
Leaders |influence |- |VERIFIED |ANSWER✔✔-belief, |opinions |or |behaviors |of |a |person |or |group
Reward |power |ex. |- |VERIFIED |ANSWER✔✔-"if |you |do |this |you |will |get |this"
Coercive |power |- |VERIFIED |ANSWER✔✔-worst |type |of |power, |Bribes
Legitimate |power |- |VERIFIED |ANSWER✔✔-Usually |comes |from |having |a |title
Referent |power |- |VERIFIED |ANSWER✔✔-when |someone |has |power |because |people |refer |to |them- |informal
Expert |power |- |VERIFIED |ANSWER✔✔-contain |a |lot |of |knowledge
Informational |power |- |VERIFIED |ANSWER✔✔-person |usually |knows |all |the |gossip, |usually |has |incorrect |info
Connection |power |- |VERIFIED |ANSWER✔✔-"all |about |who |you |know"
Transactional |Leader |- |VERIFIED |ANSWER✔✔-Manager, |an |exchange
Transformational |Leader |- |VERIFIED |ANSWER✔✔-Think |of |others |before |themselves, |TRANSFORM |the |workplace
Authoritarian |- |VERIFIED |ANSWER✔✔-makes |all |decisions |with |no |staff |input, |best |for |emergency |sitations- |"Dr |Bailey" |from |Grey's
Democratic |- |VERIFIED |ANSWER✔✔-encourages |staff |involvement |in |goal |setting
Laissez-Faire |- |VERIFIED |ANSWER✔✔-provides |little |direction |or |guidance
Situational |leadership |- |VERIFIED |ANSWER✔✔-best |leader, |can |adapt
Milieu |therapy |- |VERIFIED |ANSWER✔✔-patient |should |feel |accepted |and |safe. |Focus |should |be |on |the |eating |behavior |and |any |underlying |feelings |of |anxiety, |low |self |esteem, |etc.
St |John's |Wort |- |VERIFIED |ANSWER✔✔-depression, |anxiety-GI |upset, |dizziness-interact |with |SSRIs |and |MAOIs
Ginseng |- |VERIFIED |ANSWER✔✔-Energy |booster |(because |depressed |patients |have |no |physical |energy) |- |BP, |chest |pain, |anxiety
CAM |Therapies: |Depression |- |VERIFIED |ANSWER✔✔-Meditation
High |Cholesterol |Herbal |Therapies |- |VERIFIED |ANSWER✔✔-○ |Flax- |do |not |give |antidiabetic |and |anticoagulants-do |not |give |with |pregnancy. |WILL |NOT |DO |ANYTHING |IF |YOU |DO |NOT |CHANGE |OTHER |PARTS |OF |YOUR |DIET.
○ |Niacin- |Increases |HDL, |reduces |LDL, |pruritus, |flushing- |
○ |Omega | 3 |Fatty |Acids- |Rash |(be |cautious |with |of |those |with |seafood |allergies)
High |Cholesterol/Hypertension |- |VERIFIED |ANSWER✔✔-Garlic- |works |best |in |it's |natural |form
DASH |Diet |- |VERIFIED |ANSWER✔✔-used |for |HTN- |low |sodium, |more |fruits |and |veggies
Farmer's |Need |Organic |Greens |(Flax, |Niacin, |Omega |3, |Garlic |or |they |will |have |- |VERIFIED
|ANSWER✔✔-HTN |or |high |cholesterol
herbs |for |Erectile |Dysfunction |- |VERIFIED |ANSWER✔✔-○ |Korean |Red |Ginseng- |increases |energy, |blood |flow
○ |L |Arginine- |Contains |Nitrites |(vasodilates)
○ |Yohimbe- |Bark |from |the |Tree
Patient |with |sudden |increase |in |energy |will |- |VERIFIED |ANSWER✔✔-act |on |suicidal |thoughts
Tonic |clonic |seizures |- |VERIFIED |ANSWER✔✔-lasting |2-5 |minutes-beings |with |stiffening |of |the |muscles |(arms |and |legs) |and |immediate |LOC, |rhythmic |jerking |follows- |get |patient |flat |and |lie |on |their |side
Absence |seizures |- |VERIFIED |ANSWER✔✔-common |in |children- |consists |of |brief |periods |of |LOC |and |automatisms |(lip |smacking, |picking |at |clothes)- |not |aware |of |behavior
Complex |partial |- |VERIFIED |ANSWER✔✔-may |cause |of |LOC- |amnesia |is |common |afterwards
Simple |partial |- |VERIFIED |ANSWER✔✔-person |remains |conscious |and |reports |an |aura |before |the |seizure |takes |place- |Aura |can |be |offensive |smell, |onset |of |pain
Psychogenic |seizures |- |VERIFIED |ANSWER✔✔-associated |w/ |personality |disorder, |relieves |anxiety, |don't |negate/argue |with |these |pts.
