NUR 2488 Mental Health Nursing
Mental Health Exam 2 Study Guide Rasmussen Summer 2021
When can a patient stop taking their mood stabilizer?
- They should not stop taking their mood stabilizer.
Inpatient, you are accessing your patient for depression 3 days after starting medication
treatment, your client is in a cheerful mood and says "I feel great", you should change his
care plan to include which of the following
- Keep a closer eye on the patient, consider asking for an order for staff view
at all times.
Your patient is experiencing acute mania, what type of environment should you put the
patient in?
- A neutral-colored room with minimal furnishing
Your patient with acute mania now seems to be responding well to treatment, how are
you able to tell.
- Participating in groups, taking turns speaking, appropriately dressed.
Pick healthy coping strategies
- ● Exercise
● Journaling
● Using learned coping strategies
Your patient tells you "They are after me, they want to kill me", what is your best
response?
- That must make you scared, how does that make you feel?
Your patient is experiencing auditory hallucinations, what is your next step?
- Ask your patient what the voices are saying.
Should you assess for depression and suicidal ideation in a schizophrenic patient
- Yes
MAOI meds
- Isocarboxazid (Marplan)
Phenelzine (Nardil)
Tranylcypromine (Parnate)
Selegiline (Eldepril)
Phenelzine (Nardil) patient education
(MAOI)
- ● Avoidance of foods high in tyramine
● Check with the pharmacist before taking any OTC (examples are cold
medications)
Risk of taking an SSRI and MAOI inhibitor together
- ● Serotonin syndrome
● Hypertensive crisis
Bipolar patient is making demands and disrupting the unit, how do you respond
- ● Set clear limits
● Distraction techniques
● Use a firm calm approach
High level suicide precautions for inpatients include
- ● 1:1 staff within arm's length of patient at all times
● Removal of any hard removals at meal times
● Removal of anything that the patient potentially uses to harm themselves
Anhedonia
- The inability to feel pleasure. It's a common symptom of depression as well
as other mental health disorders. Most people understand what pleasure
feels like.
Anergia
- Abnormal lack of energy is among the negative symptoms common to
schizophrenia and depression.
SSRI patient/family teaching points
- ● Medications of any kind — prescribed, over-the-counter, or herbal
supplements — should never be mixed without consulting the doctor
- ● Alcohol (wine, beer and hard liquor) or street drugs, may reduce the
effectiveness of antidepressants
- ● Avoid consuming certain foods that contain high levels of tyramine, such as
many cheeses, wines, fermented meat and pickles.
Lithium adverse reactions
- ● Excessive urination and thirst (polyuria and polydipsia) are consistently
found to be among the most common side effects associated with lithium
- ● Hives; difficulty breathing; swelling of face, lips, tongue, or throat.
- ● Too much lithium in the body can cause death.
What activities can put someone at risk for lithium toxicity?
- ● Lithium toxicity can occur if you take only slightly more than a
recommended dose. Risk factors for lithium toxicity include older age and
factors that lead to disturbances in renal blood flow and water-salt
homeostasis, such as fever, diarrhea or vomiting, and use of nonsteroidal
anti-inflammatory drugs (NSAIDs), diuretics, and renin- -angiotensinaldosterone system (RAAS) inhibitors. Female sex has also been associated
with a higher risk of lithium toxicity
Lithium patient education - teaching points
- ● Stop using lithium and call the doctor for symptoms of lithium toxicity:
muscle weakness, twitching, drowsiness, feeling light-headed, mood changes,
blurred vision, ringing in the ears(tinnitus), irregular heartbeats, confusion,
slurred speech, clumsiness, trouble breathing, or seizures.
- ● Some medicines can interact with lithium and cause a serious condition
called serotonin syndrome
Assessment of Suicide, what would be considered a high-risk assessment?
- ● Communicating suicidal thought
- ● Verbally or in writing; seeking access to lethal means such as firearms or
medications; and demonstrating
- ● Preparatory behaviors such as putting affairs in order.
St. John's wort considerations
- ● St. John's wort might cause serious interactions with some medications.
- ● St. John's wort is most commonly used for "the blues" or depression and
symptoms that sometimes go along with mood such as nervousness,
tiredness, poor appetite, and trouble sleeping.
- ● It can cause some side effects such as trouble sleeping, vivid dreams,
difficulty sitting still, nervousness, irritability, stomach upset, tiredness, dry
mouth, dizziness, headache, skin rash, diarrhea, and skin tingling
Category | Exam (elaborations) |
Authors | Qwivy.com |
Pages | 46 |
Language | English |
Tags | NUR2488 / NUR 2488 Exam 2 Study Guide (Latest Summer 2021): Mental Health Nursing - Rasmussen |
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