What are the commonly used typical antipsychotic agents?
Thorazine, Haldol, Stelazine, Mellaril, Loxitane, Prolixin, Moban, Navane, Serentil, Trilafon
Chlorpromazine
Thorazine
Haloperidol
Haldol
Trifluoperazine
Stelazine
Trioridazine
Mellaril
Loxapine
Loxitane
Fluphenazine
Prolixin
Molindone
Moban
Thiothixene
Navane
Mesoridazine
Serentil
Perphenazine
Trilafon
What are the atypical antipsychotic agents?
Risperdal, Clozaril, Seroquel, Zyprexa, Geodon, Abilify
Resperidone
Risperdal
Clozapine
Clozaril
Quetiapine
Seroquel
Olanzapine
Zyprexa
Ziprasidone
Geodon
Aripiprazole
Abilify
What are the commonly used antiparkinson agents?
Akineton, Cogentin, Artane, Mirapex, Benadryl
Biperiden
Akineton
benztropine
Cogentin
Trihexyphenidyl
Artane
Pramipexole
Mirapex
Diphenhydramine
Benadryl
What are the commonly used antianxiety agents?
Xanax, BuSpar, Librium, Serax, Klonopin, Valium, Ativan, Atarax or Vistaril
Alprazolam
Xanax
Buspirone
Buspar
Chlordiazepoxide
Librium
Diazepam
Valium
Lorazepam
Ativan
Hydroxyzine
Atarax, Vistaril
What are the commonly used SSRI agents?
Celexa, Prozac, Zoloft, Luvox, Paxil, Lexapro
Citalopram
Celexa
Fluoxetine
Prozac
Sertraline
Zoloft
Fluvoxamine
Luvox
Paroxetine
Paxil
Escitalopram
Lexapro
What are the commonly used tricyclic antidepressant agents?
Elavil, Tofranil, Pamelor or Aventyl, Asendin, Norpramin, Anafranil, Sinequan, Surmontil, Vivactil
Amitriptyline
Elavil
Imipramine
Tofranil
Notriptyline
Pamelor or Aventyl
Amoxapine
Asendin
Desipramine
Norpramin
Clomipramine
Anafranil
Doxepin
Sinequan
Trimipramine
Surmontil
Protiptyline
Vivactil
What are the commonly used tetracyclic antidepressant agents?
Ludiomil, Wellbutrin or Zyban, Remeron, Desyrel
Maprotiline
Ludiomil
Bupropion
Wellbutrin, Zyban
Mirtazepine
Remeron
Trazodone
Desyrel
What are commonly used SNRI agents?
Serzone, Effexor, Cymbalta
Nafazodone
Serzone
Venlafaxine
Effexor
Duloxetine
Cymbalta
What are commonly used MAOI agents?
Nardil, Parnate, Marplan
Phenelzine
Nardil
Tranylcypromine
Parnate
Isocarboxazid
Marplan
What are the commonly used forms of Lithium?
Eskalith, Lithonate, Lithane, Lithobid
Lithium Carbonate
Lithonate, Lithotabs, Lithobid, Lithane, Eskalith
What are commonly used anticonvulsant agents?
Tegretol, Depakene, Depakote
Carbamazepine
Tegretol
valproic acid
Depakene
Divalproex
Depakote
What are commonly used stimulant agents?
Dexedrine, Desoxyn, Ritalin, Adderall
Dextroamphetamine
Dexedrine
Methamphetamine
Desoxyn
Methylphenidate
Ritalin
dextroamphetamine/amphetamine
Adderall
Which of the following is not a behavior noted in the crisis phase of crisis?
A. Denial
B. Feeling of well-being
C. Use of projection
D. Rationalization
B. Feeling of well-being
One of the first statements a nurse might make to a person who has been abused might be:
A. "Why didn't you leave the first time you were attacked?"
B. "Do you want to prosecute or not?"
C. "What do you think made that person hit you?"
D. "You're safe her
D. "You're safe here. I would like to help you.
A therapeutic environment (milieu) is best defined as:
A. An environment in which a patient is under a 72 hour hold
B. An environment that is locked and supervised
C. An environment that is structured to decrease stress and encourage learning new behavior
C. An environment that is structured to decrease stress and encourage learning new behavior
Which of the following is false regarding ECT?
