Personality
What cluster is borderline personality disorder classified under?
Cluster B
What is a common positive symptom of schizophrenia?
Hallucinations or delusions
What is a key diagnostic feature of anorexia nervosa?
Intense fear of gaining weight despite being underweight
Which neurotransmitter do SSRIs primarily affect?
Serotonin
What scale is used to assess alcohol withdrawal?
CIWA
What is a hallmark feature of paranoid personality disorder?
Distrust and suspiciousness of others
What is anosognosia in schizophrenia?
Lack of awareness of one’s illness
What physical finding is common in bulimia nervosa due to vomiting?
Enlarged parotid glands or dental erosion
What is a serious side effect of clozapine that requires regular blood monitoring?
Agranulocytosis
What is the triad of symptoms seen in opioid overdose?
Pinpoint pupils, respiratory depression, unconsciousness
What is "splitting" and which disorder is it most associated with?
All-or-nothing thinking; Borderline Personality Disorder
What are extrapyramidal symptoms (EPS) and what causes them?
Motor side effects from antipsychotics (e.g., dystonia, tremors)
What is refeeding syndrome and why is it dangerous?
Electrolyte imbalance (especially hypophosphatemia) when refeeding a malnourished patient
What is the therapeutic range for lithium?
0.6–1.2 mEq/L
What medication is used for opioid overdose reversal?
Naloxone (Narcan)
How should nurses respond to patients with antisocial personality disorder?
Set firm boundaries and maintain consistency
How should you respond therapeutically to a patient experiencing auditory hallucinations?
Acknowledge their experience but do not validate the hallucination
Which SSRI is FDA-approved for treating bulimia?
Fluoxetine
Which medication class is buspirone a part of, and what makes it unique?
Anxiolytic (non-benzo); non-sedating, takes weeks to work
What is disulfiram used for and what reaction can it cause?
Alcohol deterrent; causes flushing, N/V, palpitations if alcohol is consumed
What therapy is most effective for borderline personality disorder?
Dialectical Behavior Therapy (DBT)
What is the main risk associated with second-generation antipsychotics like olanzapine?
Metabolic syndrome
What is the Russell sign?
Calluses on knuckles from induced vomiting
Name one symptom of neuroleptic malignant syndrome.
Fever, muscle rigidity, altered mental status, autonomic instability
What is motivational interviewing and why is it important in SUD treatment?
A patient-centered counseling approach that enhances motivation for change