nurs 465 exam 2 questions with accurate answers
1st generation antipsychotics (typicals) Ans✓✓✓ Haloperidol
Chlorpromazine
acute phase of mania Ans✓✓✓ 1.) Medical stabilization
2.) Maintaining safety
3.) Self-care needs (poor hygiene dehydration)
* USUALLY requires hospitalization
* Marked impairment in functioning of mood, cognition, perception,
activity, and behavior.
adjunct medications to antipshycotic therapy Ans✓✓✓ antidepressants
mood stablizers
Akathisia treatment Ans✓✓✓ beta blockers, benzodiazepines
alogia Ans✓✓✓ relative absence of speech
AMA Ans✓✓✓ patient signs out against medical advice from inpatient
treatment.
- ** Cannot hold patient who presents no risk to self or others this is
false imprisonment **
,ANC considerations for clozapine therapy Ans✓✓✓ ANC must be
greater than or = to 1500 to initiate treatment.
WBC - must remain above 3500
Anhedonia Ans✓✓✓ inability to experience pleasure
anticipatory grieving Ans✓✓✓ acknowledging that the loss is
inevitable and preparing emotionally for it
antidepressant drugs Ans✓✓✓ moa: increased availability of serotonin,
Norepi., and dopamine.
s/e: HTN, heart block, tachycardia, dizziness, sedation, apetite changes,
ED, nausea, vomiting, dry mouth, urinary retention
APD (advanced psychiatric directive) Ans✓✓✓ an APD identifies a
patients treatment choices and surrogate decision maker.
assessment when using restraints Ans✓✓✓ Assess & meet basic needs
of the patient
When in restraints: Routinely release restraints for ROM Assess
circulatory status of extremities
Ensure elimination needs are met
,autistic thinking Ans✓✓✓ restricts thinking to the literal and immediate
so that the individual has private rules of logic and reasoning that make
no sense to anyone else
Avolition Ans✓✓✓ a symptom of schizophrenia marked by apathy and
an inability to start or complete a course of action
berevement Ans✓✓✓ acknowledgement of the objective fact that one
has experienced a death and the period of grief and mourning after a
death.
best treatment choice for a patient that has rapid cycling disorder
Ans✓✓✓ anticonvulsant drugs
- more effective with no family hx of bipolar
BIOLOGICAL THEORIEs of depression Ans✓✓✓ - Genetic theory
- Neurotransmitter theories - catecholamines, dopamine, noriepinephrine
- Structural and functional brain abnormalities
- Neuroendocrine factors
blood tests for clozapine therapy Ans✓✓✓ initial blood test to check
that you have a normal level of white blood cells before you first start on
Clozapine.
, If this is OK and you begin treatment with Clozapine, you will need to
have a blood test on day 3 of treatment and then every week for 18
weeks.
Broset Violence Checklist Ans✓✓✓ confusion, irritability,
boisterousness, physically threatening, verbally threatening, attacking
objects;
scores aggression risk and is good risk indicator for up to 24 hours
score of 1-2 - risk is moderate
score of 2+ - risk is very high
Carbamazepine (Tegretol) use in mental health Ans✓✓✓ acute mania,
mixed and rapid cycling mania
Catharsis Ans✓✓✓ a release of emotional tension
chronic aggression medications Ans✓✓✓ Anticonvulsants:
carbamazepine, valproic acid
ß-blockers: propranolol
2nd generation antipsychotics
Longer acting benzodiazepines such as clonazepam
1st generation antipsychotics (typicals) Ans✓✓✓ Haloperidol
Chlorpromazine
acute phase of mania Ans✓✓✓ 1.) Medical stabilization
2.) Maintaining safety
3.) Self-care needs (poor hygiene dehydration)
* USUALLY requires hospitalization
* Marked impairment in functioning of mood, cognition, perception,
activity, and behavior.
adjunct medications to antipshycotic therapy Ans✓✓✓ antidepressants
mood stablizers
Akathisia treatment Ans✓✓✓ beta blockers, benzodiazepines
alogia Ans✓✓✓ relative absence of speech
AMA Ans✓✓✓ patient signs out against medical advice from inpatient
treatment.
- ** Cannot hold patient who presents no risk to self or others this is
false imprisonment **
,ANC considerations for clozapine therapy Ans✓✓✓ ANC must be
greater than or = to 1500 to initiate treatment.
WBC - must remain above 3500
Anhedonia Ans✓✓✓ inability to experience pleasure
anticipatory grieving Ans✓✓✓ acknowledging that the loss is
inevitable and preparing emotionally for it
antidepressant drugs Ans✓✓✓ moa: increased availability of serotonin,
Norepi., and dopamine.
s/e: HTN, heart block, tachycardia, dizziness, sedation, apetite changes,
ED, nausea, vomiting, dry mouth, urinary retention
APD (advanced psychiatric directive) Ans✓✓✓ an APD identifies a
patients treatment choices and surrogate decision maker.
assessment when using restraints Ans✓✓✓ Assess & meet basic needs
of the patient
When in restraints: Routinely release restraints for ROM Assess
circulatory status of extremities
Ensure elimination needs are met
,autistic thinking Ans✓✓✓ restricts thinking to the literal and immediate
so that the individual has private rules of logic and reasoning that make
no sense to anyone else
Avolition Ans✓✓✓ a symptom of schizophrenia marked by apathy and
an inability to start or complete a course of action
berevement Ans✓✓✓ acknowledgement of the objective fact that one
has experienced a death and the period of grief and mourning after a
death.
best treatment choice for a patient that has rapid cycling disorder
Ans✓✓✓ anticonvulsant drugs
- more effective with no family hx of bipolar
BIOLOGICAL THEORIEs of depression Ans✓✓✓ - Genetic theory
- Neurotransmitter theories - catecholamines, dopamine, noriepinephrine
- Structural and functional brain abnormalities
- Neuroendocrine factors
blood tests for clozapine therapy Ans✓✓✓ initial blood test to check
that you have a normal level of white blood cells before you first start on
Clozapine.
, If this is OK and you begin treatment with Clozapine, you will need to
have a blood test on day 3 of treatment and then every week for 18
weeks.
Broset Violence Checklist Ans✓✓✓ confusion, irritability,
boisterousness, physically threatening, verbally threatening, attacking
objects;
scores aggression risk and is good risk indicator for up to 24 hours
score of 1-2 - risk is moderate
score of 2+ - risk is very high
Carbamazepine (Tegretol) use in mental health Ans✓✓✓ acute mania,
mixed and rapid cycling mania
Catharsis Ans✓✓✓ a release of emotional tension
chronic aggression medications Ans✓✓✓ Anticonvulsants:
carbamazepine, valproic acid
ß-blockers: propranolol
2nd generation antipsychotics
Longer acting benzodiazepines such as clonazepam
