Medications
Your client has taken fluoxetine for 3 days but now complains that it “doesn’t help” and refuses to take it. What should the nurse say or do?
What is, educate the patient that it takes several weeks before results are seen.
>1.5 mEq/L is the toxic level of
What is Lithium
This is the subjective expression of how a person feels
What is mood
This drug class should only be prescribed to patients who can adhere to dietary restrictions
MAOIs
The nurse evaluates these anticholinergic effects of a patient receiving tricyclic antidepressants (TCAs)
What is dry mouth, blurred vision, urinary retention, constipation
A person on an MAOI inhibitor should avoid:
a) citrus fruits, tuna, & yellow vegetables
b) pepperoni, aged cheese, and kimchi
c) whole grains, red meats, and carbonated sodas
What is b) pepperoni, aged cheese, and kimchi
This lab work should be conducted for women of childbearing age prior to starting on Lithium
what is a pregnancy test
Lithium is teratogenic and women should be counseled to avoid pregnancy
This is a serious safety concern related to imbalances in mood & affect
what is increased risk for suicide
This drug class to treat Alzheimer's disease should be given with caution to clients with asthma/COPD
what is Cholinesterase Inhibitors
bronchoconstriction
MAOI can cause stimulation of the CNS which is manifested by
What is increased anxiety or insomnia
Tricyclic Antidepressants are contraindicated in people with this condition
What is angle-closure glaucoma
due to anticholinergic side effects
Alzheimer's Disease has been linked to the degeneration of
what are neurons
During a cognition assessment, the nurse asks about how the client's daily life has been impacted in order to assess for this
what is functional impairment
Functional impairment is the inability to realistically solve ordinary problems of daily living
Structural & function changes in areas of the brain involved with regulating attention, impulsive behavior, and motor activity have been linked to this disorder
What is ADHD
Goals of treatment for Alzheimer's Disease include
What is (any or both)
1. slow the loss of memory and cognition
2. prolong independent functioning
When taking Lithium clients are instructed to avoid this medication due to the increased risk of Lithium toxicity
What are diuretics
This type of prevention of mood disorders includes the routine screening of all adults during primary care visits
what is secondary prevention
Week 6 day 2
The nurse will want to reduce this type of stimuli during a client's manic episode
what is environmental stimuli
This is the amount of time that needs to lapse between taking a CNS stimulant and an MAOI
what is at least 2 weeks
Clients may complain of this odd taste when taking MAOIs
What is metallic taste
The nurse tells a client taking CNS Stimulants for ADHD to this in order to avoid interference with sleep
What is take latest dose by 4 pm
This diagnosis is seen in clients with bouts of major depression that have never had a full manic episode
What is Bipolar II
This nonpharmacologic therapy focuses on training to reorient patterns of negative thinking
What is cognitive-behavioral therapy (CBT)
This may occur as an outward manifestation of possible mood spectrum disorder
Some examples of this are agitation, sadness, elation, and blunting
What is affective instability
Week 6 day 2
This is the desired effect of prescribing CNS Stimulants for ADHD
what is increased attention span and concentration