PHARMACOLOGY
This subclass of medications causes more EPS symptoms: akathesia, dystonias, parkinsonism, tremors, bradykinesia, tardive dyskinesia
What are 1st generation antipsychotics?
This component of the MSE measures Orientation, Registration, Language and Praxis, Recall, and Attention/Calculation
What is MMSE or "Cognitive Functions"
Side rails up X 2, Assist pt in wearing well-fitting, no-slip footwear, call light within reach while pt in bed
What are nursing interventions for a patient at hight risk of Falls?
AH/VH
What is "Auditory and Visual Hallucinations?"
"Is there something you'd like to talk about?"
What is a broad opening?
What is Clozapine (Clozaril)?
The MSE interview should be as free from these 2 things as possible
Value Judgments and Bias
When a client says, "I'm going to hurt (another client's name), what nursing diagnosis should be added to the client's care plan?
What is "Risk for Violence"? (or "other-directed violence")
Or
What is "Hostile behavior"?
1 possible meaning for "SAD" seen in a mental health note
What is Seasonal Affective Disorder, Substance abuse disorder
Patient. "I can't sleep. I stay awake all night."
Nurse. "You have difficulty sleeping."
What is "Restating"
This is one example of a medication that can help not only with mood stabilization, but also with seizures and pain
In the MSE, an example would be: Appears stated age, Appears just-showered, clothing is neat/tidy and appropriate for the weather
What is appearance?
Encourage sufficient fluid intake, Ask pt to report to nurse after each BM, obtain quantity and quality report of BM from patient, Encourage sufficient fiber intake, administer meds for constipation as ordered prn
What are nursing interventions for constipation?
What is "Side Effects"?
"And then what..."
What is "Offering a general lead"?
Therapeutic level of this mood stabilizing drug, frequently used for Bipolar disorder, is 0.8-1.2 mEq/L
What is Lithium?
A client reports he feels blue/sad. You notice he is smiling and laughing. You note these things are not congruent
What is mood and affect?
A nursing diagnosis that is supported by the following information:
History of suicide attempt, Pt has a suicide plan but not the means
What is:
At risk for suicide (or)
Ineffective Coping (or)
Hopelessness
"Etoh, THC" in this sentence: "Pt denies Etoh, THC, Methamphetamine, Opioid use"
What is alcohol and Marijuana?
"What does the voice seem to be saying?"
What is "Encouraging Description of Perceptions"
When abruptly stopping heavy alcohol use, people may exhibit this, which causes Confusion, Agitation, trembling, sweating, tachycardia, nausea, vomiting, Impaired consciousness, hallucinations, seizures (no we haven't covered it which is why it's worth 500 pts!!)
What are delirium tremors?
Grandiose Delusions are an example of what component of the MSE?
What is thought content?
A dietary nursing intervention for a patient with psychogenic OR drug induced polydipsia might be this
What is "implement fluid restriction orders"
Or "what is monitor fluid intake"
OU, OS, OD (we haven't covered this - that's why it's 500 pts!)
What is "Both eyes, Left eye, Right Eye"
"What does the voice seem to be saying?"
What is "Exploring"?