Study guide exam 2 <\/p>\n
NURS 3772<\/p>\n
Bipolar<\/p>\n
Know maintenance lithium levels (range of 0.5 to 1.5)<\/p>\n
Difference between Bipolar I and Bipolar II (which is more likely to be hospitalized and more serious) criteria for each<\/p>\n
What is rapid cycling?<\/p>\n
When and why do we add an antipsychotic to med regimen for a bipolar pt? (know Zyrexa, Seroquel, Abilify, Risperdal)<\/p>\n
What organs are adversely affected by lithium use? What labs need to be done?<\/p>\n
Teaching for bipolar ptKnow the terms on slide 37<\/p>\n
Interruption\/disorganization of thought process in bipolar lead to flight of ideas, pressured speech, mania<\/p>\n
How can the nurse manage intrusive and manipulative behaviors of the manic patient on a unit?<\/p>\n
Remember it is always \u201csafety first\u201d in dealing with manic patients<\/p>\n
Nursing diagnosis and nursing interventions with manic patients<\/p>\n
Drug of choice for bipolar? Other classification is anticonvulsants. Know Tegretol, Depakote, Lamictal and Topamax are in this class<\/p>\n
What is cyclothymia?<\/p>\n
Schizophrenia<\/p>\n
Even though we covered some content in the case study assignment, it is such an important mental health disorder, I am adding a few questions on the test. <\/p>\n
Difference between positive and negative symptoms<\/p>\n
Schizoaffective D\/O is having schizophrenia symptoms plus a mood disorder like bipolar or depression. <\/p>\n
Responses to a paranoid or fearful patient with schizophrenia should first be to acknowledge the patient\u2019s fear. \u201cIt must be scary to see those images on the ceiling\u201d or \u201cto think people are trying to kill you\u201d. It does not mean we are saying it is real, it is gaining their trust. But them we should reassure they are in a safe place . Also, try to learn what they are their experiencing. <\/p>\n
Again, know that second generation (atypical) antispychotics are for patients who have both positive and negative symptoms (and most all patients have both). So, Haldol and Thorazine would not be the appropriate maintenance drug for them.<\/p>\n
Depression<\/p>\n
Difference between mood and affect<\/p>\n
Dangerous result of taking and MAOI and TCA too closely together<\/p>\n
Best response by the nurse to the depressed patient with poor self esteem<\/p>\n
Know anhedonia, anergia<\/p>\n
Teaching by the nurse to pt and family when starting pt on SSRIs.<\/p>\n
Foods to avoid if on tyramine- restricted diet<\/p>\n
What can occur if tyramine foods are eaten while taking MAOIs?<\/p>\n
Focus of nursing interventions for the period after ECT<\/p>\n
Ketamine for depression (receptors affected, route of delivery, how quickly it works, SE)<\/p>\n
The suicide questioning ladder <\/p>\n
Risk for suicide (two concepts involved) HOPELESSNESS and IMPULSIVITY (HOPELESSNESS is main one)<\/p>\n
Best treatment or combination of treatments for Depression<\/p>\n
Symptoms of depression<\/p>\n
Risk factors for developing depression<\/p>\n
Neurotransmitters implicated in depression<\/p>\n
Other classifications of depressive D\/O<\/p>\n
Cognitive theory and learned helplessness of depression (remember cognitive has to do with thoughts). We need to stop the \u201cstinkin thinkin\u201d that a person has when they think they are worthless, or inadequate. Read the ppts to learn the difference between learned helplessness and cognitive theory<\/p>\n
Remember empathy-empathy-empathy <\/p>\n
Why do we become worried and watch the depressed client closely when they suddenly have a lift in their mood? (they have the energy to actually carry out a suicide plan)<\/p>\n
How long does it take SSRIs to workSigns of Serotonin syndrome<\/p>\n
Substance Use<\/p>\n
Know definition of withdrawal, addiction, intoxication, tolerance<\/p>\n
4 C.A.G.E. questions<\/p>\n
Etiology of alcohol addiction<\/p>\n
Signs of initial alcohol withdrawal<\/p>\n
Factors that lead to successful and sustained recovery from alcohol and drug addiction<\/p>\n
Primary med used to treat opioid addiction is Suboxone (combination of naloxone and buprenorphine). How does it work?<\/p>\n
Overall concept of 12 step treatment approach<\/p>\n
What classification of meds is primarily used to prevent DT\u2019s in alcohol withdrawal?<\/p>\n
Why is folic acid and vitamin B1 (thiamine) given to patients with Alcohol Use D\/O?<\/p>\n
What are DTs?<\/p>\n
Areas measured when doing CIWA assessment: visual, tactile and auditory hallucinations, N\/V, tremors, sweating, Headache, confusion, agitation. Also, vital signs.<\/p>\n
Symptoms of opiate overdose<\/p>\n
Know these 2 meds for alcohol treatment: Campral (acamprosate) and Antabuse (disulfiram). How do they work?<\/p>\n
Remember, withdrawal from opioids, benzos, and amphetamines will make people feel like they are dying, but they likely they will not from the effect on the body itself. But withdrawal from alcohol can kill a person. They must be monitored and use of a protocol to prevent W\/D is needed<\/p>\n
