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Mnemonics and Tips Related to Psychiatric Nursing

Wernicke-Korsakoff syndrome (alcohol-associated neurological disorder)


"COAT RACK"
Wernicke's encephalopathy (acute phase) clinical features:
Confusion
Ophthalmoplegia
Ataxia
Thiamine is an important aspect of Tx

Korsakoff's psychosis (chronic phase) characteristic findings:


Retrograde amnesia (recall of some old memories)
Anterograde amnesia (ability to form new memories)
Confabulation
Korsakoff's psychosis

Schizophrenia: primary symptoms"4A's"


Affect
Ambivalence
Associative looseness
Autism

Psychotropic medications: common antidepressives (tricyclics)"VENT"


Vivactil
Elavil
Norpramin

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Tofranil

Mental retardation: nursing care plan"3R's"


Regularity (provide routine and structure)
Reward (positive reinforcement)
Redundancy (repeat)

Cognitive disorders: assessment of difficulties"JOCAM"


Judgment
Orientation
Confabulation
Affect
Memory

Alcohol withdrawal: clinical features"HITS"


Hallucinations (visual, tactile)
Increased vital signs and insomnia
Tremens delirium tremens (potentially lethal)
Shakes/ Sweats/ Seizures/ Stomach pains (nausea, vomiting)