Disorders/Concepts
Bipolar 1 definition
What is => 1 episode of mania and MDD
Anticonvulsants medications and their side effects
What is Valproic acid, lamotrigine, carbamazepine.
sedation,
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.
Examples of Cognitive behavioral therapies
What is cognitive reframing, decatastrophizing, mind stopping, assertive communication, mindfulness,...
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.
Rigidity, ritualism, feelings of ineffectiveness, distorted body image
What are psychological risk factors for anorexia nervosa?
Antidepressant class of medication that causes hypertensive crisis.
what is MAOIs, consuming tyramine rich food while on medication.
Dry chips, hard sugarless candy
Client teaching for dry mouth.
Two therapies used specifically on PTSD clients.
what is rapid eye movement desentization (REMD), exposure therapy.
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.
Enlarged parotic glands, dental erosion, irregular menses, normal or slightly higher BMI.
What are the symptoms of bulimia nervosa?
First line treatment for anxiety, depression and trauma related disorders.
What is SSRIs?
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.
Systematic desensitization
What is a behavioral therapy used in phobias that gradually exposes a client to a stimuli to reduce the anxiety.
Focus on food and fluid intake
What is a nursing priority for clients with Anorexia and bulimia nervosa.
underweight BMI<18, lanugo, Russel's sign
What is Anorexia nervosa?
This medication class causes retrograde amnesia, respiratory depression if IV, sedation, severe withdrawal symptoms if stopped abruptly.
What is benzodiazepines.
Goal is 2-3lbs per week.
What is weight gain goal for anorexia nervosa.
Psychotherapies specific for children.
What is play therapy, story telling, art/drawing, music therapy, journaling.
"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.
Bipolar 2 definition
What disorder has at least 1 episode of hypomania and or MDD?
This medication class can treat depression and chronic pain.
SNRI-duloxetine, TCAs
GI upset, loss of appetite.
Take medication with food or immediately after eating.
Positive reinforcement
Operant conditioning-adding a stimuli to reinforce or discourage a behavior.
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.
Temper outbursts (angry / irritable) that are severe and do not correlate with situation
what is Disruptive mood dysregulation disorder?
Do not alter sodium or fluid intake.
diet teaching for client taking lithium.
Contraindicated for clients with cardiac issues.
What is TCAs, CNS stimulants, MAOIs.
A client snaps a rubber band on his wrist every time he has thoughts of promiscuity.
What is aversion therapy?
Do not give more than 1 week supply of medication.
Antidepressants for client with history of suicide attempts.
Hyperactivity, inattention, impulsivity
What is ADHD?
Ataxia is a common side effect of this medication class
What is anticonvulsants mood stabilizers.
Affect and thought content assessment in depression
What is sad, flat affect, blunted affect.
It is a herb used as antidepressant
St. John warts.
Obtain ECG, weight and Complete Metabolic Panel labs.
Initial action for a newly admitted client with Anorexia nervosa.
SIGEGAPS for depression
What does Sleep, Interest, Guilt, Energy, Concentration, and Appetite, Psychomotor, and Suicidal ideation treat?
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.
Mental status exam areas
What is appearance, level of consciousness, thought, judgement and insight, emotions, cognitions,
"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.
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.
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.
Chemical restraints
What is haloperidol, olanzapine, benzodiazepines.
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.
Danger to themselves and others
What is criteria for involuntary admission.
RN inappropriate use of restraints and seclusion.
What is an intentional tort? (false imprisonment, battery, assault)
Lorasidone
What is medication approved for bipolar depression.
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.
Freedom of movement.
What is right denied for involuntary admitted client.