Manic Monday
Tacos Talk to me Tuesday
Worried Wednesday
Take Your Meds Thursday
Thank God It's Friday
100

Nausea, vomiting, diarrhea, thirst, polyuria, slurred speech, muscle weakness

What are early signs of lithium toxicity?

100

Poverty of thought, loss of motivation, inability to experience, pleasure or joy, feelings of emptiness, blunted affect

What are negative symptoms of schizophrenia?

100

Heightened perceptual field, able to work effectively toward goal, slight discomfort, mild tension relieving behavior (foot/finger tapping, chewing, fidgeting)

What is mild level of anxiety?

100

Do not increase dosage without prior approval, avoid alcohol, avoid drinking caffeinated beverages, may be taken with food to decrease GI discomfort

What are teaching points for taking anxiolytic drugs (benzodiazapines)?

100

Time frames of symptoms and/or indicated by specific events

•What are the differences in depressive disorders?

–Major Depressive Disorder (2 wks)

–Persistent Depressive Disorder (2 yrs)

–Premenstrual Dysphoric Disorder (specific with menses)

–Postpartum Depression (specific time frame after child birth)

200

Maintain low level of stimuli in patient environment, provide frequent high-calorie foods, and provide frequent rest periods

What are interventions for acute mania?

200

Jumoing, netula, confustion

What are examples of neologisms?

200

Used short term, have quick on-set, use to reduce moderate/severe anxiety

What are benzodiazepines?

200

Alternative option for medication compliance with a schizophrenic client

What is to use a long-acting IM injection form of medication?

200

“There’s nothing wrong with me.”- patient has severe chest pain, sweating, pale, and pain down left arm.

What is an example of denial?

300

Appropriate mood, speech, and dress

What are expected outcomes for bipolar patient?

300

Silly Sally looks longingly at the wall. Head turned, eyes away avoiding the call. Christmas time is no where near, but in a sing song voice Sally says, “Do you hear what I hear?”

What is clanging?

300

Greatly reduced perceptual field, focused on details, attention scattered, unable to see connections between events, feelings of dread, confusion

What is severe level of anxiety?

300

Decreased level of consciousness, greatly increased muscle tone, hyperpyrexia, labile hypertension, tachycardia, diaphoresis

What is Neuroleptic malignant syndrome?

300

“Of course I failed the test. The teacher never taught us a single thing.”

What is an example of rationalization?

400

Coarse hand tremors, persistent GI upset, mental confusion, muscle irritability

What are advanced signs of lithium toxicity?

400

Use this nursing diagnosis for a person experiencing hallucinations

What is Disturbed Sensory Perception: auditory/visual?

400

Does not cause dependency, useful for GAD, takes 3-4 weeks to see effectiveness

What is buspirone (Buspar)?

400

May cause high seizure rate, significant weight gain, excessive salivation, agranulocytosis

What is Clozapine (Clozaril)?

400

Focuses on changing “automatic thoughts” which occur and distort thinking

What is Cognitive Behavioral Therapy? (CBT)

500

The most effective tool for a patient during a manic phase

What is distractibility/ use of distraction?

500

Tom said “ I hear my mother’s voice saying terrible things about me.”... best nursing response?

“That must be very upsetting, Tom. Are you feeling upset?”

500

Unable to focus on environment, may be mute or have extreme psychomotor agitation, dilated pupils, severe shakiness

What is panic level anxiety?

500

Mixing these meds places patient at higher risk for developing serotonin syndrome

What are SSRIs and MAOIs?

500

Biological treatment to improve severe depression or treatment resistant bipolar disorder

What is ECT?