Diagnoses
Medications
Side Effects
Safety First
Legality and Ethics
100

This disorder is characterized by persistent sadness, loss of interest in activities, and low energy.

Major Depressive Disorder
100

This class of medications, such as sertraline, is commonly used to treat depression and anxiety.

Selective Serotonin Reuptake Inhibitors (SSRIs)

100

A patient on an SSRI develops agitation, confusion, sweating, and tremors after starting a new medication. This condition is suspected.

Serotonin Syndrome

100

This level of observation requires a staff member to remain with the patient at all times due to high safety risk.

1:1 Observation

100

This type of admission occurs when a patient agrees to be hospitalized for psychiatric treatment.

Voluntary admission
200

This disorder often includes excessive worry, restlessness, and physical symptoms like increased heart rate or sweating without a clear cause.

Generalized Anxiety Disorder

200
This class of medications has a high risk for EPS:

First generation antipsychotics 

200

A patient taking antipsychotics develops muscle stiffness, tremors, and restlessness. This group of side effects is known as:

Extrapyramidal Symptoms (EPS)

200

When a patient becomes increasingly agitated, this is the priority initial nursing action before considering medications or restraints.

Verbal de-escalation

200
True/False: A voluntary admission can leave the unit against medical advice?

False

300

This disorder may present with hallucinations, delusions, and disorganized thinking, often affecting a patient’s perception of reality.

Schizophrenia, schizophreniform disorder, schizoaffective disorder, psychosis

300

This drug, which can be given under the tongue, is given a lot for anxiety, agitation, and psychosis. The brand name is Zyprexa. What is the generic name?

Olanzapine

300

A patient has severe constipation and an extremely low WBC and ANC. What medication could cause both of these deadly symptoms?

Clozapine

300

In all patients' rooms, but especially psych patients, healthcare staff should position themselves:

Between the patient and the door

300

This legal principle requires healthcare providers to warn identifiable individuals if a patient makes a credible threat of harm toward them

Duty to Warn

400

This disorder is marked by alternating periods of depression and mania, where the patient may have elevated mood, decreased need for sleep, and risky behavior.

Bipolar Disorder (I or II)

400

This class of medications helps with anxiety but has a high risk of addiction:

Benzodiazepines

400

A bipolar patient is has tremors, confusion, and severe renal impairment. What drug is most likely the cause?

Lithium

400

How often should a healthcare staff lay eyes on each psych patient?

15 minutes

400

Before a procedure or treatment, the patient must demonstrate understanding, voluntariness, and competence. This process is known as this.

Informed Consent

500

A patient presents with confusion, tremors, sweating, and agitation after stopping alcohol use abruptly. This condition is a severe form of withdrawal.

Delirium Tremens (DTs)

500

This medication used for bipolar disorder requires regular blood level monitoring due to a narrow therapeutic range.

Lithium
500

This potentially life-threatening condition can occur with antipsychotic use and includes fever, muscle rigidity, and altered mental status.

Neuroleptic Malignant Syndrome (NMS)

500

Name at least two safety measures that are taken in suicide precautions:

Paper trash bags, removal of wires, room check, belongings check, 1:1 observation

500

If a patient is not competent to determine if they need medications, this kind of meeting may be convened:

Forced medication hearing