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Nur 138 Exam 4 Review Questions and Answers

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Nur 138 Exam 4 Review Questions and Answers

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Nur 138 Exam 4 Review Questions and Answers


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1 of 80

Term



aripoprazole (abilifiy)



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-treats auditory hallucinations
-dopamine system stabilizers, mood stabilizer
-enhances dopemine and serotonin activity. inhibits serotonin activity in places
of abundance
-use for BPD, major depressive disorder, irritability associated with autism.
-monitor for increased worsening depression of suicidal ideation, especially in
children and adolescents
-monitor cardiovascular status, especially BP
-watch for tardive dyskinesia and neuroleptic malignant syndrome
-monitor those with DM for reduced blood glucose

, -unable to properly report (disabled, too young)
-abusers consider them to be "helpless"
-physical or emotional disability/developmental disability, illness
-parent having history of substance abuse, guns in the house
-socioeconomic status
-girls and boys risk are equal
-substance abuse among parents
-impoverished upbringing
-fire arms in the home
-genetic, biological, environmental, social factors
-genetics, birth complications, utero viral exposure
-older father
-communication deviance, double bind theory ("no win" situation, may produce
psychotic symptoms), bidirectional influence
-negative family dynamic
-poor prenatal care, inadequate nutrition, exposure to toxins or maternal viruses,
trauma, complications at birth
-46% abuse drugs or alcohol
-impaired personal relationships
-alcohol DOES NOT cause it
-stressful environment exacerbates symptoms, but DOES NOT CAUSE IT




-flight of ideas, pressured speech, increasing goal directed activities, delusions, and
hallucinations, grandiosity. increased sexual behavior is common. decreased need
for sleep, psychomotor agitation, excessive involvement in pleasurable activities
that carry a high risk of painful consequences
-may cause interpersonal chaos by behaving manipulatively, testing limits, and
playing one person against another. if the manipulation fails, they become irritable
and hostile to further alienate others.
-hypersexuality


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2 of 80

Definition

,-assess for history of manic or hypomanic episodes and behavior
-**it is impossible to make depression patients feel better by being
overly cheery. its demeaning
-nurse may absorb depressive feelings
-decrease negative thinking. encourage small talk and simple tasks for
distraction
- encourage self discipline and tell them that doing something will
make them feel better
-recognize accomplishment, but do not be overly flattering
-decrease time talking about past failures
-teach assertiveness, say "no" (pt with low self esteem allow others to
take advantage of them)
-instil hope
-identify community resources
-CBT is most effective
-recognize improvements: planning for future, identifying coping
strategies, compliance with treatment
-ask open ended questions, assess for suicide


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dementia family teach depression nursing care




nursing care for IVP/trauma/abuse
depression s/s
victims


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, 3 of 80

Term



ECT



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-participate in daily activities
-reading, playing cards, puzzles
-keeps lists and calendars. write reminder notes
-engage in physical activity
-stay social




procedure that passes and electric current through the brain to induce a
seizure. usually given 2-3 times per week until a course of 12 treatments is
completed.




-monitor vital signs for several hours
-pt may need to be assured that their memory will come back (short term memory
loss)
-empty bladder, remove contacts, jewelry, hairpins, dentures
-ABC
-turn patient on side to expel excretions
-NPO until fully awake




-antidepressant, BLACK BOX WARNING!!!!
-SSRI
-balance and stabilizers neurotransmitters
-may cause suicidal tendencies up to 24 yrs old
-monitor for increased signs of depression

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