Anger
T/F - Anger is always a negative expression
False
Anger is not always a negative expression. Its a normal human emotion.
T/F positive signs of schizophrenia
True
positive signs of schizophrenia: the extra symptoms that are often the most obvious- ex. hallucination, delusion, associative looseness
Give me two examples of typical antipsychotics
haloperidol (haldol)
chlorpromazine (thorazine)
prochlorperazine (compazine)
pimozine (orap)
A person with bipolar disorder may experience __________, which refers to alternating periods of extreme highs (mania) and lows (depression).
Mood swings.
A person with bipolar disorder may experience mood swings, which refers to alternating periods of extreme highs (mania) and lows (depression).
A nurse is caring for a patient in the manic phase of bipolar disorder. Which of the following nursing interventions is most appropriate?
A. Encourage the patient to attend group therapy.
B. Place the patient in a semi-private room.
C. Offer high-calorie finger foods and fluids frequently.
D. Allow the patient to engage in competitive activities to expend energy.
C
C. Offer high-calorie finger foods and fluids frequently.
What is the difference between anger and aggression? SATA
A: Anger is an emotion, and aggression is a feeling
B: Aggression is how someone would express anger
C: Aggression is intended to injure another person's self-esteem
D: Ander and agitation are the same thing
B, C
B: Aggression is how someone would express anger
C: Aggression is intended to injure another person's self-esteem
What is the order of phases for schizophrenia?
A: Active psychotic phase
B: Premorbid phase
C: Residual phase
D: Promal phase
B, D, A, C
A: Active psychotic phase
B: Premorbid phase
C: Residual phase
D: Promal phase
SATA what are the five common reasons a client may receive antipsychotics meds?
a. anxiety
b. schizophrenia
c. bipolar mania
d. intractable hiccoughs
e. tourettes
f. MDD
g. claustrophobia
B, C, D, E, F
B. Schizophrenia
C. bipolar mania
d. intractable hiccoughs
e. tourettes
f. MDD
True
Manic episodes have more intense/severe symptoms with delusional thoughts.
A nurse is caring for a client in a psychiatric unit who becomes increasingly agitated, pacing the hallway, clenching their fists, and shouting at staff. What is the nurse’s priority intervention?
A. Call security to restrain the client
B. Speak to the client in a calm, non-threatening manner
C. Instruct the client to return to their room immediately
D. Leave the client alone to give them time to cool off
B
B. Speak to the client in a calm, non-threatening manner
What are the characteristics of anger?
A: Frowning, no eye contact, tension, and lack of emotional control
B: Smile, sing happy song, intense eye contact
C: Restless pacing, verbal threats, and loud voice
D: disturbing thoughts, Argumentative, and panic anxiety
A
A: Frowning, no eye contact, tension, and lack of emotional control
What are negative signs of schizophrenia?
A. Flat affect
B. Emotionless
C. Excited to plan their birthday party
D. Monotone speech
E. Flat chested
A, B, D
A. Flat affect
B. Emotionless
D. Monotone speech
T/F these are examples of extrapyramidal side effects anxiety attack and diaphoresis.
F
extrapyramidal side effects refer to a group of movement disorders most commonly caused by antipsychotic medications (especially typical and atypical) ex. akathisia, akinesia, pseudo parkinsonism, dystonia, tardive dyskinesia.
A nurse is caring for a client who is admitted to the psychiatric unit with a diagnosis of bipolar disorder, manic phase. Which of the following interventions should the nurse implement first?
A. Provide a quiet environment with minimal stimulation.
B. Offer frequent, short meals throughout the day.
C. Encourage the client to engage in relaxation exercises.
D. Establish consistent limits on behavior and enforce them.
D.
D. Establish consistent limits on behavior and enforce them.
T/F Coping skills such as deep breathing exercises and progressive muscle relaxation are effective in managing stress and anxiety, but they should only be used during crises, not as a regular part of daily life.
False.
These are coping skills that are effective in everyday use
What nursing intervention would be the best to utilize for an angry patient?
A: Provide privacy so they can think
B: Give fluids to correct their dehydration
C: Argue with the patient and tell them to grow up
D: Listen, Use a calm, low-pitched voice with open-ended questions
D
D: Listen, Use a calm, low-pitched voice with open-ended questions
The primary focus of family therapy for clients with schizophrenia?
a. to discuss problem-solving and adaptive behaviors for coping with stress
b. to introduce the family to others with same problems
c. to keep the client and family in touch with healthcare system
d. to promote family interaction and increase understanding of illness
D.
D. to promote family interaction and increase understanding of illness
What is the biggest risk for a patient taking clozapine (clozaril)?
Agranulocytosis: serious and potentially life-threatening condition characterized by an extremely low number of neutrophils, a type of white blood cell that's crucial for fighting off bacterial infections
- that is why monthly blood work is needed when a patient is taking it
What is the nurse's biggest concern for a patient coming into the ED in a manic episode? SATA
A: Lack of nutrition
B: Signs of dehydration
C: increased cardiac strain
D: safety
A, B, C, D
A: Lack of nutrition
B: Signs of dehydration
C: increased cardiac strain
D: safety
How do you handle a patient who is having hallucinations? SATA
A: SAFETY! SAFETY! SAFETY!
B: Argue with the patient that what they are seeing is not real
C: Don't reinforce what they are seeing
D: Distraction helps auditory hallucinations - watch TV or listen to music
E: Offer food and drink
A, C, D
A: SAFETY! SAFETY! SAFETY!
C: Don't reinforce what they are seeing
D: Distraction helps auditory hallucinations - watch TV or listen to music
Which of these procedures is important immediately following an episode of violence on the unit? SATA
A. Document all observations and occurrences
B. conduct a debriefing with the staff
C. Explore with other clients their feelings associated with witnessing the client.
D. Warn the client what could happen if they become violent again.
A, B, C
A. Document all observations and occurrences
B. conduct a debriefing with the staff
C. Explore with other clients their feelings associated with witnessing the client.
What do Echopraxia and Echolalia mean?
Echopraxia: to mirror someone else's movement or action
Echolalia: Repeating a phrase, commonly the last word of the sentence
Echopraxia: to mirror someone else's movement or action
Echolalia: Repeating a phrase, commonly the last word of the sentence
Select 2 medications that can be used to counteract extrapyramidal side effects.
A. valbenazine (ingrezza)
B. adalimumab (Hadlima)
C. amphotericin B (fungizone)
D. benzotropinemesylate (cogentin)
A & D
A. valbenazine (ingrezza)
D. benzotropinemesylate (cogentin)
A nurse is planning care for a client with bipolar I disorder who is experiencing acute mania. Which of the following should be included in the plan of care?
A. Encourage frequent interactions with other clients
B. Use a firm and calm approach when communicating
C. Assign tasks that require detailed attention
D. Offer large group activities to reduce isolation
B
B. Use a firm and calm approach when communicating
A client in an inpatient psychiatric unit is visibly angry after a phone call and begins shouting, throwing a chair, and pacing rapidly. What is the most appropriate initial action by the nurse?
A. Tell the client to sit down and calm themselves
B. Approach the client slowly and acknowledge their feelings
C. Activate the code team immediately
D. Instruct the client to stop yelling and threatening others
B
B. Approach the client slowly and acknowledge their feelings