Definitions
A visible or external manifestation of an emotional state
What is affect?
Analyzing the combined interactions of these facilitates the nurse's recognition of affective instability. (Recall the graphs)
What are mood, cognition, and energy?
This type of clinical management is initiated to facilitate early detection with the goal of preventing serious consequences of mood disorders.
What is secondary prevention?
Patients diagnosed with depression and complaining of weight gain and excessive fatigue may get prescribed this antidepressant.
What is bupropion (atypical antidepressant)? (stimulant actions)
These are the four motivational interviewing strategies used when communicating with patients.
What are Affirmations, Open-ended questions, Reflective listening, and Summarizing (OARS)?
This is defined as subjective experience of feelings.
What is mood?
In this stage of the Stages of Change, people are not thinking seriously about changing and are not interested in any kind of help. They tend to defend their current bad habit(s) and do not feel it is a problem. They may have a lack of awareness about a need for change.
What is pre-contemplation stage?
Patients on MAOIs should avoid foods that contain high levels of this amino acid.
What is tyramine?
Reason to taper antidepressant slowly is to avoid this from occurring.
What is withdrawal syndrome?
Patients’ diagnosis who experience hypomanic or depressive episodes, but no manic episodes.
What is bipolar 2?
This is a harmful or potentially harmful to the patient and therapy, constitutes exploitation of the patient. E.g. nurse disclosing the patient’s personal information (HIPAA); dating patient.
What is boundary violation?
Nurses need to conduct pre and post-op assessments on patients who are sedated for this procedure.
What is ECT (electro-convulsive therapy)?
This type of therapy is an approach used for children or toddlers.
What is play therapy? (e.g. Sand-tray therapy)
Patient on MAOI eats dried or overripe fruit (e.g. prunes) experiences this.
What is a hypertensive crisis? (Symptoms: Anxiety. Blurred vision. Chest pain (feels like a heart attack, tightness in chest, but is not a heart attack). Elevated BP, Tachycardia. Palpitations. Confusion. Nausea and vomiting. Not responding to stimulation (unresponsiveness), diaphoresis, dilated pupils, Seizures. Headaches.
These are components of the Stages of Change model (List 3).
What are pre-contemplation, contemplation, preparation, action, maintenance, relapse and termination (100% self-efficacy)? (List 3)
This is a deviation from classical therapeutic activity that is harmless, non-exploitative, and possibly supportive of the therapy itself. E.g. home care nurse washes patient’s dishes.
What is boundary crossing?
These are clinical manifestations of affective instability (list a few).
What are agitation, ongoing sadness, feeling worthless, and blunting? (list is long: excessive guilt, anxious, "empty" mood, hopeless/helpless, etc)
The sudden appearance of euthymia in a person with affective instability should alert the nurse to this.
What is a potential risk for suicide?
Patients who take SSRIs should avoid this herb.
What is St. John's Wort? (to avoid serotonin syndrome)
Patients' diagnosis who experience manic or mixed episodes and usually depressive episodes too.
What is bipolar 1?
Emotional state that is unstable and changes quickly and spontaneously. Uncontrollable laughter, crying, irritability, and other emotional overreactions can be displayed.
What is labile (lability)?
These are used to measure the severity of the symptoms associated with mood disorders.
What are screening instruments. (PHQ-9, Suicide Risk screening tool)?
Three symptoms of serotonin syndrome, a serious drug reaction, with built up high levels of serotonin in the body include: (List three)
What are: • Muscle rigidity • high fever • Agitation or restlessness • Confusion • Rapid heart rate and high blood pressure • Dilated pupils • Loss of muscle coordination or twitching muscles • Heavy sweating (Diaphoresis), • seizures?
This medication requires monitoring of renal function and routine plasma drug levels every 3-6 months for maintenance therapy.
What is Lithium?
These are 3 signs and symptoms of lithium toxicity.
What are nausea, vomiting, diarrhea, slurred speech, lightheadedness, decreased coordination, drowsiness, muscle weakness, tremor, or twitching? (list 3)