Schizophrenia
This type of hallucination is most common in schizophrenia
What are auditory hallucinations?
Marked by excessive energy, decreased need for sleep, and impulsivity, this type of elevated mood is the hallmark of Bipolar I disorder
What is Mania?
This neurotransmitter, often called the “feel-good chemical", is commonly decreased in Major depressive disorder
What is serotonin?
This neurotransmitter is commonly targeted by SSRIs to help treat GAD
What is serotonin?
This major risk increases significantly when patients with insomnia use sedative medications, especially older adults
What are falls?
This atypical antipsychotic requires routine ANC monitoring due to risk of agranulocytosis
What is clozapine?
This mood stabilizing medication, requiring close serum monitoring, is considered the first line treatment for Bipolar I
What is Lithium?
A patient must have symptoms most of the day, nearly every day, for at least this long to meet criteria for Major Depressive Disorder
What is 2 weeks?
This is the most prominent symptom of GAD involving persistent and excessive worry about multiple aspects of life
What is chronic worry?
These two mental health conditions are the most common comorbid contributors to chronic insomnia
What are anxiety and depression?
This type of hallucination requires the nurse to assess for immediate risk of harm
What are command hallucinations?
This type of episode features elevated mood and increased activity but is less severe than mania and is seen in Bipolar II
What is hypomania?
Because these medications take 4-6 weeks to reach full effect, nurses must emphasize adherence to these medications despite side effects
What are antidepressants/SSRIs?
This class of medications is considered the first-line pharmacologic treatment for GAD
What are SSRIs or SNRIs?
This factor is assessed using tools like STOP-BANG because it is a common undiagnosed case of chronic insomnia
What is sleep apnea?
DOUBLE JEOPARDY: When a patient states a delusion, the nurse should avoid arguing and instead use this approach
What is therapeutic communication?
This type of medication must always be used cautiously in bipolar disorder because it can trigger a manic episode when used alone
What are antidepressants?
When starting antidepressants, the nurse must monitor closely for this dangerous increase in behavior among young adults
What are increased suicidal behaviors or thoughts?
This lifestyle modification, including exercise, sleep hygiene, and limiting caffeine, can help manage anxiety symptoms
What are non-pharmacologic interventions?
Because chronic insomnia can worsen this serious risk factor, nurses must always screen for this during assessment.
What is suicidal ideation?
A patient on antipsychotics develops rigidity, fever, and autonomic instability—this life-threatening condition must be recognized immediately
What is neuroleptic malignant syndrome?
Underactivity in this part of the brain, which helps decision making and impulsivity, is associated with poor judgement in mania
What is the prefrontal cortex?
Patients taking SSRIs should be taught to watch for this dangerous condition characterized by sweating, fever, agitation, tremors, and confusion
What is serotonin syndrome?
This part of the brain, often overactive in GAD, is responsible for fear and threat detection
What is the amygdala?
Older adults should use caution with this class of sleep aid due to risks of confusion, falls, and residual sedation
What are z-drugs?