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Monday, November 10, 2008

Foundation of Psychiatric Nursing: Nursing Bullet Points

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The goal of crisis intervention is the resolution of an immedicate problem.

Body dysmorphic disorder is characterized by a belief that the body is deformed or defective in a specific way.

Circulatory as well as skin and nerve damage can occur within 15 minutes.

In splitting, or primitive dissociation, the client categorizes people as good or bad and tries to keep the bad from contaminating the good.

Holmes and Rahe's theory suggest that all life events, whether positive or negative, cause stress.

Selye's general adaptation syndrome theory explains a person's organized response to stress in three stages.

Lazarus's theory suggest that the stress response occurs in the 4 stages but it views each stage as a conscious evaluation of the stimulus, not an automatic reaction.

The ego tests reality and directs behavior by mediating between the pleasure-seeking instinctual drives of the id and the restrictiveness of the superego. The superego also is called the conscience. The id is the source of phsychic energy.

Dosages for lithium, an antimania drug, usually are individualized to achieve a maintenance blood level of 0.6 to 1.2 mEq/L.

Rhinorrhea, dilated pupils, abdominal cramps are symptoms of opiod withdrawal.

Abstract thinking is the ability to conceptualize and interpret meaning. Its a heigher level of intellectual functionaing than concrete thinking, in which the client explains the proverb by its literal meaning.

Rational thinking involves the ability to think logically, make judgments, and be goal directed.

Tangential thinking is scattered, non-goal-directed, and hard to follow. Clients with such conditions as organic brain disease and schizophrenia typically cant conceptualize and comprehend abstract meaning.

Paralanguage is the use of vocal effects, such as tone and tempo, to convey a message.

Kinesics involves body language or movement.

Proxemics is the use of spatial relationships ( the distance between people) during interaction to communicate meaning.

One of the criteria for involuntary commitment is an emergency in which the client is a threat to himself or others.

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