Complete List of Terms and Definitions for Psych Nursing (ATI)

Terms Definitions
what drug class if Wellbutrin, Effexor, and Remeron? Atypical antidepressants
antidepressants can be used to treat bulimia or anorexia? bulimia nervosa
how should you take psychostimulants? - after meals
- at least 6 hours before bedtime
2 types of sedative-hypnotics:
(hint: same as antianxiety meds)
- benzo
- non-benzo
what's thought insertion? belief that others' thoughts can be inserted into one's brain
advise older clients on SSRI's to monitor what? sodium levels
what can decrease blood concentrations of traditional antipsychotics? smoking
what's neologism? a made up word
4 main side effects of Depakote (valproic acid): - GI effects
- hepatotoxicity
- pancreatitis
- thrombocytopenia
4 major side effects of SSRI's: - sexual dysfunction
- weight gain
- insomnia, anxiety, HA
- serotonin syndrome
What's the therapeutic Lithium range?
What is a toxic lithium level?
0.4-1.3 mEq/L (THERAPEUTIC)
>1.5 mEq/L (TOXIC)
>2 mEq/L (LIFE THREATENING)
Lithium should be contraindicated for what 2 types of pts and should be used with caution for which 2 types of pts? Contraindication: renal & cardiac pts

Caution: diabetics & thyroid pts
5 major S&S of Lithium toxicity: - COARSE tremors
- slurred speech, confusion
- muscle weakness, incoordination
- EKG changes
- persistent GI upset
what potentiates the effects of benzodiazepines and should be avoided? - alcohol
- other CNS depressants
3 side effects of MAOIs: - CNS stimulation
- ortho hypotension
- hypertensive crisis
in assessing for risk of violence, the most important predictor is? past history
what drug class is Nardil and Marplan? MAOI's (antidepressants)
side effects of atypical antidepressants: - dry mouth, constipation, increased HR
- nausea & weight loss
- headache
- restlessness, seizures
what's agnosia? difficulty recognizing things
what are 3 other main categories of antidepressants? - tricyclics
- MAOI's
- Atypicals
give what other meds until mood stabilizing meds become affective? antipsychotics
how long's the lag period for antidepressants? 1-3 weeks for relief,
but can wait up to 2-3 months for desired outcomes
what is dystonia? spasm of the tongue, throat, jaw, face, eyes, neck, and upper body
what foods to avoid when taking MAOIs: - figs, avacados, bananas
- beer and wine
- cheeses
- caffeine and chocolate
- liver, smoked, fermented meat
- dried or cured fish
- OTC decongestant meds
4 EPS symptoms: - dystonia
- akathesia
- parkinsonism
- tardive dyskinesia
4 S&S of hypertensive crisis: - headache, lightheadedness
- heavy sweating
- vomiting
- increased HR
What refers to the mistaken belief that neutral stimuli have special meaning? ideas of reference
traits of infants exposed to cocaine in utero: - high pitched cry and tremors
- irritability
- poor feeding
- high HR and RR
- small head
- low birth weight
- lack of response to face/voice
BuSpar is used to treat what?
It's contraindicated for use with what type of antidepressant?
What do you monitor?
- treats anxiety (non-Benzo)
- contraindicated with MAOI's
- monitor renal and liver fxn
what is akathesia? inner and outer restlessness, inability to remain still
pts who are taking pscyhotropic meds are screened how often for tardive dyskinesia? every 6 months
what's the first choice drug category for treating depression? SSRI's
name two alzheimer meds: - aricept (donepezil)
- exelon (rivastigmine)
- cognex (tacrine)
what type of antidepressants cannot cause a lethal overdose? SSRI's
Buspar is not associated with which 3 side effects that is associated with benzodiazepines? - sedation
- cognitive impairment
- withdrawal symptoms
cocaine use in the 2nd and 3rd trimesters commonly lead to which 2 problems? - preterm labor (usu. SGA infant)
- placenta abruptio
2 main uses of Lamictal: - long term treatment for BIPOLAR I disorder
- epilepsy
what is gingko-biloba used for? enhances mental acuity
4 contraindications for ECT: - MI
- CVA
- intracranial mass
- cerebrovascular malformation
what kind of pts cannot take tricyclic antidepressants and why? suicidal pts,
because of the risk of cardiac toxicity in case of overdose
6 cautions for pts considering SSRI's: - pregnancy
- lactation
- renal probs
- liver probs
- cardiac diseases
- seizures
2 basic categories of antianxiety meds are: - benzodiazepines
- non-benzodiazepines
antianxiety meds are used for short or long term treatment? short term.
in order to avoid dependence.
