Sertraline, fluoxetine, and escitalopram belong to this antidepressant class.
What are SSRIs?
A patient taking an antipsychotic feels intensely restless, repeatedly stands up, and says, “I cannot stop moving.”
What is akathisia?
This term describes losing interest or pleasure in activities that were previously enjoyable.
What is anhedonia?
Hearing a voice when nobody is speaking is this type of perceptual disturbance.
What is an auditory hallucination?
A patient says, “Everyone would be better off without me.” This is the nurse’s priority response.
What is directly assessing for suicidal thoughts, intention or plan, and access to means?
This medication is used as both an anticonvulsant and mood stabilizer. Nurses monitor liver function and platelet count.
What is divalproex sodium (Epival)?
Shortly after receiving haloperidol, a patient develops painful neck contractions and upward deviation of the eyes.
What is acute dystonia?
A patient experiences unwanted intrusive thoughts and performs repetitive rituals to reduce anxiety.
What is obsessive-compulsive disorder (OCD)?
A fixed belief that remains despite clear contradictory evidence is called this.
What is a delusion?
A patient reports that voices are telling them to hurt someone. This assessment should occur immediately.
What is assessing the command, the intended target, and the patient’s intention and ability to act?
This mood stabilizer requires serum levels and monitoring of renal and thyroid function.
What is lithium?
A patient who has taken an antipsychotic for several years develops repetitive lip smacking and tongue movements.
What is tardive dyskinesia?
A sudden period of intense fear with palpitations, shortness of breath, trembling, and fear of dying is called this.
What is a panic attack?
Reduced emotional expression, decreased speech, social withdrawal, and lack of motivation belong to this symptom group in schizophrenia.
What are negative symptoms of schizophrenia?
A patient experiencing mania cannot remain seated long enough to eat a meal. This is an appropriate nutritional intervention.
What is offering portable, high calorie foods and fluids
This antipsychotic may be used for treatment resistant schizophrenia and requires careful monitoring because of severe neutropenia risk.
What is Clozapine?
A patient receiving an antipsychotic develops high fever, severe muscle rigidity, confusion, and unstable vital signs.
What is neuroleptic malignant syndrome (NMS)?
A patient experiences nightmares, avoidance, intrusive memories, and hypervigilance more than one month after a traumatic event.
What is PTSD?
An older adult suddenly becomes disoriented and inattentive. Their alertness changes throughout the day.
What is delirium?
A patient taking lithium develops vomiting, coarse tremors, slurred speech, and an unsteady gait.
What is withholding lithium and obtaining urgent medical assessment for possible toxicity?
This SNRI may increase blood pressure and can produce significant symptoms when stopped suddenly.
What is venlafaxine (Effexor)?
After an increase in serotonergic medication, a patient develops agitation, sweating, diarrhea, hyperreflexia, and clonus.
What is serotonin syndrome?
A patient has four days of elevated mood, decreased need for sleep, increased energy, and increased talkativeness without psychosis, hospitalization, or severe functional impairment.
What is a hypomanic episode?
A patient experiences major mood episodes and also has at least two weeks of hallucinations or delusions when no major mood episode is present.
What is schizoaffective disorder?
A patient taking clozapine for weeks reports sore throat and fatigue. VS assessment reveals a fever and tachycardia.
What is ordering a complete blood count (CBC) to check for agranulocytosis?