Nursing Practice v - Top 10 Concepts

7/27/2019 Nursing Practice v - Top 10 Concepts

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NURSING

PRACTICE V

TOP 10

CONCEPTS



1. Basic Concepts • Therapeutic relationship

• Empathy – maintaining objectivity

• Sympathy – emotional involvement with

the patient

• Self awareness – requirement for

therapeutic relationship



2. Pharmacotherapy • PROZAC – antidepressant (SSRI)

• PARNATE – antidepressant (MAOI)

• THORAZINE – antipsychotic

•LITHIUM – antimanic

• VALIUM – antianxiety



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



4. Mood disorders • Priority: safety and nutrition

• Drug of choice for bipolar disorder – Lithium

• Antidotes for Lithium toxicity: Mannitol,Diamox



5. Anxiety •

Subjective

• Levels

- Mild: attentive; alert

- Moderate: selective inattention;

voice tremors

- Severe: focused on signs and

symptoms

- Panic: loss of control; assaultive



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



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



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



9. Leadership and

management • Leadership – being able to exert

influence

• Management – based on

authority/position

• “A good manager is a good listener.”



10. Steps of recruitment

of personnel • Recruitment

• Screening

• Interview

• Orientation

•

Staff development



POTENTIALCONCEPTS



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



- Suppression – “conscious

forgetting”, a deliberate process of thought blocking

- Repression – unconscious forgetting

- Rationalization – justifying one’s

action which are based on other

motives



- Regression – returning to an earlier

level of development in the face of

stress

- Denial – failure to acknowledge an

intolerable thought, feeling or

experience



• Common disorders and their defense

mechanisms

- Alcoholism- Denial

- Rationalization

- Isolation- Project

- Anorexia – suppression

- Mania – projection- Depression – introjection

- Paranoid schizophrenia – projection



5 B • Somatic therapy

- ECT

- Drugs: Anectine, Brevital, Atro

- Complication: loss of memory- Effect: after 1 week



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

Nursing Practice v - Top 10 Concepts

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