Lecture Notes in Psychiatric Nursing
*DSM4
1.Mental Illness (thought and mood disorders)
2. Developmental Disability (mental retardation and personality disorders)
3. Comorbid Medical Conditions (DM)
4. Stressors (psychosocial and environmental problems)
5. GAF (0-100)
Age | Freud-psychosexual | Erikson-psychosocial | 0-1 Infant | Oral | Trust v. Mistrust | 1-3 Toddler | Anal | Autonomy v. Shame and doubt | 3-6 Preschoool | Phallic/ Oedipal | Initiative v. Guilt | 6-12 Schoolage | Latency | Industry v. Inferiority | 12-21 Adolescence | Genital | Identity v. Role confusion |
Maslow- food, safety, belonging, self esteem, self actualization.
Developmental crisis- individual part of maturing, normal part of life, get married
Situational crisis- individual, unanticipated
Adventitious- community tragedy, Katrina
Impulse control- Frontal lobe
Visual hallucination (<occipital lobe)
Auditory (Temporal lobe)
Short term memory (hippocampus)
Long term (Cortex- grey matter) asymmetrical ventricles
Id-impulsive (limbic system- flight, fight, feed, fornicate)
Ego-negotiates (frontal lobe- impulse control) <anxiety *
Superego- super cop “no”
*Schizophrenia- excess dopamine
Positive symptoms- hallucinations, delusions, illusions
Negative symptoms- (depression) anhedonia, avolition, flat affect, associative looseness
Drug, Dose, Route, and Frequency | Usual and maximum dose. | Drug Classification and Action | Nursing Implications andMajor Side Effects | Why is this client receiving this drug? | Chlorpromazine (Thorazine) | 200-1,600mg qd PO | Conventional AntipsychoticDopamine antagonists, only works on positive symptoms | Sedation, Hypotension, AnticholinergicErectile Dysfunction, tell patient to wear sunscreen | Schizophrenia, to decrease psychotic symptoms. Good for sexually preoccupied and aggressive males | Haloperidol (Haldol) | 2-20mg qd PO100mg q4weeks IM | Conventional Antipsychotic | EPS, women are at an increased risk of neuroleptic malignant
1.Mental Illness (thought and mood disorders)
2. Developmental Disability (mental retardation and personality disorders)
3. Comorbid Medical Conditions (DM)
4. Stressors (psychosocial and environmental problems)
5. GAF (0-100)
Age | Freud-psychosexual | Erikson-psychosocial | 0-1 Infant | Oral | Trust v. Mistrust | 1-3 Toddler | Anal | Autonomy v. Shame and doubt | 3-6 Preschoool | Phallic/ Oedipal | Initiative v. Guilt | 6-12 Schoolage | Latency | Industry v. Inferiority | 12-21 Adolescence | Genital | Identity v. Role confusion |
Maslow- food, safety, belonging, self esteem, self actualization.
Developmental crisis- individual part of maturing, normal part of life, get married
Situational crisis- individual, unanticipated
Adventitious- community tragedy, Katrina
Impulse control- Frontal lobe
Visual hallucination (<occipital lobe)
Auditory (Temporal lobe)
Short term memory (hippocampus)
Long term (Cortex- grey matter) asymmetrical ventricles
Id-impulsive (limbic system- flight, fight, feed, fornicate)
Ego-negotiates (frontal lobe- impulse control) <anxiety *
Superego- super cop “no”
*Schizophrenia- excess dopamine
Positive symptoms- hallucinations, delusions, illusions
Negative symptoms- (depression) anhedonia, avolition, flat affect, associative looseness
Drug, Dose, Route, and Frequency | Usual and maximum dose. | Drug Classification and Action | Nursing Implications andMajor Side Effects | Why is this client receiving this drug? | Chlorpromazine (Thorazine) | 200-1,600mg qd PO | Conventional AntipsychoticDopamine antagonists, only works on positive symptoms | Sedation, Hypotension, AnticholinergicErectile Dysfunction, tell patient to wear sunscreen | Schizophrenia, to decrease psychotic symptoms. Good for sexually preoccupied and aggressive males | Haloperidol (Haldol) | 2-20mg qd PO100mg q4weeks IM | Conventional Antipsychotic | EPS, women are at an increased risk of neuroleptic malignant