Take a Chance
A nurse enters the room of a client who is diagnosed with bipolar, to a dramatic welcome greeting. The client states, its so nice to have you on shift because you care about my pain needs and give me the medication I need, unlike the nurse who was on earlier. The name of this defense mechanism is?
What is ‘splitting’.
Two mental health disorders that may result in the state called psychosis.
What are ‘Schizophrenia & Bipolar disorder’.
The following adverse effects, including akathisia, acute dystonias, pseudoparkinsonism, tardive dyskinesia are caused by the blockage of which neurotransmitter receptor?
What is dopamine?
This disorder is characterized by persistent and exaggerated apprehension and tension.
What is generalized anxiety disorder (GAD)?
A patient with bipolar disorder has ‘rapid cycles’. To prepare teaching materials, the nurse anticipates which anticonvulsant medication will be prescribed?
a. Clonidine
b. Phenytoin
c. Carbamazepine
d. Chlorpromazine
What is ‘C’.
Carbamazepine
Which finding best indicates that the goal “Demonstrate mentally healthy behavior” was achieved? A patient:
a). Behaves without considering the consequences of personal actions.
b). Seeks others to assume responsibility for major areas of own life.
c). Sees self as approaching ideals and capable of meeting demands.
d). Aggressively meets own needs without considering the rights of others.
What is C?
The loss of the ability to experience joy or pleasure in living.
What is ‘Anhedonia’.
The reuptake of which neurotransmitter is inhibited when a client takes paroxetine (Paxil) and citalopram, or any drugs belonging to this category of antidepressants.
What is ‘Serotonin’.
This type of response is the body’s way of preparing for a perceived threat and results in increased blood pressure, heart rate and cardiac output.
What is Fight or Flight response? (sympathetic NS)
Which standard is/are not met in the following situation:
Nurse gives 15mg of IM morphine without checking the client wristband. The order reads: 5mg morphine IR
What is:
Right Dose
Right Route
Right Person
This element is the main cation found in intracellular fluid and responsible for cardiac conduction.
What is ‘Potassium’
Akathisia is defined as which of the following?
a)Pronounced and distressing pacing and fidgeting
b)The pathological repeating of another's words
c)Involuntary tonic muscular contractions involving the tongue, fingers, toes, neck or pelvis
d) A neurocognitive disturbance characterized by inattention, disorganized thinking, altered consciousness, fluctuations in mental status
What is ‘A’.
Pronounced and distressing pacing and fidgeting
When drugs that antagonize this neurotransmitter are taken for longer term therapy, tardive dyskinesia, a potentially irreversible movement disorder may occur.
What is dopamine?
Is a state of adaption that often includes tolerance and is manifested by a withdrawal syndrome when drug interruption occurs abruptly.
What is ‘Physical Dependence’?
These key assessments must be done prior to giving a dose of a beta blocker such as metoprolol.
What is ‘blood pressure and heart rate’?
A patient being treated for depression has taken 300mg amitripyline (Elavil) daily for a year. She calls the case manager at the clinic and says she stopped taking her meds for the past 2 days and is now having cold sweats and nausea. Which is the best choice for the nurse to advise?
A). Go to the nearest emergency department immediately.
B). Do not be alarmed. Take 2 aspirin and drink plenty of fluids.
C). Resume taking your antidepressants for 2 more weeks and then discontinue
D). Take a dose of your antidepressant now and come to the clinic to see the health care provider.
What is D?
D) Take a dose of your antidepressant now and come to the clinic to see the health care provider.
What is the name of the chronic depressive syndrome that is typically present for most of the day, more days than not for at least 2 years?
What is ‘Dysthymia’?
These two neurotransmitters are affected by 2nd line antidepressant therapy such as Venlafaxine (Effexor).
What are serotonin and norepinephrine? (SNRI’s)
Stringing words associations together – Row your boat, don’t be a cut throat, cut your throat, get your goat, go vote.
What are ‘Clang Associations’?
The physician orders 125 mcg digoxin orally. The medication available is 0.25mg per tablet. Which of the following is the correct dose to administer?
A. 0.5mg
B. Half a tablet
C. 1.5mg
D. 2 tablets
What is
B. Half a tablet
Infants less than 2wks old rely on this mechanism of norepinephrine release which causes vasoconstriction and increases their body temperature. What is this process called?
What is non-shivering thermogenesis?
Fear of being in open, crowded or public places such as a field, a tunnel, a bridge where escape is perceived as difficult or help is not available is known as?
What is ‘Agoraphobia’?
What medical emergency can result from taking SSRIs?
Serotonin sydrome
Dishevelled appearance, early morning insomnia, wt. gain or loss and lack of affect are common signs of which mental illness.
What is ‘Depression’?
Which common antiemetic works best on the vestibular causes of nausea?
What is ‘dimenhydrinate (Gravol)’?