Mental Disorders
What are the 4 levels of Anxiety?
Mild, Moderate, Severe, Panic
Bingeing then purging is a sign of what disorder?
Bulimia Nervosa
Bonus: Name another sign/symptom
What kind of effect do Benzodiazepines and Barbiturates have on the body?
Reduce stress and anxiety, boosts mood, improves sleep/treats insomnia
A patient who is on Disulfiram should avoid the use of what kind of substances?
Alcohol
(cough medicines, rubbing compounds, vinegar, mouthwash, etc)
How do you prevent lithium toxicity in a patient taking lithium?
Hydration and adequate salt intake
What is the difference between Bipolar Disorder I and Bipolar Disorder II?
Bipolar Disorder I is the more severe form, characterized by severe mood episodes from mania to depression
Bipolar Disorder II is the milder form of mood elevation
A patient who is going through alcohol withdrawal is at risk for what disorder?
Wernicke's Encephalopathy
Bonus: How is it treated?
Donepezil, Galantamine, Memantine, Rivastigmine
Bonus: What is the classification of these medications?
Which are appropriate interventions for caring for the client undergoing alcohol withdrawal? (Select all that apply)
1. Monitor vital signs
2. Maintain an NPO status
3. Provide a safe environment
4. Address hallucinations therapeutically
5. Provide stimulation in the environment
6. Provide reality orientation as appropriate
Monitor Vital signs, Provide a safe environment, Address hallucinations therapeutically, Provide reality orientation as appropriate
Liquete reminder: Treat each answer of a select all apply as a true/false/maybe. DO NOT GROUP THEM
What is Somatic Symptom Disorder (SSD)?
A psychological stress from physical symptoms that cannot be explained by any pathology or diagnosis
Example: Constantly worrying about potential illness
A client who is diagnosed with bipolar disorder is prescribed lithium, an antimania medication, and is admitted to the psychiatric unit in an acute manic state. Which intervention should the nurse implement first?
A. Have the lab draw a serum lithium level STAT
B. Assess and treat the client's physiological needs
C. Evaluate what behavior prompted the psychiatric admission
D. Administer the lithium dose to the client as prescribed STAT
B. Assess and treat the client's physiological needs
Liquete Reminder: Remember to use ADPIE, ABC, and Maslow's Hierarchy of needs when answering intervention questions
What are the 5 levels of Maslow's hierarchy of needs
(List in order from most important to least important)
Physiological needs, Safety needs, Love and Belonging, Esteem, Self-actualization
Chlorpromazine, Haloperidol, Loxapine, Thiordazine, and Fluphenazine decanoate are all what type of medication?
Antipsychotics
Bonus: They are best treated for what type of symptoms of schizophrenia?
When will the first signs of alcohol withdrawal appear?
Within a few hours
Name 5 types of food that contain Tyramine
Aged cheeses, Cured meats, pickled/fermented vegetables, caffeine (coffee, tea, chocolate), Avocados, yogurt, soy sauce, egg plant, figs, etc
When does mild depression become Major Depressive Disorder?
Exhibiting five or more symptoms for at least two weeks
Bonus: What are those symptoms?
Describe and give an example of Neologisms
Words that an individual makes up that only have meaning for the individual
What medications are primarily prescribed first when treating Major Depressive Disorder?
SSRI's and SNRI's
MAOI's are prescribed after initial medications and electroconvulsive therapy were ineffective
When taking antipsychotic medications, what adverse effects should be monitored?
Extrapyramidal syndrome
(Dystonia, Akathisia, Tardive Dyskinesia)
In short, patient can't keep still
Name 4 symptoms of Severe Anxiety
Dizziness, Headache, Nausea, Sleeplessness, Hyperventilation
Describe a Cluster A type personality
A personality disorder that includes the odd types: Schizoid, schizotypal, paranoid
When preparing for the discharge of a patient with a history of command hallucinations to harm self or others, you instruct them of interventions for hallucinations and anxiety. Which statement from the client shows an understanding of the interventions?
A. "My medications won't make me anxious"
B. "I won't get anxious or hear things if I get enough sleep and eat well"
C. "I'll go to a support group and talk so that I won't hurt anyone"
D. "I can call my therapist when I'm hallucinating so I can talk about my feelings and plans and not hurt anyone"
D. "I can call my therapist when I'm hallucinating so I can talk about my feelings and plans and not hurt anyone"
Name one medication for the each of the following types
(SSRI, SNRI, Tricyclic Antidepressants, MAOI)
SSRI: Citalopram, Escitalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline, Vilazodone
SNRI: Duloxetine, Venlafaxine, Desvenlafaxine, Levomilancipran
Tricyclic: Amitriptyline, Clomipramine, Doxepin, Imipramine, Trimipramine
MAOI: Isocarboxazid, Phenelizine, Selegiline, Tranlycypromine
A hospitalized client is taking clozapine for the treatment of schizophrenic disorder. Which laboratory study prescribed for the client would the nurse specifically review to monitor for an adverse effect associated with the use of this medication?
White blood cell count
Bonus: What is the adverse effect in question?
Name one symptom for each of the Schizophrenia symptom types (Cognitive, Positive, Negative)
Cognitive Symptoms: Illogical thinking, Impaired Judgement, Impaired memory, Inattention, easily distracted, Poor decision-making skills, poor problem-solving skills
Positive: Bizarre behavior, Delusions, Hallucinations, Disorganized speech
Negative: Blunted affect, Anhedonia, Avolition, Alogia