Symptoms
The existence of suspicious beliefs.
What is paranoia?
These precautions are important for an individual expressing suicidal ideation.
What are suicide precautions?
Class of regularly scheduled medications for anxiety.
What are anxiolytics?
Use this hierarchy to determine unmet needs of clients.
What is Maslow's hierarchy of needs?
Room assignment on the unit where a client who has a high fall risk would be safest.
What is nearest the nurses' station?
"Tell me more about that phone call"
What is therapeutic [exploring]?
Lack of interest in performing roles or hobbies the client previously enjoyed.
What is anehdonia?
The communication technique nurses use when a patient is sharing information.
What is active listening?
These medications contain a black box warning about increased risk for suicide.
What are antidepressants?
Term describing a client who suffers from mental illness and substance use disorder.
What is dual diagnosis?
The word used for multiple prescriptions, which increases the risks for side effects.
What is polypharmacy?
"I'm glad you decided to take your medications."
What is giving advice [non-therapeutic]?
Euphoria or irritability, lack of sleep, poor appetite, flight of ideas, pressured speech. . .
What is mania?
Offer these to clients who are anxious or aggressive?
What are PRN medications?
Medications commonly prescribed to treat paranoia, delusions, illogical thoughts, and positive and negative behavior patterns.
What are antipsychotics?
This behavioral therapy involves rewarding clients for changed behaviors
What is operant?
Describes unstable emotions that can lead to at-risk behaviors.
What is mood lability?
"I see that you are pacing. Let's walk together."
What is making observation? [therapeutic]
Beliefs that are false which the client fully believes are true.
Encourage clients to attend these sessions to enhance outcomes.
What is group therapy?
Avoid ETOH & other CNS depressants with this drug class for fear of respiratory depression
What are benzos?
This staff action can help humanize the client in restraints.
What is speaking to them regularly?
Warning signs of suicide
What are giving away belongings, returning borrowed items, organizing finances, unexpected vacations?
"Sounds like you are feeling very overwhelmed."
What is reflecting [therapeutic]?
What is OCD?
Implemented when alternatives fail to ensure the safety of clients or staff.
What is physical restraint?
Advise clients to take at bedtime due to orthostatic hypotension
What are TCAs?
What are changes in Na level, lithium level greater than 1.5, or signs of toxicty ie confusion, blurred vision, course hand tremor, diarrhea, ataxia etc?
This is the least restrictive action when attempting to de-escalate a client.
What is speaking calmly to the client?
"There are no dogs in this room - you're hallucinating."
What is non-therapeutic? [rejecting]
The nurse responds to a client negatively because the client reminds them of their alcoholic parent.
What is countertransference?
The ethical principle demonstrated when the nurse respects the client's decision to refuse medications.
What is autonomy?
Name 2 foods that should be avoided when taking a MAOI
What are. . .aged cheese, cured/smoked meats, avocados, pickled/fermented foods?
Disorder where client experiences blindness after seeing husband kiss another woman
What is conversion disorder?
This therapy helps change behaviors by changing negative/distorted thinking.
What is CBT?
"What happened in the cafeteria today?"
What is focusing/general leads [therapeutic]?