A. It is used to treat depression and schizophrenia
B. It is used to stop convulsive seizures
C. Fatigue and disorientation are immediate side effects
D. Memory will gradually return
B. It is used to stop convulsive seizure
Psychopharmacology (psychotropic drug therapy) is used:
A. As a cure for mental illness
B. Only to control violent behavior
C. To alter the pain receptors in the brain
D. To decrease symptoms and facilitate other therapies
D. To decrease symptoms and facilitate other therapies
Avoiding such foods as bananas, cheese, and yogurt should be emphasized to patient's who are taking:
A. Prozac
B. Lithium
C. MAOIs
D. Tricyclic antidepressants
C. MAOIs
The goals of crisis intervention include all of the following except:
A. Safety
B. Increasing anxiety
C. Taking care of the precipitating event
D. Return to pre-crisis or better level of functioning
B. Increasing anxiety
In order for psychotherapy to be effective, it is necessary to do all of the following expect:
A. Encourage the patient to repress feelings
B. Reinforce appropriate behavior
C. Establish a therapeutic patient-staff relationship
D. Assist patient to gain i
A. Encourage the patient to repress feelings
What are the extrapyramidal symptoms?
Drug-induced Parkinsonism (pseudoparkinsonism), Akathisia, Dystonia, Tardive dyskinesia
What are the side effects of antipsychotic agents?
Photosensitivity, darkening of the skin from increased pigmentation, anticholinergic effects such as dry mouth, and a group of side effects called EPS
What are the symptoms of drug-induced Parkinsonism?
Akinesia, shuffling gait, drooling, fatigue, mask-like facial expression, tremors, and muscle rigidity
What are the symptoms of akathisia?
Agitation and motor restlessness and they seem to appear more frequently in women
What are the symptoms of dystonia?
Bizarre distortions or involuntary movements of any muscle group. Tongue, eyes, face, neck or any larger muscle.
What are the symptoms of tardive dyskinesia?
Involuntary movements that look like chewing, sucking, or licking motions. Frowning and blinking constantly are also common.
Is tardive dyskinesia reversible?
no
What are the symptoms of neuroleptic malignant syndrome?
Muscle rigidity, hyper pure is, fluctuations in blood pressure, and altered LOC.
What are the side effects of antiparkinson agents?
Blurred vision, dry mouth, dizziness, drowsiness, confusion, tachycardia, infinity retention, constipation, and changes in blood pressure
What are the side effects of antianxiety agents?
Drowsiness, lethargy, fainting, postural hypotension, nausea and vomiting
What can the use of antianxiety agents cause?
Physical and psychological dependence
If antianxiety agents are discontinued abruptly what are the severe side effects?
Nausea, hypotension, and fatal grand mal seizures
What are the side effects of SSRIs?
Suicidal tendencies, sedation, dry mouth, agitation, postural hypotension, headache, arthralgia, dizziness, insomnia, confusion, and tremors
What are the side effects of tricyclic antidepressants?
Sedation, lethargy, dry mouth, constipation, tachycardia, postural hypotension, urine retention, blurred vision, weight gain, and changes in blood glucose
What are the side effects to tetracyclic antidepressants?
Similar to SSRIs, increased suicidal tendencies, sedation, dry mouth, agitation, postural hypotension, headache, arthralgia, dizziness, insomnia, confusion, and tremors
What are the side effects serotonin norepinephrine reuptake inhibitors (SNRIs)?
Similar to SSRIs, increased suicidal tendencies, sedation, dry mouth, agitation, postural hypotension, headache, arthralgia, dizziness, insomnia, confusion, and tremors
What are the side effects of monoamine oxidase inhibitors (MAOIs)?
Postural hypotension, photosensitivity, headache, dizziness, memory impairment, tremors, fatigue, insomnia, weight gain, and sexual dysfunction
What are the side effects of lithium carbonate?
Side effects can be numerous. Some of the more common ones are thirst and dry mouth, nausea and vomiting, abdominal pain, and fatigue
What are the side effects of anticonvulsants?
Nausea, vomiting, indigestion, drowsiness, dizziness, prolonged bleeding, headache, confusion
What are the side effects of calcium channel blockers?
Similar to those of anticonvulsants. Nausea, vomiting, indigestion, drowsiness, dizziness, prolonged bleeding, headache, confusion as well as postural hypotension and bradycardia
What are the side effects of stimulants?
