Exam 2 Flashcards
Recovery phase
Deal with suicidality
Deal with medical issues
Escalation cycle
Calm Trigger Agitation Acceleration Peak De-escalation
Bipolar
Responding effectively to lithium?
Crossword puzzle
Complicated activity requiring concentrated attention span most bipolar clients in the manic phase have increased sexual desire.
Hypomanic phase of bipolar disorder?
Rapid speech
Preoccupation with sex
Lack of sleep
Lithium and mood swings?
The part of the brain that controls emotion becomes hypersensitive to stress over time and releases extra neurotransmitters causing more rapid mood swings.
Client experiencing mania:
Does not eat or sleep well.
Bipolar disorder:
Often feel elated (highs and lows)
They’re productive
And don’t think anything is wrong when they have manic feelings
Self care deficit is common
Hypomanic:
Patient experiencing mania lacks insight and judgement.
Hypomanic- nursing diagnosis
Risk for injury Tend to annoy other other clients Poor defensive abilities Poor judgement Very impulsive
Depression in older adults:
Older clients have higher levels of enzyme mono amine oxidase–> slower signals to the brain causing depression.
Depression and phototherapy
Seasonal affective disorder: exposure to light will increase melatonin production. A hormone that affects mood.
Neuroleptic malignant syndrome:
Fever
Fluctuating blood pressure
Muscle rigidity
Discontinue meds and report S/S
W/ major depressive episode monitor for urinary retention and constipation due to?
Psychomotor retardation and medication.
75 depressed client with impaired cognition:
Monitor for suicide
Raise self esteem
Encourage client to express feelings
Cluster A
Paranoid
Schizoid
Schizoid typo
