Mental Health and Meds

Question 1

What is sertonin syndrome?

Answer 1

Life threatening occurs with interaction of SSRI, MAOI

Question 2

S+S of serotonin syndrome?

Answer 2

changes in mental status
autonomic dysregulation - hyperthermia, diaphoresis, tachy, hypertension
Neuromuscular hyperactivity.

Question 3

What is agoraphobia?

Answer 3

Fear of being in certain situation or physical spaces

Question 4

What is methylphenidate (Ritalin)

Answer 4

To treat ADHD narcolepsy

Question 5

What is a common sidie effecy of methylphenidate?

Answer 5

Loss of appetite = weightloss. Tachycardia
Increase in BP
So important to get this checked.

Question 6

What is social anxiety disorder?

Answer 6

Fear of social or performance situations with strangers due to possibility of scrutiny by others.

Question 7

When switching from a tricyclic antidepressant to MAOI what do you do?

Answer 7

Taper down and take a 2 week drug free period. if not pt can experience hypertensive crisis.

Question 8

When is a tyramine-restricted diet intiated?

Answer 8

for clients with antidepressant regiment to decrease hypertensive crisis

Question 9

What is a high incidence of a/e and potential in jury in elderly?

Answer 9

antipsychotics
anticholin
antiista
antihyper
benzo
diuretics
opiod
sliding scales

Question 10

What is delusions of reference?

Answer 10

A belief of songs, newspaper, other events are significant to them

Question 11

What is the acronym for commiting suicide?

Answer 11

SAD PERSONS

Question 12

How to stop an OCD behaviour?

Answer 12

Remind them the time they are spending on the activity

Give reflective behaviour

Question 13

Interventions for hallucinations?

Answer 13

reinforce reality and acknowledge

Question 14

Common behaviour of border personality disorder?

Answer 14

Suicidal threats, gestures, and attempts

Question 15

What do you teach fo tricyclic antidepressants?

Answer 15

Avoid taking over the counter cough and cold meds
changes in HR
Drowsiness occurs med should be taken at bed time

Question 16

What is the preprocedure for ECT?

Answer 16

NPO
Driving not permitted
Temporary memory loss and confusion can occur

Question 17

How is methyphenidate administered?

Answer 17

Divided in 2 or 3 doses, no later than 6 as it can affect sleep.

Question 18

S+S of PTSD

Answer 18

Reexperiencing the traumatic event

Avoiding reminders of the trauma

Increased anxiety and emotional arousal

Question 19

Intimate partner violence sign and symptoms

Answer 19

Jealousy
Financial reasons
intensifies with pregnancy

Question 20

What is displacement?

Answer 20

A defense mechanisms when a person shifts uncomfortable feelings or impulses about a situation to a person

Question 21

How can delirium tremens be prevented?

Answer 21

benzodiazepine

Question 22

What is postpartum psychosis?

Answer 22

Rare perinatal mood disorder

Question 23

What are the risk factors for postpartum psychosis?

Answer 23

Hx of bipolar, discontinuation of mood stabilizing meds.

Question 24

How does Neuroleptic Mal. Syndrome occurs?

Answer 24

From antipsychotics, haloperidol

Question 25

s/s of neuroleptic malignant syndrome?

Answer 25

muscle rigidity and fever

Question 26

What is risk factors lithium toxicity?

Answer 26

DDD

Dehydration, decreased renal, diet low in sodium

Question 27

What is chronic toxicity for lithium?

Answer 27

Neurologic

Nephrogenic - polyuria/dipsia

Question 28

What is major depressive disorder?

Answer 28

A subtype depression in ability to do things everyday, work, sleep or enjoy for two weeks.

SIGE CAPS
Sleep - increased/decreased
Interest deficit 
Guilt 
Energy deficit 
Concentration deficit
Appetite 
Psychomotor retardation 
Suicidality

Question 29

What are core symptoms of ADHD?

Answer 29

Hyperactivity
Impulsiveness
Inattention

Question 30

What are ADHD clients prone to be as well?

Answer 30

Have low self-esteem

Impaired social skills