Increased or irregular heartbeat, hypertension, hyperactivity, dry mouth, hand tremor, rapid speech, diaphoresis, confusion, depression, seizures, suicidal ideation, and insomnia
What is psychoanalysis?
A form of psychotherapy and the focus is on the cause of the problem, which is buried somewhere in the unconscious.
What is free association?
A form of psychotherapy and the focus allows the patient to say whatever comes to mind in response to a word that is given by the therapist
What is dream analysis?
A form of psychotherapy and the patient is asked to keep a dream log
What is hypnosis?
A form of psychotherapy and can be a very effective tool for unlocking the unconscious or for searching further into a technique called "past life regression
What is catharsis?
A form of psychotherapy and is the "act of purging" or "elimination of a complex problem by bringing it to consciousness and affording it expression.
What is behavior modification?
A form of psychotherapy and is used to eliminate or greatly decrease the frequency of identified negative behaviors
What is Rational-Emotive Therapy (RET)?
A cognitive therapy that uses an A-B-C format. A is the activating event, B is the belief system, and C is the consequence
What is Person-Centered/Humanistic Therapy?
A cognitive therapy and is a form of treatment where all caregivers are to focus on the whole person and to work in the "present
What is Unconditional Positive Regard?
A cognitive therapy and means full, nonjudgemental acceptance of the patient as a person
What is counseling?
Counseling is used for all forms of mental health alterations and the patient will gain insight to situation and receive tools to make changes in his or her life
What is Pastoral or Cultural Counseling?
Some people prefer to obtain assistance or counseling from their church or spiritual leaders
What is group therapy?
Group therapy are formed for many reason, they can be ongoing or short-term, depending on the needs of the patient or the type of disorder
What is electrolconvulsive therapy?
Electroshock therapy, a form of treatment that is frightening to some patients
What are some of the side effects of electroshock therapy?
Confusion and forgetfullness immediately after
What is humor therapy?
A type of therapy that uses many modalities from clowns to movies to just 10 good "belly laughs" daily.
What is are the downfalls of pet therapy?
Not everyone can have a pet, due to finances, allergies, or living arrangements.
What are the goals of crisis intervention?
Ensure safety, diffuse the situation, determine the problem, decrease the anxiety level, return the patient to pre-crisis (or better) level of functioning
Alternative therapy modalities are used:
A. Infrequently, as they have no value to patients today
B. Combination with conventional therapies
C. In place of conventional therapies
D. Only when there is no hope for recovery
C. In place of conventional therapies
A treatment modality used with conventional medical therapies is:
A. A medical approach
B. A model approach
C. A holistic approach
D. A complementary approach
D. A complementary approach
When traditional medicine is combined with less traditional methods, it is:
A. Integrative medicine
B. Exclusive medicine
C. Based on the physician's opinions
D. Biofeedback
A. Integrative medicine
The mechanism that describes thought and expectation affecting health is:
A. A complementary therapy
B. A misconception that is dangerous to the patient
C. An integrated therapy
D. The mind-body connection
D. The mind-body connection
Mrs. Lucas is telling you about her ideas for curing her depression by taking herbal medication. She is convinced that because St. John's wart is a natural product, it is better for her that her prescription therapy. You should:
A. Quickly get the drug ha
B. Remain open and supportive
Of the following, which are either complementary or alternative modalities?
A. ECT, Reiki, rolfing
B. Hypnotherapy, shiatsu, antianxiety medications
C. NLP, psychotherapy, SAM-e
D. Aromatherapy, biofeedback, massage
D. Aromatherapy, biofeedback, massage
Mr. Douglas wants to know more about massage therapy. Which one of the following is NOT a massage modality?
A. Reiki
B. Trigger point
C. Rolfing
D. Swedish
A. Reiki
Which of the following is FALSE about trance?
A. It is an altered state of consciousness, just like sleep
B. Humans move in and out of trances states during the day
C. It is a state of relaxed awareness
D. Trance is a common experience even if you are not
A. It is an altered state of conciousness, just like sleep
Which of the following statements indicated a visual channel preference for information?
A. "That really feels good! My gut feeling is that it will work!"
B. "It sounds good to me; this idea is worth paying attention to."
C. "I can see the solution, and c
C. "I can see the solution, and clearly it will work.
Which of the following should be AVOIDED when communicating with a mentally ill patient?
