Mania

Question 1

Mania Adaptive Coping

Answer 1

Getting organized
Seeking social support
Focusing on sleep hygiene
Decreasing stimulation and activity
Moderate exercise activities
Engage in calming activities
Taking time to rest
Prioritize & reduce tasks
See a doctor
Putting structure in place and sticking to it
Wearing sunglasses in dimly lit room. It is a warning sign. Indication that theyre trying to decrease stimulation on their own (coping skill)

Question 2

Mania Maladaptive Coping

Answer 2

Enjoying feeling high
Continue taking on more activities
Continue spending money/ gambling
Don’t seek help or take actions to help self

Question 3

Nurse communication towards people with Mania

Answer 3

Consistent, calm
Short and concise statements
Redirect energy towards constructive channels

Question 3

Disinhibited Behaviours

Answer 3

Ex, moving around naked, sexuality, offensive language, grandiosity

Sometimes benzos can act like alcholol and cuase disinhibited behaviours

Intervetions: redirect them, we need to be calm/clear/assertive, assess meds for side effects/interations

Question 4

Mania Meds

Answer 4

Antimanic
Anticonvulsant
Antipsychotics
Rapid tranquilization

Question 5

Lithium Levels
-theraputic
-toxic

Answer 5

Therapeutic Range is 0.6 – 1.2 mmol/L
Lithium Toxicity 1.5 mmol/L and greater

Question 6

Lithium Lab work

Answer 6

Blood levles
Electrolytes
- Sodium (NA)
Kidney Function
- Urea/Blood Urine Nitrogen (BUN)
- Creatinine (CR)
- Uric acid
Electrocardiogram (EKG/ECG)
Baseline weight is also good practice

Question 7

Valproic Acid (VPA)/Divalproex Sodium

Answer 7

Anticonvulsant Medication
Commonly used as Mood Stabilizers
Valproic Acid/Divalproex and Aspirin/Warfarin/Alcohol – may cause life threatening severe bleeding or toxicity

Question 8

Valproic Acid Levels
-theraputic
-toxic

Answer 8

Therapeutic level: 50-100 mmol/ml
Toxic level: 150 mmol/ml +

Question 9

Client education for Mania

Answer 9

• Adherence enhancement
• Early identification of symptoms
• Lifestyle regularity to maintain health
• Exploring health beliefs & illness awareness
• Nature of illness, cause, course and outcome
• Triggers, symptoms & symptom management
• Substance use
• Prevention, early recognition, & actions
• Stress management
• Problem-solving techniques
• Special issues such as pregnancy
• Alternative therapies

Question 10

Mania 5 treatment approches

Answer 10

Goals: regain stabalization and prevent reoccurace.

1) medications
2) psychoeducation
3) self mamagment skills, 4) group therapy
5) lifestyle and self help.