psych

Question 1

Signs of generalized anxiety disorder

Answer 1

restlessness
fatigue
excessive anxiety and worry
increased muscle aches and soreness
impaired concentration
irritability
difficulty sleeping

Question 2

Short acting anti anxiety meds

Answer 2

midazolam
diazepam

Question 3

intermediate and elongating anti anxiety agents

Answer 3

clonazepam
alprazolam
lorazepam

Question 4

signs of depression

Answer 4

low mood
change in appetite
sleep disturbance
agitation
fatigue
difficulty concentrating

Question 5

Types of MAOI’s

Answer 5

tranylcypromine
isocarbozazid
phenelzine
selegiline

Question 6

types of ssri

Answer 6

fluoxetine
sertraline
escitalopram
citalopram

Question 7

What must you avoid on MAOI

Answer 7

aged cheeses
wine
pickled meats

Question 8

side effects of MAOI

Answer 8

hypertensive crisis

Question 9

signs of serotonin syndrome

Answer 9

hypertension
confusion
anxiety
tremors
ataxia
sweating

Question 10

What must you monitor for pt on TCA’s

Answer 10

anticholinergic side effects

Question 11

list anticholinergic side effects

Answer 11

dry mouth
constipation
urinary retention

Question 12

signs of mania

Answer 12

extremely high energy
grandiose levels of self-esteem
loud, rapid speech
very little need for sleep
engaging in risky behavior

Question 13

therapeutic management of bipolar

Answer 13

manage acute episodes
identify triggers
safe environment
calm, controlled focused interactions
dont argue in manic state
provide high calorie, finger food
protect privacy
set boundaries
ensure med compliance

Question 14

nursing considerations for administering lithium

Answer 14

do not administer with NSAIDS
monitor drug levels
encourage fluid intake

Question 15

side effects of lithium

Answer 15

seizures
arrhythmias
fatigue
confusion
nausea
anorexia
hypothyroidism
tremors

Question 16

drug levels for lithium

Answer 16

0.5-1meq/l

Question 17

haloperidol nursing considerations

Answer 17

monitor extrapyramidal side effects
traduce dyskinesia
neuroleptic malignant syndrome
can prolong QT interval

Question 18

symptoms of schizophrenia

Answer 18

delusions
hallucinations
disorganized speech
flattened affect
reduced speech
lack of initiative

Question 19

how to manage delusions

Answer 19

provide safe environment
ask about delusion
validate real aspect of the delusion
do not argue about delusion
reflect on how it makes them feel
be honest
set limits

Question 20

how to manage hallucinations

Answer 20

provide safe environment
stay focused onreality
be direct
set limits
decrease stimulation
dont touch them
ask if auditory ones are telling them to do

Question 21

signs of an eating disorder

Answer 21

excessive exercise
preoccupation with feeling fat
abnormal electrolyte levels
intense fear of weight gain
unusually large intake of food
anxiety around or avoidance of eating

Question 22

assessment finding of an anorexia

Answer 22

low body temp
bradycardia
hypotension
cyanosis
electrolyte abnormalities
hormonal imbalances
sleep disturbances
bone degeneration
lanugo
gi upset

Question 23

management of anorexia

Answer 23

address physiological issues first
ensure safety
establish rapport
validate their feelings
no judgement
explore triggers

Question 24

symptoms of bulimia

Answer 24

eating a lot (binging)
feelings of guilt or shame or anxiety after eating
preoccupation with weight or shape
purging
diet pills
excessive exercise

Question 25

assessment finding bulimia

Answer 25

labile mood
low libido
esophageal varices
tooth enamel breakdown
helplessness

Question 26

therapeutic management of bulemia

Answer 26

address medical issues (electrolyte embalances)
provide a safe environment
monitor for self-harm
validate their feelings
identify triggers and avoid