coping skills
This activity can help patients to channel their extra energy constructively.
pacing, walking, art,reading, exercising
This type of depression is categorized by symptoms such as a severely depressed mood, usually that interferes with the patients home, work, and personal life in many ways.
Major depression
Bipolar 1 is charachterized by having what major symptom
Mania
How would you provide reality orientation to someone who is having visual hallucinations?
By aknowledging their hallucination is real to them but telling them you do not hear or see it
This is one of the primary mood stabilizers used today for bipolar?
Lithium
This is not considered a therapeutic coping skill, but is one that many patients turn to
drug& alcohol abuse
This type of depression has a lesser severity but a longer time frame such as 2 years
Persistent Depressive Disorder Dysthymia
Bipolar 2 has what as its distinguishing symptoms?
Depression and hypomania
Nurse T explains to the new nurse on the floor that patient P has anhedonia and the new nurse is correct when she states anhedonia is what?
decreased ability or inability to feel pleasure
what lab value is the most important when a patient is on lithium?
Lithium level
art therapy is about helping a patient to do what to help them manage their mental illness?
explore and express their feelings
One example of a positive coping skill is
journaling, talk therapy, board games, agrdening...
A patient presents with milder hypomania and depression symptoms for the last 2 years but as a clinition you can't categgorize them as bipolar 2 What condition might they have?
Cyclothymia
A decreased interest in, or attention to, activities or beliefs that would otherwise be interesting or important describes what?
Apathy
matt appears to the mental health clinic you work at with uncontrolled movements of face, lips and tongue after reading his chart you notice that he is haldol to treat his schizophrenia and this is the only medicine he has tolerated that works for his disorder what medication might you anticipate using to treat his symptoms?
Cogentin as it can help reduce these side effects
Anger and yelling out are always poor coping skills.True or false and why?
False by expressing feelings outloud it enables the patient to learn to manage them.
If a depressed person has attempted suicide in the recent past they are most likely to do what
Attempt again and possibly be successful
The patient enters the clinical yelling loudly and laughing inappropriately at the person with them stating " you just don't love me and are mad because I am the fun sister that is why you forced me here." what type of delusion are they experiencing?
Persecutory delusion
The nurse asks Suzie to describe her bad dream to her so she can understand.Suzie replies Bluphone meces boo and repeats it looking at the nurse. This is an exaple of what type of thought process?
Word salad
your patient tells you at discharge I only need to get my risperdal consta monthly from now one. what would as the nurse educate the patient about this medication?
This medication is to be given every 2 weeks. Let me help you mark it on calendar for you so you remember.
Give an assertive response to the boss in this scenario
Scenario: Your boss wants you to do your co-worker’s report because she has fallen behind schedule, and he knows you work efficiently. This has happened frequently.
“This is the fourth time this month that I’ve been given extra work because Suzie has fallen behind. I want to be a team player, but I feel stressed when I’m overburdened. What can we do to make sure this doesn’t happen again?”
which is the best nursing diagnosis for a patient who can't [perform ADLs, get out of bed, concentrate or cope with a stressful situation
Ineffective coping
treatment for bipolar includes but is not limited to what?
groups, medications, individual therapy,quiet room, decreasing stimulization..
You are the charge nurse on the mental health unit and you have 1 patient in restraints, 1 patient who is having a dystonic reaction to haldol , and a patient who has stable schizophrenia watching TV. which is the priority patient to treat first and why?
patient with dystonia because the patient is having unnatural reaction that needs medical intervention quickly as it can be painful or obstruct airway.
Clozaril is a medication that is tried when others fail. what should a nurse educate about this medication?
Get your blood drawn as scheduled and make sure your pharmacy gets most up to date lab values because they will not fill presription without CBC especially ANC level.