NUR 162 EXAM 1 PSY
- dopamine
Answer complex movements, motivation, cognition, regulation of emotional response
excitatory
- norepinephrine
Answer Causes changes in attention, learning and memory, sleep and wakefulness, mood
excitatory
- Epinephrine
Answer fight or flight response
- Glutamate
Answer A major excitatory neurotransmitter; involved in memory. major neurotoxic effects at high levels
- excitatory neurotransmitters
Answer Dopamine Norepinephrine
Epinephrine Glutamate
- inhibitory neurotransmitters
Answer Serotonin and GABA 1 / 4
- serotonin
Answer food intake, sleep, wakefulness, temperature regulation, pain control, sexual behaviors, regulation of emotions
8. GABA
Answer modulation of other neurotransmitters, deficit amount in those with anxiety
- Acetylcholine
Answer sleep and wakefulness cycle, signals muscles to become alert
- histamine
Answer Controls alertness, gastric secretions, cardiac stimulation, peripheral allergic responses
- conventional antipsychotic drugs
Answer -Chlorpromazine (Thorazine)
-Fluphenazine (Prolixin)(depot injection) -Haloperidol (Haldol)(depot injection)
- second generation antipsychotic drugs
Answer clozapine, risperidone (depot injection), olanzapine (depot injection)
- third generation antipsychotics
Answer dopamine system stabilizers (aripiprazole)
- MOA of antipsychotic drugs 2 / 4
Answer blocks the dopamine receptors 2,3,4
- extrapyramidal syndrome (EPS)
Answer A variety of signs and symptoms, including muscular rigidity, tremors, drooling, shuffling gait, restlessness, peculiar involuntary postures, and many other neurological disturbances. Often a side-effect of antipsychotic medications.
- basic level of care for psychiatric nurse
Answer counseling, milieu, self-care activities , psychobiologic interventions, teaching, case management, health promotion /maintenance
- advanced level functions of nursing practice
Answer psychotherapy, drugs, consultation , eval, program development, supervision
- acute dystonia
Answer acute sustained contraction of muscles, usually of the head and neck
- toricollis
Answer spasmodic contraction of the neck muscles causing stiffness and twisting of the neck that may be congenial or acquired; wryneck
- Akathisia
Answer restless, trouble standing still, paces the floor, feet in constant motion, rocking back and forth 3 / 4
tx- change in antipsychotic medication or by the addition of an oral agent such as a beta-blocker, anticholinergic, or benzodiazepine.
- NMS (neuroleptic malignant syndrome)
Answer high fever; autonomic instability such as unstable blood pressure, diaphoresis, and pallor; delirium; and elevated levels of enzymes, particularly creatine phosphokinase.
-dehydration, bad nutrition can increase risk
- Tardive dyskinesia (TD)
Answer a motor disorder that results from chronic use of certain antipsychotic drugs. irreversible involuntary movements
tx-valbenazine (Ingrezza) and deutetrabenazine (Austedo, Teva)
- Agranulocytosis
Answer A life-threatening drop in white blood cells. This condition is sometimes produced by the atypical antipsychotic drug clozapine.
- halluncinations
Answer positive side effect that effects every sense of their being
- EPS side effects
Answer Acute dystonia, pseudo-parkinsonism, akathisia
- nondirective role
- / 4
Answer using broad openings and open-ended questions to collect information and help the client to identify and discuss the topic of concern