Test 8 SG Suicide/ Bipolar Flashcards
- Describe the signs and symptoms of panic disorder.
• Fear (losing control of oneself, or of “going crazy”)
• Fear of dying
• Dissociation (a feeling that events are happening to someone else or not happening at all) or out of body experience.
• Nausea or gastrointestinal upset
• Choking feelings (being unable to speak or swallow)
• Diaphoresis
• Chest pain
• Palpitations
• Increased pulse
• Numbness or tingling
• Shaking or tremors
• Unsteadiness or feeling faint.
• Feelings of being suffocated or unable to catch one’s breath.
- What is a phobia? Describe the actions of a client with a phobia. When does it start?
• Phobia is defined as an “irrational fear.”
• Phobia will start when they come in contact with the object or situation
• Most phobias start in childhood, perhaps related to a traumatic event, but people can also develop them later in life.
- Describe the focus for the nurse working with a client suffering from PTSD
• Trust and communication and listening skills are very important tools for nurses who have patients with PTSD.
- What is the treatment of choice for a client with PTSD?
• For PTSD, paroxetine (Paxil) and sertraline (Zoloft) have been approved by the FDA.
- Describe the signs and symptoms of Conversion Disorder.
• The paralysis or blindness—allows the patient to avoid a situation that is unacceptable to him or her.
- Describe Hypochondriasis.
• A patient who focuses extensively on physical symptoms Is sometimes referred as suffering from somatization or somatizing.
- Which sex is depression more common in? List the signs and symptoms of Major Depression
• Nearly twice as many women as men are affected by depressive disorders annually. However, men frequently suffer from depression that may be masked.
• Sad mood
• Sleep pattern disturbances
• Increased fatigue
• Increased agitation
• Feelings of guilt or worthlessness
• Weight loss or gain
• Decreased interest in pleasurable activities (anhedonia)
• Decreased ability to think, remember, or concentrate.
• Recurrent thoughts of death or suicide
- What is the best form of therapy for a child with Depression?
• Drawing therapy is good for children with depression to express their feelings.
- Describe the signs and symptoms of bipolar disorder. Mania.
Manic Phase:
• Being easily distracted
• Little need for sleep (may feel rested after 3 hours of sleep)
• Poor temper control, easily becoming agitated and irritable
• Reckless behavior and lack of self-control, including:
Drinking and/or drug use, binge eating
Poor judgment
Sex with many partners (promiscuity)
Spending sprees
• Very elevated mood:
Excess activity (hyperactivity)
Increased energy
Racing thoughts, flight of ideas
Talking a lot
Very high self-esteem, grandiosity (false beliefs about self or abilities)
Very involved in activities
- Describe the signs and symptoms of bipolar disorder. Depression
• Low mood or sadness
• Difficulty concentrating, remembering, or making
decisions
• Eating problems:
Loss of appetite and weight loss
Overeating and weight gain
• Fatigue or lack of energy
• Feeling worthless, hopeless, or guilty
• Loss of pleasure in activities once enjoyed
• Loss of self-esteem
• Thoughts of death and suicide
• Trouble getting to sleep or sleeping too much
• Pulling away from friends or activities that were once enjoyed
- What is Lithium used to treat? List the signs and symptoms of Lithium toxicity.
• Bipolar manic episodes
Lithium Toxicity:
• Early signs: N/V, sedation
• Tremors
• Confusion
• Seizures
• Coma & even death
- Name the groups at highest risk to commit suicide.
• Females
• Veterans returning from war
• Older adults, especially those facing health issue & multiple losses
• Elderly white men
• People with a mood disorder or substance abuse disorder (depression, bipolar disorder)
- Name the signs and symptoms that could suggest someone is contemplating suicide.
The acronym IS PATH WARM
• Verbal suicide threats, such as “You’d be better off without me,” “Maybe I won’t be around,” or “I won’t be here when you come back to work.”
• Expressions of hopelessness and helplessness and the inability to see alternatives.
• Previous suicide attempts
• Talking about suicide methods to which the person has access
• Saving pills
• Asking questions/researching about different methods of committing suicide
• Daring or risk-taking behavior
• Personality changes
• Depression
• Lack of interest in future plans
- Where on the unit should the suicidal pt be placed?
• Psychiatric unit
• Should be near the nurses station
- If your patient has just attempted to commit suicide, what is important information that you need to know at that time?
• It is important to direct question a client that attempted suicide if they are still considering it, and do they have a plan?