A. Having an expectation that the patient will get better
B. Making the presupposition that the patient will not improve
C. Taking the time to convey respect for the
B. Making the presupposition that the patient will not improve
How many types of anxiety disorders are there?
4; mild, moderate, severe, panic
How is anxiety usually referred to?
One of two way: free-floating anxiety and signal anxiety
What are some symptoms of anxiety?
Muscle aches, shakes, palpitations, dry mouth, nausea, vomiting, diarrhea, hot flashes, chills, polyuria, insomnia, difficulty swallowing
What is generalized anxiety disorder referred as?
Excessive worry or severe stress
How is generalized anxiety disorder diagnosed?
When excessive worry is related to two or more things and lasts 6 months or longer
What are the symptoms of GAD?
Restlessness, easily fatigued, difficulty concentrating or mind going blank, irritability, muscle tension, sleep disturbances
What is panic disorder?
a recurrent condition that is a state of extreme fear that cannot be controlled; it is an abrupt surge of intense fear or discomfort that reaches a peak in a short period of time
What are the symptoms of panic disorder?
Fear (usually of dying, losing control of oneself, or of "going crazy"), Dissociation (a feeling that it is happening to someone else or not happening at all), nausea, diaphoresis, chest pain, increased pulse, shaking, unsteadiness, feelings of being suff
How is phobia defined?
an "irrational fear
Acrophobia
fear of height
Ailurophobia
Fear of cats
Carcinomatophobia
Fear of cancer
Decidophobia
fear of making decisions
Nyctophobia
fear of darkness
odotophobia
fear of teeth or dental surgery
scoleciphobia
fear of worms
thantophobia
fear of death
How many categories do phobias have?
Three subcategories: agoraphobia, social phobia, and specific phobia
Agoraphobia
people who fear shopping in large malls or who fear going to sporting events may actually fear the possibility of being unable to escape in the event of an accident
Social phobias
The fear of speaking in public and the fear of using public facilities such as bathrooms or laudromats are examples
Specific phobias
Claustrophobia (fear of enclosed places), hematophobia (fear of blood), and acrophobia (fear of heights)
What is Obsessive-compulsive disorder (OCD)?
The reoccuring thoughts, ideas, and actions that interfere with a person's daily ability to function
How many components does OCD have?
Two components; the obsession (repetitive thought, urge, or emotion) and the compulsion (repetitive act that may appear puposeful)
What is post-traumatic stress disorder?
It is developed in response to an unexpected emotional or physical trauma that could not be controlled
What are some symptoms of PTSD?
Flashbacks," in which the person may relive and act out the traumatic event, social withdrawl, nightmares, insomnia, feelings of low self-esteem as a result of the event, changes in the relationship with a significant other and difficulty forming new rel
Clonzaepam
Klonopin
Clonidine
Catapres
Oxazepam
Serax
Prazepam
Centrax
Zolpidem
Ambien
What are the alternative interventions for people with anxiety and anxiety-related disorders?
Biofeedback, aromatherapy, hypnotherapy and the following may provide additional relief, stress and relaxation techniques, yoga, acupuncture, kava
What are some nursing diagnoses for people with anxiety and anxiety-related disorders?
Anxiety, coping, ineffective; fear; thought process, disturbed; violence, risk for
What are some somatic symptom disorders?
Conversion disorder, illness anxiety disorder, and factitious disorder
How is somatic symptom disorder characterized?
Symptoms that are either very distressing or result in significant disruption of functioning, as well as excessive and disproportionate thoughts, feelings, and behaviors regarding those symptoms
What is conversion disorder?
The defense mechanisms is converting anxiety into a physical symptom
Are the symptoms of conversion disorder real to the patient?
The symptoms, although not supportive of organic disease, are very real to the patient
What is "La belle indifference"?
the feeling of not really caring
What is the dysfunction of conversion disorder?
Relieving the anxiety by "primary gain" (paralysis/blindness) and "secondary gain" (the extra benefits: sympathy and financial support)
What is malingering?
a conscious effort to avoid unpleasant situations
What are some alternative interventions for patients with somatic symptom and related disorders?
