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Psych Nursing

Kathy Yost

Extrapyramidal SIde Effects High tyramine foods --not used when on MAOIs
PTSD treatment Broad opening
OCD therapy  overdose risk
Cognitive Behavioral therapy Neurotransmitter that activates alertness, energy
Generalized Anxiety Disorder Physical expression of anger
Major Depression formerly Multiple Personality Disorder
Seasonal Affective Disorder Nurse's legal obligation to report suspected abuse of children, elderly and vulnerable adults
Dysthymia Dystonia, Akathisia, Parkinsonism
Bipolar I Disorder Cycle of abuse in Intimate Partner Violence
Bipolar II Disorder Pediatric disorder involving lack of empathy, harm toward animals, people and property
Agranulocytosis Clozapine
Serum level 50-100 priapism side effect; given for sleep
Neuroleptic Malignant Syndrome Severe muscle rigidity, labile BP and HR, diaphoresis
Serotonin syndrome Cycles of Hypomania with depression
0.5 to 1.5  respiratory depression
ADHD Multiple symptoms of sadness, decline in ADLs, enjoyment of life
Phenelzine Low grade, long term depression
Tricyclic antidepressants Exposure therapy
Bupropion 1st GEN antipsychotics
Haldol, Chlorpromazine Non benzodiazepine anxiolytic
Risperidone, clozapine Related disorders to anger, hostility and aggression
Fluoxetine, sertraline, citalopram After aggression acting out, discuss trigger, help to explore altlernatives
Trazodone Nursing intervention for triggering phase of aggression cycle
Diazepam, lorazepam Pediatric disorder with pattern of defiance, uncooperativeness and disobedience to authority figures
Side effect of Benzos Drowsiness, dry mouth, urinary retention, low blood pressure
Disulfiram caution Toxicity from antipsychotics due to dopamine
Flashbacks, hypervigilance, dissociation SSRIs
Dissociative Identify Disorder worry about everything for a least six months
"Tell me how you feel about that" Exposure Response Prevention
"What would you like to talk about? Therapeutic lithium levels
Mild anxiety SSRI's
Hostility MAOI
Aggression Minimal parenting skills; emotionally immature; view children as property; cycle of family violence
Paranoid delusions, auditory hallucinations, dementia, depression Encouraging expression
Approach in nonthreatening manner, listen Cycles of Mania with Major Depression
Take control; provide directions in calm, firm voice; let them know aggression is unacceptable Stimulants
Crisis phase of aggression cycle Neurotransmitter that activates motivation and reward
Recovery phase 2nd GEN antipsychotics
Characteristics of Violent Families PTSD symptoms
Violent episode-honeymoon phase-tension building-violent episode Verbal expression of anger
Clinical picture of parents who abuse children alert, can be helpful, butterflies in stomach feeling
Mandatory reporting  Toxicity due to high levels of antidepressants
Rape and sexual assault No products with alcohol ingested/absorbed
A woman's neighborhood or home Pediatric disorder with cycles of rage, feels remorse, impulse control
Rape kit, preservation of evidence, prophylactic treatment for pregnancy and STI's  Social isolation, abuse of power, alcohol or drugs, intergenerational transmission
Intermittent Explosive Disorder Interventions for rape victims
Oppositional Defiant Disorder SSRIs
Conduct disorder Decatastrophizing, cognitive reframing
First line treatment for anxiety disorders The main inhibitory neurotransmitter
First line treatment for depressive disorders Inform patient their behavior is out of control and staff will provide safety
First line treatment for Bipolar I Disorder Likely location of rape
Pickles, aged cheeses, smoked meats, dried fruit and wine Seasonal depression
Diazepam, lorazepam use lowers seizure threshold
Anticholinergic side effects Metabolic syndrome
Neuroleptic Malignant Syndrome symptoms Valproic acid (Depakote)
Side effects of 2nd GEN antipsychotics Benzodiazepines
GABA Interventions for escalation phase of aggression cycle
Dopamine Alcohol detox
Norepinephrine Mood stabiilzers/lithium
Buspirone Crimes of humiliation, power and control, not sex

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