MH Exam 2 Flashcards
WHAT DISORDER IS BEING DESCRIBED HERE?
EXCESSIVE ACTIVITY AND ENERGY FOR AT LEAST FOUR DAYS
PSYCHOSIS IS NEVER PRESENT
LOW-LEVEL AND LESS DRAMATIC MANIA
Bipolar II
HYPOMANIA ALTERNATING WITH SYMPTOMS OF MILD TO
MODERATE DEPRESSION FOR AT LEAST TWO YEARS DESCRIBES
WHAT DISORDER?
Cyclothymic Disorder
IDENTIFY THIS THOUGHT PROCESS:
“HONESTY IS ESSENTIAL IN PEOPLE’S LIFE. EVERYONE SHOULD BE HONEST. MY
COUSIN’S NAME IS “HONEST.” HIS CAR’S MODEL IS MERCEDES. MERCEDES ARE
HIGH QUALITY CARS MADE IN GERMANY. GERMANY IS SUPERIOR IN CARS
MANUFACTURING. MANUFACTURING IS ESSENTIAL TO COUNTRIES’ ECONOMY ALL
OVER THE WORLD. THE WORLD IS IN CHAOS NOWADAYS ECONOMICALLY,
POLITICALLY, AND SOCIALLY.
Flight of Ideas
IDENTIFY THREE HIGH PRIORITY CLINICAL PROBLEMS ASSOCIATED
WITH BIPOLAR I DISORDER PLACING THEM IN PRIORITY ORDER:
- Mania
- Depression
- Anxiety
IDENTIFY THIS THOUGHT PROCESS:
“I WROTE THE BOAT OVERLOAD SHOWED MY GOAT FLOAT TOTE. HE
RAINED THE TRAIN BRAIN STRAIN GAIN THE CRANE. GO OUT AND
VOTE. SO, I WROTE.”
Clang Associations
YOU NOTICED THAT A NEW RESIDENT PHYSICIAN PRESCRIBED THE
SSRI, PAROXETINE, FOR YOUR PATIENT WITH BIPOLAR
DEPRESSION. THIS IS THE ONLY MEDICATION PRESCRIBED FOR
THE PATIENT. AS YOUR PATIENT’S ADVOCATE, YOU UNDERSTAND
THAT PRESCRIBING THIS MEDICATION ALONE INCREASES THE
RISK OF THE PATIENT EXPERIENCING A
Manic Episode
IDENTIFY TWO POTENT BENZODIAZEPINES USED IN THE
TREATMENT OF ACUTE MANIA
Clonazepam
Lorazepam
IDENTIFY THIS SPEECH PATTERN:
NURSE: HOW OLD WAS YOUR MOTHER WHEN SHE DIED?
PATIENT RESPONSE: “ACCIDENTS HAPPEN ALL THE TIME. TOO MANY ACCIDENTS
HAPPEN IN THE UNITED STATES. SOMETIMES, THEY ARE CAUSED BY DRUNK
DRIVERS. SOMETIMES, THEY ARE CAUSED BY PEOPLE TALKING ON THEIR
PHONES. SOMETIMES, ACCIDENTS JUST HAPPEN, AND IT WAS NOBODY’S FAULT. I
WONDER HOW MANY ACCIDENTS HAPPENED IN THE UNITED STATES LAST YEAR.
MANY PEOPLE DIE IN ACCIDENTS. SOMETIMES, PEOPLE DON’T DIE. BUT OFTEN
THEY DO. MY MOTHER WAS 42 WHEN SHE DIED.”
Circumstantial Speech
IN ONE WORD, WHY SHOULD BENZODIAZEPINE USE
BE SHORT TERM UNTIL MANIA SUBSIDES?
Dependence
YOUR PATIENT IS TAKING LITHIUM 1200 MG DAILY. HE COMES
TO THE OFFICE WITH COMPLAINTS OF GI UPSET, HAND
TREMORS, SEDATION, AND THIRST. HIS LITHIUM LEVEL IS
FOUND TO BE 1.4 MEQ/L. IDENTIFY TWO INTERVENTIONS THE
NURSE SHOULD ANTICIPATE:
Symptoms often subside during treatment
Doses should be kept low
Kidney function and thyroid levels should be assessed before treatment and then on an annual basis.
IDENTIFY THE TWO MOST IMPORTANT CONCEPTS
LEARNED IN THIS COURSE TO DATE:
Safety and Boundaries
WHICH OF THE FOLLOWING MEDICATIONS MIGHT BE
PRESCRIBED TO PATIENTS DIAGNOSED WITH BIPOLAR
DISORDER?
A. LITHIUM
B. VALPROATE
C. LAMOTRIGINE
D. OLANZAPINE
IDENTIFY THIS THOUGHT PROCESS:
“MY TEA IS TOO SWEET. MY UNCLE’S CAR IS A TOYOTA. WE
DEFEATED THEM 3 - 0. MY WATCH IS NOT WORKING WELL. MY
FATHER IS AT WORK RIGHT NOW. YESTERDAY WE ATE A
BURGER. WE WILL GO TO NEW YORK AND WASHINGTON.
Loose Associations
WHICH OF THE FOLLOWING COULD BE INTERVENTIONS FOR
PATIENTS EXPERIENCING A MANIC EPISODE?
A) USE A FIRM AND CALM APPROACH
B) BE INCONSISTENT IN TREATMENT APPROACHES
C) PROVIDE MULTIPLE ACTIVITIES TO REDIRECT THE PATIENT
D) OBSERVE FOR SIGNS OF LITHIUM TOXICITY
E) PROVIDE FREQUENT HIGH CALORIE FLUIDS
F) USE FEWER FIRM APPROACHES WITH AGGRESSIVE
BEHAVIOR
USE A FIRM AND CALM APPROACH
OBSERVE FOR SIGNS OF LITHIUM TOXICITY
PROVIDE FREQUENT HIGH CALORIE FLUIDS
THE RATIONALE FOR ENCOURAGING FREQUENT REST
PERIODS DURING THE DAY FOR A PATIENT DIAGNOSED
WITH BIPOLAR MANIA IS, “LACK OF SLEEP CAN LEAD TO
____________ AND INCREASE ___________.
1) Exhaustion
2) Mania
