EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
PCN 103 Test 3: Ch. 34 and Ch. 35 Study
Guide with Complete Solutions
neurosis - Answer✔✔-describing ineffective coping with stress that causes mild interpersonal
disorganization
psychosis - Answer✔✔-out of touch with reality and has severe personality deterioration, impaired
perception and judgment , hallucinations, and delusions
Dementia - Answer✔✔-slow and progressive worsening of symptoms: impaired memory judgement,
personality changes, decreased cognitive function, impaired orientation
treatment for dementia - Answer✔✔-depends on the cause. prognosis is poor; essential feature of this
condition is slow deteriorating rate of mental function
Delirium - Answer✔✔-acute, rapid onset of symptoms:disorientation, incoherent thought content,
impaired cognitive function, symptoms worsen at night, illusions, hallcinations
treatment of delirium - Answer✔✔-treatment depends on the cause; prognosis is guarded
nursing interventions include - Answer✔✔-place large clock and calendar in view; keep curtains opened
and lights on during the day; and use calm supportive approach, do not expose to crowds, give
instructions one step at a time, keep in simple terms, place bed in lowest positions, monitor wight
montlhy; have family bring in patients favorite foods, assist as need with ADL's
Page 1/53
,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
schizophrenia - Answer✔✔-inappropriate emotional responses, bizarre behaviors, impaired
communication, delusion, illusions, hallucinations, inability to relate to others, self-care deficit,
symptoms present at least 6 months, with positive behaviors for 1 month or more
treatment for schizophrenia - Answer✔✔-treatment is milieu therapy(environment), psychotherapy,
antipsychotic drug therapy, and long term social support
prognosis is variable and depends on extent of the symptoms and responses to treatment
patient with paranoid type is often reluctant to seek treatment
nursing interventions for schizophrenia - Answer✔✔-be available to listen actively, use clear, simple
statements in communications; ensure that your body language is in tune with the message; and avoid
hand gesturing when talking to prevent distraction from message, use verabal reminding pace large clock
in view avoid having patient make choices, ask patients directly about hallucinations
major depression - Answer✔✔-prolonged, intense unhappiness symptoms include apathy, pessimism,
multiple physical complaints, guilt feelings, anxiety, isolation, suicidal thoughts, appetite disturbance,
fatigue, sleep disturbance, constipation, limited attention span, short term memory disturbance
treat for major depression - Answer✔✔-antidepressant drug therapy, individual family or group
psychotherapy and electroconvulsive therapy (ECT) when drug therapy is ineffective or drugs are
contraindicated
Bipolar affective disorder - Answer✔✔-mood swings with manic episodes, alternating with or without
episodes of depression. symptoms of mania: grand or self-confident mood, overresponsiveness to
stimuli, insomnia without fatigue, impaired judgement, irritability, psychomotor overactivity
Page 2/53
,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
treatment for bipolar - Answer✔✔-include psychotherapy; antimanic drugs(lithium); and family and
individual supports. prognosis depens on response to medication and treatment
nursing intervention for affective (mood) disorders - Answer✔✔-use kind but firm manner,be honest and
consistent, show compassion, composure, avoid competitive activites, monitor meds, high fiber diet to
avoid constipation from meds
generalized anxiety - Answer✔✔-occurs around 20-30 yrs of age symptoms: apprehension, irritability,
insomnia, poor concentration, fear of unknown, preoccupied or neglectful self-care, autonomic
hyperacitvity, conversation dominated by physical complaints
treatment for generalized anxiety - Answer✔✔-relaxation techniques, exercise, visual imagery, massage,
biofeedback imagery and antianxiety drugs therapy
prognosis: is variable condition sometimes last 6 months or longer
panic disorders - Answer✔✔-severe anxiety, intense fear; exhibits physical manifestations suddenly
without apparent reason; onset in late 20's
treatment for panic disorders - Answer✔✔-use treatments for genalized disorders , attacks last minutes
to hours and possibly recur several times a week
phobias - Answer✔✔-persistent and irrational fear of a specific object, situation or activity; leads to
lifesytle or self-protective avoidance; social phobias are common in women
Obsessive-Compulsive Disorders (OCD) - Answer✔✔-anxiety condition characterized by inability to sop
persistant, irrational and uncontrollable acts(compulsions) or thought (obbsessions) contrary t person's
Page 3/53
, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024
standards or judgment; usually appears after adolescence, resulting from fear, guilt and anticipation of
punishment, person in orderly, meticulous, dependable stubborn
treatment for ocd - Answer✔✔-drug therapy using clompipramine
prognosis is more severe than with other anxiety disorders, complete recovery is rare
nursing interventions for anxiety disorders - Answer✔✔-reduce agitation, restrict visitors to decrease
stimuli, encourage to share thought, relaxation techniques deep breathing imagery, brisk walks, back rub
personality disorders - Answer✔✔-include poor impulse control(drinking, overeating, substance abuse,
assaultive behavior: self-destructive acts such as self-mutilation, manipulation of thers or dependence
on others
treatment of personality disorders - Answer✔✔-psycholtherapeutic drug therapy, support groups, family
counseling
prognosis is guarders
nursing interventions for personality disorders - Answer✔✔-be firm and consistent, set limits on
behavior, establish consequences for violating limits, provide positive feedback for appropriate behavior;
encourage ventilation of feelings, encourage decision making
sundowning syndrome - Answer✔✔-increased disorenation and agitation only during the evening and
nightime
dementia - Answer✔✔-an altered mental sate secondary to cerbral disease usually slow and progressive
loss of intellectual function that is often irreversible
Page 4/53
