Disorders/Concepts
Bipolar 1 definition
What is => 1 episode of mania and MDD
Anticonvulsants medications and their side effects
What is Valproic acid, lamotrigine, carbamazepine.
sedation,
disfuram, naltroxen, acamprosate
What is what is medications for alcohol abstinence
Examples of Cognitive behavioral therapies
What is cognitive reframing, decatastrophizing, mind stopping, assertive communication, mindfulness,...
Active Suicide Precautions
What is Keep door open, 1:1, remove all sharp objects, strings, belts, speak in calm, reassuring voice. lock the unit main door.
A nurse breaks a client's confidentiality to report a threat to another person.
What is duty to warn?
Antidepressant class of medication that causes hypertensive crisis.
what is MAOIs, consuming tyramine rich food while on medication.
hallucinations, very high BP, dysrhythmia
What is delirium tremen
Two therapies used specifically on PTSD clients.
what is rapid eye movement desentization (REMD), exposure therapy.
Manic episode interventions
Protect client from injury, stay with the client, protect others from client's manipulation and harm, speak in a direct, calm, precise tone. Postponed teaching, finger like food/snacks, order for lithium or antipsychotics. last resort- restraints or seclusion.
Enlarged parotic glands, dental erosion, irregular menses, normal or slightly higher BMI.
What are the symptoms of bulimia nervosa?
First line treatment for anxiety, depression and trauma related disorders.
What is SSRIs?
Give child more time to finish task, break down complex task in small steps, reduce distraction, initiate client attention before giving instructions.
What is ADHD nursing interventions.
Systematic desensitization
What is a behavioral therapy used in phobias that gradually exposes a client to a stimuli to reduce the anxiety.
Focus on food and fluid intake
What is a nursing priority for clients with Anorexia and bulimia nervosa.
underweight BMI<18, lanugo, Russel's sign
What is Anorexia nervosa?
This medication class causes retrograde amnesia, respiratory depression if IV, sedation, severe withdrawal symptoms if stopped abruptly.
What is benzodiazepines.
anger, denial, bargaining, acceptance, depression
What is Kubler Ross stages of grief
Relaxation techniques, mindfulness, biofeedback
What is stress relieving strategies
"The world will be better without me" "You have been a wonderful nurse to me, I will never forget you"
covert suicide statements, ask about suicide ideation.
Bipolar 2 definition
What disorder has at least 1 episode of hypomania and or MDD?
This medication class can treat depression and chronic pain.
SNRI-duloxetine, TCAs
GI upset, loss of appetite.
Take medication with food or immediately after eating.
Identify the source of distress, punching bag, talking a walk.
What is anger management strategies?
Suicide ideation, psychotic symptoms, seizures
What is priority assessment for alcohol withdrawal
Associative looseness, word salad, delusions, hallucinations.
what is positive symptoms of schizophrenia
Do not alter sodium or fluid intake.
diet teaching for client taking lithium.
Contraindicated for clients with cardiac issues.
What is TCAs, CNS stimulants, MAOIs.
A client snaps a rubber band on his wrist every time he has thoughts of promiscuity.
What is aversion therapy?
Do not give more than 1 week supply of medication.
Antidepressants for client with history of suicide attempts.
Hyperactivity, inattention, impulsivity
What is ADHD?
Ataxia is a common side effect of this medication class
What is anticonvulsants mood stabilizers.
Death of child, violent death...
What is disfranchised grieving
stabilization of clients symptoms
What is focus of inpatient psychiatric treatment
Memory loss, forgetfulness, gradual onset, cognitive decline
What is symptoms of dementia.
SIGEGAPS for depression
What does Sleep, Interest, Guilt, Energy, Concentration, and Appetite, Psychomotor, and Suicidal ideation treat?
These class of medication is given to clients with behavioral issues and targets anger, aggression, agitation.
What is Haldol, olanzapine, 2nd or 3rd gen POs.
Mental status exam areas
What is appearance, level of consciousness, thought, judgement and insight, emotions, cognitions,
"That nurse reminds me of my brother", A nurse referring to a client "I cant stand a person who cannot take personal responsibility"
What is transference or countertransference
Nursing care for bipolar 1 acute phase.
What is assess for suicide thoughts, provide safe environment, decrease stimulation, frequent rests, outlet for physical activities, protect from poor judgement, risky behaviors, provide time to sleep at least 4 hours a night, portable nutrition/finger foods.
Provider break client confidentiality to report a client conditions who is driving recklessly and endangering others.
What is an ethical dilemma? What is conflicts of ethical principles/What is no clear course of action.
Chemical restraints
What is haloperidol, olanzapine, benzodiazepines.
Adult psychiatric restraints and seclusion application protocols.
What is Face-to-face evaluation by provider within 1 hr of application and Q8 hrs thereafter. Q4 hr Order renewal, Q1-2hr RN assessment&doc, continuous monitoring.
Danger to themselves and others
What is criteria for involuntary admission.
Consciousness is affected, rapid onset, known cause. It is a medicla emergency
What is delirium?
RN inappropriate use of restraints and seclusion.
What is an intentional tort? (false imprisonment, battery, assault)
Lorasidone
What is medication approved for bipolar depression.
Nursing care for restraint client.
What is offer food, fluid and toileting, assess skin, movement and exercise, assess and document need continued restraints/seclusion, inform client of behavioral that will be used to decide in discontinuation.
Freedom of movement.
What is right denied for involuntary admitted client.
Identify and resolve the cause reduce environmentla stimuli, near nurse station, medications for agitation
What is treatment for delirium