Wobbly
A visible or external manifestation of an emotional state
What is affect?
Because it lowers the seizure threshold, this medication should not be prescribed to patients with epilepsy or a history of convulsions.
What is bupropion? (Atypical antidepressant)
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?
This disorder is diagnosed when patients experience hypomanic episodes and major depressive episodes, but never mania.
What is bipolar II disorder?
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 noninvasive treatment for depression involves placing a coil near the scalp to deliver focused pulses that stimulate brain activity.
What is Transcranial Magnetic Stimulation?
Patient on MAOI who drank a glass of wine experiences this.
What is a hypertensive crisis? (Symptoms include: severe headache, palpitations, flushing, diaphoresis, elevated BP, confusion)
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 term describes when a caregiver engages in an activity outside traditional therapy, such as a home care nurse washing a patient’s dishes, that is harmless, non‑exploitative, and may even support the therapeutic relationship.
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)
This stable mood state is neither depressed nor manic, and is the goal of treatment.
What is euthymia?
Patients who take SSRIs should avoid this herb.
What is St. John's Wort? (to avoid serotonin syndrome)
This disorder is diagnosed when patients experience at least one manic episode, and they may also have depressive episodes.
What is bipolar I disorder?
This emotional state is unstable and shifts quickly, with sudden laughter, crying, irritability, or other exaggerated reactions.
What is labile (lability)?
These medical conditions must be ruled out as possible causes before diagnosing depression.
What are hypothyroidism, vitamin B deficiencies (B12), anemia, fibromyalgia, etc?
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)