Bipolar
Rapid, pressured speech; Flight of ideas; Lack of sleep and nutrition
Three signs of bipolar mania.
A patient, age 38 years old who is divorced, and diagnosed with of testicular carcinoma who has undergone radical surgery.
This patient, on a medical-surgical unit, needs to be observed most closely by staff for symptoms of depression.
Neologisms, hallucinations, delusions
What are positive signs of schizophrenia?
Direct exposure or witnessing a horrific event
What is a precipitating event in PTSD?
The physical examination and laboratory tests are analyzed.
To plan care for a client suffering with mania, the nurse must consider that lithium cannot be started until:
Feelings include anxiety, worthlessness, guilt, helplessness, anger, irritability, Anergia, psychomotor retardation or agitation, slow to respond to queries
What are some of the signs and symptoms of major depressive disorder?
Agranulocytosis
What is the major issue with the medication Clozaril?
Negative thoughts
What aspect/characteristic of PTSD can be effectively reduced with exercise?
Adhere to follow-up medical appointments.
A desired outcome for the maintenance phase for a client who suffers with bipolar disorder.
Supporting physiological stability.
The priority nursing interventions for the period immediately after electroconvulsive therapy treatment is:
Apathy, anhedonia, alogia, anergia, amotivation
What are negative signs of schizophrenia?
Somatic symptoms
What manifestation is often reported by older veterans rather than younger veterans?
Being accessible to set limits on client behavior as necessary and keep the client safe.
When a client displaying acute mania is admitted to a psychiatric unit, what initial nursing intervention should be planned?
Sleep pattern disturbance.
A nursing diagnosis relevant for both the client with depression and the client with acute mania is:
haloperidol (Haldol), fluphenazine (Prolixin) and risperdone (Risperdal) are IMs given every few weeks to curb the signs and symptoms of schizophrenia.
What are the deconates?
Experiencing intrusive and distressing memories of the trauma
Which is a re-experiencing symptom of post-traumatic stress disorder (PTSD)?
0.6 to 1.2 mEq/L
What is the normal/maintenance level for Lithium?
Urinary retention
What is a side effect of imipramine (Tofranil) that the nurse should seek immediate medical attention for the patient?
"I have to get out of here. The "vectors" are coming to kill me."
What is an example of neologism?
SSRIs, Benzodiazepines, Anticonvulsants (Topiramate), Minipress
What medications used to treat the symptoms of PTSD?