Nur 304 part 2

Question 1

When you see the “C” in TCA think…

Answer 1

“Cardiac” because it can affect your heart.

People can use it to O.D.

Question 2

1st Gen, advise patient to

Answer 2

wear sunscreen

Question 3

For clozapine, you especially want to watch out for

Answer 3

Agranulocytosis

Question 4

Adverse effect of Ritalin for kids

Answer 4

stunted growth

Question 5

Instructions for ritalin

Answer 5

don’t take in the evening (because it’s a stimulant)

Question 6

With amnesia or sudden behavioral change,the cause is probably

Answer 6

physical

Question 7

Suicide statistics

Answer 7

10th leading cause of death

2nd leading for college students

Question 8

The order for involuntary admission must be signed by

Answer 8

2 doctors and an administrator

Question 9

Someone admitted as an Emergency Admission must be assessed within

Answer 9

48 hours

Question 10

You cannot force medication unless

Answer 10

they are a danger to self or others

Question 11

Incompetence can only be determined by

Answer 11

a judge

Question 12

The body’s responses to real/perceived and positive/negative stressors are

Answer 12

the same

Question 13

Fight or flight was coined by

Answer 13

Cannon

Question 14

There are 2 basic categories of stress:

Answer 14

Physical and Psychological

Question 15

autism is treated by

Answer 15

referring to early intervention/school based programs

Question 16

ADHD intervention

Answer 16

meds and behavioral therapy

Question 17

Person has many of the schizo qualities, but hasn’t been going on for 6 months yet, it may or may not become full blown schizo

Answer 17

schizophreniform

Question 18

when an episode of MD or mania occurs in the presence of schizo

Answer 18

schizoaffective

Question 19

giving personal significance to unrelated events (the birds sing whenever I walk down the street)

Answer 19

ideas of reference

Question 20

poverty of speech is aka

Answer 20

alogia

Question 21

including unneeded details in the conversation

Answer 21

circumstantiality

Question 22

reduced motivation

Answer 22

avolition

Question 23

intervention for dry mouth

Answer 23

sip of water, ice, gum

if severe you can give xero-lube or other saliva substitute

Question 24

intervention for blurred vision

Answer 24

usually goes away in 2 weeks

Question 25

intervention for anticholinergic toxicity

Answer 25

call provider

Question 26

Bipolars may have rapid cycling which is when the mood changes at least __ times in a year

Answer 26

4

Question 27

in bipolar, a mixed state of depression and mania

Answer 27

dysphoric mania

Question 28

dx for manic person

Answer 28

risk for injury

Question 29

lithium inhibits about 80% of mania within

Answer 29

10 to 21 days

Question 30

lithium is less effective in

Answer 30

people with mixed mania, rapid cycling, and those with atypical features

Question 31

Lithium is best at reducing

Answer 31

``` elation grandiosity flight of ideas irritability manipulation anxiety ```

Question 32

how does it take lithium to reach therapeutic levels in the blood

Answer 32

1 or 2 weeks

Question 33

what kind of drugs can be used while you're waiting for lithium to reach it's therapeutic levels?

Answer 33

antipsyc or benzo

Question 34

in the active phase, the dose of lithium is

Answer 34

300 to 600 mg 2 to 3 times a day

Question 35

advanced signs of lithium toxicity are at what level

Answer 35

1.5 to 2.0

Question 36

severe lithium toxicity and death can occur at

Answer 36

2.0 to 2.5

Question 37

lithium levels should be measure at least __ days after beginning therapy

Answer 37

5 days

Question 38

after 6 months to a year of taking lithium, it's sufficient to test blood levels ever

Answer 38

3 months

Question 39

what time of day do you draw blood for testing lithium

Answer 39

morning

Question 40

The 2 major long term risks of lithium therapy are

Answer 40

hypOthyroidism and kidney problems

Question 41

bipolar patients with severe mania or rapid cycling may need

Answer 41

ECT