Bipolar and Related Disorders
While hospitalized, patient seemed to have high energy, fast speech, dancing and jumping up in the window panes. Patients voice was loud as he yelled, "I am king". He started shaking everyone's hands and telling then "hello". Patient may be experiencing what type of episode?
Mania
Patient in early childhood is not eating, has difficulty concentrating and is restless in class, and is not concentrating. This period is called...
The Prodromal Period
Hair ingestion may result in the development of a hair ball, which can lead to anorexia, stomach pain, anemia, intestinal obstruction, and peritonitis
Trichotillomania
Nurse reviewing patient's chart and notices he's been on several types of antipsychotics in the past. She notices patient has Schizophrenia, HTN, and GERD. Patient's WBC is 2.5 (4.5-11.0), ANC 1.0 (2.5-6.0).What is the patient most likely experiencing? What medication is the patient likely on? and what order is the physician expected to give?
Agranulocytosis; Clozaril; and stop the medication.
Patient is picking the skin on her fingers leaving them to bleed could benefit from what type therapy?
CBT
Nurse sees in the chart that patient is dx with Bipolar I. Nurse should expect what comorbidities?
Anxiety and Substance Abuse
Patient admitted for increased hallucinations and delusions x 2 days now. Patient is experiencing what type of symptoms?
Positive symptoms
Some individuals with obsessional, ruminative style of thinking exhibit speech that is loaded with irrelevant details before eventually addressing the question
circumferential speech
Patient complains that they aren't seeing any results from taking Lurasidone after12 weeks. The nurse must remember to ask what question?
Are you eating at least 350 calories when taking the medication
Which therapy may patient with OCD struggle with being that they have intrusive and compulsive thoughts, and sensations that leads to self-judgement.
Mindfulness
Patients with bipolar disorder have a complex set of issues and have the best chance of recovery by working with an...
During interview with new admit, the nurse noticed that patient started talking about one topic and suddenly changed to another and another. The nurse documented patient was having...
Flight of ideas
John often times gets "lost" in his games and doesn't hear his wife call his name for dinner. He spends hours playing and doesn't pay attention to his surroundings. John is experiencing OCD with ...
dissociative absorption
Patient complains to the doctor that since being on the medication for involuntary abnormal eye movements that he's been constipated and experiencing dry mouth and eyes. What medication is this patient on and what are the interventions to educate patient on?
Anticholinergic: Benztropine, Tetrabenazine, or Trihexyphenidyl ...
Patient is to stay hydrated by taking sips of water or chewing sugar free candy or gum; Increase fiber in diet and laxative if recommended; use artificial tears if necessary
Strategies here help the person accept thoughts and anxiety without allowing them to interfere with life
Acceptance and Commitment Therapy (ACT)
The priority of nursing care is always...
Safety
The nurse explained to the patient's family that the medications prescribed for schizophrenia are designed to do what?
Block dopamine
True or False: Obsessive beliefs and delusions are the same
False: Though obsessive beliefs may be irrational, they are not as fixed and unyielding as delusions, and insight regarding these beliefs may change over the course of the disorder.
Patient is experiencing profound confusion after having a seizure, Muscle irritability and tremor. Nurse checked labs and noticed lithium level was 2.5. He's been taking lithium for 10 days, now. What is likely wrong with the patient?
Severe Lithium toxicity
<1.5 Mild SE
1.5-2.5 Moderate Toxicity
>2.5 Severe Toxicity
In Bipolar patients, the use of valproate or carbamazepine will elevate the seizure threshold, requiring some adjustments in this type treatment.
Electroconvulsive Therapy
The nurse should also educate patient not to take what medications while taking lithium, because it could increase blood concentrations of lithium...
Ibuprofen/NSAIDS, Diuretics, Caffeine
Patient comes to the emergency room with severe muscle rigidity, temperature greater than 103 F, and confusion. Patient is most likely experiencing...
Neuroleptic Malignant Syndrome
Fill in the blank: Nurses must control their own______. The nurse should interact with the individual in a calm,______, fashion without exhibiting any disapproval of the client or the client's behaviors while demonstrating ____________ about the distress that the disorder has caused.
Anxiety
Nonauthoritarian
Empathy
Treatment with these two antidepressants pose the greatest risk for sudden death?
SSRI, Citalopram, and Tricyclics
This type therapy treatment may have cognitive benefits and will improve verbal fluency, memory, and executive functioning in patients.
Bipolar Disorder: Transcranial Magnetic Stimulation