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What are the side effects of anti-anxiety drugs?
sedation, drowsiness
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What are the side effects of antidepressant drugs?
anticholinergic effects and postural hypotension
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What are the side effects of MAO inhibitors?
hypertensive crisis
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What is a specific concern when a client is taking lithium?
Requires renal function assessment and monitoring
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What is a specific problem/ concern when a client is taking phenothiazines?
Cause extrapyramindal effects (EPS): tardive dyskinesia can be permanent if client is not assessed regularly for signs
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What client teaching is needed for the patient taking phenothiazines?
Cause photosensitivity- wear protective clothing and sunglasses
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What client teaching is needed for client taking MAO inhibitors?
Requires dietary restrictions to prevent hypertensive crisis
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_______ drugs are also indicated for mania (risperidone, olanzapine, quetiapine, aripiprazole, and ziprasidone)
Atypical antipsychotic
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What activities are appropriate for a manic client?
Noncompetitive physical activities that require the use of large muscle groups.
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Where should a manic client be placed on the unit?
Make every attempt to reduce stimuli in the environment. Place the client in a quiet part of the unit.
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What interventions should the nurse use if a client becomes abusive?
- Redirect negative behavior or verbal abuse in a calm, firm, nonjudgmental, nondefensive manner.
- Suggest a walk or other physical activity
- Set limits on intrusive behavior. i.e.: "when you interrupt, I cannot explain the procedure to the others, please wait your turn."
- If necessary, seclude or administer medication if client becomes totally out of control.
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A client on your unit refuses to go to group. What is most appropriate nursing intervention?
Accompany client to group, do not give client option. Client needs to be mobilized.
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Four important characteristics of schizophrenia?
- 4 A's
- Autism (preoccupied with self)
- Affect (flat)
- Associations (loose)
- Ambivalence (difficulty making decisions)
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Confusion, disorientation, and autonomic dysfunction indicate what side effect of psychotropic drugs?
Serotonin syndrome
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The nurse is caring for a patient who is in the maintenance period following treatment with antipsychotic medication for schizophrenia. During the maintenance period, it is essential that the nurse monitor the patient for ________.
Tardive dyskinesia.
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A patient taking Haldol that states, "My legs are on fire. I cant sit still," is experiencing what side effects?
Akathisia
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Nausea, vomiting, diarrhea, and abdominal pain indicate: _______.
lithium toxicity
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Depression treated with tricyclic antidepressants should be relieved within _______.
7-14 days
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Change in mental status, myoclonus, and blood pressure lability indicate _______.
serotonin syndrome
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Prozac is contraindicated in patients who have ______.
diabetes mellitus
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A patient is taking Prozac, what is a common side effect of this medication?
Sexual dysfunction
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A patient is taking Haldol for her highly agitated behavior. The nurse should assess the patient for:
liver dysfunction
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A patient is scheduled to receive Depakote for the diagnosis of Bipolar I disorder, before administering the medication, the nurse should review the patients ______ levels.
serum urea nitrogen
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What medications can the nurse expect to administer to chemically dependent clients, in treating alcohol withdrawl?
Librium and ativan
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What type of therapy is used with chemically dependent clients?
Group therapy is effects, as are support groups.
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What are the two most common defense mechanisms used by chemically dependent clients?
Denial and rationalization. The must be confronted so clients accountability for his or her own behavior can be developed.
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What behaviors are expected during withdrawl?
- DTs occurs 12-36 hours after last intake of alcohol
- Symptoms: tachycardia, tachypnea, diaphoresis, marked tremors, hallucinations, paranoia
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The ____ functions on the basic instinct level and strives to meet immediate needs.
id
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The ____ is in touch with external reality and is part of the personality that makes decisions.
ego
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The clients lack of remorse or guilt about antisocial behavior represents a malfunction in the ________.
superego
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