Disorders/Concepts
Medications
Nursing Management
Therapies
Priorities
100

Bipolar 1 definition

What is => 1 episode of mania and MDD

100

Anticonvulsants medications and their side effects

What is Valproic acid, lamotrigine, carbamazepine.

sedation, 

100

Set limit, reward positive behavior, do not  argue with the child, ignore negative behaviors, point out unacceptable behaviors with active consequences.

What is Nursing management for oppositional disorder.

100

Examples of Cognitive behavioral therapies

What is cognitive reframing, decatastrophizing, mind stopping, assertive communication, mindfulness,...

100

Active Suicide Precautions

What is Keep door open, 1:1, remove all sharp objects, strings, belts, speak in calm, reassuring voice. lock the unit main door.

200

 Rigidity, ritualism, feelings of ineffectiveness, distorted body image

What are psychological risk factors for anorexia nervosa?

200

Antidepressant class of medication that causes hypertensive crisis. 

what is MAOIs, consuming tyramine rich food while on medication.

200

Dry chips, hard sugarless candy

Client teaching for dry mouth.

200

Two therapies used specifically on  PTSD clients.

what is rapid eye movement desentization (REMD), exposure therapy.

200

Manic episode interventions

Protect client from injury, stay with the client, protect others from client's manipulation and harm, speak in a direct, calm,  precise tone. Postponed teaching, finger like food/snacks, order  for lithium or antipsychotics. last resort- restraints or seclusion.

300

Enlarged parotic glands, dental erosion, irregular menses, normal or slightly higher BMI.

What are the symptoms of bulimia nervosa?

300

First line treatment for anxiety, depression and trauma related disorders.

What is SSRIs? 

300

Give child more time to finish task, break down complex task in small steps, reduce distraction, initiate client attention before giving instructions.

What is ADHD nursing interventions.

300

Systematic desensitization

What is a behavioral therapy used in phobias that gradually exposes a client to a stimuli to reduce the anxiety.

300

Focus on food and fluid intake

What is a nursing priority for clients with Anorexia and bulimia nervosa. 

400

underweight BMI<18, lanugo, Russel's sign  

What is Anorexia nervosa?

400

This medication class causes retrograde amnesia, respiratory depression if IV, sedation, severe withdrawal symptoms if stopped abruptly.

What is benzodiazepines.

400

Goal is 2-3lbs per week.

What is weight gain goal for anorexia nervosa.

400

Psychotherapies specific for children.

What is play therapy, story telling, art/drawing, music therapy, journaling.

400

"The world will be better without me" "You have been a wonderful nurse to me, I will never forget you"

covert suicide statements, ask about suicide ideation.

500

Bipolar 2 definition

What disorder has at least 1 episode of hypomania and or MDD?

500

This medication class can treat depression and chronic pain.

SNRI-duloxetine, TCAs 

500

GI upset, loss of appetite.

Take medication with food or immediately after eating.

500

Positive reinforcement

Operant conditioning-adding a stimuli to reinforce or discourage a behavior.

500

BP <80/60, HR <40, weight loss 30% in 6 months, dysrhythmia, low temperature., severely depressed.

What is the criteria for in-patient admission of a client with anorexia nervosa.

600

Temper outbursts (angry / irritable) that are severe and do not correlate with situation

what is Disruptive mood dysregulation disorder?

600

Do not alter sodium or fluid intake. 

diet teaching for client taking lithium.

600

Contraindicated for clients with cardiac issues.

What is TCAs, CNS stimulants, MAOIs.

600

A client snaps a rubber band on his wrist every time he has thoughts of promiscuity.

What is aversion therapy?

600

Do not give more than 1 week supply of medication.

Antidepressants for client with history of suicide attempts.

700

Hyperactivity, inattention, impulsivity

What is ADHD?

700

Ataxia is a common side effect of this medication class

What is anticonvulsants  mood stabilizers.

700

Affect and thought content assessment in depression

What is sad, flat affect, blunted affect.

700

It is a herb used as antidepressant 

St. John warts.

700

Obtain ECG, weight and Complete Metabolic Panel labs.

Initial action for a newly admitted client with Anorexia nervosa.

800

SIGEGAPS for depression

What does Sleep, Interest, Guilt, Energy, Concentration, and Appetite, Psychomotor, and Suicidal ideation treat?

800

These class of medication is given to clients with behavioral issues and targets anger, aggression, agitation.

What is Haldol, olanzapine, 2nd or 3rd gen POs.

800

Mental status exam areas

What is appearance, level of consciousness, thought, judgement and insight, emotions, cognitions, 

800

"Do you feel the chair, do you feel your feet on the floor, tell me the texture of the wall behind you"

What is grounding therapy for clients with dissociative disorders/PTSD.

800

Nursing care for bipolar 1 acute phase.

What is assess for suicide thoughts, provide safe environment, decrease stimulation, frequent rests, outlet for physical activities, protect from poor judgement, risky behaviors, provide time to sleep at least 4 hours a night, portable nutrition/finger foods.

900

Provider break client confidentiality to report a client conditions who is driving recklessly and endangering others.

What is an ethical dilemma? What is conflicts of ethical principles/What is no clear course of action.

900

Chemical restraints

What is haloperidol, olanzapine, benzodiazepines.

900

Adult psychiatric restraints and seclusion application protocols.

What is Face-to-face evaluation by provider within 1 hr of application and Q8 hrs thereafter. Q4 hr Order renewal, Q1-2hr  RN assessment&doc, continuous monitoring.

900

Danger to themselves and others

What is criteria for involuntary admission.

1000

RN inappropriate use of restraints and seclusion. 

What is an intentional tort? (false imprisonment, battery, assault)

1000

Lorasidone

What is medication approved for bipolar depression.

1000

Nursing care for restraint client.

What is offer food, fluid and toileting, assess skin, movement and exercise, assess and document need continued restraints/seclusion, inform client of behavioral that will be used to decide in discontinuation.

1000

Freedom of movement.

What is right denied for involuntary admitted client.

M
e
n
u