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NURSING
PRACTICE V
TOP 10
CONCEPTS
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1. Basic Concepts • Therapeutic relationship
• Empathy – maintaining objectivity
• Sympathy – emotional involvement with
the patient
• Self awareness – requirement for
therapeutic relationship
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2. Pharmacotherapy • PROZAC – antidepressant (SSRI)
• PARNATE – antidepressant (MAOI)
• THORAZINE – antipsychotic
•LITHIUM – antimanic
• VALIUM – antianxiety
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3. Common adverse
effects of Antipsychotics • Pseudoparkinsonism – mask- like face,
pill-rolling tremors
• Akathisia – restless leg syndrome
• Neuroleptic malignant syndrome –
characterized by high fever,diaphoreris, muscle rigidity
• Oculogyric crisis – upward displacement
of the pupils
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4. Mood disorders • Priority: safety and nutrition
• Drug of choice for bipolar disorder – Lithium
• Antidotes for Lithium toxicity: Mannitol,Diamox
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5. Anxiety •
Subjective
• Levels
- Mild: attentive; alert
- Moderate: selective inattention;
voice tremors
- Severe: focused on signs and
symptoms
- Panic: loss of control; assaultive
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6. Personality disorders •
Life long
• Inflexible patterns of functioning
•Impaired judgment but intact intellect• Common types
- Borderline – splitting
- Antisocial – charming but alwaysbreaks the law
- Histrionic – wants to be the focus
of attention
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7. P.T.S.D. • Anxiety disorder
•
Signs and symptoms occur after amonth of traumatic event
• Hallmark – flashbacks and nightmares
• Initial therapy of choice - hypnotherapy
•Social therapy of choice – group therapy
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8. Management types •
Democratic – seeks input fromemployees
• Authoritarian
- “iron hand” rule - management type of choice during
emergencies
• Laissez-faire- “do as you want”
- Delegates responsibility in
recruitment
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9. Leadership and
management • Leadership – being able to exert
influence
• Management – based on
authority/position
• “A good manager is a good listener.”
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10. Steps of recruitment
of personnel • Recruitment
• Screening
• Interview
• Orientation
•
Staff development
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POTENTIALCONCEPTS
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5 A - Unconscious – specific intrapsychicadaptive efforts which are employed
by the person to resolve emotional
conflict and to cope with anxiety
- Identification – conscious patterning
of one’s self from another person- Introjection – symbolic assimilation
or taking into oneself a love/hated
object
• Defense mechanisms
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- Suppression – “conscious
forgetting”, a deliberate process of thought blocking
- Repression – unconscious forgetting
- Rationalization – justifying one’s
action which are based on other
motives
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- Regression – returning to an earlier
level of development in the face of
stress
- Denial – failure to acknowledge an
intolerable thought, feeling or
experience
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• Common disorders and their defense
mechanisms
- Alcoholism- Denial
- Rationalization
- Isolation- Project
- Anorexia – suppression
- Mania – projection- Depression – introjection
- Paranoid schizophrenia – projection
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5 B • Somatic therapy
- ECT
- Drugs: Anectine, Brevital, Atro
- Complication: loss of memory- Effect: after 1 week
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5 C • Alzheimers disease – risk for injury
• Substance abuse – ineffective denial
• Hallucination – altered thought process
• Depression – risk for self-directed violen
• Nightmares – post trauma response
• Anorexia – altered nutrition
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