- a nurse works in a psych unit and gets assigned to a patient that has
a condition she is unfamiliar with what can she refer to * DSM-5
-a nurse finds a patient wandering and says "oh she reminds me of my
grandma" * countertransferrance
- the th
Overdose with opiates is becoming very common
Benzos are becoming common in overdose too. alcohol and opiates should not be used
Substance use- use a substance for a long period of time, stopping social and jobs, have
problems and wont stop,
For Cumulative Exam and Finals
PRIORITIES IN ORDER
1. THERAPEUTIC COMMUNICATION
5. DEPRESSION AND SUICIDE
7. ANXIETY BASED DISORDERS : GAD, LEVELS OF ANXIETY, PTSD , OCD,
9. ADDICTION: ALCOH
*average # of sexual assault for a serial rapist is 300.
Ch 11 Neuro and Developmental Disorders
-depression and psychosis bipolar: both start childhood and adolescents. 75% were first diagnosed
between 11-18 y.o. the earlier it starts the worse it is
Quiz 11. Subjectivedatafamilyhealthhistory
3. The nurse notices a slightly musky odor during the interview of a 14-year-old teenager. Which of the
following could explain this odor documentasnormalfunctioningofapocrinegland
MUST KNOW DRUGS FOR MENTAL HEALTH
SOURCE (ATI PHARMACOLOGY MADE EASY PROTOTYPE DRUG LIST)
- Benzodiazepine- Temazepam (Restoril)
- Non-Benzodiazepine- Zolpidem (Ambien)
ADHD and Narcolepsy
- Amphetamines- Amphetamine and
Chapter 31 Learning Objectives: Serious Mental Illness
Describe common problems and the effects of serious mental illness on daily functioning, interpersonal
relationships, and quality of life.
It inhibits patients from establishing a meaningful life, th
Chapter 29 Learning Objectives: Sexual Assault
Define sexual assault, sexual violence, rape, and attempted rape.
Sexual assault and sexual violence are broad terms that encompass unwanted sexual
advances and sexual harassment to stranger rape, marital ra
Chapter 28 Learning Objectives: Child, Older Adult, and Intimate Partner Violence
Identify the nature and scope of family violence and factors contributing to its occurrence
Family violence which is intentional intimidation, abuse or neglect of children,
Chapter 27 Learning Objectives: Anger, Aggression, and Violence
Compare and contrast three theories that explore the determinants for anger, aggression, and
Psychosocial, cognitive, and biological theories provide explanations for anger and
Chapter 24 Learning Objectives: Personality Disorders
Identify characteristics of each of the 3 personality clusters.
Antisocial personality disorder: Antagonistic behaviors, such as being deceitful and
manipulative for personal gain or hostile if needs a
Chapter 33 Learning Objectives: Therapeutic Groups
Identify basic concepts related to group work and phases of group development.
Basic concepts: name and objectives of the group, type of patients or diagnoses of members for
inclusion, group schedule (fr
Chapter 34 Learning Objectives: Family Interventions
Describe the characteristics of a healthy family.
Flexibility and clear boundaries
Differentiate between functional and dysfunctional family patterns of behavior as they relate to
universal family func
Wk 4 10, 15, 16, 28, 29
Stress: early exposure makes you sensitize stress later in life. So stressful events during early
developmental stages have a higher incidence of a mental illness later in life.
Nurture and nature (environment and inborn qual
Rn will do the initial assessment when dr. determines pt has a terminal illness
When we are taking care of someone who is dying we have to listen to their concerns,
also assess for spiritual issues by conversation, meaning and purpose
Chapter 25 Learning Objectives: Suicide and Non-Suicidal self-injury
Describe the profile of suicide in the United States, noting psychosocial and cultural factors that
Suicide is a significant health problem in the U.S. Specific biological,
Chapter 23 learning Objectives: Cognitive Disorders
Compare and contrast the clinical picture of delirium with that of dementia.
Delirium is an acute cognitive disturbance and often-reversible condition that is common in
hospitalized patients, especially
Lobular pneumonia lung sounds ? crackles
Position in checking the breast ? why ? good for skin dimpling
Rhonchi sounds like ? snoring
Which patient needs more teaching about checking breasts ?
63 year old When are you supposed to check your breast?
Chapter 5 Learning Objectives: Cultural Implications for Psych Mental Health Nursing
Explain the importance of culturally relevant care in psychiatric mental health nursing practice
Psychiatric mental health nurses should practice culturally relevant nur
Chapter 9 Learning Objectives: Communication and clinical interview.
Identify personal & environmental factors that can impede communication.
Personal factors include emotional factors (mood, responses to stress, personal bias),
social factors (previous
Chapter 10 Learning Objectives: Understanding Responses to Stress
Recognize the short- and long-term physiological consequences of stress.
Short term effects (hypothalamus, pituitary, adrenal cortex): decreased fluid loss,
increased glucose by gluconeogen
Chapter 12 Learning Objectives: Schizophrenia and Schizophrenia Spectrum
Describe the progression of symptoms, focus of care, and intervention needs for the prepsychotic
patient through maintenance phases of schizophrenia
There are 3 phases of Schizophre
Chapter 7 Learning Objectives: The Nursing Process & Standards of Care for Psychiatric Mental
Compare the different approaches a Registered Nurse would consider when performing an
assessment with a child, an adolescent, and an older adults
Chapter 11 Learning Objectives: Childhood and neurodevelopmental disorders
Identify the significance of psychiatric disorder in children and adolescents.
One in five children and adolescents in the U.S. suffers from a major mental illness that causes
Chapter 13 Learning Objectives: Bipolar and Related Disorders.
Identify signs and symptoms of patient with mania related to mood, behavior and thought
Week long manic episodes might have hallucinations, delusions and dramatically
Chapter 14 Learning Objectives: Depressive Disorders
Compare and contrast major depressive disorder and dysthymic disorder.
Major depressive disorder is characterized by a persistently depressed mood lasting for
a minimum of two weeks. Children tend to b