Massage and herbal/nutritional supplements
Your significant other is a veteran of the war in Iraq. It is very difficult for him or her to drive thorough a parking ramp because, "There are people hiding behind the pillars! They have guns! Be careful!" This person is most likely experiencing:
A. Aud
B. Flashbacks
Ms. T cannot leave her home without checking the coffee pot numerous times. This makes her late to many functions, and she misses engagements on occasion because of it. Ms. T probably is suffering from what kind of disorder?
A. Generalized anxiety disorde
D. Obsessive-compulsive disorder
Mr. L has a severe fear of needles. He is hospitalized on your medical unit. The lab technician enters to draw blood for the routine CBC, and Mr. L begins to cry out, "Get away from me! I can't breathe! I'm having a heart attack!" Your first response to M
D. "Mr. L, relax. Take a few deep breaths. I'll stay with you
Which of the following is not an anxiety disorder? (Select all that apply)
A. Panic disorder
B. Obsessive-compulsive disorder
C. Multiple personality disorder
D. Agoraphobia
C & D. Multiple personality disorder and agoraphobia
A patient with an obsessive-compulsive disorder is:
A. Suspicious and hostile
B. Flexible and adaptable to change
C. Extremely frightened of something
D. Rigid in thought and inflexible with routines and rituals
D. Rigid in thought and inflexible with routines and rituals
Which of the following is true regarding a phobic disorder?
A. It involves repetitive actions
B. It involves a loss of identity
C. It results in sociopathic behavior
D. It is an irrational fear that is not changed by logic
D. It is an irrational fear that is not changed by logic
In obsessive-compulsive disorder, a compulsion is:
A. A repetitive thought
B. A repetitive action
C. A repetitive fear
D. A repetitive illusion
B. A repetitive action
The medication(s) of choice for the treatment of OCD is (are): (Select all that apply)
A. Paxil (paroxetine)
B. Prozax (fluoxetine)
C. Luvox (fluvoxamine)
D. Effexor (venlafaxine)
A, B, and C. Paxil, Prozac, Luvox
The three subcategories of phobia include all EXCEPT:
A. Agoraphobia
B. Social phobia
C. Acrophobia
D. Specific phobia
C. Acrophobia
Which of the following are NOT nursing intervention(s) for people with anxiety disorders? (select all that apply)
A. Maximize stimuli to create diversion from the anxiety
B. Encourage the patient to verbalize all thoughts and feelings
C. Observe the patie
A, E, and F. Maximize stimuli to create diversion from the anxiety, document only positive changes in behavior, discourage activities; activities might only increase a patient's anxiety level
How is major depressive disorder characterized?
A combination of symptoms that severely interfere with a person's ability to work, sleep, study, eat, and enjoy pleasurable activities
What are the symptoms of major depressive disorder?
Five or more of the following for at least a 2-week period: sad mood, sleep pattern disturbances, increased fatigue, increased agitation, feelings of guilt or worthlessness, weight loss or gain, decreased interest in pleasurable activities (anhedonia), de
What are the symptoms of dysthymic disorder?
Poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, feelings of hopelessness
What are some other depression disorders?
Substance-induced depressive disorder, depressive disorder associated with another medical condition, premenstrual dysphoric disorder, postpartum depression, major depressive disorder with seasonal pattern
Ms. S is admitted to your medical unit with a diagnosis of dehydration and a history of depression. She tells you, "I just can't eat. I'm not hungry." Your best therapeutic response would be:
A. "You aren't hungry?"
B. "If you can't eat, what is that cand
A. "You aren't hungry?
Your patient has a diagnosis of major depressive disorder and has been started on sertraline (Zoloft) 50 mg bid. After taking the medications for three days, the patient says, "I don't think this medicine is working. I don't want to take it any longer." W
B. These medications usually take a few weeks to bring about and improvement to your symptoms
Your patient appears withdrawn and depressed. Which of the following would not be an effective intervention?
A. Develop a trust
B. Show acceptance
C. Be judgemental
D. Be honest
C. Be judgemental
The nurse who is assessing a patient with major depression would expect to observe which of the following symptoms?
A. Euphoria
B. Extreme fear
C. Extreme sadness
D. Positive thinking
C. Extreme sadness
The nursing interventions for a patient with major depression would include all of the following EXCEPT:
A. Active listening skills
B. Maintaining safe milieu
C. Encouraging adequate nutrition
D. Reassuring the patient everything will be "just fine
D. Ressuring the patient everything will be "just fine
Your patient, Mr. A, had a recent myocardial infarction and open heart surgery with an uncomplicated recovery. His wife tells you that Mr. A has changed and is now uncommunicative, sad, and discouraged about the future. How would you respond to Mrs. A?
