Human development
a nurse is developing care for older adult clients, which of eriksons developmental tasks is recommended
integrity vs despair - review of life
what happens when someone with major depressive disorder sudden becomes happy and states they gave away their moms jewelry to a friend
they're at an increased suicide risk
BAD SIGN
what is an adverse reaction of tricyclic antidepressants?
urinary retention, orthostatic hypotension, photophobia, constipation, dry mouth and eyes
what foods do you avoid when taking MAOIs, SSRIs, SNRIs, TCAs
tyramine foods (wine, beer, cheese, avocado, processed meats etc)
what does valporic acid cause
and whats it used to treat
low platelets and liver toxicity
bipolar disorder
a preschool aged child is in which stage of eriksons
initiative vs guilt
what are the manifestations of bipolar disorder? (*hint MANIA)
more energy/mood swings
agitation
non stop talking
insomnia
attention span is short
what does the acronym MAOI stand for for MAOIs
M- major HTN risk
A- avoid tyramine foods
O- other stimulants (serotonin syndrome)
I- increased suicide risk
what actions should you take with a child with autism
dont change their routines, do reward system, communicate with pictures, and always remember safety
when teaching a new patient about her stimulant medications for ADHD, when should you instruct her to take them?
before 4 pm
intimacy vs isolation: establishing intimacy and relationships is which age group
(school age, adolescent or young adult?)
young adult
what are some of the major manifestations of downs syndrome
epicathal eye folds, brushfield spots (white spots on iris), red reflex, simian line on palm
early signs of lithium toxicity
*bonus points for the range
muscle weakness, tremors, excessive thirst, excessive urination
range 1.0-1.5
what is serotonin syndrome
increased HR, tremors, seizures, hot and sweaty
what electrolyte imbalance do you monitor while a patient is on lithium
and the intervention
hyponatremia
increase sodium and fluids
what is the biggest risk factor to developmental delays
chronic ear infections
1. client states "im too embarrassed to go eat in public" which type of social anxiety is this?
2. "i struggle with constant worry" which one?
1. non generalized
2. generalized
at what point of the day to do you take a TCA- morning or night?
night time- not a stimulant and it causes orthostatic hypotension and photophobia so better to take at night
which herbal supplements help reduce hot flashes with menopause
black cohosh, red clover, dong why, primrose oil
methylphenidate adverse effects
tachycardia, appetite suppression, and insomnia
a sense of trust that require basic needs to be met by caregiver
newborn - trust vs mistrust
for a patient with bipolar disorder experiencing mania, what is a major intervention while they have more energy
provide small frequent high calorie finger foods
how long does it take for paroxetine and sertraline to take effect and reach optimal function?
8-12 weeks for optimal function
what is the lithium range
0.6-1.2
adverse effects of amphetamines
abstinence syndrome