Stress Management
1 behavioral technique that can help with stress management
Name 1 indication for electroconvulsive therapy
DAILY DOUBLE! (double the points)
What is major depressive disorder, schizophrenia spectrum disorders, or acute manic episodes?
Name 1 category of antidepressant that would be used to treat trauma and stressor related disorders
TRIPLE DOUBLE! (triple the points)
What is selective serotonin reuptake inhibitors (SSRI), serotonin norepinephrine reuptake inhibitor (SNRI), tricylic antidepressants (TCA), or monoamine oxidase inhibitor (MAOI)?
True or false: Anorexia can be used as a diagnosis for anyone that stops eating and drinking, even as a result of illness.
What is true.
Anorexia is a broad diagnosis; it is not an eating disorder without the nervosa portion behind it.
___________ is the expression of psychological stress through physical manifestations.
DAILY QUADRUPLE!
What is somatization?
____________ training helps a patient learn how to communicate in a more assertive manner in order to decrease psychological stress.
What is assertiveness?
_______ ________ ______ is a noninvasive therapy that uses magnetic pulsations to stimulate the cerebral cortex of the brain.
What is transcranial magnetic stimulation?
SSRIs can cause _________ __________ within 2-72 hours of treatment and can be lethal.
Hint: symptoms include confusion, hallucinations, hyperreflexia, and tremors.
What is serotonin syndrome?
This is considered an emergency! Hold the medication and call the provider.
A patient with these characteristics have ________.
-Most patients have a BMI between 18.5-30
-Mostly in females
-Average age is late adolescence or early adulthood.
-May use laxatives
What is bulimia nervosa?
The tip off is the BMI which is WNL or slightly higher. Anorexia nervosa patients have a low/underweight BMI.
Name 2 symptoms you would as a patient when using the Patient Health Questionnaire 15 (PHQ-15)
True or false: Depressed immune system, unhappiness, and chronic pain are signs of acute stress.
False
Name 1 possible contraindication to electroconvulsive therapy
What is cardiovascular or cerebrovascular disorders?
This is due to the stress on the heart during seizure activity and increase ICP during the procedure.
True or False: St. John's wort can increase the risk of serotonin syndrome.
True.
Drug of choice to treat eating disorders
What are selective serotonin reuptake inhibitors (SSRIs)?
This is when a patient exhibits neurologic manifestations in the absence of a neurologic diagnosis.
What is a conversion disorder?
Name 1 difference you would use when interviewing children
What is using simple age appropriate language, be aware of body behavior and nonverbal messages, sit at child's eye level, or incorporate play into interactions?
What are 2 potential side effects of having a vagus nerve stimulator?
What are voice changes, frequent clearing of the throat, hoarseness, throat, neck pain and/or dysphagia?
This is due to the proximity of the implanted lead on the vagus nerve to the larynx and pharynx.
Name 2 therapeutic uses for benzodiazepines in mental health.
What is GAD, panic disorder, insomnia, and/or alcohol withdrawal?
Russell's sign in bulimia nervosa
What are calluses or scars on hand from vomiting?
True or false: psychological factors can cause a person to have paralysis.
What is true?
The mind-body connection has even linked certain medical conditions, like heart disease and cancer, to patients with depressive and anxiety disorders.
Name 5 effective communication skills and techniques to use with stressed patients?
Hint: think of therapeutic communication
What is silence, active listening, open ended questions, close ended questions, projective questions (what if), presupposition questions (hypothetical situations), restating (using pt's exact words), reflecting (directs focus back to patient), paraphrasing (restates pt's feelings), exploring, offering general leads, show acceptance, focusing, giving info, presenting reality, summarizing, offering self, and/or touch?
Name 2 mental health conditions that electroconvulsive therapy is NOT useful for treating.
What is substance use disorders, personality disorders, and/or dysphoric disorders?
This medication treats depression as well as helps with smoking addiction.
What is bupropion (Welbutrin)?
Name 3 laboratory manifestations on a patient's health who has anorexia nervosa.
What anemia, impaired LFTs, hypoalbuminemia, elevated cholesterol, elevated BUN, abnormal thyroid tests, elevated carotene levels (causes the yellow skin), decreased bone density, abnormal BSG, ECG changes, dec WBCs, hypokalemia, inc platelets, and/or lymphocytosis (type of WBC).
What are 2 risk factors for somatic symptom disorder?
What are first degree relatives with somatic symptom disorder, dec levels of neurotransmitters (serotonin and endorphins), depressive disorder, personality disorder, or anxiety disorder, childhood trauma, abuse or neglect, learned helplessness, and/or female gender.