Mental exam 2

Sudden onset of extreme apprehension of fear with feelings of impending doom?

Intervention during an acute crisis episode to prevent prolonged anxiety. Usually occurs in hospitals, er, clinics?

Agitation, impaired boundaries, stereotyped, gesturing, impulse control are examples of?

Obsessions are?

What is a decrease in social interactions?

Uses magnetic fields to stimulate nerve cells in the vrain to improve depression.

What type of anxiety is described by fight or flight, disassociation, cannot problem solve, hallucinations?

Curative factors in group therapy. Others share the same problems (I am not alone)?

What med block's reuptake of serotonin & norepinephrine in the brain prescribed for depressive disorder, bipolar, OCD?

Implant in the brain that works like a pacemaker for the brain. Most invasive tx for depression.

Feelings of severe despondency and dejection with feelings of inadequacy and guilt, often with lack of energy, anhedonia

What type of medication should a nurse expect to administer for neuroleptic malignant syndrome?

Signs and symptoms of NMS include? SATA

Which is an expected side effect of risperdal (2nd gen)?

What should the nurse teach the patient taking haloperidol? SATA

"I can see how that experience was painful." is an example of what therapeutic communication?

Curative factors in group therapy. Expressing emotions and feeling: Discharge of emotions. Feel better saying it aloud?

Stimulates the vagus nerve with electrical impulses for the tx of depression.

With a patient with neuroleptic malignant syndrome you should decrease fluids to reduce hyperthermia.

What is a decrease in interest in important things?

Physiological vulnerabilities-genetic predispositions, biochemical makeup, and personality structure is?

Only concious defense mechanism. Consciously put out of the mind temporarily.

Remove dentures, glasses, contact lenses, hearing aids, hair pins for tx that puts a pt into an induced seizure.

Physically assess client, increase fluids, benzos, decrease stimuli, offer finger foods for a patient experiencing?

Medication education group expected outcomes: SATA

Lithium has a very narrow therapeutic effect. What is the range?

What is a newly created word that only have meaning to the person who uses them?

Adverse reactions to TCA's include? SATA

Take a walk, cuddle with pets, read a book, and watch tv are all what types of techiques for dealing with anxiety?

How often should you monitor a pt in restraints?

Nursing interventions for PTSD include: SATA

What things should the nurse consider in the management of a patient in secondary care? SATA

With a pt receiving lithium, when would the pt be most likely to experience toxicity?SATA

What is the most extreme form of speech disorder, a jumble of words that are meaningless. (throat hoarse strength)

What teaching should the nurse provide someone taking medications with anticholinergic effects?

Unable to adjust to a stage of development. (Retired but cannot handle it. Not graduating high school.)

What is a speech disorder in which the pt is repeating sounds or words?

St. Johns wort can increase serotonin when taken with an SSRI.

Eye contact, head nod, saying ,"GO on.." is an example of what therapeutic communication technique?

What type of anxiety is necessary for motivation?

EPS, high fever, autonomic disturbances are a sign of what syndrome?

"Antidepressants may take 4-6 weeks to be therapeutic." what type of therapeutic communication is this?

"What do you mean when you say I can't go back to work?" is what type of therapeutic communication?

Support for those who experienced a severe crisis and are now recovering from a disabling mental state?

A technique for a patient with an anxiety disorder that helps them visualize positive things in a peaceful setting is?

What is severe depression alternating with manic or hypomanic episodes?

cumpulsions are?

Persistent reexperiencing of a highly traumatic event that involves actual or threatened death or serious injury is?

Most effective acute treatment for depression. Rewire the brain. Multiple tx sessions.

What medication would a nurse expect to administer when a patient is experiencing EPS?

What is flat, blunted, constricted, inappropriate, bizarre, emotionless expressions called?

Promotes mental health and reduces mental illness to decrease incidence of crisis.

Thought or belief

Everyone is doing it so it must be ok for me too. Which defense mechanism is this?

Strategies to ensure safety with an agitated patient. SATA

What are risk factors associated with bipolar?

What would the nurse expect to plan for the patient in tertiary care?

How would the nurse go about guiding a conversation?

What is an appropriate intervention for a patient who is monopolizing group therapy?

Older people may complain of physical pain rather than call it depression.

what type of therapy can promote feelings of cohesivness?

Putting forth extra effort to counterbalance perceived deficiences by emphasizing strengths(bad at math good at nursing)

What is the word that describes the loss of motivation?

What is the negative symptom of smiling but crying?

"We have talked about...." is what type of therapeutic communication?

what type of anxiety gives you an "uneasy feeling"?

Phrases that do not make sense. (I need a bandaid, my friend was talking about aids, friends talk about french fries)

Neuroleptic malignant syndrome pts usually recover in 7-10 days, and may be treated with benzos?

Medicaiton that inhibits dopamine from being released. Helps to diminish positive signs of schizophrenia.

I am jealous of you so I tell my friends you are jealous of me defense mechanism?

What to do before an after ect therapy. SATA

Altered ability to know what is real or not, altered cognition, altered perception is what condition?

Lack of pleasure

Life events that impact individual vulnerability is?

How long do TCA's take to become effective?

A pt states, "I think I was having a panic attack." What should the nurse ask this patient when developing a planofcare?

The use of deep breathing, massage, meditation, music/art therapy, yoga, and aromatherapy is what technique?

"Could you tell us the last time you did that?" what type of therapeutic communication is this?

What is the speech disorder where the last word rhymes (on the track, have a big mac)?

Example: towel in bin, patient sees doctor in white

What is a speech disorder with made up words?

Priority needs of a bipolar patient include?

What is rigid, repetitive, ineffective behaviors to try to control anxiety?

"You say nothing is wrong, but you are crying." is an example of what therapeutic communication?

Signs and symptoms of EPS include?SATA

What is an excessive accumulation of serotonin?

What is a repetition of words or phrases that are similar in sounds. Rhyming words?

Psychosocial stressors & interpersonal events trigger neurophysical and neurochemical changes. This is caused by?

What should be included in the care plan for a pt in primary care? SATA

Ect therapy requires which of the following?SATA

What is disjointed mental threads that tie thoughts logically together, jumping from one idea to another?

Some cultures will seek a spiritual guide instead of a mental health professionsal.

Something is unconsciously put out of the mind in which defense mechanism?

Signs and symptoms of a panic disorder include? SATA

Medication that acts on both serotonin and dopamine. Diminishes both positive and negative signs of schizophrenia.

"You say nothing is wrong, but you are crying." is what type of therapeutic communication?

"I noticed you are clenching your fists. What are you feeling right now?" is what type of therapeutic communication?

What type of anxiety elicits the fight or flight response, dilated pupils, elevated vs, decreased perception?

What is poverty of speech?

"It took a lot of courage to explore those painful feelings, you are working hard on resolving problems." is what type?