CA2 Prelims - Psychiatric Nursing & Communicable Diseases PDF

CA2 PRELIMS LONG TEST/ MAJOR EXAM Psychiatric Nursing Communicable Diseases Asylum = Creation 1800s To isolate mentally ill patient DSM4 Axis I: Clinical disorders (mental health and substance use disorders) Axis II: Personality disorders and intellectual disability Axis II...

CA2 PRELIMS LONG TEST/ MAJOR EXAM Psychiatric Nursing Communicable Diseases Asylum = Creation 1800s To isolate mentally ill patient DSM4 Axis I: Clinical disorders (mental health and substance use disorders) Axis II: Personality disorders and intellectual disability Axis III: General medical conditions Axis IV: Psychosocial and environmental problems Axis V: Global Assessment of Functioning (GAF) - a scale measuring overall functioning First American psychiatric nurse Linda Richards First Psych Theory Peplau PH Red Cross Clara Barton Develop the Concept of Asylum Dorothea Dix “Crazy” nursing notes Mentally ILL “Which comment by the nurse” Weird beliefs “All normal people don't have mental disorders” False Theoligism Speaking different language “Rats are eating my brains” Somatic delusion Crawling or “gumagapang” Tactile Delusion The Physician diagnoses Schizo Disturbance in affect + S/Sx of Schizo Disorganized thinking/thoughts “The voices are frightening me” I don’t hear the voices that you hear, I understand you are frightened. “There are spies in my room” Present reality = let’s sit and talk A client presents flexibility of extremities/flaccidity Catatonic Paranoid or “Praning” Paranoid Schizo A client taking anti-psychotics in hallway walking “ lakad ng lakad” Akathisia Treatment of Anti-psychotic Lower dopamine = Pseudoparkinism = Tremors, Regidity, Lethargy The Px tells the nurse a “secret message” Present Reality = Delusions of references Which of the FF's best responses to “Are those my pills?” Let him/her open the meds & Siya ang mag bukas” According to Freud ID & superego Conflicts Repeated conflict of pain I know the feeling but - Home visit wife & child victim of abuse Are you being threatened or hurt by your partner? What would be best for a wife living in her husband's abuse Here’s the number of facilities The primary nursing Intervention for abuse Secure the safety of the victim Ritalin ADHD = improve focus & for attention School phobia Enter school with parents “pasok with mommy” Autism Disturb changes, Stereotypes Which of the FF's best responses to “Are those my pills?” Let him/her open the meds & Siya ang mag bukas” According to Freud ID & superego Conflicts Repeated conflict of pain I know the feeling but - Home visit wife & child victim of abuse Are you being threatened or hurt by your partner? What would be best for a wife living in her husband's abuse Here’s the number of facilities The primary nursing Intervention for abuse Secure the safety of the victim Ritalin ADHD = improve focus & for attention School phobia Enter school with parents “pasok with mommy” Autism Disturb changes, Stereotypes The first type of tropic medication psychotropic Thorazine (Chlorpromazine) The patient asks to “date you” State reality & be professional Plan of care for borderline personality Adhere to certain restriction The client with TB is taking oral therapy at home, he tells the nurse “ I miss my friends” D “You can meet your friends but with a mask” Anti - TB D “Direct observed therapy” C. “An N95 respirator” The FF do not represent the nature of TB D. “Diagnosis of TB is confirmed by + tuberculin Test D “10 to 14 days of starting treatment” D “Acquired through exposure B “Collect sputum on first cough in morning” D “The Px 3 negative sputum” R- Rifampicin RED ORANGE URINE I- Isoniazid ICE CAUSE NUMB FEELING P- Pyrazinamide PEDAL GOUT OCCUR IN TOE E- Ethambutol EYE CASUAL VISUAL PROB S- Streptomycin SLOW SOB PPD (Purified Protein Derivative) 3 sample collection MANTOUX -> X-ray -> Sputum Pneumonia Lung infection = Impaired gas exchange Malaria S/Sx Fever, Nausea, Chills, Vomiting, Headache, Diarrhea, Tiredness. Pediculosis VAR capitis = Hair PUBIS = Genital Area CORPORIS = Body D “High grade fever” D “Dullness = Right Lower Lobe D “Impaired Gas Exchange D “Allow him to eat Breakfast in bed, rest for 30 mins  D “Syphilis can be -> to the baby, can die mid treatment D “I think a needle exchange program where clean needles” STD Gonorrhea = Ceftriaxone IM Chlamydia = Doxycycline & Azithromycin Trichomoniasis = Metronidazole HPV = NO CURE Syphilis = Penicillin & transfer -> placenta 20 weeks MAJOR EXAM TB “Pasok sa trabaho” 2 weeks 10/14 days Isoniazid Peripheral urize Permethrin Dry skin = “1half HR after bathing“ Quality Sputum Deep breathing exercise Bacterial pneumonia Dullness Pneumonia Impaired gas exchange Pancolitis = “Pampalabsaw” H1n1 Pigs to human -> more than 6 years -> Obese Px Hosel tummy flu Respiratory failure -> common death 6 Phases There is a human to human spread of the virus Gonorrhea Provide Sterility Meds = Azithromycin & ceftriaxone IM STD Delayed Asymptomatic mostly to girls Congenital syphilis + cirrhosis Drug abuser Quitting the drug addiction Aids Early signs of dehydration Health Proxy -> living will Thirstiness Aids terminal illness