Course Wrap - Mental Health

legal determination that a client can make reasonable judgements and decisions about medical or nursing treatment and other areas of perosnal life

freedom to choose and the ability to assume responsibilithy for one's acts

right to receive enough information to make a desicion about tx and communicate the decision to others

performing good acts that benifit others

not acting in a way that cause pain or suffering to self or others

keeping promises

telling the truth

spoken

libel

duty to inform of threat

used when criminal charges have been lodged evaluates circumstances adn client state of mind at the time of the offense.

hold for up to 15 days

hold up to 6 months

subject to periodic review, long term care in residential setting

can a client volunteer to be restrained?

dislike for self, poor self esteem

PMR

PMA

how to dx depression

severe anhedonia, mood worsens in the morning, eraly morning awakening, excessive guilt, weight loss

Chronically depressed for 2 year period for adults or 1 year children

one week persistent elevated, expansive or irritable mood, and 3 other minors

This symptom can accur after 1 or 2 weeks of a dose increase of antipsychotic

This med has anticholinergic effects

Pseudoparkinsonism is a s/e of

hyperglycemia is a side effect of

Priapism s/e of

Prolonged QT interval

orthostatic hypotention is a s/e of

Weekly labs for first 6 months on this med, due to agranulocytosis

WBC needs to stay above 3500, call dr if drops,...what med?

Tremor, shuffling gain, drooling, rigidity

Akinesia

restlessness and fidgiting

involuntary head and neck movements

antidotes for EPS

Bizarre face and tongue mvometns

stif neck and difficulty swallowing

Severe muscle ridigity and hyperpyrexia up to 107

antidote for NMS

who do mood stabilizing agents work?

Klonopin

Tegretol

Depakote

Lamictal

Neurontin

Topomax

Used for rage control...antihypertensives

Lithium range for acute mania

Maintenance range for lithium

Level of toxicity:
Course hand tremors, mild ataxia, mild muscle weakness and twitching and decreased concentration

Level of toxicity:
Blurred vision, ataxia, N&V, diarrhea, slurred speech, blurred vision, tinnitus (like too many beers)

Altered LOC, nystagmus, seizures, coma, oliguria/anuria, arrhythmias, MI, CV, collapse

Cautious use of lithium with

use of what meds with lithium increases likelihood of toxicity?

S/E unique to depakote

S/E of lamotrigine

S/E of antiparkinsonian meds

Family loses identity, feed off eachother

alcohol used to relieve stress

Alcoholuse now:
Blcackouts
It is a necessity
Sneaks drinks
Leaves work to drink

Not a choice, it's a need and total focus
Binge drinking, illness, loses
Anger and aggression

Emotional and physical disintergration
Profound helplessness and pity
Psychoti, life treatening illneesses
DTs

confusion
confabulation
seen in alcoholics

Thiamine deficiency
Ocular muscle paraylsis, diplopia
Ataxia, somnelence and stupor
Seen in alcoholics

Normal GTT

Normal hemoglobin

normal wbc

Leukopenia Thrombocytopenia
Seen in

Cut
Annoy
Guilt
Eye

how long for severe DT's in w/d

treatment for alcohol w/d

blocks craving for alcohol

dilated pupils seen with what drug?

cant function independently
Closeness causes loss of individulaity

Cluster frequently found in psychotic disorders

Frequently an Axis II diagnosis with schizophrenia

What Cluster?
Paranoid

What Cluster?
Maintains their self esteem, unwilling to forgive mionor events

Inability to form personal relationships or resond to other sin a meantinful, emotional way

What Cluster?

Lack of desire to socialize, enjoy solitude
What Cluster?

Psychotic features, magical thinking, ideas of reference, illusions, depersonalization, hallucinations, preoccupied with paranormal phenoma
anxiety around strangers

What Cluster?

Have history of phsycail and sexual abuse, neglect, hostile confilct and early parenteral loss or separation

In a perpetual state of crisis

What Cluster?

See things as black white good bad
What Cluster?

This cluster has trains that predisopition to develop anxity related Axis I disorders

What Cluster?

Fearful of critisism, disapproval, rejection and hypersensitive

What Cluster?

Most frequent personality disorder
Pervasive need to be take care of
Don't want to be alone

What Cluster?

What Cluster? OCD

Therepay that has feeback from peers

What med for borderline

What med for Cluster A

Med for avoidant personality

PMR and PMA seen in

major mental disorder

What axis?

Personality and developmental disorders

What axis?

Related infui9cing physical disorders

What axis?

Psychosicla stressors severity

What axis?

GAF scores

What axis?

Parents refuse to conset for life saving medical care, state can overide

A persona ows a duty to another and failure of duty causes harm

professional negligence