Pharmacology
What are the most common medications used to treat bipolar disorders?
Mood stabilizer- lithium carbonate; mood stabilizing antiepileptic- lamotrigine, valproate, carbamazepine; Antipsychotics- risperidone, olanzapine, ziprasidone
Name three risk factors attributing to substance abuse?
- Age of retirement
- Family history of addiction
- Early drug use
What are the telling signs and symptoms to diagnose bipolar?
– mania, hypomania, rapid cycling
Name two nursing interventions a nurse should implement for a client admitted after a suicidal attempt?
24/7 observation.
Remove all sharp, potentially harmful objects
What is a fatal complication of crisis intervention?
Death or injury, permanent injury from attempt
What is one medication class used to treat suicide ideations?
Antidespressants
What are top 3 risk factors for Bipolar disorder?
genetics (Immediate family member has bipolar), physiological (neurobiological or neuroendocrine disorders), environmental (increased stress)
The presence of obsessional or compulsion are sign of OCD?
True
Which nursing intervention would be included in the care plan of a client with antisocial personality disorder who is diagnosed with defensive coping?
Discuss behaviors that are acceptable according to societal norms.
Clients who have antisocial personality disorder display a lack of what?
Empathy
What is most important to remember about lithium carbonate?
– lithium toxicity
Mild toxicity: 1.5 to 2.5 mmol/L
Moderate toxicity: 2.5 to 3.5 mmol/L.
Severe toxicity: Higher than 3.5 mmol/L
A family history of OCD is a risk factor?
True
What assessment tools are used for scoring alcohol and opioid withdrawal?
CIWA and COWS
What nursing interventions can be used?
– therapeutic milieu, maintenance of self-care needs, good communication
What is a fatal complication of substance abuse?
Death - overdose
A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, what medication should the nurse expect to administer to the client for maintenance?
Disulfiram
What are three risk factors for suicide?
- Other mental health disorders
- Loss of loved one
- Loss of job
Patients who are diagnosed with antisocial personality disorder will show guilt or feel bad for their behavior
False
What is a comma type of therapy for OCD?
A. ERP
B. Cognitive
C. Support Groups
Signs and symptoms of lithium toxicity?
– confusion, GI distress, poor coordination, tremors; polyuria, tinnitus, giddiness, blurred vision, seizures, severe hypotension, ataxia; rapid progression of manifestations leading to coma or death
Which class of medication would the provider prescribe for OCD?
A. SSRIs
B. Anxiolytic
C. Antidepressant
What are the risk factors associated with antisocial personality disorder?
Large family, Physical neglect, low family income
A nurse receives a call on a crisis intervention hot line from a client. What kind of statement would indicate to the nurse as an overt statement indicating risk for suicide?
“there’s no point in living any longer. “
A community mental health nurse is planning strategies to address substance use by adolescence. What intervention should the nurse include in peer teaching?
Provide a presentation at local high schools on resisting peer pressure for substance abuse.
Which are complications of delirium?
Aspiration pneumonia, pressure ulcers, decrease mobility, and malnutrition.