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What serious side effect is more common with typical antipsychotics and includes tremors, rigidity, and drooling?
Extrapyramidal symptoms (EPS)
How do typical and atypical antipsychotics differ?
Typical antipsychotics primarily block dopamine and are more likely to cause EPS; atypical antipsychotics affect dopamine and serotonin and cause metabolic synd
To help clients maintain orientation and self-worth by discussing past experiences that are meaningful and familiar to them
Reminiscence Therapy
It includes both psychotic symptoms and a prominent mood component, such as depression or mania
Schizoaffective Disorder
Which disorder has a sudden onset, may follow a severe stressor, lasts less than one month, and is followed by a full return to premorbid functioning?
Brief Psychotic Disorder
Which medication treats mild to moderate cognitive symptoms of Alzheimer’s disease
Donepezil (Aricept)
Which dementia requires caution with antipsychotics due to risk of NMS?
Lewy Body Dementia
What type of NCD is associated with multiple small strokes?
Vascular dementia
What is the hallmark of Alzheimer’s disease?
Progressive memory and functional decline
What distinguishes delirium from dementia?
Delirium has an acute onset and fluctuating course
What life-threatening reaction includes fever, muscle rigidity, and altered mental status?
Neuroleptic Malignant Syndrome (NMS)
Which medication class may reduce EPS symptoms?
Antiparkinsonian agents I.e. benztropine (Cogentin)
What syndrome involves lip-smacking and tongue rolling movements from long-term antipsychotic use?
Tardive Dyskinesia
Which disorder mimics schizophrenia but lasts less than 6 months?
Schizophreniform disorder
What is the term for speech made up of unrelated words?
Word Salad
What should you assess first if a client reports hearing voices?
If the voices are command hallucinations
Name one positive and one negative symptom of schizophrenia.
Delusions (positive); flat affect (negative)
What are the three core disturbances in schizophrenia?
Thought processes, perception, and affect
A loss of contact with reality, including delusions and hallucinations
Psychosis
How does DBT support individuals with BPD?
Combines skills training, individual therapy, and crisis coaching
Court-ordered or rehabilitation-focused individuals
APD
Which therapies are useful for Cluster C disorders?
Cognitive-behavioral therapy and interpersonal therapy
What is the treatment of choice for Histrionic PD?
Psychoanalytical psychotherapy
This PD displays fear of rejection and social inhibition
Avoidant Personality Disorder
Which disorder is marked by grandiosity and a need for admiration?
Narcissistic Personality Disorder
Attention-seeking and dramatizing are hallmarks of this PD
Histrionic Personality Disorder.
Which therapeutic approach is most effective for BPD?
Dialectical Behavior Therapy (DBT)
Borderline PD is associated with what type of self-harming behavior?
Risk for self-mutilation
What is a recommended nursing response for defensive coping in APD?
Maintain a calm attitude and don’t try to convince the client to do the "right thing"
What is a nursing priority for Antisocial Personality Disorder? (Risk for...)
Risk for violence directed at others
Exploitation and manipulation of others for personal gain is a hallmark of which PD?
Antisocial Personality Disorder
Which disorder includes magical thinking and eccentric behavior and someone who wants a relationship?
Schizotypal PD
What personality disorder is marked by detachment and limited emotional expression and likes to be alone?
Schizoid PD
Which cluster is characterized by odd or eccentric behaviors?
Cluster A