Suicidal Ideations (SI)
A willful, self inflicted, life threatening attempt that has not led to death.
What is a Suicide attempt?
Safety interventions, last drink, baseline frequency, and type of alcohol.
What nursing considerations for ETOH withdrawal?
Disulfiram (Antabuse)
What medication is prescribed to ensure abstinence in the treatmen of alcohol dependence?
Seizure precautions
Initial intervention when caring for a client suspected of ETOH withdrawal.
Depressive Disorder with less severe symptoms present for 2 years or more.
Uncomplicated Grief
What is a normal progession of grief called?
Substance Abuse
When a client uses a substance that falls outside medical necessity or social acceptance.
Somatic symptom disorder
What is a persistent preoccupation with, anxiety, and distress over physical symptoms called?
Thoughts of self-harm with which would lead to death.
What is suicide ideation?
May occur in 7-48 hours.
When may you expect seizure activity in your client after last drink?
First-line pharmacological drug class treatment for depression.
What are SSRIs?
Increased Level of Observation
What intervention to incorporate in your plan of care of for a clients suspected of SI?
Depressvie disorder with feelings of worthlessness, exaggerated guild and suicidal thoughts longer than 2 weeks.
What is Major Depressive Disorder?
Acute Grief
What is grief related to an unexpected death or a triggered exacerbation of a preexisting physiologic or mental health issue called?
Substance Addiction
When a person uses a substance despite harmful consequences motivated by cumpulsive drug seeking behaviors.
Factitious Disorder and Malingering
What are two voluntary Somatoform disorders called?
The patient is expressing suicidal ideation through art.
What is the patient expressing when they draw a hangman's noose?
Deficiency in Thiamine B1.
What is Wernicke's encephalopathy?
Benzodiazepine
What drug is the most first line treatment to ETOH withdrawal?
Avoid foods containing alcohol.
What patient education for Disulfiram (Antabuse)?
Older adults, primarily those older than 65 years of age.
Which age group are more likely to be misdiagnosed or underdiagnosed for depressive disorders?
Anticipatory Grief
What is grief called when someone is experiencing unrestrained feelings and reactions when they are expecting the death of a loved one called?
Chronic relapsing brain disease.
Substance addiction can be characterized as a
Somatic, Conversion, and illness anxiety disorders
What are three involuntary somatoform disorders called?
"Life isn't worth living anymore, and Everyone would be better off if I died."
What is an example of an Overt Statement?
ETOH withdrawal
Withdrawal from this substance can be life-threatening.
Those that contain tyramine.
What foods do you educate your client not to consume when taking MAOIs for depression?
A safety plan contract.
What agreement is appropriate for a depressed or SI patient for a safe discharge?
Foods or beverages that contain protein, carbs, and healthy levels of fat.
What nutritional interventions and education do you offer depressed clients?
Disenfranchised Grief
What is grief called when someone is not openely or socially validated or allowed to mourn the loss of a loved one called?
Denial, rationalization, and projection
Defense mechanisms used to justify continues substance abuse
la belle indifference
What is a lack of concern for physical symptoms?
"Nothing feels good and never will again, and I won't be a problem much longer."
What is an example of a Covert statement?
Peaks in 2 to 3 days after cessation, fluctuationg loss of consciousness, and may experience core body temperature of 100 degrees F or more.
What assessment presentation for Withdrawal delirium?
Naloxone (Narcan)
First choice to treat opioid toxicity
Trouble concentrating and overwhelmed by activity overload
What are common presentations in depressed clients?
Milk and yogurt cups
Foods that are good to offer depressed clients.
Complicated or Maladaptive Grief
What is it called when the grieving process results in extreme feelings, or unhealthy coping strategies to the loss of a loved one?
Dilation of pupils, oronasal cavity dryness, excessive motor activity
What are common signs of stimulat abuse?
Fabrication or the creating of syptoms, or self-inflicted injury.
What is factitious disorder signs and symptoms?
An improved level of motivation and energy.
What is a sign or significant factor that your client will commit suicide?
Fine tremors in both hands, vomiting, and reslessness.
Nursing assessement likely findings in client experiencing ETOH withdrawal.
Sedation is common during the first 2 weeks of therapy.
Name a side effect of amitriptyline.
Feelings of distress and physical symptoms
What nursing intervention can assist the client to see the relationship between in somatic symptom disorder?
A sudden change in mood.
What is a high alert objective data assessment the nurse would recognize in a depressed client?
Denial, Anger, Bargaining, Depression, Acceptance
What are the stages of Grief?
Self-responsibility
Is self-responsiblity or compliance a therapeutic goal and expectation for the substance abuse disorder client teaching plan?
Sudden, unexpected travel from one location to another with the inability to recall one's identity after a traumatic event.
What is dissociative amnesia with fugue?