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Questions and Answers
What is a significant side effect commonly associated with first-generation antipsychotics like haloperidol?
What is a significant side effect commonly associated with first-generation antipsychotics like haloperidol?
- Severe allergic reactions
- Extrapyramidal side effects (correct)
- Enhanced cognitive function
- Increased tolerance to opioids
Which neurotransmitter is primarily involved in muscle contractions and is linked to various substances that impact internal functions?
Which neurotransmitter is primarily involved in muscle contractions and is linked to various substances that impact internal functions?
- Acetylcholine (correct)
- Norepinephrine
- Dopamine
- Serotonin
What type of movement disorder is characterized by repetitive, involuntary movements including lip-smacking and grimacing?
What type of movement disorder is characterized by repetitive, involuntary movements including lip-smacking and grimacing?
- Acute dystonia
- Parkinsonism
- Akathisia
- Tardive dyskinesia (correct)
Which of the following conditions may result from an excess of GABA in the brain?
Which of the following conditions may result from an excess of GABA in the brain?
Which side effect is notably more prevalent with second-generation antipsychotics compared to first-generation antipsychotics?
Which side effect is notably more prevalent with second-generation antipsychotics compared to first-generation antipsychotics?
What symptoms are associated with moderate anxiety?
What symptoms are associated with moderate anxiety?
Which medication is classified as an atypical antidepressant used for anxiety treatment?
Which medication is classified as an atypical antidepressant used for anxiety treatment?
What is a common side effect associated with benzodiazepines?
What is a common side effect associated with benzodiazepines?
Which behavioral recommendation is essential when taking Buspirone?
Which behavioral recommendation is essential when taking Buspirone?
In a patient experiencing severe anxiety, what symptoms might they display?
In a patient experiencing severe anxiety, what symptoms might they display?
Which condition should be assessed in a patient prescribed benzodiazepines?
Which condition should be assessed in a patient prescribed benzodiazepines?
What is a key consideration when using anxiety medications?
What is a key consideration when using anxiety medications?
What distinguishes Bipolar I from Bipolar II disorder?
What distinguishes Bipolar I from Bipolar II disorder?
What is a common sign of manic episodes in individuals with bipolar disorder?
What is a common sign of manic episodes in individuals with bipolar disorder?
What should be monitored when using Lithium as a treatment for bipolar disorder?
What should be monitored when using Lithium as a treatment for bipolar disorder?
What is a potential side effect of SSRIs used in treating bipolar disorder?
What is a potential side effect of SSRIs used in treating bipolar disorder?
What is the normal therapeutic level of Valproate?
What is the normal therapeutic level of Valproate?
Which type of speech pattern typically indicates a manic episode?
Which type of speech pattern typically indicates a manic episode?
What is the main action of SSRIs in the treatment of bipolar disorder?
What is the main action of SSRIs in the treatment of bipolar disorder?
What distinguishes the treatment monitoring for Carbamazepine from Valproate?
What distinguishes the treatment monitoring for Carbamazepine from Valproate?
What condition may arise from SSRI treatment that healthcare providers should warn patients about?
What condition may arise from SSRI treatment that healthcare providers should warn patients about?
What does the term 'schizo' in schizophrenia refer to?
What does the term 'schizo' in schizophrenia refer to?
Which symptom involves a false belief that certain individuals are hostile or conspiring against the person?
Which symptom involves a false belief that certain individuals are hostile or conspiring against the person?
What symptom is characterized by the perception that one's thoughts are being transmitted or broadcasted to others?
What symptom is characterized by the perception that one's thoughts are being transmitted or broadcasted to others?
Which of the following symptoms indicates a focus on physical sensations and experiences?
Which of the following symptoms indicates a focus on physical sensations and experiences?
What does 'magical thinking' refer to in the context of schizophrenia?
What does 'magical thinking' refer to in the context of schizophrenia?
Which symptom signifies a person's disconnection in their thoughts and speech, making it difficult to form cohesive sentences?
Which symptom signifies a person's disconnection in their thoughts and speech, making it difficult to form cohesive sentences?
What is the implication of having 'delusional' symptoms in schizophrenia?
What is the implication of having 'delusional' symptoms in schizophrenia?
Which of the following best defines 'schizoaffective' symptoms?
Which of the following best defines 'schizoaffective' symptoms?
The belief that one is superior or holds special powers, often leading to feelings of being disliked, is known as what?
The belief that one is superior or holds special powers, often leading to feelings of being disliked, is known as what?
Which symptom involves believing that others are inserting thoughts into one's head?
