Eating Disorders/SUDs
Why is refeeding syndrome a concern?
What is phosphate levels (which indicates that sudden increase in glucose now increases insulin release, which drives phosphate and K+ into cells, causing hypokalemia)
what are clinical s/s of strangulation
what is petechiae (above strangulation site, TM, pharynx, etc), defensive injuries,
conduct disorder in adolescence is a r/f for what adult diagnosis?
what is antisocial personality disorder
Why is the Tarasoff case significant?
What is "duty to warn"
What are s/s of bipolar mania?
What is increased goal directed activity, pressured speech, hypersexual behavior, decreased need for sleep
What are fatal substances to withdraw from?
What are the s/s?
What screening tool is used for ETOH withdrawal?
What is ETOH/benzos
early s/s- nervous, tremor, VS changes, diaphoresis, agitated
later s/s: alteration in mental status (i.e. hallucinations), delirium, seizures
CIWA
What are SI risk factors? protective factors?
what is SI w/ intent, lethality, hx, co-occuring psych illnesses, substance use, lack of support, unemployment, recent stressful life event
family, pregnancy, religion/spirituality, satisfaction w/ life, pets
What are 3 examples that nurses are considered mandatory reporters?
What is children (<18), >70 yo, IDD
Remember, if there is suspicion, we are mandated to report.
what is criteria for an M1 hold?
What is (1) grave disability, (2) imminent danger to self, (3) imminent danger to others
What are the negative symptoms of schizophrenia?
What is the a's (alogia, apathy, anhedonia, etc)
what neurotransmitter is responsible for ETOH withdrawal s/s?
GABA deficiency
(gaba is the breaks, glutamate is the gas pedal)
What are some de-escalation techniques?
What is space, validation, calm demeanor, offer choice, etc
What are some symptoms of conduct disorder (repetitive and persistent behavior, basic rights of others or social norms/rules violated)
What is cruel to people and/or animals, lacks empathy, remorse, guilt, bullies, threatens, etc
What are some patient rights under law? When is this an exception?
What is right to treatment, and right to refuse treatment.
What is court order to administer medications, mandatory reporting, etc
What is a priority teaching point for a patient starting on lamotrigine (lamictal), mood stabilizer?
What is SJS
What is naloxone, flumazenil
What medical dx can mimic anxiety?
What is PE, arrythmias, angina, asthma, PNA hyperthyroid
What is the difference between enuresis and encopresis?
What is nighttime loss of bladder (bed wetting) for enuresis, resists having BM and then likely impaction with leakage for encopresis
What is age of consent for therapy? Medication?
What is 12, 15
what are nursing interventions for a patient on the floor with new onset delirium?
What is safety!
bedrails, call light, bed low, re-orient (windows, outside)
What is the deadliest psychiatric disorder?
What is eating disorders
What are r/f for adolescent suicide?
What is bullying, prior attempts, psych dx, family hx, sexual abuse, level of stress...
When do we see social anxiety in the pediatric population?
What is peer settings (peer social settings)
What is the red flag law?
What is law enforcement aware that a patient is at risk for SI/HI and having guns removed for a period of time
What are s/s of lithium toxicity
What is n/v, blurry vision, confusion, cardiac dysrhythmias, ataxia, weakness