My anxiety has anxiety
This is the one that happens when your patient demonstrates uncontrollable, excessive worry for at least six months.
What is generalized anxiety disorder? (GAD)
Symptoms for withdrawal of this medications include headache, nausea, visual disturbances, anxiety, dizziness, and tremors. Providers suggest tapering these medications slowly to help.
What are SSRIs?
The provider started SSRI. The client returns in a week stating that she feels better than she has in a very long time. She goes on to say that she bought a new Porsche, put a contract in on a million dollar home, and completely changed her wardrobe. The provider is pretty sure this is going on.
What is mania (bipolar disorder)?
A person with this disorder has psychotic thinking or behavior for at least 6 months, usually starting in mid teens to early 30's
What is schizophrenia?
This happens with a person abruptly withdraws from a substance to which they are physically dependent.
What is abstinence syndrome? Symptoms vary depending on substance patient is withdrawing from.
There is a tv show about this one where people simply cannot get rid of stuff. It causes the affected person great anxiety!
What is hoarding disorder?
This is defined as a single episode or recurrent episodes of sadness, difficulty sleeping, suicidal ideations, inability to enjoy normal pleasurable activities for a minimum of two weeks. (there are more symptoms-- you have to have at least five)
What is major depressive disorder? (MDD)
A person with this diagnosis has one or more hypomanic episodes alternating with major depressive episodes (usually more depressing than mania)
What is Bipolar II disorder?
This is a false belief. It is not easily corrected by reasoning.
What is a delusion?
This screening tool is used to assess alcohol withdrawal.
What is the CIWA-Ar?
A provider orders lorazepam for a patient who has recently been diagnosed with generalized anxiety. The patient takes the first dose. The nurse notices that initially the patient is in a unusually great mood, but later becomes very agitated and is unable to sleep. What kind of reaction is this?
What s a paradoxical response?
This type of disorder usually occurs during the winter.
What is seasonal affective disorder? (SAD)
This occurs when there are four or more episodes of hypomania or acute mania within 1 year and is associated with increased rate and resistance to treatment.
What is rapid cycling?
I am the all powerful Oz-- this is an example of what?
What is delusion of grandeur?
What is cocaine and methamphetamine?
This problem is often why providers prefer not to use this class of medications for anxiety.
What is physical and mental addiction? (when using benzodiazepines)
This disorder occurs in 2-6% of menstruating patients and is characterized by irritability, mood swings, feeling overwhelmed, and difficulty concentrating.
What is premenstrual dysphoric disorder?
Susan is caring for a patient with bipolar disorder who is on lithium. She reviews laboratory findings and notes that the client's lithium level is 2.6 mEq/L. What should the nurse do?
What is notify provider immediately and anticipate that patient will need dialysis.
These symptoms include acute dystonia, parkinsonism, akathisia.
What are extrapyramidal symptoms?
This is used as an antidote for opioids.
What is naloxone. (can be given IM, SQ, IV, inhalation.)
I don't like spiders!
What is arachnophobia?
Drugs in this class of medications include duloxetine (Cymbalta), Venlafaxine (Effexor), and Desvenlafaxine (Pristiq).
What are serotonin-norepinephrine reuptake inhibitors?
This class of meds is used for stabilizing mood and also to control epilepsy.
What are anti-seizure or anti-epileptics?
A patient was started on Haldol to control psychotic thoughts. You are rounding and find the patient with a high fever, muscle rigidity, diaphoresis, and not responding to your questions. What does this patient likely have and what are you going to do?
What is neuroleptic malignant syndrome?
Notify provider immediately! Stop antipsychotic medication, monitor vital signs, cooling blankets, await transfer to ICU.
TF A patient can die from alcohol withdrawal.
True