NUR Mental Health worksheet: Exam 3

NUR 256/253 Mental Health worksheet: Exam 3

Define the following term:

1.Visual hallucinations: common in delirium, seeing things that aren’t there

2.Auditory hallucinations: common in schizophrenia, hearing things that

aren’t there

3.Delusion: false beliefs that are held despite a lack of evidence to support

them, distorted or false thoughts.

4.Illusion: errors in the perception of sensory stimuli, stimulus is real, but

person misinterprets it.

5.Splitting: inability to view both positive and negative aspects of others as

part of a whole, common in borderline.

6.Projection: unconscious rejection of emotionally unacceptable features and

attributing them to others.

7.Physical abuse: physical injury

8.Emotional abuse

9.Sexual abuse: forcing sexual intercourse

Pharmacology: Clinical indication, side effects, adverse reactions, and patient

teaching 1.Donepezil (Mental Cognition) Used for all stages of Alzheimer’s

S/E: nausea, vomiting, diarrhea, muscle cramps, fatigue, anorexia,

bradycardia, incontinence

A/R:

P/T: take with food

2.Lithium (mood Stabilizer) Used for acute mania and maintenance treatment

S/E: Nausea, vomiting, diarrhea

A/R: polyuria, GI upset, ataxia

p/T: check lithium level, BUN and creatinine for toxicity

3.Methylphenidate (Stimulant) 4.Cholinesterase (ChE) inhibitor

NUR 256 Mental Health Exam 3 Complete worksheet: Exam 3 2022

100% Correct Guide 1 / 3

Used for mild to moderate stages of Alzheimer’s

S/E: nausea, vomiting, diarrhea bradycardia, incontinence, GI upset,

dry mouth

A/R:

P/T: take with food

Manifestations for depression - Plan of care for patients with depression - Define ADHD and treatment plan

ADHD:

oInappropriate degree of inattention, impulsiveness, and hyperactivity

oStimulants:increases attention and task directed behavior while

reducing impulsivity, distractibility, and relatedness.Give in the morning, monitor weight

oNon-stimulants: preferable for those whose anxiety increases from

stimulants, active substance abuse disorder or tic disorders.Clinical manifestations of Tourette’s Disorder and tic disorders

Tourette’s disorder:

Tic disorder:

oSudden, nonrhythmic and rapid motor movements or vocalizations.Patient teaching on types of tics and management

Motor tics:

oInvolve the head, torso, or limbs, tongue protrusion, touching, squatting, hoping, skipping, retracing steps, twirling when walking.

Vocal tics:

oSpontaneous production of words unrelated to conscious communication.Clinical manifestations of Autism

ASD:

oA complex neurobiological and developmental disability that typically appears during a child’s first 3 years of life. 2 / 3

Manifestations:

oDeficits in social relatedness, repetitive speech, obsessive focus on objects, over adherence to routines, hyper/hyporeactivity to sensory input, and resistant to change.Types of therapeutic Communication with a child.Play, drawing, use words easily to understand, talk on their developmental level.Define Factitious Disorders

Factitious disorder imposed on self:

oConsciously pretend to be ill to get emotional needs met and attain the status of patient. Munchausen syndrome.

Factitious disorder imposed on another:

oCaregiver deliberately falsifies illness in a vulnerable dependent.Munchausen by proxy.

Malingering:

oConscious act of fabricating an illness or exaggerating symptoms.

Define the following learning disorders: dyslexia, dyscalculia, and dysgraphia.

Dyslexia: difficulty reading words

Dyscalculia: difficulty in mathematics

Dysgraphia: difficulty in writing expression

Identify s/s of delirium and causes.Medical emergency

Cardinal symptoms:

oInability to direct, focus, sustain, and shift attention oAbrupt onset with clinical features that fluctuate with periods of lucidity oDisorganized thinking

Risk factors:

oCognitive impairments, immobilization, psych meds, dehydration, infection, sleep deprivation, and vision or hearing impairment.

• / 3