Violent outbursts are common in a patient who has borderline personality disorder. A patient with antisocial personality disorder often engages in confrontations with authority figures, such as police, parents, and school officials. A patient who has a conversion disorder resolves a psychological conflict through the loss of a specific physical function for example, paralysis, blindness, or inability to swallow.
Remember i for instinctual and d for drive. Circumstantiality is a disturbance in associated thought and speech patterns in which a patient gives unnecessary, minute details and digresses into inappropriate thoughts that delay communication of central ideas and goal achievement.
In a hospitalized alcoholic, alcohol withdrawal delirium most commonly occurs 3 to 4 days after admission. The person is selectively inattentive focuses on immediate concernsand the perceptual field narrows. Confabulation is the use of imaginary experiences or made-up information to fill missing gaps of memory.
The nurse should encourage an angry patient to follow a physical exercise program as one of the ways to ventilate feelings. Find out when and how to wash your hands properly.
Reexamination of life goals is a major developmental task during middle adulthood. An alcoholic who achieves sobriety is called a recovering alcoholic because no cure for alcoholism exists. Repression is an unconscious defense mechanism whereby unacceptable or painful thoughts, impulses, memories, or feelings are pushed from the consciousness or forgotten.
A patient who takes a monoamine oxidase inhibitor should be weighed biweekly and monitored for suicidal tendencies. Public Law Child Abuse and Neglect Act of requires reporting of suspected cases of child abuse to child protection services.
The most severe symptoms occur within 48 hours and decrease over the next 2 weeks. A patient who is taking lithium must undergo regular usually once a month monitoring of the blood lithium level because the margin between therapeutic and toxic levels is narrow.
If the patient who takes a monoamine oxidase inhibitor has palpitations, headaches, or severe orthostatic hypotensionthe nurse should withhold the drug and notify the physician.
The diagnosis of autism is often made when a child is between ages 2 and 3. According to psychoanalytic theory, the ego is the part of the psyche that controls internal demands and interacts with the outside world at the conscious, preconscious, and unconscious levels.
Phobic disorders are treated with desensitization therapy, which gradually exposes a patient to an anxiety-producing stimulus. Seclusion controls external behavior until the patient can assume self-control and helps the patient to regain self-control.
Adverse reactions to tricyclic antidepressant drugs include tachycardia, orthostatic hypotensionhypomania, lowered seizure threshold, tremors, weight gain, problems with erections or orgasms, and anxiety.
Reactive depression is a response to a specific life event.
If a patient has symptoms of lithium toxicity, the nurse should withhold one dose and call the physician. Early signs and symptoms of alcohol withdrawal include anxiety, anorexia, tremors, and insomnia.
Creative intuition is controlled by the right side of the brain. A compulsion is an irresistible urge to perform an irrational act, such as walking in a clockwise circle before leaving a room or washing the hands repeatedly.
Denial is the defense mechanism used by a patient who denies the reality of an event. Catharsis is the expression of deep feelings and emotions. The nurse should follow these guidelines when caring for a patient who is experiencing alcohol withdrawal: A compulsion is an irresistible urge to perform an irrational act, such as walking in a clockwise circle before leaving a room or washing the hands repeatedly.
Displacement is the transfer of unacceptable feelings to a more acceptable object. When caring for a patient who is hostile or angry, the nurse should attempt to remain calm, listen impartially, use short sentences, and speak in a firm, quiet voice.
Diphenhydramine Benadryl relieves the extrapyramidal adverse effects of psychotropic drugs. For electroconvulsive therapy to be effective, the patient usually receives 6 to 12 treatments at a rate of 2 to 3 per week.A psychiatric patient with a substance abuse problem and a major psychiatric disorder has a dual diagnosis.
When a patient is readmitted to a mental health unit, the nurse should assess compliance with medication orders.
List of Available Lecture Handouts Fundamentals of Nursing Urinary Catheterization Enteral Nutrition / Nasogastric Tube Complete Lecture Notes (MS Word Format) - Fundamentals in Nursing - Maternal and Child - Medical and Surgical - Nursing Jurisprudence - Community Health Nursing - Psychiatric Nursing Also Includes: 2 DVDs Nursing.
Transcript and Presenter's Notes????? The Department of Health and Human Services and the National Institute of Mental Health () provide the following statistics ; million Americans have a mental illness.
"INTRODUCTION TO PSYCHIATRIC NURSING" is the property of its rightful owner. Do you have PowerPoint slides to. Note: Times can be arranged to accommodate student schedules. introduces the beginning nursing student to the concepts and skills related to mental health and psychiatric nursing across the life span.
lecture, small group discussion, independent viewing of media, and group assignments. The completion of assigned readings prior to each. • Unit I begins with general information about psychiatric-mental health nursing • Guided Lecture Notes • Discussion Topics • Assignments • Case Studies Lippincott’s Manual of Psychiatric Nursing Care Plans, 8e.
Judith M. Schultz, RN, MS.
Mental Health Nursing was a really interesting class and I loved learning about all the different types of psychoses. Some of them are very hard to keep straight maybe these notes will help!