Jessypeace

Aspects of a person or self are seen only in extremes and not able to be integrated. A woman views her husband as either all good or all bad; cannot integrate negative and positive. - Splitting (primitive or narcissistic) Low Hb and high MCV - Vitamin B12 deficiency L1-L2 lactation risk - L1 = safest; L2 = safer; L3 = moderately safe; L4 = possibly hazardous; L5 = contraindicated. Which of the following second-generation antipsychotics should be avoided in a 48-year-old man with schizoph...

What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all ointments placed on the skin PO meds absorption pattern - Varies greatly due to: »»Stability and solubility of the medication »»Gastrointestinal pH and emptying time »»Presence of food in the stomach or intestines »»Other medications currently being administered »»Forms of med...

NSAIDS - Increases Lithium Levels Reliability - consistency of measurement Reliability is another term for consistency. If one person takes the same personality test several times and always receives the same results, the test is reliable. internal validity - Refers to how well an experiment is done, Was it done RIGHT extent to which we can draw cause-and-effect inferences from a study Qualitative - Data in the form of recorded descriptions rather than numerical measurements. Quantitativ...

1. Scientific Foundation You are treating a patient for his first episode of major depression. You decide to initiate citalopram (Celexa). How much time should you allow for the medication to provide its initial therapeutic effect and the patient to see improvement of symptoms? 8 months 4 to 6 weeks 2 weeksterm-2 2 months - Correct answer: 4 to 6 weeks The initial time frame for this medication to have a therapeutic effect is 4 to 6 weeks. Once the patient begins treatment on an SSRI, a...

The purpose of the ANA's PMH Nsg: Scope and Standards of Practice is to: a. Define the role and actions for the NP b. Establish the legal authority for the prescription of psychotropic medications c. Define the legal statutes of the role of the PMHNP d. Define the differences between the physician role and the NP role - a. Define the role and actions for the NP The trend in legal rulings on cases involving mental illness over the past 25 years has been to: A - Encourage juries to find de...

Psychotropic Medications - Antidepressants, antipsychotics, mood stabilizers, anxiolytics, hypnotics, stimulants Organized by structure MOA Distinguished by subtle differences in molecular structure. Most psychotropics are lipophilic and highly protein bound; thus, older adults have more body fat and less protein, more likely to develop toxicity. Pharmacology - Study of what drugs do and how they do it. Pharmacokinetics - What the BODY does to the DRUG (ADME) Pharmacodynamics - What the...

BUN - 10-20 Creatinine - 0.4-0.8 GFR - >90, >60 for Psychotropic medications Lithium Level - Acute (0.8-1.2) Maintenance (0.6-1.0) Valproate Level - 50-120 GGT - Look for elevation when there is Alcohol abuse (10-38) ALT - (5-35) AST - (5-40) Valproate and Liver - Can increase ALT, AST Stop medication if 2x upper value TSH - 2-10 What increases Lithium Level - ACE, ARB (Sartan), NSAIDS

O'Connor vs. Donaldson - harmless mentally ill can't be confined against their will Durham Vs. US. - insanity defense. individual not held criminally responsible if act a product of mental illness Rogers vs. Oken - pt has right to refuse treatment, but guardian may authorize it Rennie vs. Klein - pts have right to refuse treatment and use an appeals process Rogers v. Commission of Department of MH - Kansas v. Hendricks - sex offenders can be civilly committed if likely to strike again ...

Corticoidsteroids causes - anxiety, mood changes, psychosis, and delirium Benzos and antiulcer agents cause - mood changes NSAIDs cause - psychosis When to suspend Clozapine - ANC levels less than 500 Rare side effect of Quetiapine - Cataract formation Higher incidence of EPS with Risperidone - >6 mg doses Monitoring what with Ziprasidone - QTc Lurasideon needs what to be effective - take with food to increase aborption

The goal of primary prevention is the ___ of disease and examples of primary prevention include: (x2) - Prevention of Disease Immunization Counseling about Safety The goal of secondary prevention is ___ of disease and examples of secondary prevention include: (x2) - Early Detection of Disease Blood Pressure Colonoscopy The goal of tertiary prevention is ___ of disease and examples of tertiary prevention include: (x1) - Minimizing Negative Outcomes from Disease Adjust therapy to avoid ...

