Defense Mechanisms
Pretending the truth is not reality to manage unpleasant, anxiety-causing thoughts or feelings
What is Denial?
This class is more likely to cause EPS
The client has at least one episode of mania alternating with major depression
What is Bipolar 1 disorder
Uncontrollable, excessive worry for at least 6 months
What is Generalized Anxiety Disorder?
Denial, Anger, Bargaining, Depression, Acceptance
What are the 5 stages of grief?
Attributing one's unacceptable thoughts and feelings onto another who does not have them
What is Projection?
Olanzapine and quetiapine are examples of this antipsychotic class
What are second-generation antipsychotics?
Patient on Lithium develops a GI illness with symptoms including nausea, vomiting, and diarrhea. What is the nurse's priority concern?
What is lithium toxicity?
Intrusive thoughts, unrealistic obsessions, compulsive behaviors such as excessive hand washing
What is Obsessive-compulsive disorder (OCD)
What is agranulocytosis?
Voluntarily denying unpleasant thoughts and feelings
What is Suppression?
This adverse effect of second-generation antipsychotics often causes significant weight gain and increased risk of diabetes
What is metabolic syndrome?
A patient prescribed an MAOI should avoid these foods to prevent hypertensive crisis
What are tyramine-rich foods?
Palpitations, SOB, smothering sensation, chest pain, nausea, feelings of depersonalization, and fear of impending doom/dying
What is a panic attack?
Late Extrapyramidal Symptoms (EPS), involuntary movements of the tongue and face, lip smacking
What is Tardive Dyskinesia (TD)?
Unconsciously putting unacceptable ideas, thoughts, and emotions out of awareness
What is Repression?
The patient develops a sudden high fever, diaphoresis, altered LOC, muscle rigidity, and autonomic instability
What is Neuroleptic Malignant Syndrome (NMS)
A patient taking SSRIs develops agitation, diaphoresis, hyperreflexia, and fever. What condition does the nurse suspect?
What is Serotonin Syndrome
Avoidance of certain places or situations that cause anxiety. May disrupt the client's ability to work or participate in activities of daily life
What is agoraphobia?
Eating nonfood items like dirt, soap or paint chips as if they were food
Shifting feelings related to an object, person, or situation to another less threatening object, person, or situation
What is Displacement?
Before initiating Clozapine therapy, this baseline lab test is essential
What is a complete blood count (CBC) or WBC/ANC?
Concurrent use of this medication increases renal reabsorption of lithium, leading to toxicity
What is an NSAID?
Client has rapid heartbeat, sweating, and difficulty focusing but can still follow directions
Clients recurrently eat large quantities of food over short period of time (binge eating), followed by inappropriate compensatory behaviors (vomitting, purging). Sense of lack of control over eating
What is Bulimia nervosa