Psychiatric Mental Health Nursing by Videbeck

➤ MULTIPLE-CHOICE QUESTIONS Select the best answer for each of the following questions. The nurse observes a client who is beco ...

➤ FILL-IN-THE-BLANK QUESTIONS Identify the level of anxiety represented by the following descriptions: Severe muscle tension, l ...

295 ➤ CLINICAL EXAMPLE Mr. Noe has discussed in detail with the community health nurse how his wife cannot be expected to walk 2 ...

296 14 Learning Objectives After reading this chapter, the student should be able to 1.Discuss various theories of the etiology ...

Schizophrenia causes distorted and bizarre thoughts, perceptions, emotions, movements, and behavior. It cannot be defined as a s ...

immobility may be manifested by catalepsy (waxy flexibility) or stupor. Excessive motor activity is apparently purposeless and i ...

Long-Term Course The intensity of psychosis tends to diminish with age. Many clients with long-term impairment regain some degre ...

GENETIC FACTORS Most genetic studies have focused on immediate families (i.e., parents, siblings, offspring) to exam- ine whethe ...

(Clozaril) are both dopamine and serotonin antago- nists. Drug studies have shown that clozapine can dramatically reduce psychot ...

CULTURAL CONSIDERATIONS Awareness of cultural differences is important when assessing for symptoms of schizophrenia. Ideas that ...

MAINTENANCE THERAPY Two antipsychotics are available in depot injection forms for maintenance therapy: fluphenazine (Pro- lixin) ...

muscle stiffness (continuous) or cogwheeling rigid- ity (ratchet-like movements of joints), drooling, and akinesia (slowness and ...

is used to screen for symptoms of movement disor- ders. The client is observed in several positions, and the severity of symptom ...

to cause deficits in social skills. This includes medi- cation and symptom management, recreation, basic conversation, and self- ...

schizophrenia (Teschinsky, 2000). These concerns in- clude continuing as a caregiver for the child who is now an adult; worrying ...

MOOD AND AFFECT Clients with schizophrenia report and demonstrate wide variances in mood and affect. They often are de- scribed ...

Nurse:“How have you been sleeping lately?” Client:“Oh, I go to bed early, so I can get plenty of rest. I like to listen to music ...

Initially the nurse assesses the content and depth of the delusion to know what behaviors to ex- pect and to try to establish re ...

Assessing the intellectual processes of a client with schizophrenia is difficult if he or she is experi- encing psychosis. The c ...

Self-care deficits Clients also may fail to recognize sensations such as hunger or thirst, and food or fluid intake may be in- a ...