Unit 1 Study Test (mental) Flashcards
What are some symptoms of lithium toxicity?
Confusion
Blurred Vision
Diarrhea
Tinnitus
Slurred speech
Convulsions
Excessive urination
Excessive thirst
Tremors/ ataxia
How does lithium Toxicity occur?
Dehydration
Hyponatremia
Old age & Kidney failure
A patient is taking lithium for Bipolar Depression the nurse should advise to monitor what during treatment?
Lithium Levels
NA levels
What should the nurse educate a patient taking Lithium carbonate?
Monitor Serum Lithium levels
Drink plenty of water 2-3l a day
DO NOT decrease salt diet.
Carry id showing that you are taking medication.
What is the therapeutic range of Lithium?
0.6-1.2
What are some first generation antipsychotic medication?
Chlorpromazine
Haloperidol
Loxapine
First generation antipsychotic are at higher risk of?
EPS ( Extrapyramidal symptoms)
What are the types of EPS ?
Tardive Dyskinesia
Dystonia’s
Later onset involuntary movement disorders primarily the tongue, lips and jaw are signs of what?
Tardive Dyskinesia
Muscle spasms, that can be life threatening and are Parkinson like are signs of what ?
Dystonia’s
What medications are used to treat acute EPS ?
Anticholinergics
Antihistamines
Dopaminergic Agents
Amantadine (symmetril) is a ?
Dopaminergic Agent
Benztropine (cogentin) are what?
Anticholinergics
What other drugs can be used to counteract EPS ?
Anti Parkinson Drugs
Ex:
Procyclidine
Levodopa
Orphenadrine
pretending the truth is not reality to manage unpleasant, anxiety causing thoughts or feelings is a sign of what defense mechanism?
Denial
Attributing one’s unacceptable thoughts and feelings onto another who does not have them is a sign of what defense mechanism?
Projection
Shifting feelings related to an object, person , or situation to another less threatening object, person or situation is a sign of what defense mechanism?
Displacement
Performing an act to make up for prior behavior (commonly seen in children) is a sign of what defense mechanism ?
Undoing
When a person directs their feeling about one person onto someone else is a sign of what defense mechanism ?
Transference
At what point is ECT considered ?
After a trial therapy of antidepressants are unsuccessful.
What therapy is An induction of grand mal seizures through the application of electrical current of the brain ?
ECT (Electroconvulsive Therapy)
The course of ECT is ?
2-3 times a week for a total of 6-12 treatments.
What should be obtained before the start of ECT ?
Consents
What medication will be given 30 min before the procedure to decrease secretions that could cause aspiration?
Glycprrolate (IM)
What medication is given before the procedure (ECT) that causes the muscles to paralyze ?
Succinylcholine
Apart from medication during ECT what other interventions will be needed?
O2
EEG
BP
Vitals
Cardiac hx
Eeg consent
How long after the procedure (ECT) is completed should the patient become alert ?
15 mins after
An alteration in mood that is expressed of sadness, despair and pessimism. Loss of interest in usual activities are signs of what ?
Depression
What medications are used to treat depression?
SSRI’s
Mood stabilizer
SNRI’s
TCA’s
MAOI’S
A single episode or recurrent episodes of unipolar depression resulting in significant changes in clients formal functioning followed with at least 5 findings are symptoms of
Major Depressive disorder
Patients can expierence clinical findings of depression within ?
The first 2 months after a significant loss
This disorder is depression to mania with periods of normalcy?
BPD
The nurse should offer what to patients with mania?
Energy and protein dense foods
Finger foods !
What are some considerations for BPD?
Safe environment
Set limits for manipulative behavior
Provide finger foods and fluids
DECREASE stimuli
Re-channel energy for physical activity
What are some Pharmacological treatments for BPD ?
Lithium carbonate
Anticonvulsant
Antidepressants
Antipsychotic
Anti anxiety
Abnormally elevated mood, which can also be described as expansive or irritable
Usually requires hospitalization
Are signs of what?
Mania
Less severe episodes that last 4 days accompanied by 3 or more manifestations
Hospitalization is not required
Are signs of ?
Hypomania
Four or mor episodes of hypomania or acute mania within 1 year and associated with increase of recurrent rate and resistance? Signs of
Rapid cycling
What is the number one priority with those struggling with depression?
Safety
(Higher risk of Suicide)
Depression that occurs seasonally is what and what is the treatment ?
Seasonal affective disorder (SAD)
TTMT: Light therapy
What are some non pharmacological treatments for depression?
Physical activity
Self care
Supportive relationships
Identify coping methods and teach alternatives
Individual therapy, support groups, peer support
Light therapy
St. John worts
A patient exhibits uncontrollable, excessive worrying that last for at-least 6 months and can cause impairment in one or more areas of functioning are signs of ?
generalized anxiety disorder (GAD)
Which level of anxiety allows patient to have sharp focus and problem solve?
Symptoms include nail-biting, tapping, foot jitters
Mild Anxiety