Mental Final - Exam 3

Question 1

MDD

Answer 1

5 symptoms that occur every day over a 2 week period

Question 2

Dysthymic disorder

Answer 2

2 symptoms over 2 years (1 year for children) of depressed mood

Question 3

This therapy is used for major depression patients who are suicidal and aren’t responding to medication.

Answer 3

ECT

Question 4

ECT is used for what conditions

Answer 4

Depression and Bipolar

Question 5

ECT

Answer 5

Increases Serotonin and causes unilateral Grand Mal seizures.

Question 6

ECT contraindications

Answer 6

ICP, Tumors, Recent MI/CHF, Children

Question 7

Side effects of ECT

Answer 7

Temporary memory loss, confusion, disorientation

Question 8

Nursing responsibilities for ECT

Answer 8

Obtain consent, vitals, labs/xrays, and ADMINISTER Robinul

Question 9

Sign that ECT is working

Answer 9

Big Toe Flex

Question 10

Where is ECT normally given?

Answer 10

Outpatient

Question 11

When is ECT given inpatient?

Answer 11

High risk for suicide

Question 12

Intervention for ECT

Answer 12

Reorient patient

Question 13

Frequency of ECT

Answer 13

Total of 6-12 for 2-3 times a week.

Question 14

Robinul’s effect for ECT

Answer 14

Prevents Aspiration

Question 15

Bipolar I

Answer 15

Mania and Major Depression

Question 16

Bipolar II

Answer 16

Hypomania and Major Depression

Question 17

What meds are given for Bipolar?

Answer 17

Anticonvulsants, Antianxiety (Klonopin), and Lithium

Question 18

Lithium

Answer 18

First line med for Bipolar depression and acute mania. Enhances reuptake of neurotransmitters and decreases sodium in kidneys. therapeutic range is 0.6-1.2mEq/L. Toxicity >1.7

Question 19

Therapeutic side effect of lithium

Answer 19

Fine hand tremors, thirst, nausea, weight gain

Question 20

Patient education for lithium

Answer 20

Don’t restrict sodium, 3000mL fluid intake, and contact MD if V/D occur

Question 21

What medication should not be given with lithium

Answer 21

Diuretics

Question 22

What organs does Lithium affect?

Answer 22

Kidney, thyroid

Question 23

How long does it take for Lithium to work?

Answer 23

7-14 days. Must give another med until it starts working

Question 24

Interventions for Bipolar manic patients

Answer 24

Reduce stimuli, LIMIT GROUP activities, 1 on 1.

Question 25

Medications for ADHD

Answer 25

Adderal, Ritalin (Concerta - Long Acting), and Strattera (No need for drug holiday)

Question 26

When do hunger sensations decrease with this disorder?

Answer 26

↓200 CALORIES DAILY

Question 27

What observations characterize a bulimic patient?

Answer 27

Dental Erosion (vomiting), parotid gland enlargement (frequent use)

Question 28

Meds for anorexics

Answer 28

Antidepressants

Question 29

Intervention for Anorexics

Answer 29

Offer high calorie/protein snacks throughout the day

Question 30

First line treatment for Panic disorders

Answer 30

SSRI’s

Question 31

Medication used to treat social anxiety disorders

Answer 31

Propanolol

Question 32

TCA side effects that require medical attention

Answer 32

Constipation and Urinary Retention

Question 33

How long should SSRI’s be discontinued before taking MAOI’s

Answer 33

2-5 weeks