Assessment and Mania
A client has pressured speech, racing thoughts, and sleeps only 2 hours each night. What condition is the client most likely experiencing?
mania
This disorder requires at least one full manic episode
Bipolar I Disorder
This medication is considered the gold standard mood stabilizer.
Lithium
Hallucinations and delusions are examples of these symptoms.
positive symptoms
This disorder combines schizophrenia symptoms with a mood disorder.
Schizoaffective Disorder
Hearing voices is this type of hallucination.
auditory hallucination
This four-question alcohol screening tool stands for Cut down, Annoyed, Guilty, and Eye-opener.
CAGE
Slurred speech, poor coordination, and impaired judgment indicate this condition.
alcohol intoxication
Pinpoint pupils and respiratory depression suggest this condition.
opioid intoxication
This medication is commonly used to prevent alcohol withdrawal seizures.
Chlordiazepoxide (Librium)
This is the priority nursing intervention for a client experiencing acute mania.
maintaining safety and reducing stimulation
This disorder includes hypomania and major depression, but never full mania.
Bipolar II Disorder
Before giving lithium, the nurse should monitor kidney function and this blood level.
the serum lithium level
Flat affect, social withdrawal, and lack of motivation are examples of these symptoms.
negative symptoms
This disorder involves one or more fixed false beliefs lasting at least one month.
Delusional Disorder
Seeing insects crawling on the wall is this type of hallucination.
visual hallucination
This assessment tool is used to monitor alcohol withdrawal severity.
CIWA-Ar
Tremors, sweating, and anxiety occur during this condition.
alcohol withdrawal
Dilated pupils, muscle aches, diarrhea, and yawning suggest this condition.
opioid withdrawal
This medication discourages drinking by causing severe illness if alcohol is consumed.
Disulfiram (Antabuse)
A manic client refuses to sit down for meals because they are constantly moving. The nurse should offer this type of food.
high-calorie finger foods
This disorder causes years of mild mood swings that never become full mania or major depression.
Cyclothymic Disorder
Diarrhea, coarse tremors, confusion, and slurred speech suggest this complication.
lithium toxicity
This is the most common type of hallucination in schizophrenia.
auditory hallucinations
Believing the FBI placed cameras in your house is this type of delusion.
persecutory delusion
The life-threatening adverse effect of clozapine is:
agranulocytosis
A family history of substance use disorder is considered this type of factor.
risk factor
The most severe form of alcohol withdrawal is called:
delirium tremens (DTs)
This medication reverses opioid overdose.
Naloxone (Narcan)
Alcoholics Anonymous (AA) is an example of this type of treatment program.
a 12-step program
A client in mania begins spending thousands of dollars online and making unrealistic business plans. This symptom is called:
grandiosity
Unlike mania, this mood state does not usually require hospitalization.
hypomania
This anticonvulsant is also used as a mood stabilizer and requires liver function monitoring.
Valproic Acid (Depakote)
The nurse should first assess this when a client reports hearing voices.
whether the voices are giving commands
Believing a famous celebrity is secretly in love with you is called this.
erotomanic delusion
A client taking clozapine reports fever and sore throat. What lab should the nurse expect?
ANC (or CBC)?
Experiencing trauma during childhood increases the risk for developing this condition.
substance use disorder
This medication causes severe illness if alcohol is consumed.
Disulfiram (Antabuse)?
Respiratory depression is the most life-threatening complication of this condition.
opioid overdose
This medication should never be mixed with alcohol because it causes flushing, vomiting, hypotension, and tachycardia.
Disulfiram
A manic client becomes increasingly aggressive, enters other clients' rooms, and refuses redirection. What is the nurse's priority action?
protecting the client and others by setting limits and maintaining safety
A client reports hearing voices for several weeks even after their depression resolves. Which diagnosis is more likely than bipolar disorder?
schizoaffective disorder
A client taking lithium develops vomiting, confusion, and difficulty walking. What should the nurse do first?
hold the medication and notify the provider?
A client says, "The voices told me to kill myself." What is the nurse's priority?
ensuring immediate safety
The best nursing response to a delusion is to do this.
Acknowledge the client's feelings without agreeing with the delusion
Besides agranulocytosis, this life-threatening heart complication can occur with clozapine.
myocarditis
The purpose of screening tools is to identify this before severe addiction develops.
early substance misuse or substance use disorder
A client in alcohol withdrawal becomes confused, febrile, hypertensive, and hallucinates. What should the nurse suspect?
What is delirium tremens?
A client is unconscious with respirations of 6/min after using heroin. What is the nurse's first action?
administer naloxone and support the airway
The overall goal of substance use treatment programs is this.
long-term recovery, relapse prevention, and maintaining sobriety