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PCN 103 Test 3 Ch 34 and Ch 35 With Complete Solution
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PCN 103 Test 3 Ch 34 and Ch 35 With Complete Solution...
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PCN 103 Test 3 Ch 34 and Ch 35 With Complete Solutionneurosis - Response characterizes an ineffective way of coping with stress resulting in
mild interpersonal disorganization
psychosis - Response is out of touch with reality and has severe personality
deterioration, impaired perception and judgment, hallucination, and delusion
Dementia - Response slow and progressive deterioration of symptoms: impaired
memory judgement, personality changes, decreased cognitive function, impaired
orientation
dementia treatment - depends on the cause, prognosis is poor; essential feature of this
state is the slow deteriorating rate of mental function
Delirium - Acute, abrupt beginning of symptom: disorientation, incoherent thought
product, cognitive impairment, symptoms worsen in evening/nighttime, illusions,
hallcinations
Delirium treatment- treatment is based on the cause. Prognosis is guarded
Nursing interventions include placing large clocks and calendars in view, curtains
opened and lights on during the day. Use calm supportive approach and do not expose
to crowds. Give instructions one step at a time and keep in simple terms. Place bed in
lowest position and monitor weight monthly. Have family bring in patient's favorite
foods. Assist as needed with ADLs.
schizophrenia - inappropriate emotional responses, bizarre behaviors, impaired
communication, delusion, illusions hallucinations, inability to relate to others, self-care
deficit, symptoms present at least 6 months, with positive behaviors for 1 month or more
treatment for schizophrenia - treatment is milieu therapy(environment), psychotherapy,
,antipsychotic drug therapy, and long term social support
prognosis variable depends on extent of the symptoms and responses to treatment
Patient with paranoid type is often reluctant to seek treatment
Nursing interventions for schizophrenia - Answer be available to listen actively, use
clear, simple statements in communications; ensure that your body language is in tune
with the message; and avoid hand gesturing when talking to prevent distraction from
message, use verabal reminding pace large clock in view avoid having patient make
choices, ask patients directly about hallucinations
major depression - Answer prolonged, intense unhappiness symptoms include apathy,
pessimism, multiple physical complaints, guilt feelings, anxiety, isolation, suicidal
thoughts, appetite disturbance, fatigue, sleep disturbance, constipation, limited
attention span, short term memory disturbance
treat for major depression - Answer antidepressant drug therapy, individual family or
group psychotherapy and electroconvulsive therapy (ECT) when drug therapy is
ineffective or drugs are contraindicated
Bipolar affective disorder - Answer mood swings with manic episodes, alternating with
or without episodes of depression. symptoms of mania: grand or self-confident mood,
overresponsiveness to stimuli, insomnia without fatigue, impaired judgement, irritability,
psychomotor overactivity
treatment for bipolar - Answer include psychotherapy; antimanic drugs(lithium); and
family and individual supports. prognosis depens on response to medication and
treatment
nursing intervention for affective (mood) disorders - Answer use kind but firm manner,
be honest and consistent, show compassion, composure, avoid competitive activites,
monitor meds, high fiber diet to avoid constipation from meds
generalized anxiety - Answer occurs around 20-30 yrs of age symptoms: apprehension,
irritability, insomnia, poor concentration, fear of unknown, preoccupied or neglectful
self-care, autonomic hyperacitvity, conversation dominated by physical complaints
treatment for generalized anxiety - Answer relaxation techniques, exercise, visual
imagery, massage, biofeedback imagery and antianxiety drugs therapy
,prognosis: is variable condition sometimes last 6 months or longer
panic disorders - Answer severe anxiety, intense fear; exhibits physical manifestations
suddenly without apparent reason; onset in late 20's
treatment for panic disorders - Answer use treatments for genalized disorders, attacks
last minutes to hours and possibly recur several times a week
phobias-Answer persistent and irrational fear of a specific object, situation or activity;
leads to lifesytle or self-protective avoidance; social phobias are common in women
Obsessive-Compulsive Disorders (OCD)-Answer anxiety condition characterized by
inability to sop persistant, irrational and uncontrollable acts(compulsions) or thought
(obbsessions) contrary t person's standards or judgment; usually appears after
adolescence, resulting from fear, guilt and anticipation of punishment, person in
orderly, meticulous, dependable stubborn
treatment for ocd - Answer drug therapy using clompipramine
prognosis is more severe than with other anxiety disorders, complete recovery is rare
nursing interventions for anxiety disorders - Answer reduce agitation, restrict visitors to
decrease stimuli, encourage to share thought, relaxation techniques deep breathing
imagery, brisk walks, back rub
Personality disorders - Answer include poor impulse control(drinking, overeating,
substance abuse, assaultive behavior: self-destructive acts such as self-mutilation,
manipulation of thers or dependence on others
Treatment of personality disorders - Answer psycholtherapeutic drug therapy, support
groups, family counseling
prognosis is guarders
nursing interventions for personality disorders -Answer be firm and consistent, set
limits on behavior, establish consequences for violating limits, provide positive
feedback for appropriate behavior; encourage ventilation of feelings, encourage
, decision making
sundowning syndrome -Answer increased disorenation and agitation only during the
evening and nightime
dementia -Answer an altered mental sate secondary to cerbral disease usually slow and
progressive loss of intellectual function that is often irreversible
the 2 key aspects of nursing intervention for dementia - Answers reality orientation
techniques and providing a safe environment
hallucination - Answers a sensory experience without a stimulus trigger
most common type of hallucinations - Answers auditory hallucinations
apathy - Answers lack of energy or interest, an acceptance of just sitting and doing
nothing
affect - Answers is the outward display or expression of emotion that is felt
flat affect - A lack of nonverbal expression of emotion, such as facial expression or tone
of voice
anhedonia - An inability to experience happiness or joy
subtypes of schizophrenia - disorganized
pananoid
catatonic
undifferentiated
residual
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