Study Info ;) Flashcards
What is most important when taking Lithium?
Need to have normal sodium range
Your patient is on an MAOI which diet is the best?
The one that doesn’t have processed meat, avocados, bananas, wine, cheese- no old or mold
You have a bi-polar patient, who is very manic, which food is best?
Finger food, so sandwich, apple ect.
Chronic depression over two years
dysthymic disorder
You have a very anxious patient, which drug is a good drug for PRN?
You want a benzo- quick acting, not Buspar, 4 weeks. Think xanax
Cognitive theory
a cognitive question involves a client changing THINKINK
Patient recently had knee surgery, feels as though will never recover, is depressed. Which should be the nursing Dx?
Risk for hopelessness (doesn’t think suicide was listed)
There is an adolescent patient that has suicidal ideations, which is priority?
I have a neck tie and will hang myself tonight. (has plan, plan is lethal, and has means to carry out plan
When assessing for suicide what is the best question to ask the client?
One of these: do you have any firearms in your house. or are you having suicidal thoughts; if not suicidal who cares if they are a hunter.
If your patient has frontal lobe injury, what would you teach patient?
Know that frontal lobe is where judgement and decision making happens, they may need to get an opinion about choices from a family member
Your patient is on lithium and an anti-psychotic med, why would the be on both?
Agitation relief ( a small dose will slow down mania)
Central Serontonin syndrome
cardiac collapse
What is important for a nurse to do with a patient with mania?
Set limits
Know these three things about suicide;
specifics of detail, lethality of proposed method, availability of means to carry out
Know the symptoms of the different levels of anxiety
(patients cant think straight if severe panic, they think they are dying- this is when you WOULD GIVE ADVICE or even give directions, they need guidance
severe panic attack example
their house burned to ground they have nothing you would tell then what shelter to go to and help arrange Red Cross for clothings
A patient leaves his home and winds up in another state and cant remember how the got there, what is their problem?
Dissociative Fugue
PTSD
flashbacks
What family teaching would be best for family?
That stress will increase the symptoms of OCD
The nurse yelled at the doctor, then yells at family members
this is called displacement
Stop, divert, and reframe, which are these?
I need to stop thinking i am going to do poorly, i can do it and i will
think about someplace nice like the beach
i will read the question, find the key word, and select the correct answer
this is just a test if i flunk i will do better nest time
Which neurotransmitters are involved with SSRI’s?
seratonin
My patient states he falls asleep 6-10 times per day for 20 minutes at a time which nursing intervention is appropriate?
suggest a sleep study consult
A patient tells the nurse they are feeling better and no longer need to be on suicide watch, what does nurse ask patient?
(this is when you would watch patient closely just enough energy to harm themselves.) Do you feel like hurting yourself?
What is a good tool to assess potential for mental issues?
Holmes and Rahe Life Stress inventory
Which meds would an RN assess that may affect quality of sleep?
Opiates, amphetamines, antidepressant, alcohol select all
What would an RN advise a patient taking a benzo to avoid?
grapefruit juice, alcohol,
Patient starting a MAOI what would you assess first?
Their cognitive ability to avoid tyramine.
Which is the correct nursing outcome for PTSD with sleep disturbance?
(not intervention) Client states he has a good night rest without nightmares
Which is the correct nursing diagnosis for a client that states they are worthless?
suicide prevention
Student is taking a test and everything goes blank, cant remember anything, what is the student’s anxiety level?
Severe (moderate is when you are in a good test taking place
What is the best way to approach a client in a manic state, for the RN
calm using a steady tone of voice.