Medications
What is the Drug of choice to treat Bipolar Disorders?
What are the three clusters of personality disorders?
What is eccentric, Erratic, and Fearful.
The hallmark of a BIPOLAR DISORDER is?
What is Sudden and Dramatic Shifts in Emotional Extremes
What is to decrease anxiety from the obsessions.
What are the risk factors for developing Bipolar Disorders?
Altered levels of serotonin, dopamine, norepinephrine.
Genetics- More likes to develop if a first degree relative has bipolar disorder.
What type of medications are these:
Tegretol (Carbamazepine)
Lamictal (Lamotrigine)
Depakene (Valproic Acid)
What is anticonvulsants. Used to treat Bipolar disorders.
What personality disorder is described as "loners", they have a coldness and lack of concern for others, and do not find pleasure in relationships or friendships?
What is Schizoid
What is an abnormally and persistently elevated "unrestrained or irritable mood which may manifest in an exaggerated assessment of self-importance or grandiosity?"
What is the highest priority when caring for a patient in a panic attack?
What is ensuring the safety of the patient.
What kind of sleep pattern does a person in MANIA experience?
What is insomnia. They can go for like 2 weeks without feeling tired.
What is the therapeutic range of LITHIUM?
0.6-1.2 mEq/L
Toxic levels start at 1.5 mEq/L
What personality disorder is this describing:
Instability in mood, intense fears of being abandoned, unpredictable and self-destructive?
What is Borderline Personality Disorder. They typically see people as all good or all bad. They can't see both sides to a person.
What is Cyclothymia.
What anxiety disorder does this describe:
Individual presents with problems related to the sensory or motor functions without a physical reason for the problem?
What is CONVERSION disorder.
Do we treat the symptoms or ignore it because its not real?
What is this an example of: "I'm the luckiest person in the world. I'm going to take all of the casino's money."
What is GRANDIOSE DELUSIONS.
What does Lithium compete with in body fluids? How does this affect the level of Lithium in the blood?
What is Na+
Na+ and Lithium have an inverse relationship. Increases in Na+ equals a decrease in Lithium (subtherapeutic) and decreases in Na+ can cause Lithium toxicity.
What personality type is this describing:
Deep fear of rejection which expresses itself as the need to be CARED for. Need excessive reassurance and desires no independence?
What is dependence personality disorder.
Episodes of major depression alternating with episodes of MANIA.
Bipolar 1
What level of anxiety does this describe?
Vital signs elevated, sweating, difficulty problem solving and unable to focus?
What is SEVERE.
For the patient with antisocial personality disorder, which of the following behaviors would be the most difficult for the patient to comply with?
1. Listening to music
2. Abiding by the rules of the hospital
3. Playing volleyball
4. Asking to organize a patient committee
What is abiding by the rules of the hospital.
What lab should we monitor for a patient on Tegretol (Carbamazepine)?
Tegretol can cause pancytopenia.
What medications are used to treat personality disorders?
What is there is no FDA approved medication. We use depression medications, anxiety medications and mood stabilizers to help control the symptoms. (Try not to use them long term)
What is common during periods of MANIA?
What is Delusions.
Which of the following are NOT nursing interventions for people with anxiety disorders?
1. Maximize stimuli
2. Encourage client to verbalize thoughts/feelings
3. Observe the patient's non-verbal communciation
4. Observe for signs of suicidal thoughts
5. Discourage activities; activities will increase anxiety.
What is 1 & 5 are not therapeutic nursing interventions.
A patient that is demanding all of your attention and is sharing even the smallest details about her life to you when she knows you have other things to do may have this personality disorder?
What is Narcissistic.