What is a decreased effects of the same dose of a drug over time - Tolerance ( mostly patients taking benzo, pain rx etc) Your client Sam is being treated for panic disorder with agorophobia. He is currently prescribed Paroxitine (Paxil CR 37.5, qd) and Clonazepam (Klonopin 0.5 mgqd prn. He has been on Clonazepam for 2 years and admits needing 4 pills to achieve the same effect that 1 pill initially produced What is an electrical stimulus for bipolar which leads to seizure - kindling from ...

Ethical Principal Terms (Justice, Veracity, Respect, Fidelity) - •Justice: Doing what is fair •Veracity: Telling the truth •Respect: Treating everyone with equal dignity •Fidelity: Being true and loyal Inferential statistics - numerical values that enable a researcher to draw conclusions that extend beyond the immediate data alone. Examples include t-test, analysis of variance, Pearson's r correlation, probability, and p-value. Descriptive statistics - are used to describe the ba...

What is the introduction phase of the nurse-client relationship? - Creates a trusting environment, establishing professional boundaries, establishing length of anticipated interaction, providing diagnostic evaluation, and setting mutually agreed-upon treatment objectives What is the working phase of the nurse-client relationship? - Clarifying client objectives and mutually set goals, implementing a treatment plan, monitoring health, undertaking preventative health care, measuring and evalua...

What routes of med admin are parenteral - All Injections ( IM Sub Q IV, Intrathecal), AND Inhaled , transdermal (patches) , transmucosal (sublingual, nasal, rectal) . All PO meds = enteral; Topical is all ointments placed on the skin PO meds absorption pattern - Varies greatly due to: »»Stability and solubility of the medication »»Gastrointestinal pH and emptying time »»Presence of food in the stomach or intestines »»Other medications currently being administered »»Forms of med...

Amygdala - A limbic system structure involved in memory and emotion, particularly fear and aggression. Also plays a part in pleasure circuit and drug dependency. accumbens nucleus - is a brain part involved in functions such as REWARD, motivation, addiction or positive behavioral reinforcement prefrontal cortex - part of frontal lobe responsible for thinking and language hippocampus - Part of Limbic system is associated mainly with memory, in particular long-term memory as well as mood hy...

Which community-based program is a tertiary l evel intervention? A. educational sessions at the local community mental health center. B. national association of mental illness meetings that provide education and support. C. Partial hospitalization program that provides intensive group therapy for rehabilitation. D. 12 step organization support meetings, i.e. AA - C. Partial hospitalization program that provides intensive group therapy for rehabilitation. Utilitarianism - Healthcare resour...

What is an intervention for PTSD? - Breathing What is the production of RBCs - Erythropoesis If a pt has a low BMI, is anorexic, BP 86/50 what do you do? - Admit patient Pt is a cutter, NP instructs pt to do what? - Journal What part of the brain is ADHD found in? - prefrontal cortex Boy wants to be girl? - Pt emotional state vs developmental state Soldier's friend died in the war - Return to activities, prevnar, support groups PT used inhalants and feel funny? What do you do? - Refer to...

positive symptoms of schizophrenia - delusions, hallucinations, disorganized speech, disorganized behavior negative symptoms of schizophrenia - disturbance of affect, blunting (severe reduction in the intensity of affect expression), flat affect, inappropriate affect (might laugh hysterically while describing someones death) nucleus accumbens - a subcortical structure that participates in reward and addiction mesolimbic pathway - subcortical part of the brain involved in cognition and emot...

What part of the brain is associated with OCD? Basal ganglia Depression SIGECAPS Suicidal thoughts Interests decreased Guilt Energy decreased Concentration decreased Appetite increased/decreased Psychomotor changes Sleep disturbance (Increased or decreased) Mania DIG FAST Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talkativeness PTSD Traumatic event Re-experience Avoidance Unable to function Month or more of symptoms Arousal i...

List the DSM 5 Criteria for Autism Disorder - A. persistent deficits in social communication and social interactions across multiple contacts as manifested by the following: 1. Deficits in social-emotional reciprocity 2. deficits in non-verbal communicative behaviors 3. Deficits in developing, maintaining, and understanding relationship B. Restricted, repetitive patterns of behavior, interest, or activities, as manifested by at least 2: 1. stereotyped or repetitive motor movements, use or ...