Mood
After ECT, what position should the patient be placed in and why?
On their side to prevent aspiration
A patient on an anti-depressant for a short time is now happy, upbeat and asking for dischare. What should the RN do?
increase suicide precautions as patient may now have energy to commit suicide
What should the RN explain to a patient who has been on an antidepressant for 5 days, but states they do not feel any different?
To antidepressant can take a few weeks to become effective
What does the patient say to the RN to indicate they realize they have a substance abuse issue?
“I lost everything due to my addiction”
A patient tells the RN they want to stop drinking. What medication should the RN anticipate the physician to order?
Antabuse
I am checking a patient's thyroid panel before administering which medication?
Lithium carbonate
A patient is overly talkative, unable to sit still and easily preoccupied. The RN should anticipate this patient will be placed on what CLASS of medication?
Mood stabilizers (litium, tegretol, depakote)
A patient with DID presents with several personalities. What is the purpose of these alternate personalities?
To protect the primary self by isolating the event
I have muscle cramps, N/V/D, abdominal cramps, high bp and diaphoresis. What am I most likely withdrawing from?
Opioids
I am a medication that decreases addictive cravings. What am i?
Naltrexone
Why is it important to give a full physical assessment of a depressed patient?
Because depression can manifest somatic symptoms that can mask actual physical disorders
A patient on an MAOI should be on what kind of diet?
Tyramine restriced diet
How can the RN provide adequate nutrition for a patient in a manic state?
Provide high calorie, nutritious snacks a patient can eat on the move
What is the minimum range for legal intoxication of alcohol? (ml/dL)
100 mg/dL
A woman’s husband has had too much to drink, so she calls in to his job to let them know he won’t be in. What is this an example of?
Codependence
In the OR, before ECT, a patient is given thiopental sodium and iV succinylocholine. Why are these medications given?
It induces anesthesia and relaxes muscles
When assessing a patient for suicidality, what should the patient ask?
DIRECT question "do you feel like harming yourself?"
What is the primary goal of therapy for a patient suffering with DID?
To integrate sub personalities to improve functioning
What medication CLASS is most often given to a patient experiencing alcohol withdrawal?
Benzodiazepines
An RN assesses a patient and notices coarse tremors in the eyes, tongue and eyelids. The RN knows the patient is experiencing _____________ withdrawal.
Alcohol
The Hamilton scale is used to assess what?
Depression
What ego defense mechanism describes the underlying cause of somatoform disorder?
Repression of anxiety
When caring for a patient with somatoform disorder, what intervention is most appropriate?
To focus on feelings and not somatic concerns
I am the medication most often given to reduce high bp in a patient experiencing opioid withdrawal?
Clonidine
A patient is on day one of alcohol detox. What is the most important intervention?
1. Administering vitamins the body lost
2. Educating the patient of the harms of alcohol abuse, 3. Administering medications to assist with symptoms of withdrawal
3. Administering medication chloridiazepoxide (Librium) to help with withdrawal symptoms.