Topic 6
bipolar 1 disorder
includes mania that may involve psychosis, high-risk behaviors, and severe impairment.
which drug class may be used to treat restless leg syndrome
Anticonvulsants, dopamine agonists
Which stage of the sleep cycle is characterized by a decrease in temperature and relaxation of muscles
stage 1
What disease process is associated with obstructive sleep apnea
Obesity, hypertension, cardiovascular disease
Factitious disorder
Imposed on self: deliberate fabrication of illness for emotional needs.
Imposed on another: caregiver falsifies illness in dependent (Munchausen by proxy).
lithium level, level of toxicity and signs of toxicity
Therapeutic level is 0.8-0.10
Toxicity begins at 1.5
Signs include tremors, gastrointestinal upset, confusion, and seizures.
What is Brexanolone used for
postpartum depression.
What disorders are part of the cluster A, what do they mean, and what nursing considerations do you make for them
Paranoid: suspicious, jealous, misinterprets remarks build trust, neutral tone.
Schizoid: emotionally detached, flat affect don’t force socialization.
Schizotypal: magical thinking, eccentric, paranoid support social needs, assess suspicion.
Decreased resp rate is a characteristic of what stage of sleep
stage 2 sleep
Trichotillomania and Excoriation disorder
Hair pulling or skin picking to relieve anxiety.
Risk for infection, altered appearance, social stigma.
NMS and what to do
rigidity, fever, and autonomic instability. Stop medication and provide supportive care.
What med is under MAOIs and what do you avoid on this med
phenelzine
Avoid tyramine foods.
What disorders are part of the cluster B, what do they mean, and what nursing considerations do you make for them
Borderline: abandonment fear, emotional lability, self-harm set consistent limits, suicide risk.
Histrionic: attention-seeking, dramatic, impulsive be professional tone, model assertiveness.
Narcissistic: grandiose, lacks empathy, avoid power struggles, role model empathy.
Antisocial: manipulative, reckless, aggressive, enforce rules, monitor escalation.
What stage of sleep is characterized by periodically twitching muscles
Stage of rapid eye movement
Anticonvulsants and beta blockers for anxiety
anticonvulsants gabapentin, pregabalin.
Beta blockers propranolol for performance anxiety.
cyclothymic disorder
alternating hypomania and mild depression for at least two years.
What is Buspirone used for and whens the onset
chronic anxiety; delayed onset, low abuse risk
What disorders are part of the cluster C, what do they mean, and what nursing considerations do you make for them
Avoidant: fears rejection, avoids risk, reassure, teach assertiveness.
Dependent: clingy, indecisive, role model independence, monitor countertransference.
OCPD: perfectionistic, rigid, allow control, teach coping.
Which disorder can a polysomnography test diagnose
Breathing disorders, nocturnal seizures disorder
medication for benzo OD
flumazenil
bipolar 2 disorder
hypomania and major depression. Hypomania does not involve psychosis.
What is Clomipramine for and what risk do you watch out for
OCD second-line; anticholinergic risks.
honeymoon phase
· Abuser has loving behavior like bringing gifts and flowers, says sorry and makes promises to change· Victim is trusting, hoping and believes change
what defines basal sleep requirements
The amount of sleep needed to be fully awake and perform well in the daytime
Wernicke-Korsakoff syndrome
chronic mental impairments produced by heavy alcohol use over a long period of time, caused by THIAMINE (B1) DEFICIENCY