PNR 142 Week 1 Mental Health Jeopardy Board

Mental Illness

100

Excessive and unrealistic worry about two or more life circumstances for 6 months or more

 Generalized Anxiety Disorder

200

Irrational fears of a specific object, activity, or situation.

Phobias

300

This anxiety disorder refers to an individual experiencing unprovoked anxiety attacks involving intense fear. Symptoms often mimic those of a heart attack (chest pain, heart palpitations, shortness of breath, lightheadedness, and nausea)

Panic Disorder

400

This mental illness is considered to be the most disabling anxiety disorder

Obessive Compulsive Disorder (OCD)

500

This mental illness is chacterized by episodes of depression alternating with episodes of mania; it is more severe and incapacitating

Bipolar Disorder

Teaching Points

100

This substance has an additive effect when taken with many of the antianxiety agents and may cause increased anxiety or drowsiness

Alcohol

200

This term refers to symptoms that include restlessness, worsening of anxiety and insomnia, tremor, muscle tension, increased heart rate, and auditory hypersensitivity when working with patients taking benzodiazepines

Withdrawal 

300

This term is defined as unwanted thoughts that are time-consuming and senseless

Obession

400

This drug class reaches therapeutic levels within 4-6 weeks; patient's should be educated to report worsening of symptoms or thoughts of suicide

Antidepressants

500

Once a patient is no longer expericing symptoms of mania, this particular drug is no longer needed 

Lithium

Pharamacology

100

Examples of this drug class include Alprazolam (Xanax), lorazepam (Ativan), chlordiazepoxide (Librium),and diazepam (Valium)

Benzodiazepines

200

This is the drug class that works by inhibiting the reuptake of serotonin at nerve endings, leading to a decrease in the level of anxiety

Selective Serotonin Reuptake Inhibitor (SSRI)

300

What are the key side effects nurses should monitor when administering antipsychotic medications?

• Pseudoparkinsonism (tremor, rigid posture)
• Akathisia (inability to sit still)
• Dystonias (aberrant posturing)
• Dyskinesia (involuntary movements)

400

Haldol, Thorazine, Risperdal, Seroquel, Zyprexa, and Geodon are considered which class of drug?

Antipsychotics

500

This anti anxiety medication is comparable with benzodiazepines in reducing symptoms of anxiety with fewer sedative or withdrawal adverse effects

Buspirone (BuSpar)

Treatment

100

Avoidance of the specific object or activity is a common treatment for this particular anxiety disorder

Phobia

200

Benzodiazepines work through the stimulation of this neurotransmiter; it decreases anxiety, improves sleep, and reduces tremor/ muscle tension

Gamma-aminobutyric acid (GABA)

300

This drug class is preferred over other antidepressants, for treatment of anxiety disorderss, because their adverse effects are less prominent and they do not have the risk of cardiac dysrhythmias associated with Tricyclic antidepressants.

Selective Serotonin Reuptake Inhibitors (SSRIs)

400

The nurse is caring for four clients receiving treatment for mental illness. Place the clients in order of priority for assessment (1 = highest priority).

•  Client with bipolar disorder refusing lithium for 2 days
• Client with anxiety reporting restlessness after starting medication
• Client with depression expressing new suicidal thoughts
• Client with schizophrenia experiencing mild weight gain

Correct Order:

1. Client with depression expressing new suicidal thoughts
2. Client with bipolar disorder refusing lithium
3. Client with anxiety reporting restlessness
4. Client with schizophrenia experiencing mild weight gain

Rationale:
Safety is the top priority. Suicidal ideation requires immediate intervention. Medication refusal in bipolar disorder can lead to relapse. Mild side effects are lower priority.

500

A nurse is reinforcing education for a client newly prescribed an SSRI for depression. Which statements indicate an appropriate understanding of treatment?

I should expect to feel better within 24 hours.

I need to take this medication consistently, even if I feel better.

I will report any thoughts of self-harm immediately.
I can stop taking the medication once my mood improves.
 It may take a few weeks before I notice full effects.”

Mental Illness

100

Often described as “Winter Depression," this mental illness typically occurs during the months of October to April; it is treated with daily exposure to full-spectrum light (phototherapy), which lessens the symptoms of sadness and social withdrawal.

Seasonal Depression (Seasonal Affective Disorder)

200

Symptoms such as delusions, hallucinations, disorganized speech, and significant impairments in work, interpersonal relations, or self-care are indicative of which mental illness?

Schizophrenia

300

This mental illness features major episodes of depression alternating with periods of hypomania. 1 to 2 weeks of severe lethargy, withdrawal, and melancholy are followed by several days of mania 

Bipolar II Disorder

400

This mental illness occurs after childbirth and includes symptoms such as tearfulness, irritability, hypochondria, and sleeplessness

Postpartum Depression

500

This mental illness can occur on several levels; it is most critical when symptoms such as thoughts of self harm, agitation, sadness, hoplessness, and helplessness present for more than 2 weeks

Depression