Febrile |seizures |- |VERIFIED |ANSWER✔✔-infants |and |small |children- | 105 |degree |temp |or |higher
EEG |- |VERIFIED |ANSWER✔✔-records |the |electrical |activity- |avoid |caffeine
Antiepileptic |drugs |- |VERIFIED |ANSWER✔✔-teach |patients |to |take |their |drugs |on |time |to |maintain |therapeutic |blood |levels
Dilantin |- |VERIFIED |ANSWER✔✔-only |compatible |with |NS- |Warfarin |should |not |be |given |with |this |med. |Therapeutic |level |is |10-20-caustic |to |veins, |push |slow-can |cause |gingival |hyperplasia |(gums |overgrow)- |take |at |same |time |everyday-do |not |double |up |on |a |dose |if |missed
for |seizure |safety, |you |can |- |VERIFIED |ANSWER✔✔-place |a |mattress |on |the |floor |beside |the |bed |instead |of |using |side |rails
Observe |the |patient |and |document |seizure's |- |VERIFIED |ANSWER✔✔-time |duration-turn |patient |on |side-turn |head |to |side |to |prevent |aspiration-remove |any |items |that |might |injure |the |patient-NEVER |USE |PADDED |TONGUE |BLADE- |do |not |restrain |patient
Cataracts |- |VERIFIED |ANSWER✔✔-can |present |at |birth |or |develop |anytime |in |lifespan- |cloudy, |blurry |lens- |can |occur |earlier |with |heavy |sun |exposure |or |other |sources |of |UV |light- |NO |pain |or |redness |is |associated |with |age-related |cataracts
Cataract |surgery |- |VERIFIED |ANSWER✔✔-stress |that |patient |will |have |to |instill |many |different |eyedrops |for |2-4 |weeks- |after |surgery |antibiotics |and |steroids |are |usually |given- |eye |is |left |unpatched |and |pt |is |d/c- |patient |will |need |to |wear |dark |sunglasses |until |pupil |responds |to |light- |MILD |EYE |ITCHING |IS |NORMAL |WITH |A |BLOODSHOT |APPEARANCE, |EYELID |CAN |BE |SWOLLEN..BRUISING |OR |SWELLING |IS |ABNORMAL. |No |aspirin- |only |acetaminophen. |Pain |can |indicate |hemorrhage |or |increased |IOP. |IF |PAIN |WITH |N/V |OCCURS, |CALL |MD. |CREAMY |WHITE, |DRY |CRUSTY |DRAINAGE |IS |NORMAL, |GREEN |OR |YELLOW |DRAINAGE |IS |NOT |AND |MUST |BE |REPORTED! |To |reduce |IOP, |teach |patients |to |not:
○ |Bend |from |the |waist
○ |Lifting |objects |weighing |more |than | 10 |lbs
○ |Sneezing, |coughing
○ |Blowing |the |nose
○ |Strain |to |have |a |BM
○ |Vomit
○ |Have |sex
○ |Wearing |tight |collared |shirts
Glaucoma |- |VERIFIED |ANSWER✔✔-increased |IOP, |usually |painless
Normal |IOP |- |VERIFIED |ANSWER✔✔-10-21 |mmHg
Open |angle |glaucoma |- |VERIFIED |ANSWER✔✔-22-32 |mmHg, |occurs |slowly, |does |not |affect |central |vision
Angle |closure |glaucoma |- |VERIFIED |ANSWER✔✔-IOP |is | 33 |mm |Hg |or |higher, |sudden |onset- |EMERGENCY- |can |cause |permanent |blindness. |STARTS |WITH |SEVERE |PAIN |IN |THE |EYES |THAT |RADIATES |OVER |THE |ENTIRE |FACE. |CAN |SEE |COLORED |HALOS |AROUND |LIGHTS |WITH |BLURRY |VISION
