Therapeutic Communication
Antidepressants
Antipsychotics
Mood Disorders
Schizophrenia
100
"Everything will be alright"
What is reassuring?
100
decreased lethality if overdose
What is SNRIs?
100
agranulocytosis, monitor CBC
What is clozaril
100
Identify priority nursing diagnosis for manic patient
What is Risk for Injury?
100
develop over long period of time, interfere with individual's adjustment and ability to survive
What are negative symptoms?
200
"Tell me your history"
What is probing?
200
Client with history of MI should not take these medications
What is tricyclic antidepressants?
200
decreased level of consciousness, increased muscle tone, and autonomic dysfunction
What is neuroleptic malignant syndrome usually occurs early in therapy
200
nausea, vomiting, diarrhea, thirst, polyuria, slurred speech, muscle weakness
What is early signs of lithium toxicity < 1.5 mEq/L
200
Identify 3 positive symptoms of schizophrenia.
What is delusions, hallucinations, bizarre behavior
300
"I'll stay here and sit with you awhile."
What is offering self?
300
Eating sausage and aged chess while taking Parnate
What is hypertensive crisis?
300
High potency, more sedating, less EPS med that can be used in acute agitation
What is Haldol?
300
Therapy that helps protect against relapse
What is cognitive behavioral therapy
300
priority intervention for patient with paranoid schizophrenia who is delusional, unkept, and annoying other patients.
What is provide a safe environment
400
"What is happening now?"
What is encouraging description of perception?
400
Identify 3 teaching points for SSRIs
may cause sexual dysfunction may interact with other meds should not be discontinued abruptly report suicidal thoughts, rash/hives, rapid heart beat, sore throat, difficulty urinating, severe headache
400
causes little or no weight gain, can be used for schizophrenia, acute agitation, and mood disorders
What is ability?
400
Differentiate between dysthymia and major depressive disorder
Dysthymia - depressive sxs > 2yrs, more chronic therefore cannot be distinguished from usual pattern of functioning; less severe, lasts years.
400
Nurse's best response to “I eat skiller. Tend to end. Easter. It blows away. Get it?”
What is "I am having difficulty understanding what you are saying."
500
"You've mentioned many things. Let's go back to your thinking of ending it all."
What is focusing?
500
restlessness, tachycardia, hyperpyrexia, hypertension, altered mental status, muscle rigidity, abdominal pain, seizures
What is serotonin syndrome?
500
first generation antipsychotic that causes photosensitivity, less sedating, more EPS
What is thorazine?
500
Name 3 interventions for withdrawn clients
Make observations - "you are wearing new shoes" Use single, concrete words Allow time for response Listen for covert messages and ask about suicide Avoid platitudes - "Things will look up," "Everyone gets down once in awhile
500
Nurses best response to “The voices are bothering me. They yell and tell me I’m bad. I have got to get away from them.”
What is “I’ll stay with you. Focus on what we are talking about, not the voices.”
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