NEEBS MENTAL HEALTH NURSING 6TH EDITION/ALL CHAPTERS 1-22
NEEBS MENTAL HEALTH NURSING 6TH EDITION/ALL CHAPTERS 1-22
Mental Health Nursing 6th Edition Test Bank by Robynn Gorman, Linda M.; Anwar
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Test Bank For Neeb's Mental Health Nursing 5th Edition By
Linda M. Gorman; Robynn Anwar 9780803669130 Chapter 1-
22 Complete Guide .
Cognitive - ANSWER: the ability to think rationally and to process those thoughts
Introduction of the phenothiazines - ANSWER: the 1950's
Psychopharmacology - ANSWER: The scientific study of the effects drugs have on the mind and
behavior
Neuroleptics (antipsychotics) - ANSWER: Block dopamine receptors as treatment of schizophrenia;
classified as Typical or Atypical
Typical Antipsychotic Agents - ANSWER: treat the positive symptoms of schizophrenia, such as
hallucinations, delusions, and suspiciousness
Atypical Antipsychotic Agents - ANSWER: Reduce the negative symptoms of schizophrenia such as flat
affect, social withdrawal and difficulty with abstract thinking.
Side Effects of Antipsychotics - ANSWER: photosensitivity, increased pigmentation, anticholergic
effects, and extrapyramidal symptoms(EPS)
The EPS include: - ANSWER: Drug-induced parkinsonism, Akathisia, Dystonia, and Tardive dyskinesia
Akathisia - ANSWER: side-effect of anti-psychotic drugs, restlessness, hand tremors, shaky legs; 2 to
10 weeks
Dystonia - ANSWER: side effect of antipsychotic drugs; Bizarre distortions or involuntary movements
of any muscle group; 1 to 8 weeks
Drug-induced parkinsonism - ANSWER: side effect of antipsychoticdrugs; symptoms that mimic
parkinsonism such as tremors, rigidity, akinesia, or absence of movement with diminished mental
state; 1 to 8 weeks
Tardive Dyskinesia - ANSWER: side effect of antipsychotic drugs; involuntary movements of the facial
muscles, tongue, and limbs; a possible neurotoxic; 1 to 8 weeks
Neuroleptic Malignant Syndrom (NMS) - ANSWER: an uncommon but potentially fatal reaction to
treatment with antipsychotics
Symptoms of Neuroleptic Malignant Syndrome - ANSWER: muscle rigidity, hyperpyrexia, BP
fluctutations, and altered levels of consciousness
Contraindications of Antipsychotics: - ANSWER: Use carefully in patients that are hypersensitive to
medications; patients with brain damage; or patients with a blood disease
Nursing considerations of antipsychotics: - ANSWER: Cover all exposed skin from sunburns, teach
patient about the risks, avoid extreme temperatures, avoid alcohol, instruct pt not to alter doses, may
be given with food or milk to decrease risk of gastric distress, antacids decrease absorption so advise
pt to take 1-2 hrs after antipsychotics
Antiparkinson's Agents (anticholergics) - ANSWER: Inhibit acetylcholine; help decrease the effects of
drug-induced and non-drug-induced symptoms of parkinsonism.
, Side effects of anticholinergics - ANSWER: blurred vision, dry mouth, dizziness, drowsiness, confusion,
tachycardia, urinary retention, constipation, and changes in BP
Contraindications of anticholergics - ANSWER: Patients with hypersensitivity, people with glaucoma,
myasthenia gravis, peptic ulcers, prostatic hypertrophy, or urine retention; and children under 12
should not take this medication
Antianxiety Agents (Anxiolytics) - ANSWER: Depress activities of the cerebral cortex; decrease the
effects of stress, anxiety, and mild depression; also may help with sedation
Nursing considerations of anticholergics - ANSWER: Monitor BP every 4 hrs, encourage hard candies
to combat dry mouth
Side effects of Anxiolytics (antianxiety agents) - ANSWER: Physical & psychological dependence;
drowsiness, lethargy, fainting, postural hypotension, and nause; grand mal seizures hypotension, and
nausea if discontinued abruptly
Contraindications of Anxiolytics - ANSWER: Patients with hypersensitivity or history of chemical
dependency are not good candidates.
Considerations of anxiolytics - ANSWER: Monitor BP before and after for signs of orthostatic
hypotension, pt should rise slowly from sitting or lying positions, should be given at bedtime when
possible to minimize effects and promote sleep, admin IV doses slowly & deeply (Z-track method
preferred), not safe to drive or use alcohol with this classification
Antidepresssants (mood elevators) - ANSWER: have several subgroups that subdivide and have
similarities/differences with all subgroups.
Subgroups of antidepressents - ANSWER: Selective Serotonin reuptake inhibitors(SSRIs), Tricyclic,
Tetracyclic, Serotonin Norepinephrine Reuptake Inhibitiors(SNRIs), and Monoamine Oxidase
Inhibitors(MAOIs), and other treatments
Selective Serotonin Reuptake Inhibitors(SSRIs) - ANSWER: increase the availability of serotonin
Tricyclic Antidepressants - ANSWER: Increase the level of serotonin and norepinephrine, increasing
the nerve cells to pass information to each other; treatment of symptoms of depression, including
sleep disturbances, sexual function disturbances, changes in appetite, and cognitive changes
Tetracyclic Antidepressants - ANSWER: actions, uses, contraindications, side effects, and nursing
considerations are similar to SSRIs
Serotonin Norepinephrine Reuptake Inhibitors - ANSWER: Increase the availability of serotonin and
norepinephrine
Monoamine Oxidase Inhibitors (MAOIs) - ANSWER: prevent the metabolism of neurotransmitters by
monoamine oxidase; for varied types of depression that have not been helped by other
antidepressents
SAMe - ANSWER: an alternative depression treatment that is a combination of amino acids and ATP
Side Effects of SSRIs - ANSWER: Increased suicidal tendencies, sedation, dry mouth, agitation, postural
hypotension, headache, arthralgia, dizziness, insomnia, confusion, and temors
Contraindications of SSRIs - ANSWER: patients with hypersensitivity, who are within 14 days of
discontinuing MAOIs, or taking certain herbal supplements
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