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NURSIG NCLEX Psychiatric
1. Anhedonia definition:
Answer Loss of pleasure in usually pleasurable things.
2. In mild depression do people lose or gain weight?:
Answer Gain in mild lose in severe
3. Some depression nursing actions.:
Answer help experience accomplishments Careful with compliments prevent isolation seek out client to socialize severly depressed--> just sit, making no demands assess suicide risk
- In depression: If there is a sudden change in mood for the better, what do worry about?:
Answer possible plan/decision to kill themselves.
5. Who is the most at risk and usually the most successful with suicide?:
Answer Elderly men - use lethal means
6. With depression can they have delusions/hallicinations?:
Answer Yes, but not all do.
7. Definition of hypersomnia?:
Answer Excessive sleepers- mild depression
8. Labile definition:
Answer of or characterized by emotions that are easily aroused or freely expressed, and that tend to alter quickly and spontaneously; emotionally unstable.
9. Echolalia definition.:
Answer meaningless repetition of another person's spoken words as a symptom of psychiatric disorder.
10. Neologism definition:
Answer Making up new words
11. When someone is in restraints what things does a nurse think about?:
Answer Q 15-30 min checks, hydration, elimination nutrition possible one to one
12. What is an obsession?:
Answer A recurrent thought
13. What is a compulsion?:
Answer A recurrent act
14. What does Stage I withdrawal from alcohol look like?:
Answer tremors, nervous, nausea
15. What does Stage II withdrawal from alcohol look like?:
Answer Increased tremors, hyperactive, nightmares, disorientation, hallucinations, increased pulse, Increased BP.
16. What does Stage III withdrawal from alcohol look like?:
Answer Most dangerous, severe hallucinations (visual and kinesthetic (feels things crawling on them), grand mal seizures.
17. What does a detox protocol look like?:
Answer Thiamine injections, multivitamins and perhaps magnesium.
18. Some chronic problems caused by thiamine deficiencies are:
Answer Korsakoff syndrome Wernickes syndrome
19. What is Korsakoff syndrome?:
Answer disorientated to time (making things up). Korsakoff syndrome is a chronic memory disorder caused by severe deficiency of thiamine (vitamin B-1). Korsakoff syndrome is most commonly caused by alcohol misuse, but certain other conditions also can cause the syndrome.
20. What is Wernickes syndrome?:
Answer Emotions labile, moody, tire easily. Wernicke-Korsakoff syndrome (WKS) is a type of brain disorder caused by a lack of vitamin B-1, or thiamine. The syndrome is actually two separate conditions that can occur at the same time, Wernicke's disease (WD) and Korsakoff syndrome. Usually, people get the symptoms of WD first. WD is also known as Wernicke's encephalopathy.Symptoms of WKS may include confusion, changes to the eyes and vision, or exaggerated storytelling, among others.
21. What is Disulfiram, and why kind of teaching would you give the patient?: -
Answer Antabuse: deterrent to drinking: Must stay away from all types of alcohol incl: cough syrups, aftershaves colonges etc
22. What are some signs and symptoms of Alcoholism?:
Answer Peripheral neuritis d/t big vit deficiencies Liver and pancrease problems Impotence Gastritis Mg and K+ loss d/t diuresis and not eating Major defence mechanism is denial and rationalization.
23. Peripheral neuritis:
Answer Peripheral neuropathy, a result of damage to your peripheral nerves, often causes weakness, numbness and pain, usually in your hands and feet. It can also affect other areas of your body.Your peripheral nervous system sends information from your brain and spinal cord (central nervous system) to the rest of your body.
24. What is the most commonly encountered personality disorder?:
Answer Borderline
25. What are the S&S of borderline personality disorder?:
Answer Intensely emotional manipulative suicidal gestures self-mutilation possibly depressed or bulimic substance abuse fear of abandonment- any relationship is better than no relationship sexually promiscuous
26. What are some tx ideas for borderline personality disorders?:
Answer Increase self esteem tx co-diagnosis relaxation techniques enforce rules and limits do not reinforce negative behaviours Tx self mutilation and suicide gestures in matter of fact way
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