At what age does schizophrenia usually emerge?
Adolescence or early 20s
Explain what a patient with anorexia nervosa would look like.
Extremely thin, brittle hair and nails, dry/yellow skin, possible lanugo.
What is an ACE?
Adverse Childhood Event
Who should we (as nurses) also be checking on with a patient that has an Alzheimers or dementia diagnosis?
THE CAREGIVER!!!
THIS WILL BE A TEST QUESTION
A patient with a diagnosis of major depression who has attempted suicide says to the nurse, “I should have died! I’ve always been a failure. Nothing ever goes right for me.” Which response demonstrates therapeutic communication?
A. You have everything to live for.
B. Why do you see yourself as a failure?
C. Feeling like this is all part of being depressed.
D. You've been feeling like a failure for a while?
D.
What is anhedonia? Is it a positive or negative symptom?
Anhedonia is the inability to experience pleasure.
This is a negative symptom.
Bulimia nervosa patients are typically what weight?
Normal weight or overweight.
DSM5
Explain what symptoms the patient may be experiencing during stage 1 of Alzheimers.
Difficulty finding words (subtle memory loss), frequently misplacing things, disorientation to time and place, possible signs of depression.
What type of mask would be best for a patient who is stable, but is a mouth breather?
Simple mask
What is the acute phase of schizophrenia?
This is the onset of positive psychotic symptoms
What class of medications cannot be given to a patient that has been diagnosed with anorexia nervosa?
SSRI
What therapy is used to focus on skills training, coping mechanisms, and problem solving?
CBT
Cognitive behavioral therapy
What is the diagnostic test for Alzheimers?
There is no way to definitively diagnose Alzheimers. A brain biopsy can be done after death.
A patient is prescribed lithium carbonate. when teaching the patient about the medication, which of these statements is a priority for the healthcare provider to include?
A. You should avoid dairy products when you are taking this medication.
B. You should follow a low calorie diet to avoid gaining weight while on this medication.
C. Drink plenty of fluids, especially if you are active during hot weather.
D. Call the doctors office immediately if you experience bruising.
C
Aripiprazole (Abilify) is what generation of medication?
Third generation
What medication has been FDA approved for the treatment of Bulimia nervosa? What other type of medication should you not take this with?
Fluoxetine (prozac)
Do not take it with an MAOI
What is the priority of care for any individual with a mental health issue?
What causes delirium?
Anything!
D
Explain in detail what EPS is.
EPS stands of extrapyramidal side effects. This is typical with first generation antipsychotics. These side effects include acute dystonia, akathisia, Parkinsonism, and tardive dyskinesia
What is a common issue in pregnancy where they enjoy non-food items? What typically causes this?
Pica
Vitamin deficiency
anti-depressants have the potential to increase suicide risk or ideation.
A patient with diagnosed Alzheimers has been prescribed Donepezil, an acetylcholinesterase inhibitor. What education should you provide to the patient?
Do not take this medication with an anticholinergic like Benadryl.
What is the rate?
70 beats per minute