Which symptom involves believing that others are inserting thoughts into one's head?
What condition is characterized by epigastric pain and palpitations, and is recognized within the Korean context?
What condition is characterized by epigastric pain and palpitations, and is recognized within the Korean context?
In which life stage according to Erikson's stages does the conflict of 'Trust vs. Mistrust' occur?
In which life stage according to Erikson's stages does the conflict of 'Trust vs. Mistrust' occur?
Which cultural concept is associated with a sudden attack of trembling and recognized in Latin American communities?
Which cultural concept is associated with a sudden attack of trembling and recognized in Latin American communities?
What condition, prominent in the Navajo culture, is associated with feelings of being out of one’s mind due to perceived evil spirits?
What condition, prominent in the Navajo culture, is associated with feelings of being out of one’s mind due to perceived evil spirits?
Freud's concept of the 'Ego' functions primarily to mediate between which two elements?
Freud's concept of the 'Ego' functions primarily to mediate between which two elements?
Which syndrome, recognized in Somalian culture, includes symptoms of psychological distress along with the practice of exorcism as treatment?
Which syndrome, recognized in Somalian culture, includes symptoms of psychological distress along with the practice of exorcism as treatment?
Which of Erikson's developmental stages is characterized by the conflict of 'Ego Integrity vs. Despair'?
Which of Erikson's developmental stages is characterized by the conflict of 'Ego Integrity vs. Despair'?
What is a common characteristic of 'Susto' found in Latin American cultures?
What is a common characteristic of 'Susto' found in Latin American cultures?
What does the term 'Wild illness' refer to in Chinese and Vietnamese cultures?
What does the term 'Wild illness' refer to in Chinese and Vietnamese cultures?
What is the primary focus of the 'Initiative vs. Guilt' developmental stage in Erikson's theory?
What is the primary focus of the 'Initiative vs. Guilt' developmental stage in Erikson's theory?
Flashcards
Mild Anxiety Symptoms
Mild Anxiety Symptoms
Common anxiety experienced in daily life. Minimal physical effects.
Moderate Anxiety Symptoms
Moderate Anxiety Symptoms
Increased physical symptoms including shaking, slight sweating, and a faster heart rate.
Severe Anxiety Symptoms
Severe Anxiety Symptoms
Significant physical distress and difficulty processing information, including chest/stomach pain, tachycardia, and hyperventilation.
Panic Anxiety Symptoms
Panic Anxiety Symptoms
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Benzodiazepines
Benzodiazepines
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Buspirone (Buspar)
Buspirone (Buspar)
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Benzodiazepine Side Effects
Benzodiazepine Side Effects
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What are antipsychotics?
What are antipsychotics?
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What are EPS?
What are EPS?
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Acute Dystonic Reaction
Acute Dystonic Reaction
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What is GABA?
What is GABA?
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What is acetylcholine?
What is acetylcholine?
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Schizophrenia
Schizophrenia
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Psychotic symptoms
Psychotic symptoms
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Delusions
Delusions
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Loose associations
Loose associations
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Ideas of reference
Ideas of reference
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Persecution delusions
Persecution delusions
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Grandiose delusions
Grandiose delusions
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Somatic symptoms
Somatic symptoms
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Thought broadcasting
Thought broadcasting
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Thought insertion
Thought insertion
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Bipolar I Disorder
Bipolar I Disorder
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Bipolar II Disorder
Bipolar II Disorder
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Lithium
Lithium
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Lithium Level Monitoring
Lithium Level Monitoring
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Valproate
Valproate
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Carbamazepine
Carbamazepine
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SSRI's
SSRI's
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Serotonin Syndrome
Serotonin Syndrome
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Bipolar Disorder Cause
Bipolar Disorder Cause
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Hwa-byung
Hwa-byung
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Neurasthenia
Neurasthenia
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Ataque de nervios
Ataque de nervios
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Ghost sickness
Ghost sickness
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Jin possession
Jin possession
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Susto
Susto
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Erikson's stages
Erikson's stages
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Trust vs. Mistrust
Trust vs. Mistrust
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Autonomy vs. Shame
Autonomy vs. Shame
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Identity vs. Role Confusion
Identity vs. Role Confusion
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Study Notes
NRSB 331 Psychiatric Nursing Study Guide (Comprehensive Final)
- Anxiety Symptoms:
- Mild: Happens to most people in everyday life; inattention and shaking; normal vital signs
- Moderate: Selective inattention, shaking, slight perspiration, and tremorous voice; vital signs might be elevated.
