Psychopharmacology
This class of medication is considered the preferred first-line treatment for most types of depression
What are SSRI's
When a patient discloses concerns, the nurse uses this technique (e.g., "Can you explain what you mean by that?") to ensure understanding.
What is seeking clarification?
These are the two primary characteristics/findings a nurse would expect to see in a client with Major Depressive Disorder.
This is the priority nursing intervention for a client on an acute unit with Major Depressive Disorder.
What is assesses suicide risk first?
According to this theorist, therapeutic communication is essential for building a nurse-client relationship
What is Peplau's Interpersonal Theory?
This class of anxiety medication poses a known risk for dependency and potential for abuse.
What are benzodiazepines?
When using silence during an interview, this is the most important consideration for the nurse to ensure it remains therapeutic.
What is ensuring silence stays within the patient’s comfort level?
In Schizophrenia, symptoms like alogia, anhedonia, and affective flattening are classified as this type of symptom
What are negative symptoms?
For a client in an acute manic phase of Bipolar disorder, the nurse should implement this type of daily schedule to manage behavior.
What is provide a structured, consistent schedule with rest periods?
This term describes "good stress" that motivates individuals to achieve their goals
What is eustress?
A client with Bipolar Disorder has a lithium level of 1.5 mEq/L. This is the appropriate nursing action regarding their next dose.
What is hold the dose and notify the provder?
If a depressed client is crying and says "I don't want to talk," this is the most therapeutic response by the nurse.
What is offering self (therapeutic presence)?
A client with OCD performs compulsions primarily to achieve this specific outcome.
What is to relieve anxiety caused by obsessions?
If a client with Schizophrenia is experiencing a hallucination, the nurse should take this action rather than arguing with the voices.
What is validate the client's feelings and reassure them of safety?
Based on Maslow’s hierarchy, this problem would receive priority: A patient with disturbed sleep and poor nutritional intake OR a patient feeling alienated
What are physiological needs (sleep and nutrition)?
A patient switching from an SSRI to an MAOI must wait this specific amount of time to avoid Serotonin Syndrome.
What is at least 2 weeks?
A client with paranoid schizophrenia says "Everyone is plotting against me." The nurse should use this response to address the underlying feeling
What is reflecting/acknowledging the patient’s feelings?
A client on lithium presents with vomiting, diarrhea, and tremors. The nurse should suspect this condition.
What is a validate feelings and reassure safety?
Before administering a benzodiazepine to a newly admitted client, this is the priority assessment the nurse must complete.
What is assess for alcohol and other CBNS depressants?
A client who insists "I'm fine, everyone else is just ignorant" while hallucinating is likely using this defense mechanism
What is denial?
A patient on haloperidol develops a fever of 104°F (40°C), muscle stiffness, and altered mental status. The nurse suspects this medical emergency
What is Neuroleptic Malignant Syndrome(NMS)?
A newly diagnosed depressed patient says "I don't see the point in anything." The nurse's best response acknowledges this feeling.
What is empathic reflection?
A client on long-term risperidone develops involuntary movements of the tongue and face. The nurse suspects this adverse effect
What is tardive dyskinesia
For a client on clozapine who has gained weight and has a blood glucose of 130 mg/dL, this is the priority nursing action
What is notify the healthcare providers?
This therapy is indicated for clients with severe mania not resolved by medication or those with severe depression/suicidality
What is electroconvulsive therapy (ECT)?