PSYCHIATRIC NURSING BULLETS

NEUROTRANSMISSION THEORY
Neurotransmitters Decreased Increased
Serotonin
Acetylcholine
Dopamine
Endorphin
Norepinephrine
GABA

ATTITUDE THERAPIES
APPROACH CLIENT BEHAVIOR IMPORTANT POINTS
Manipulative
Paranoid
Withdrawn
Assaultive
Depressed

ANXIETY:
Three Levels of Anxiety

 Nursing Diagnosis for Panic: ____________________________

 Outsanding sign of PTSD: ______________________________
 Management for Phobia: ______________________________

CRISTIS INTERVENTION:
Initial Approach:
Goal:
Focus:
Duration of Crisis:
Priority:
Approach:

ELECTROCONVULSIVE THERAPY:
Electric Current
Duration of Administration
Frequency and Treatment
Total Number of Treatments
Side effect and How long it
will it lasts

Health Teachings:
1. Informed consent
2. Remove metals
3. Akin to General Anesthesia

Phases of NPR:
Phases Goal Problem
Self- Disclosure Reluctance

(1st face to face contact of the

nurse and the patient)

(Longest Phase)
Validation of Goal Separation anxiety

SCHIZOPHRENIA
4 A’s of Schizophrenia

Positive Signs of Schizophrenia (at least 2)

True or False: Negative signs of schizophrenia are irreversible? _____

Identify your important Nursing Management for the following scenarios:

1. Offering food for paranoid schizophrenia:
2. Priority for patients with Catatonia:

DEPRESSION AND BIPOLAR

Major Depression Bipolar Disorder
Psychodynamics

Defense Mechanism
Manifestations

Attitude Therapy and Activity

Stimulus

Therapy

Points to Remember

Identify the following:

1. Commonly used by patients with OCD to reduce their anxiety:
2. Found in patients with Conversions, wherein its positive for medical findings but negative
complaints:
 3. Found in patients with hypochondriasis, wherein negative in medical findings and positive for
complaints:
4. Gradual exposure to feared objects:

ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)

 Onset:_____________
 Characteristic sign: __________________
 DOC:___________________
o Health teaching:
 3 S’ of ADHD
o S-
o S-
o S-

MENTAL RETARDATION:
TYPES IQ SKILL EQUIVALENT ACCORDING TO NURSING
TO PIAGET MANAGEMENT
Mild
Moderate
Severe
Profound

AUTISM
 ONSET:
 Causes:
 Characteristic signs
 Priority Nursing Management:

COMMONLY ABUSED SUBSTANCES

Substances Effects Withdrawal Treatment

Narcotics

Stimulants

Hallucinogens

Sedative Hypnotics

Volatile Solvent
PSYCHOPHARMACOLOGY
TCA MAOI SSRI
Examples

Side Effects

Salient Points

General Consideration

LITHIUM:
 Electrolytes to monitor when giving lithium
 Normal lithium level in terms of:
o Therapeutic level:
o Maintenance level
o Toxicity level
o Lethal dose
 Antidote for Lithium:
 First sign of toxicity:
 Common Side effects