Vocab
ability to understand nature of true situation and accept personal responsibility (such as reason for admission and mental health symptoms)
insight
The most frequently prescribed category of antidepressants; few sedating, anticholinergic, and cardiovascular side effects make them safer for use in older adults
the process of acting on the client's behavioral when they cannot do so; includes ensuring privacy, dignity, promoting informed consent, preventing unnecessary exams/procedures, accessing needed services and benefits, and ensuring safety from abuse or exploitation
advocacy
a distinct period during which mood is abnormally and persistently elevated, expansive, or irritable; may include inflated self esteem, decreased need for sleep, excessive or pressured speech, flight of ideas, and excessive involvement in pleasure seeking activities such as shopping/spending a lot of money, gambling, drug use, or hypersexual behaviors.
mania
This type of admission requires legal criteria (e.g., danger to self/others) and may be referred to as a "pink slip"
Involuntary
responsibility that mental health professionals have when threats are made by clients, even if those threats were discussed during therapy sessions otherwise protected by privilege
duty to warn
Time period (typically 2 to 4 weeks) it may take for most antidepressants to achieve full therapeutic effects. If a patient reports no improvement after one week, reassure them and reinforce adherence.
The Therapeutic Window
when the client unconsciously transfers to the nurse feelings they have for significant others
transference
Therapeutic levels are monitored periodically while taking this mood stabilizer along with baseline and ongoing liver function tests including serum ammonia levels and platelet & bleeding times
This type of therapy is primarily indicated for severe depression resistant to medications, treatment-resistant schizophrenia, and mania associated with bipolar disorder. It is contraindicated in patients with increased intracranial pressure or certain cardiovascular conditions
Electroconvulsive therapy (ECT)
outward expression of emotional state. Examples include: flat, blunted, constricted, full, labile, stable
affect
Signs of __________
Nausea, vomiting, diarrhea, tremors, Confusion, hypotonic reflexes, muscle weakness, Oliguria, seizures, blurred vision, ataxia
Lithium toxicity
this phase of the nurse patient relationship involves problem identification where the client identifies issues or concerns causing problems and exploitation where the nurse guides the client to examine feelings and responses and develop better coping skills, a more positive self-image, behavior change, and ultimately independence.
working phase
relatively new antidepressant option that comes in a nasal spray for use as an adjunct to an oral antidepressant for patients with treatment resistant depression
__________ should only be used as a last resort and must be justified by safety threat (imminent danger to self or others), must follow strict guidelines & documentation. If it isn't clearly documented that an attempt was made to de-escalate first, it can lead to false imprisonment charges
seclusion or restraint
a structured, observational and interview-based assessment used to evaluate a patient’s current cognitive, emotional, and behavioral functioning at a specific point in time. It is a key component of psychiatric and general medical nursing assessments
Mental Status Exam (MSE)
When taking this type of antidepressant, one must avoid tyramine-rich foods (aged cheese, cured meats, red wine, beer) to prevent a catastrophic hypertensive crisis. A 14-day washout period is mandatory when switching to other antidepressants.
Monoamine Oxidase Inhibitors (MAOI)
the process of developing an understanding of one's own values, beliefs, thoughts, feelings, attitudes, motivations, prejudices, strengths, and limitations and how these qualities affect others; it allows the nurse to observe, pay attention to, and understand the subtle responses and reactions of clients with interacting with them
self-awareness
Clients with depression may describe experiencing ___________ (loss of any sense of pleasure from activities they formerly enjoyed)
anhedonia
________ & _________ are common cognitive side effects of ECT that the patient should be educated on.
short term memory loss & confusion
normal or level mood
euthymic
Symptoms of ____________ Syndrome may include mental status changes (agitation, confusion), autonomic hyperactivity (tachycardia, hyperthermia, diaphoresis), and neuromuscular abnormalities (tremors, hyperreflexia).
Serotonin
Asking a question such as "is there something you'd like to talk about?" is an example of what therapeutic communication technique that allows the client to take the initiative in introducing the topic.
broad openings
If a client reports suicidal ideations &/or suicidal plan, health care personnel must institute _____________ such as removal of harmful items and increased supervision.
suicide precautions
This herbal supplement is often used for mild-to-moderate depression, anxiety, and related symptoms, but it has significant interactions with many psychiatric medications and can cause serious side effects if combined with them.
St. John’s wort (Hypericum perforatum)