Name That Disorder
The patient has at least one episode of mania alternating with major depression
What is Bipolar I disorder
In which phase is it important to provide the patient with outlets for physical activity, such as walking in the courtyard
What is acute manic phase
The therapeutic serum level of Lithium
What is 0.5 to 1.2
The belief that one has great powers or knows famous people
What is grandiosity
This technique teaches patients to focus on pleasant images (such as a beach) to replace negative or stressful feelings
What is guided imagery
The patient has one or more hypomanic episodes alternating with major depressive episodes
What is Bipolar II disorder
The type of room should a patient with mania be assigned
What is a private room in a quiet area
Ataxia, blurred vision, tinnitus, and seizures are signs of which level of Lithium toxicity
What is severe toxicity
A primary risk factor for depression
What is childhood trauma
This technique releases stress and includes tightening and relaxing muscles starting with the feet and ending with the face or vice versa
What is progressive muscle relaxation
A single episode or recurrent episodes of unipolar depression resulting in a significant change in patient's normal functioning
What is Major Depressive Disorder
The priority goal during the acute phase
What is prevent injury and maintain safety
Patients taking lithium are at risk for toxicity if this occurs
What is dehydration
This test must be monitored in a patient taking valproate
What is liver function
This technique assists patients to identify negative thoughts and replace them with a positive one (e.g., glass is half-full instead of half-empty)
What is cognitive reframing
A milder form of depression that usually has an early onset and lasts at least 2 years for adults
What is Persistent Depressive Disorder
One significant drawback to the use of antidepressants is that improvement in mood may take how long?
What is 1 to 3 weeks or longer
Food containing this must be avoided when taking an MAOI
What is tyramine
This memory tool can be used to recognize serotonin syndrome
What is SHIVERS
Four or more mood episodes in a 12-month period
What is rapid cycling
The patient presents with hypomanic episodes alternating with persistent depressive episodes for at least 2 years
What is cyclothymic disorder
Name 4 actions taken prior to an ECT treatment
What is ECG, monitor vital signs, monitor mental status, witness the informed consent
Before administering lithium complete a baseline assessment of these two things
What is renal and thyroid function
Name 4 expected findings of an adolescent with depression
What is low self-esteem, irritability, chronic pain, changes in sleep patterns, changes in appetite, feelings of sadness
A less severe episode of mania that lasts at least 4 days accompanied by three or more manifestations of mania
What is hypomania