Psychiatric Mental
Health NursingUNIT 1
Basic Concepts in Psychiatric-Mental
Health Nursing 1
Chapter 1 The Concept of Stress Adaptation 2
Objectives 2
Homework Assignment 2
Stress as a Biological Response 3
Stress as an Environmental Event 5
Stress as a Transaction Between the
Individual...
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TAB LE 4–2 Effects of Psychotropic Medications on Neurotransmitters—cont’d
ACTION ON NEUROTRANSMITTER
EXAMPLE OF MEDICATION AND/OR RECEPTOR DESIRED EFFECTS SIDE EFFECTS
Communication Exercises let you
Antianxiety:
practice buspirone
your communication skills 5-HT1A agonist Relieves anxiety Nausea, headache, dizziness
with vignettes and questions that D2 agonist Restlessness
prepare you for clinical and practice. D2 antagonist
5-HT, 5-hydroxytryptamine (serotonin); ACh, acetylcholine; ADHD, attention deficit-hyperactivity disorder; BZ, benzodiazepine; D,
dopamine; EPS, extrapyramidal symptoms; GABA, gamma-aminobutyric acid; H, histamine; MAO, monoamine oxidase; MAO-A,
monoamine oxidase A; MAOI, monoamine oxidase inhibitor; NE, norepinephrine; SNRI, serotonin-norepinephrine reuptake inhibitor;
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SSRI, selective serotonin reuptake inhibitor.
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AU: Ok to One of the Quality and Safety in Nursing Educa- Antianxiety Agents
add here?
tion (QSEN) criteria identified by the Institute of Background Assessment Data
Medicine (IOM) (2003) stresses that the patient Quality and Safety Education for
Indications
must be at the center of decisions about treatment Nurses (QSEN) Activities help you attain
(patient-centered care), and this type of assessment tool Antianxiety drugs are also called anxiolytics and his
the knowledge, skills, and attitudes
provides an opportunity to actively engage the patient in torically
required toreferred
were fulfill theto as minorquality
initiative’s tranquilizers. They
describing what medications have been effective or inef- are used in the treatment
and safety competencies. of anxiety disorders, anxiety
fective and identifying side effects that may impact will- symptoms, acute alcohol withdrawal, skeletal muscle
ingness to adhere to a medication regimen. spasms, convulsive disorders, status epilepticus, and
preoperative sedation. They are most appropriate for
BOX 4-1 Medication Assessment Tool
NEW!__________________________
Date “Real People. Real Stories” Client’s Name __________________________________ Age ______________________
features
Marital interviews
Status with patients
____________________ Children __________________________ Occupation ___________________________
to bring their
Presenting experiences
Symptoms to life. & objective) _______________________________________________________________
(subjective
_____________________________________________________________________________________________________
Diagnosis (DSM-5) _____________________________________________________________________________________
Current Vital Signs: Blood Pressure: Sitting ________/________ ; Standing __________/__________; Pulse____________ ;
Respirations ____________ Height ___________________ Weight _______________________
CURRENT/PAST USE OF PRESCRIPTION DRUGSMovie Connections
(Indicate with “c” or list
“p” films
besidethat demonstrate
name the conditions
of drug whether current or past use):
Name Dosage and
How Long Usedbehaviors you may
Why Prescribed not encounter in
By Whom clinical. Side Effects/Results
____________ ____________ _______________ _______________ _____________ ___________________
____________ ____________ _______________ _______________ _____________ ___________________
____________ ____________ _______________ _______________ _____________ ___________________
Name Dosage How Long Used Why Prescribed By Whom Side Effects/Results
____________ ____________ _______________ _______________ _____________ ___________________
, Therapeutic Communication Icon
identifies helpful interventions
and guidance on how to speak
with your patients. Look for this
icon in Care Plan sections.
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