T/F. Do not tell a pt with eating disorder his or her actual weight when you weigh them daily. True.
what's clang association? meaningless rhyming of words
what common OTC can treat the EPS acute dystonia? benadryl
4 symptoms of psychoses: - delusions
- hallucinations
- disorganized thought
- disorganized behavior
what are benzodiazepines for? anxiety disorders like:
OCD, panic, disorder, PTSD, phobias, alcohol w/drawal, and seizures
3 main uses of Tegretol: - epilepsy
- neuralgia (trigeminal)
- bipolar disorder
what characterizes early phase of dementia? - impairment of thinking, judgement, and impulse control
- negligence of hygiene and appearance
- personality changes
what herbal med for depression is widely used in Europe? St. John's wort
(serotonin-elevating properties)
T/F. PRN restraint orders should be made for violent pts. False.
PRN restraint orders should NEVER be made for anyone.
is disorganized speech a positive or negative symptom of schizo? positive
avoid what 2 substances when taking SSRI's? - St. John's Wort
- MAOI's
what's tardive dyskinesia? late-occurring involuntary repetitious movements of muscles of face, limb, and trunk
pts taking clozapine (clozaril) should have what monitored every 1-2 weeks and why? watch for decreasing WBC count (agranulocytosis)
what's apraxia? inability to perform familiar acitivites
what's avolition, alogia, anhedonia, and anergia? Negative symptoms of schizo:
- avolition = lack of desire
- alogia = lack of speech
- anhedonia = inability to experience pleasure
- anergia = lack of energy
2 major effects of ECT: - confusion
- memory loss
5 S&S of serotonin syndrome: - confusion, hallucinations
- agitation, anxiety
- hyperreflexia
- fever
- tremors
pts with severe anxiety have a narrowed or widened perceptive field? narrowed
what diet/drug changes are needed for a pt on Lithium therapy? - lower calories
- take 2-3 L fluids per day
- avoid drugs with anticholinergic effects
4 common symptoms of psychostimulants (e.g. for ADHD): - weight loss
- insomnia
- headache
- tachycardia
What should the nurse include in her teaching about phenytoin (Dilantin)? - monitor for skin rash
- practice good oral hygiene because Dilantin can cause gingival hyperplasia
- regular blood works needed to monitor plt lvl, liver fxn, drug lvls
- toxicity S&S including lethargy, balance disturbance, nystagmus, slurred speech
- do not take if pregnant (birth defects)
the absorption of benzodiazepines is slowed by what? - antacids
- food in stomach
what category is Valium, Xanax, Librium, Ativan, and Klonopin? Benzodiazepines
side effects of atypical antipsychotics: - sedation
- weight gain
- minimal anticholinergic effects
traditional antipsychotics have a higher incidence of what? EPS (extrapyramidal symptoms)
what's the general side effect of benzodiazepines? CNS depression, sedation, etc.
what is Lithium and Depakote used to treat: mania
T/F. Pts with moderate/mild levels of anxiety are able to ID and describe feelings of anxiety, the causes, and adaptive ways to cope. True.
they can think more clearly than a pts with severe anxiety
Name a few SSRI's: Prozac
Paxil
Zoloft
Lexapro
Celexa
how often do you monitor lithium levels? every 2-3 days in the beginning, then every 1-3 months
T/F. Dementia often worsens in the morning right after awakening. False.
Dementia often worsens at night.
side effects of Lithium: - FINE tremors
- polyuria
- confusion
- headache
- fatigue
- weight gain
- nausea, diarrhea, & abd pain
side effects of traditional antipsychotics: - EPS
- anticholinergic symptoms
- ortho hypotension
- reduction of seizure thresthold
what's aphasia? difficulty finding the right word
what characterizes stage IV of alzheimers? there is no stage IV
main side effects of Tricyclic antidepressants: - ortho hypotension
- anticholinergic effects
(blurry vision, dry mouth, constipation, tachycardia, photophobia, urinary retention)
- cardiac toxicity
- sedation
what's echolalia? client repeated the words spoken to him
T/F. Being of female gender is a risk factor for depression. True.
4 indications for ECT: - acute mania
- actively suicidal pts
- depression and schizo that is nonresponsive to meds
what meds are to be discontinued 2 weeks prior to ECT? MAOI's and Lithium
what's thought broadcasting? belief that one's thoughts are heard by others
atypical antipsychotics treat the negative or positive symptoms of schizo? negative symptoms
how should you take lithium? (before, during, or after meals?) with food
how to take tricyclic antidepressants? at bedtime
what's pseudoparkinsonism? tremors, hypersalivation, cogwheel rigidity, shuffling gait, stooped posture
how is ECT prescribed? 3 times a week,
6-12 treatments total
Tofranil, Elavil, Aventyl, and Sinequan belong to what class? Tricyclic antidepressants
how to take SSRI's? with meals