Eyedrops |- |VERIFIED |ANSWER✔✔-main |treatment |for |glaucoma: |decrease |IOP |- |instill |drops |on |time |and |do |not |skip |doses-when |more |than |one |drug |is |applied, |wait |10-15 |minutes |between- |practice |good |handwashing |and |keep |the |eyedrop |tip |clean
Punctual |occlusion |- |VERIFIED |ANSWER✔✔-placing |pressure |on |the |corner |of |the |eye |near |the |nose- prevents |systemic |absorption
Macular |degeneration |- |VERIFIED |ANSWER✔✔-loss |of |central |vision- |objects |should |be |placed |on |side |of |patient |so |patient |can |see |them- |not |able |to |drive
Hyphema |- |VERIFIED |ANSWER✔✔-hemorrhage |when |force |is |applied |to |eye- |bedrest |in |semi-fowler's |position-no |sudden |eye |movements |for |3-5 |days |(no |TV |or |reading)
Contusion |- |VERIFIED |ANSWER✔✔-caused |by |contact |with |a |blunt |objection- |pushes |eye |back |into |socket- |causes |bruising- |apply |ice
Foreign |bodies |- |VERIFIED |ANSWER✔✔-feeling |of |something |in |the |eye- |tearing |and |photophobia |may |be |present
Laceration |- |VERIFIED |ANSWER✔✔-wounds |caused |by |sharp |objects |and |projectiles- |close |eye |and |apply |small |ice |pack |to |reduce |bleeding. |Corneal |lacerations- |emergency |because |eye |contents |can |come |through- |if |scarring |develops- |a |corneal |transplant |may |be |needed.
Entropion |- |VERIFIED |ANSWER✔✔-turning |inward |of |the |eyelid-causing |eyelashes |to |rub |against |eyes- |corneal |abrasion |can |result-corrected |with |surgery
Corneal |abrasion |- |VERIFIED |ANSWER✔✔-can |cause |ulcers-emergency- |anti-infective |therapy |is |where |drops |must |be |into |eyes |every |hour |for | 24 |hours-do |not |use |med |in |unaffected |eye- |teach |patient |to |label |bottles |"left" |and |"right" |if |both |eyes |are |infected. |STRESS |importance |of |applying |drops |every |hour- |can |save |vision
When |talking |with |person |with |limited |sight |- |VERIFIED |ANSWER✔✔-use |normal |tone |of |voice
Alzheimer's |- |VERIFIED |ANSWER✔✔-tangles |and |plaques-age, |gender |and |family |hx |are |risk |factors- |as |well |as |patients |who |have |had |previous |head |injury |or |repeated |head |trauma |(boxers)
First |symptoms |of |AD |is |- |VERIFIED |ANSWER✔✔-SHORT |TERM |MEMORY |IMPAIRMENT
Aphasia |- |VERIFIED |ANSWER✔✔-inability |to |speak |or |understand- |can |be |expressive |(know |what |they |want |to |say, |but |can't |say |it) |or |receptive |(cannot |receive |and |process |info)
Anomia |- |VERIFIED |ANSWER✔✔-cannot |find |words
Agnosia |- |VERIFIED |ANSWER✔✔-cannot |recognize |objects |(uses |remote |as |phone)
MMSE |- |VERIFIED |ANSWER✔✔-total |score |of |0-30, |lower |score |= |greater |severity
Sundowning |- |VERIFIED |ANSWER✔✔-increased |confusion |at |night |or |when |light |is |not |adequate
Confabulation |- |VERIFIED |ANSWER✔✔-patient |creates |a |story- |not |lying |and |not |done |on |purpose
