Upgrade to remove ads
Only $35.99/year

mental health final

Terms in this set (45)

alzheimers drug effects what systems?
cholinergic pathways, enzymes, and receptors
how to respond to family member of patient that has alzheimers
keep it simple
which statement demonstrates that alzheimer's med ed has been effective
inhibits breakdown of acetylcholine and slows progression of disease
family asks can the drugs help alzheimers pt
preserve mental abilities for a period of time
what two areas are foundations of cognitive process?
memory and learning
assess patient for possible delirium. you want a statement from a fam member that will confirm dx
something that discusses right away, sudden onset (she became confused immediately)
pt has been dx with dementia and are watching crime story on TV and become delusional. what do you do?
turn off tv and assure pt of safety
donepezil/aricept
helps maintain cognitive ability; bradycardia and GI SE; mild to mod alzheimers dx (can function better than w/o tx)
memantine/namenda
only drug with potential to slow neurodegeneration
what should nurse do for patient having apraxia?
inability to do movement that they could once do; help with ADL
delirium vs dementia
delirium is sudden and can be cured, dementia is progressive and usually cannot be cured
dementia patient comes in and is concerned about urinary incontinence. what do you rec as the nurse?
regular toileting schedule q 2 hours
pt is wandering, what is the best response as the nurse?
I am your nurse, lets walk back to your room together
what type of cognitive disorders are reversible
CNS infections
caregiver burden on a family member taking care of an alzheimers patient that is stating concerning things. what do you do?
referral to respite or home care
if a soldier had plans to go back to school to be a nurse, but changed their mind about further their education and don't want to talk about it after returning
avoidance
if a soldier tells the nurse that she saw her buddy step on a landmine, and she relives that moment when walking through a grassy path
flashback
a soldier's spouse reports that when a phone rings, the soldier rolls out of bed and stands at attention
hyperarousal
a nurse in managing a program to provide services to combat veterans diagnosed with PTSD. what symptoms of PTSD should be discussed to help minimize its effects on the veterans' personal relationships?
hypervigilence
combat soldier witnessed a child get blown up while in combat. once he comes home, he keeps seeing bits of flesh everywhere after coming home
re-experiencing
battle fatigue
might say this instead of PTSD; shell shock used by WWI veteran instead of PTSD; battle fatigue for WWII instead of PTSD
a caregiver for a pt who has had a TBI states, I dont know how much longer I can do this. what is the proper intervention?
assess caregiver for specific needs
a soldier with a TBI is going back to school and seeing a tutor. what does the tutor need to do to increase effectiveness of their learning
decrease external stimuli to increase their attention span
which medication is drug of choice for TBI pts that suffer from aggression?
methylphenidate (ritalin or concerta)
if a person with PTSD is on a benzo, teach them nonpharmacologic strategies to manage. why?
dependence could become an issue (TBI pt dx with depression and anxiety on sertraline and lorazepam - teach dependence)
PTSD pt has a hard time with noise (hyperarousal). what holiday to avoid?
fireworks on 4th of july
PTSD patient causes strain on relationship
educate fam member, make referrals as needed due to stress on relationship (man wanted children before war and doesnt upon return)
screening for PTSD, when is it important to screen?
ongoing
TBI - what are we going to see on an image with diffusion sensory imaging?
show damage to tracks in the CNS
a nurse is in a combat zone, when should she assess for a TBI?
after exposure to blast
girls are less likely to be diagnosed with ADHD, why?
less likely to have disruptive symptoms
which adolescent would the nurse consider to have highest priority for health promotion interventions to reduce the risk for depression?
traumatic event (fam killed in car accident)
if a school student expresses s/s of depression to a school nurse, what should the nurse do?
immediately ask if there is risk of suicide
how to respond to unruly adolescent?
firm and directly (do not swing that bat. put it down please)
if a hospitalized adolescent is angry that his phone has been taken away from him for 48 hours, bc he hid food in his room, he admits that he broke a unit rule. he starts justifying his behavior: "i needed food bc i was hungry. i am a growing boy." how to respond?
set limits; repeat and emphasize what is going to happen; confirm and back up the punishment
for a nursing dx r/t an aggressive ASD pt who is frustrated with his inability to complete simple tasks
ineffective coping
which group is most effective for meeting an adolescent's needs with ASD?
interpersonal skills
nurse is teaching about progression of conduct disorder
it often leads to antisocial personality disorder
adolescent with conduct disorder (hx of violence) - what is the priority nursing intervention?
watch for escalating behavior - safety could become an issue
family of suicidal and depressed teen, which statement shows that they are effectively coping?
want to learn more
providing care for a pt with gender dysphoria, which nursing intervention and dx is priority?
worried about their disturbed personal identity
medication : guanfacine (intuniv). what side effects
dizziness, hypotension, lethargy, bradycardia, vomiting
ADHD symptoms
diminished attention, impulsivity, hyperactivity
whenever we talk about a child and mood disorders, hallmark symptom is?
irritability
strattera (atomexetine) - select all that apply
delay in reaching full ptoential (4-6 weeks), decrease in appetite (monitor height and weight), irritability, insomnia, N/V, monitor food intake
Other sets by this creator