Personality D\/O<\/p>\n
What makes one\u2019s personality a \u201cdisorder\u201d?<\/p>\n
Difference between Schizophrenia and Schizotypal Personality D\/O<\/p>\n
Characteristics of Obsessive Compulsive Personality (OCPD) D\/O (Not the same as OCD) <\/p>\n
Do not get OCD confused with OCPD (Obsessive Compulsive Personality Disorder). I wish they had not used similar terminology in the DSM 5<\/p>\n
Main characteristics of each cluster A, B, and C and each individual personality disorder<\/p>\n
Which cluster causes the most harm to other people?<\/p>\n
With cluster B patients, give example of staff demonstrating consistency with limit setting and expectations due to patient manipulative behaviors<\/p>\n
Criteria for and treatment of Borderline Personality (BPD) D\/O<\/p>\n
What is the reason individuals often give for self-mutiliation <\/p>\n
Signs the BPD patient is gaining insight?<\/p>\n
Splitting that is done by the BPD patient— clients with BPD either idealize or devalue the nurse and others. Attempt to get the nurses mad at one another. <\/p>\n
Important areas to address during assessment of patients with personality disorders<\/p>\n
Suicide, self-harm<\/p>\n
Risk factors<\/p>\n
Biological, psychosocial and cultural, societal<\/p>\n
Assessment using SAD PERSONS scale (this is an acronym for the 10 risk factors for suicide) <\/p>\n
Nursing Interventions and goal setting for the patient<\/p>\n
Affect may lift when the client has made a decision to complete suicide<\/p>\n
Self-injury — profile<\/p>\n
Stated reasons why clients cut\/harm themselves<\/p>\n
Lethality of methods<\/p>\n
Ms Hale\u2019s Suicide assessment ladder (in proper sequence)<\/p>\n
Therapeutic statements by the nurse to suicidal clients<\/p>\n
What is the \u201cripple effect\u201d after a person completes suicide? As in the video<\/p>\n
Veteran\u2019s issues<\/p>\n
Common behaviors and symptoms upon returning from combat<\/p>\n
Symptoms of TBI and PTSD<\/p>\n
Impact of multiple cycles of deployment<\/p>\n
Common behaviors and symptoms experienced by veterans<\/p>\n
Outcomes\/goals for the veteran and family with mental illness<\/p>\n
Nursing interventions for TBI\/PTSD<\/p>\n
Sexual D\/O<\/p>\n
Why is it difficult to define a sexual disorder?<\/p>\n
How is \u201cparaphilia\u201d defined? <\/p>\n
Why is it important for the nurse to do a self-assessment before taking a sexual history ( we need to remain objective and not judge. Unless someone is being harmed) <\/p>\n
How to conduct a sexual history (privacy and avoid judgement during the interview) May have to report if someone is being harmed or laws broken<\/p>\n
What is Gender Dysphoria <\/p>\n
Cisgender vs transgender definition<\/p>\n
Genito-pelvic pain D\/O<\/p>\n
Eating D\/O<\/p>\n
Physical signs of eating D\/O<\/p>\n
Different DSM diagnoses of eating D\/O<\/p>\n
Psychological signs of eating disorder<\/p>\n
Profile of person with eating D\/O<\/p>\n
Risk factors for eating disorders<\/p>\n
Nursing Assessment of patient with eating D\/O<\/p>\n
Personality traits of persons with Anorexia Nervosa (AN)<\/p>\n
Symptoms of AN and nursing diagnosis for AN<\/p>\n
When to hospitalized a client with AN<\/p>\n
Most common causes of death in AN<\/p>\n
Acute interventions in eating disorders<\/p>\n
3 components of treatment in hospital<\/p>\n
Intervention for clients with Bulimia Nervosa<\/p>\n
Sleep D\/O It is in DSM 5, not sure why<\/p>\n
Why is sleep important to mental health?<\/p>\n
What is the diagnostic test to measure sleep fragmentationDanger of inadequate sleep<\/p>\n
Teaching by the nurse about sleep (safety\u2014teach to avoid falling asleep while driving)<\/p>\n
Recommended amount of sleep for adults<\/p>\n
Forensics<\/p>\n
Various roles and functions of the forensic psychiatric nurse <\/p>\n
SANE-A and SANE-P<\/p>\n
Grief<\/p>\n
Difference between normal bereavement and major depressive episode following a loss<\/p>\n
Terms: loss, grief, bereavement, mourning<\/p>\n
Tasks of mourning a loss<\/p>\n
Example of disenfranchised grief<\/p>\n
Nursing interventions for the grieving<\/p>\n
What to say and what not to say to acutely grieving persons<\/p>\n
Serious and Persistent Mental Illness<\/p>\n
Who are the seriously mentally ill?(SMI)<\/p>\n
What is the (ACT) assertive community program?<\/p>\n
How do case managers serve the SMI?<\/p>\n
What programs and services are beneficial for the SMI?<\/p>\n
*********************************<\/p>\n
And finally: <\/p>\n
What is the sequence of the \u201cPathway to prison\u201d per Ms Hale? (from poor bonding to prison) <\/p>\n","protected":false},"excerpt":{"rendered":"
Study guide exam 2 NURS 3772 Bipolar Know maintenance lithium levels (range of 0.5 to 1.5) Difference between Bipolar I<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-40548","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"\n