- Severe: Focus on one or many details, difficulty understanding surroundings, chest/stomach pain, jerking, tachycardia, hyperventilation, nausea and dizziness.
- Panic: Extreme level; inability to process surroundings, loss of touch with reality, unable to function.
- Anxiety Medications:
- Diazepam (Valium), Lorazepam (Ativan), Alprazolam (Xanax), Chlordiazepoxide (Librium), Buspirone (Buspar).
- Side effects: Drowsiness, sedation, dizziness, risk of dependence/withdrawal; lowered blood glucose, slowed breathing, fatigue, memory problems, nausea, sexual dysfunction, and dry mouth.
- Bipolar Disorder:
- Types: Bipolar I (at least one manic episode), Bipolar II (at least one hypomanic and one major depressive episode).
- Signs and Symptoms: Pressured speech, tangential speech, flight of ideas, circumstantial speech, loose associations, clang associations.
- Treatment: Lithium, valproate, and carbamazepine; monitor for electrolyte imbalances(sodium, fluid intake) and blood work.
- Schizophrenia:
- Symptoms: Loose associations, ideas of reference, persecution, grandeur, somatic complaints, thought broadcasting, thought insertion, religiosity, magical thinking.
- Positive Symptoms: Speech and perception disturbances (flight of ideas, neologisms, echolalia, clang association, word salad), hallucinations (auditory most common), bizarre behavior..
- Negative Symptoms: Anergia, waxy flexibility, posturing, flat affect, poverty of thought.
- Treatment: First-generation and second-generation antipsychotics; monitor for side effects (especially Extrapyramidal symptoms)
- Culture-Bound Syndromes:
- Examples include Hwa-byung (Korean), Neurasthenia (Chinese), Ataque de nervios (Latin American), and Ghost sickness.
- Symptoms can vary but often include somatic complaints and psychological distress.
- Erikson's Stages of Development:
- Trust vs. Mistrust (birth-18 months), Autonomy vs. Shame and doubt (18 months-3 years) and so on.
- Freud's Psychoanalytic Theory:
- Id: Unconscious, impulsive part of personality present at birth.
- Ego: Preconscious, reality-oriented part of personality that develops within the first few years of life.
- Superego: Guides moral behavior; develops between ages 3 and 5.
- PTSD:
- Re-experiencing of traumatic events, nightmares, and proneness to depression.
- Neuroleptic Malignant Syndrome (NMS)
- A life-threatening side effect of antipsychotic medications.
- Symptoms include fever, rigidity, altered mental status, and autonomic instability.
- Suicidal Patients:
- Assessment: Assess lethality of a plan, presence of access to means, and if there’s a plan.
- Borderline Personality Disorder (BPD)
- Behaviors are described as dramatic, emotional, erratic; difficulty controlling behaviors; emotional lability, impulsivity; splitting (view of others in black and white).
- Attention Deficit Hyperactivity Disorder (ADHD):
- Symptoms: inappropriate degree of inattention, impulsiveness, and hyperactivity; use stimulants (such as methylphenidate and amphetamine salts).
- Treatment: Medication (methylphenidate, amphetamines), psychosocial therapies, and counseling.
- Stress:
- Symptoms: anxiety, disassociation.
- Specific disorders due to stress may include: Anhedonia, Anergia, Anosognosia, Akathisia,, Agnosia, Apraxia, and Aphasia
- Autism Spectrum Disorder (ASD)
- Symptoms: Social relatedness deficits; repetitive speech; obsessive focus on objects or routines; heightened sensitivity; resistance to change.
- Treatment: Early intervention programs (ABA, EIBI).
- Delirium
- Symptoms: Inability to focus, sustain and shift attention; disorientation, disorganized thinking, anxiety, poor memory, agitation, and delusional thinking.
- Advanced Directives:
- Documents outlining treatment wishes; include designation of a medical power of attorney, preferred clinicians and facilities, and other treatment choices.
- Family Types:
- Nuclear, single-parent, blended, extended, cohabitating, other (include specifics)
- Scapegoating: Family dynamics, where blame is placed on one member related to other member's distress.
- Conventional vs. Complementary/Alternative Medicine (CAM)
- Kava:
- Side Effects: Hepatoxicity (liver damage) when combined with alcohol or CNS depressants.
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Description
This comprehensive study guide covers key topics in psychiatric nursing, focusing on anxiety symptoms, medications, and bipolar disorder. Learn to identify various levels of anxiety and the impact of medications on patients, along with potential side effects. Prepare for your final exam with essential knowledge in mental health nursing.
