Medication and Effects
Sertraline belongs to what medication class?
What are SSRIs (selective serotonin reuptake inhibitors)?
A client with mania is talking rapidly and jumping from one topic to another. What is this speech pattern called?
What is flight of ideas?
A client experiences intense fear when speaking in front of others and avoids presentations at work. What type of phobia is this?
What is social anxiety disorder (social phobia)?
What type of psychotherapy helps clients identify and change negative or distorted thought patterns?
Cognitive behavioral therapy (CBT)
A client is scheduled for ECT in the morning. Which instruction is appropriate before the procedure?
What is remain NPO as ordered before anesthesia?
This class of antidepressants is commonly used as a first-line medication treatment for OCD.
What are SSRIs?
A severely depressed client suddenly becomes more energetic and begins giving away possessions. Why should the nurse be concerned?
What is increased suicide risk?
At this level of anxiety, the person's perceptual field narrows slightly, but learning and problem-solving can still improve
What is moderate anxiety?
A client with severe MDD has not responded to multiple medications and is experiencing significant functional impairment. What treatment may be considered?
Electroconvulsive therapy (ECT)
What is the most common cognitive adverse effect associated with ECT?
What is temporary memory impairment?
A client taking an SSRI develops agitation, confusion, sweating, diarrhea, tremors, and hyperreflexia. What condition should the nurse suspect?
Serotonin syndrome.
A client with mania has an elevated or irritable mood, decreased need for sleep, and excessive energy. What condition is the nurse observing?
What is mania?
This phobia involves fear or anxiety about being in situations where escape may be difficult or help may not be available.
What is agoraphobia?
A client with severe MDD suddenly appears more energetic after several weeks of depression. The client tells the nurse, "I've finally made a decision about everything." What should concern the nurse?
What is increased suicide risk?
Improved energy can give a severely depressed client the energy to act on suicidal thoughts.
What is the priority immediately after ECT?
Assess airway, breathing, circulation, level of consciousness, and safety during recovery from anesthesia.
A client taking a benzodiazepine for acute anxiety should be monitored for this major adverse effect.
What is sedation/CNS depression?
A manic client refuses meals because they are "too busy." What nursing intervention is appropriate?
What is offer high-calorie, nutritious finger foods and fluids that the client can consume while moving around?
This behavioral treatment gradually exposes a client to a feared object or situation while helping the client manage anxiety.
What is exposure therapy?
What is SIGECAPS?
SLEEP DISTURBANCE
INTEREST LOSS
GUILT
ENERGY
CONCENTRATION DIFFICULTY
APPETITE
PSYCHOMOTOR AGITATION
SUICIDAL THOUGHTS
Before ECT, which assessment is especially important because the procedure involves anesthesia?
What is a thorough medical and anesthesia assessment, including cardiovascular status?
A patient taking an SSRI asks why their depression has not improved after three days. What is the best response?
What is antidepressants generally require several weeks to produce their full therapeutic effect?
A client has periods of depression alternating with episodes of abnormally elevated or irritable mood, increased energy, and decreased need for sleep. What disorder is this?
What is Bipolar Disorder?
This type of therapy is considered a key evidence-based treatment for OCD and involves gradual exposure to anxiety-provoking situations while preventing the compulsive response.
What is Exposure and Response Prevention (ERP)?
Which neurotransmitters are commonly associated with the pathophysiology and treatment of depression?
Serotonin, norepinephrine, and dopamine.
Immediately after ECT, a client is confused and cannot remember where they are. What should the nurse do?
What is provide reassurance, reorient the client, maintain safety, and monitor recovery from anesthesia?