Schizophrenia Basics
What is asking what the voices are saying?
Give one example of a first-generation (typical) antipsychotic.
Haloperidol, Chlorpromazine, Fluphenazine
Two key symptoms of major depressive disorder.
what is Depressed mood, anhedonia, sleep/appetite change, fatigue, poor concentration
Describe the mood and behavior of a person in a manic episode.
Elevated/irritable mood, increased energy, pressured speech, impulsivity
The strongest predictor of future suicide attempt?
What is a previous suicide attempt
Two examples of positive symptoms of schizophrenia
What is hallucinations, delusions, disorganized speech, bizarre behavior
A major side effect is associated with long-term use of typical antipsychotics that include tongue protrusion and lip smacking?
What is Tardive dyskinesia
The inablitity to feel pleasure or interest in activities is known as what term?
What is anhedonia.
Dietary preference for clients with bipolar disorder
What are finger foods?
Name two verbal cues that may indicate suicidal ideation.
“I wish I were dead,” “You won’t have to worry about me much longer.”
Two negative symptoms of schizophrenia
What is flat affect, avolition, alogia, anhedonia
Clozapine carries a risk for what serious blood disorder?
What is the typical first-line medication class for depression?
SSRI
What is the therapeutic serum level range for lithium?
0.6 – 1.2 mEq/L
What question should every nurse ask directly when assessing suicide risk?
“Are you thinking about killing yourself?”
I am the President of the United States, ruler of the country is an example of what?
What is a Grandiose delusion
Two extrapyramidal symptoms (EPS) include
What is Dystonia, akathisia, pseudoparkinsonism
This medication class has teaching that includes avoiding tyramine foods; there is a risk of hypertensive crisis
MAOI
List two early signs of lithium toxicity.
Nausea, vomiting, diarrhea, tremor, polyuria
List three key safety interventions for a high-risk client.
Remove lethal means, 1:1 observation, safety plan, therapeutic communication
Maintenance of posture or position over time even when it is awkward or uncomfortable is known as this
What is waxy flexibility?
A life-threatening reaction presents with fever, muscle rigidity, and autonomic instability?
What is Neuroleptic Malignant Syndrome (NMS)
This nursing priority exists for a client who begins antidepressants and suddenly appears more energetic?
Assess suicide risk—energy may return before mood improves
The priority dietary instruction for clients prescribed lithium includes maintenance of what in the diet?
Name one evidence-based psychotherapeutic approach effective in reducing suicide risk.
Cognitive-behavioral therapy, dialectical behavior therapy (DBT)