oOxazepam is more appropriate for pt with liver disease. oControl of withdrawal symptoms with benzodiazepines on an “as needed” basis, rather than fixed schedule, resulted in the need for lower doses of the medication and less time in treatment. 17. Know skills useful for adolescent alcoholics to prevent relapse. 7
???? what book is she pulling these questions from, I have no idea, could not find it in text at all, I have the new book….. CHAPTER 25—Schizophrenia and other psychotic disorders (6 QUESTIONS)18. Know priority nursing diagnoses for the paranoid schizophrenic Paranoid schizophrenia is characterized by the presence of delusion of persecution or grandeur and auditory hallucination related to a single theme. The individual is often tense, suspicious, and guarded, and may be argumentative, hostile, and aggressive. Onset of symptoms is usually later, perhaps in the late 20s or 30s, and less regression of mental faculties, emotional response, and behavior is seen than in the other subtypes of schizo. Social impairment may be minimal, and there is some evidence that prognosis, particularly with regard to occupational function and capacity for independent living, is promising. Disturbed thought process related to inability to trust evidence by delusional thinking and extreme suspiciousness of others. Convey acceptance of pt’s need for the false belief but indicate that you do not share the belief Do not argue or deny the belief. Use reasonable doubt as a therapeutic technique. “I find that hard to believe.” Reinforce and focus on reality. Discourage long rumination about the irrational thinking. Talk aboutreal events and real people. If pt is highly suspicious Use same staff, be honest and keep all promises Avoid physical contact; avoid laughing, whispering, or talking quietly where pt can see but cannot hear what is being said; provide canned food with can opener or serve food family style; avoid competitive activities; use assertive, matter of fact, yet friendly approach. Risk for violence; self directed or other directed related to extreme suspiciousness evidenced by overt and aggressive acts. Maintain low level stimuli in pt’s environment (low lighting, few people, simple décor, low noise level) Observe pt behavior frequently. Do this while carrying out routine activities Remove all dangerous objects from pt’s environment Maintain calm Have sufficient staff available to show of strength to pt if necessary. 19. Know Erikson’s level of development for the paranoid schizophrenic and nursing interventions.(COULDN’T FIND AT ALL…..) Most often occur in early adulthood 20. Know the medications given in schizophrenia and rationales for administration.
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- Spring '18