Alzheimer's |Stage | 1 |- |VERIFIED |ANSWER✔✔-forgetful, |make |lists |but |still |have |personality |and |social |skills
alzheimer's |Stage | 2 |- |VERIFIED |ANSWER✔✔-have |a |hard |time |remembering |things, |gaps |in |memory, |family |starts |to |notice- |can't |remember |the |way |home-incontinence-keep |patients |busy |all |day |long, |do |not |restrain
Alzheimer's |Stage | 3 |- |VERIFIED |ANSWER✔✔-not |able |to |identify |anything |familiar, |need |repeated |directions |for |a |simple |task-can |start |to |wander- |(put |deadbolts |on |doors, |so |they |can't |get |out)
Alzheimer's |Stage | 4 |- |VERIFIED |ANSWER✔✔-Agraphia |(can't |read |or |write), |hyperorality |(want |to |put |everything |in |their |mouth), |hypermetamorphosis |(have |to |touch |everything)
Interventions |for |AD |- |VERIFIED |ANSWER✔✔-communicate |clearly, |deadbolts, |keep |an |ID |on |the |patient, |establish |sleep |patterns |(no |naps, |no |caffeine, |walk |during |the |day), |give |milkshakes, |give |diuretics |during |day |to |avoid |nighttime |interruptions, |use |reminiscence |therapy, |if |patients |become |afraid |of |what |they |see |in |mirror |remove |it, |toileting |schedule, |bed |in |lowest |position |with | 2 |siderails |down, |provide |cues, |enroll |in |Safe |Return |Program, |AVOID |arguing, |raising |voice, |etc.
Drug |Therapy |AD |- |VERIFIED |ANSWER✔✔-Aricept |(Donepezil) |slows |progression |and |decline- |DOES |NOT |CURE! |Antidepressants
Second |Gen. |Antipsychotics |are |better |than |- |VERIFIED |ANSWER✔✔-first |gens.
Positive |symptoms |(present |early) |- |VERIFIED |ANSWER✔✔-things |that |are |not |normally |there- |people |racing |down |the |road. |Use |Haldol
Negative |symptoms |- |VERIFIED |ANSWER✔✔-absence |of |something |normal, |hygiene |(not |bathing, |wearing |same |clothes |for |a |month), |flat |affect
Tardive |dyskinesia |- |VERIFIED |ANSWER✔✔-lip |smacking, |rolling |of |the |tongue, |involuntary |movements |that |cannot |be |controlled.
4 |A's |of |Schizophrenia |- |VERIFIED |ANSWER✔✔-○ |Affect- |emotion |is |not |there
○ |Autism- |focusing |on |fantasy |world |in |their |head
○ |Associations- |no |connections |between |thoughts
○ |Ambivalence- |hard |time |making |decisions
Schizophrenia |- |VERIFIED |ANSWER✔✔-affects |one's |thinking, |language, |emotions, |social |behavior, |ability |to |perceive |reality- |rare |in |children- |have |at |least |one |psychotic |symptom- |more |common |in |males, |late |teens, |early |20s-substance |abuse |rates |are |high-suicide |rates |are |high-having |a |first |degree |relative |with |the |disease |increases |risk, |pregnancy |or |birth |complications, |trauma |during |pregnancy, |a |father |older |than | 35 |at |child's |conception |or |being |born |late |winter/early |spring |increases |risk.
