WC Capstone Mental Health
reaction formation
behaves in an opposite manner from his actual feelings.
lamotrigine
Anticonvulsant
Report rash! Medical ER.
compensation
when a person overcomes a weakness by focusing on a more desirable behavior or trait.
Rationalization
defense mechanism that offers self-justifying explanations in place of the real, more
threatening, unconscious reasons for one's actions
suppression
consciously denies a feeling that is disturbing to him.
delirium
- occurs over a short period of time.
- results from a secondary physiological condition (e.g., infection, surgery, prolonged
hospitalization, hypoxia, fever, medications) and is a transient disorder
- progresses in the evening hours and is sometimes called "sundown syndrome."
- characterized by alterations in memory, agitation, restlessness, illusions, or hallucinations.
A client who becomes acutely confused and agitated may be showing manifestations of
delirium- onset can be caused by fever or dehydration
regression
A reversion to immature patterns of behavior.
ex: "I don't care about work anymore since i was not given a promotion."
Nursing actions prior to ECT (shock therapy)
- request ECG
- Witness consent
- Ck BP
,magical thinking
when a client believes his actions or thoughts can magically make things happen.
delusions of grandeur
occur when a client attaches special significance to his self-stature and has a drastically
exaggerated sense of self-importance.
ideas of reference
ideas of reference are present, the client believes all events, situations, or interactions are
directly related to him.
Looseness of association
occurs when the client's verbal communication jumps from one unrelated topic to another.
The client is often unaware he is not making sense.
sertraline
Zoloft
SSRI
causes sexual dysfunction, including anorgasmia, impotence, or decreased libido.
dementia
a slowly progressive decline in mental abilities, including memory, thinking, and judgment,
that is often accompanied by personality changes
- progressive and irreversible
- impaired judgement NOT ALOC (that is delirium)
clang associations
the stringing together of words that rhyme but have no other apparent link
Echolalia
automatic and immediate repetition of what others say
neologism
new word or expression
, word salad
use of real words spoken in a sequence so that the words have no logical meaning with one
another.
illlusions
a false idea or belief
alcohol withdraw signs and symptoms
seizures
illusions
tremors no nystagmus (only with intoxication)
headache, +temp, insomnia, tachycardia
tardive dyskinesia
involuntary movements of the facial muscles, tongue, and limbs; a possible neurotoxic side
effect of long-term use of antipsychotic drugs that target certain dopamine receptors
ex: tongue thrusting, pill rolling, hand tremors, facial grimacing and eye blinking, involuntary
pelvic rocking and hip thrusting
extrapyramidal symptoms
side effects such as restlessness, involuntary movements, and muscular tension produced
by antipsychotic medications
ex: muscle spasms, fidgeting, tremors
antagonist medication used for benzodiazepines
flumazenil
reverses the effects of
clozapine
Used to treat schizophrenia - when patient has not responded to other meds
-at risk for agrunulocytosis
- D/C with low WBC
Nursing actions for admitting a pt with schizophrenia, hallucinations and paranoid delusions.
- limit the number of Qs asked during assessments
- touch should be avoided
- do not tell pt that delusions are not real
reaction formation
behaves in an opposite manner from his actual feelings.
lamotrigine
Anticonvulsant
Report rash! Medical ER.
compensation
when a person overcomes a weakness by focusing on a more desirable behavior or trait.
Rationalization
defense mechanism that offers self-justifying explanations in place of the real, more
threatening, unconscious reasons for one's actions
suppression
consciously denies a feeling that is disturbing to him.
delirium
- occurs over a short period of time.
- results from a secondary physiological condition (e.g., infection, surgery, prolonged
hospitalization, hypoxia, fever, medications) and is a transient disorder
- progresses in the evening hours and is sometimes called "sundown syndrome."
- characterized by alterations in memory, agitation, restlessness, illusions, or hallucinations.
A client who becomes acutely confused and agitated may be showing manifestations of
delirium- onset can be caused by fever or dehydration
regression
A reversion to immature patterns of behavior.
ex: "I don't care about work anymore since i was not given a promotion."
Nursing actions prior to ECT (shock therapy)
- request ECG
- Witness consent
- Ck BP
,magical thinking
when a client believes his actions or thoughts can magically make things happen.
delusions of grandeur
occur when a client attaches special significance to his self-stature and has a drastically
exaggerated sense of self-importance.
ideas of reference
ideas of reference are present, the client believes all events, situations, or interactions are
directly related to him.
Looseness of association
occurs when the client's verbal communication jumps from one unrelated topic to another.
The client is often unaware he is not making sense.
sertraline
Zoloft
SSRI
causes sexual dysfunction, including anorgasmia, impotence, or decreased libido.
dementia
a slowly progressive decline in mental abilities, including memory, thinking, and judgment,
that is often accompanied by personality changes
- progressive and irreversible
- impaired judgement NOT ALOC (that is delirium)
clang associations
the stringing together of words that rhyme but have no other apparent link
Echolalia
automatic and immediate repetition of what others say
neologism
new word or expression
, word salad
use of real words spoken in a sequence so that the words have no logical meaning with one
another.
illlusions
a false idea or belief
alcohol withdraw signs and symptoms
seizures
illusions
tremors no nystagmus (only with intoxication)
headache, +temp, insomnia, tachycardia
tardive dyskinesia
involuntary movements of the facial muscles, tongue, and limbs; a possible neurotoxic side
effect of long-term use of antipsychotic drugs that target certain dopamine receptors
ex: tongue thrusting, pill rolling, hand tremors, facial grimacing and eye blinking, involuntary
pelvic rocking and hip thrusting
extrapyramidal symptoms
side effects such as restlessness, involuntary movements, and muscular tension produced
by antipsychotic medications
ex: muscle spasms, fidgeting, tremors
antagonist medication used for benzodiazepines
flumazenil
reverses the effects of
clozapine
Used to treat schizophrenia - when patient has not responded to other meds
-at risk for agrunulocytosis
- D/C with low WBC
Nursing actions for admitting a pt with schizophrenia, hallucinations and paranoid delusions.
- limit the number of Qs asked during assessments
- touch should be avoided
- do not tell pt that delusions are not real
