NSG 350 Wk6 Pre-Class Assignment

NSG 350 Wk6 Pre-Class Assignment

NSG 350 Wk6 Pre-Class Assignment

Week 6 Pre-class assignment

Schizophrenia and Psychotic Disorders and Medications- Stuart pg. 523 and 344 and    ATI pg. 118 and 212

 

1. Review what causes schizophrenia or psychotic behaviors? Bring to class some ideas for this for our discussion.

 

2. What is the common age of onset of schizophrenia?

 

3. Is the diagnosis of schizophrenia a big problem in the USA? Explain your answer.

It is a serious problem because the responses can severely impair the lives of individuals, their families and their communities and 50% of patients with schizophrenia have a co-occurring substance use disorder, most frequently alcohol or cannabis.

 

4. Explain the reason that people with schizophrenia might also have a co-occurring substance disorder.

At some point in their lives, …

 

5. Review BOX 20-3 on positive and negative symptoms – know the definitions and list 3 examples of positive and 3 examples of negative symptoms for class.

Positive symptoms include:

• An exaggeration or distortion …
• Delusions …
• Disorganization of speech and behavior. Positive formal thought disorder

Negative symptoms include:

• …
• …
• …

 

6. In the ATI book under negative symptoms- pg 119- review the “A” words- affect, alogia, anergic, anhedonia, avolition and apraxia and know the meaning.

 

7. Define the cognitive symptoms and give two examples.

 

8. Delusions stated in both books are fixed false beliefs. Review the list and identify two that you were not aware of and give an example.

…

NSG 350 Wk6 Pre-Class Assignment

9. In the ATI book pg 118 – the different medical diagnosis is listed, review each one.

What might cause someone to have a brief psychotic episode?

…

What might cause someone to have a schizoaffective disorder?

…

10. What is the role of the nurse when working with someone with psychosis and schizophrenia? Is there a difference?   How would you approach this patient?

The nurse’s role …

 

11. What are some additional alterations in perceptions that a person with psychosis might have?

…

12. Describe some of the social issues that a person with schizophrenia might have and what effect does this have on the family?

 

 

13. Do you think their mortality and morbidity rates are higher?

 

14. Explain what part dopamine has on a schizophrenic brain and why is this important to know?

 

15. What is the goal of a patient with psychosis in the acute phase?

– the maintenance phases:

 

– and the recovery phase:

 

16. When working with families who have a psychotic member in the family, what are some important teaching points to prevent readmission?

 

17. What are some reasons that a schizophrenic might try to commit suicide? do they have a high rate of incidents?  NO RESPONSE.   We will discuss this in class.

 

18. Review the material on BOX 20-9 pg 367- identify two strategies that might work when caring for your next psychotic patient?

…

 

19. Review the material in BOX 20-11 strategies of working with patients who have hallucinations. …

 

20. One of the ways to help schizophrenics with these symptoms is called cognitive behavioral therapy. The book lists principles of CBT- are there any that you are not familiar with?

Cognitive Behavioral Therapy (CBT) is effective …

 

21. Relapse is a big problem with schizophrenics. What are some contributing factors for this?  what can nurses do to reduce readmission.

 

NSG 350 Wk6 Pre-Class Assignment

Ch 22 in ATI for Medications for psychotic disorders

1. pg 212-
2. what is the main purpose for typical or conventional anti-psychotic meds?

First generation (Conventional) antipsychotic medications are used mainly to control positive symptoms of psychotic disorders.

 

1. what type of symptoms do they treat?

Suppression of acute episodes.

 

1. what are some side effects of typical anti-psychotic meds?

Social withdrawal, lack of emotion, lack of energy, flattened affect, decreased motivation, decreased pleasure in activities.

 

2. Review the complications section on pg 213 in the ATI book.
3. Describe what anticholinergic effects are?  and nursing interventions

 

1. Describe what EPS are?

Extrapyramidal symptoms are side effects.

1. Identify what are some of the specific symptoms of EPS?  and what are some                   NI?

 

1.  Review what is Tardive Dyskinesia TD and what can be done to prevent it.  NO        RESPONSE We will discuss this in class.

 

1.   Review what is Neuroleptic malignant syndrome and NI. NO RESPONSE We                will discuss this in class.

 

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NSG 350 Wk6 Pre-Class Assignment

3. Atypical Anti psychotics- pg 217
4. what is the function of these meds?

 

1. what type of symptoms do they treat?

 

1.   What is the difference between typical and atypical meds- NO RESPONSE

 

1. Know the adverse side effects- are these more or less severe than the typical                              Anti-psychic meds?

Decreased the risk of EPSs or tardive dyskinesia, lower risk for weight gain and anticholinergic effects.

 

1. Review the meds that are orally disintegrating or sublingual meds.

What are the benefits of these meds?  What type of patients would benefit                from this type of meds?  We will discuss this in class. No response.

 

 

References:

 

Stuart, G. W. (2013). Principles and Practice of Psychiatric Nursing. St. Louis, MO: Elsevier/Mosby

 

Townsend, M. C. (2014). Essentials of Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice (6^th ed.). Philadelphia: F. A. Davis