Command |hallucinations |- |VERIFIED |ANSWER✔✔-direct |a |person |to |take |action-must |assess |because |they |can |harm |themselves |or |others. |Watch |for |head |tilting |to |the |side, |talking |to |oneself |and |moving |lips |silently.
Wavy |flexibility |- |VERIFIED |ANSWER✔✔-maintenance |of |posture- |raises |arm |and |will |stay |in |statue |like |position
Echopraxia |- |VERIFIED |ANSWER✔✔-mimicking |movements |of |another
when |talking |to |a |patient |with |Hallucinations |- |VERIFIED |ANSWER✔✔-call |the |patient |by |name, |present |in |a |non-threatening |manner, |do |not |negate |the |experience, |but |be |empathetic.
for |a |patient |with |hallucinations, |Do |not |allow |the |patient |to |think |- |VERIFIED |ANSWER✔✔-you |understand, |supportively |state |you |do |not |understand- |put |the |difficulty |in |understanding |on |yourself
First |generation |antipsychotics |- |VERIFIED |ANSWER✔✔-affect |positive |symptoms- |used |less |often |because |they |can |cause |pseudoparkinsonism |(impaired |gait, |stiffening |of |muscles), |tardive |dyskinesia, |etc
Second |generation |antipsychotics |- |VERIFIED |ANSWER✔✔-used |first |line |for |schizophrenia- |affect |negative |symptoms- |can |treat |both |pos. |and |neg. |symptoms-Risperdal, |Zyprexa, |etc- |can |cause |weight |gain
Third |gen |antipsychotics |- |VERIFIED |ANSWER✔✔-Abilify
Risk |of |all |antipsychotics |is |- |VERIFIED |ANSWER✔✔-impaired |swallowing- |places |patient |at |risk |for |choking
antipsychotics |can |cause |- |VERIFIED |ANSWER✔✔-anticholinergic |toxicity, |neuroleptic |malignant |syndrome |(drooling, |increase |muscle |tone,etc), |Agranulocytosis |(WBC |below |3000) |and |liver |impairment.
Males |commit |suicide |more |often |- |VERIFIED |ANSWER✔✔-than |females, |mostly |white |males, |marriage |(especially |with |children |in |the |home-reduces |risk), |Law |enforcement, |dentists, |lawyers |are |increased |risk
For |suicidal |tendencies, |Be |alert |for |behaviors |such |as |- |VERIFIED |ANSWER✔✔-like |giving |away |possessions, |organizing |finances, |brightening |mood |with |more |energy.
Suicidal |Overt |statements |- |VERIFIED |ANSWER✔✔-readily |open, |not |hidden |: |"I |can't |take |it |anymore"
Suicidal |Covert |statements |- |VERIFIED |ANSWER✔✔-not |openly |displayed |: |"I |won't |be |a |problem |much |longer"
Risk |of |suicide |is |highest |in |- |VERIFIED |ANSWER✔✔-first |year |after |attempt
High |risk |suicidal |people |are |those |who |- |VERIFIED |ANSWER✔✔-a |definite |plan |for |the |time, |place |and |means |are |high |risk
Hard |methods |for |suicide |- |VERIFIED |ANSWER✔✔-using |a |gun, |hanging, |jumping |off |a |bridge |(higher |lethality)
Interventions |for |suicide |- |VERIFIED |ANSWER✔✔-Primary |= |support |in |community, |churches, |etc. |Secondary |Interventions |=treatment |of |suicidal |crisis, |hotlines, |jails. |Tertiary |= |circle |of |survivors
Soft |methods |for |suicide |- |VERIFIED |ANSWER✔✔-ingesting |pills, |cutting |one's |wrists |(lower |lethality)
Suicide |precautions |- |VERIFIED |ANSWER✔✔-continuous |observation |by |staff
No |suicide |contract |- |VERIFIED |ANSWER✔✔-written |contract |where |patient |agrees |not |to |harm |oneself |for |a |given |period |of |time