A.
C. Tell me more about the changes in his behavior
Your new patient is taking an MAOI for severe depression. What would you tell the Dietary Department about her upcoming meals?
A. No caffeine
B. No processed lunch meat
C. No extra salt
D. Gluten-free diet
B. No processed lunch meat
Your patient with major depressive disorder isolates herself in her room for the whole day. You find her sitting and staring out the window. What is the best therapeutic response when you walk in the room?
A. "Come with me. It's time for group therapy."
B
D. Make frequent short visits to her room and just sit there
Mrs. J has been diagnosed with dysthymic disorder and has been taking paroxetine for 3 years. On arrival in your mental health clinic, she presents very differently than on her last visit. She is cheerful, energetic, and talkative. Previously she had been
B. Get more information from the patient about how she is feeling
Which of the following is not true about depression?
A. It is more common in men than in women
B. It is common after myocardial infarction
C. Grief after a major loss can mimic depression
D. Children and adolescents can suffer from depression
A. it is more common in men than in women
How is bipolar disorder characterized?
Shifts in mood, energy, and ability to function, often with profound depressions to periods of hyperactivity or mania with periods of normalcy.
What are the symptoms of the manic phase?
Easily distracted, little need for sleep, poor temper control, easily agitated and irritable, reckless behavior and lack of self-control, including: drinking, and/or drug use, binge eating, poor judgement, sex with many partners (promiscuity), spending sp
What are the symptoms of the depressed phase?
Low mood or sadness, difficulty concentrating, remembering, or making decisions, eating problems: loss of appetite and weight gain, overeating and weight gain, fatigue or lack of energy, feeling worthless, hopeless, or guilty, loss of pleasure in activiti
Mrs. A is admitted to the medical/surgical unit with a diagnosis of dehydration and pneumonia. She has a history of bipolar disorder and is controlled on lithium. As her nurse, you know you must:
A. Treat her carefully because she may become catatonic
B.
B. Observe for signs of lithium toxicity from dehydration
Mrs. D has an appointment with the doctor. She began taking lithium one month ago as prescribed. She now states that her mouth and lips are constantly dry and she sometimes feels confused. She says, "I stagger like I'm drunk sometimes when I walk." You su
D. She is dehydrated
Marge is a 68 year old woman with a long history of bipolar disorder I. She is brought to the emergency room by her sister, who reports that Marge has been increasingly agitated, is unable to sleep, and told her daughter that the mayor was calling her for
A. Delusion of grandeur
The physician orders lithium carbonate 600 mg tid for a newly diagnosed bipolar patient. The therapeutic blood level for acute mania is:
A. 1.0-1.5 mEq/L
B. 10-15 mEq/L
C. 0.5-1.0 mEq/L
D. 5-10 mEq/L
A. 1.0-1.5 mEq/L
Which of the following drugs is NOT classified as mood stabilizer?
A. Carbamazepine
B. Olanzapine
C. Valproic acid
D. Gabapentin
B. Olanzapine
Your manic patient says, "Everything I do is great." How should you respond?
A. "Yes, I am happy for you."
B. "Is there a time in your life when things didn't go as planned?"
C. "No one can be great at everything."
D. "Keep it up
B. "Is there a time in your life when things didn't go as planned?
Your manic patient has lost 5 pounds and is underweight. Which meal is most appropriate?
A. Grilled chicken and baked potato
B. Spaghetti and meatballs
C. Chili and crackers
D. Chicken fingers and french fries
D. Chicken fingers and french fries
A newly admitted patient in an acute manic state has a nursing diagnosis of risk for injury related to hyperactivity. Which nursing intervention is most appropriate?
A. Place the patient in a room with another hyperactive patient
B. Have the patient sit i
D. Administer antipsychotic medication as ordered prn by the physician
Which statement is most true about bipolar disorder?
A. Bipolar disorders all follow the same pattern of behavior
B. Bipolar disorders always include periods of major depression
C. Manic depression is the same as hypomanic disorder
D. Patients with bipola
D. Patients with bipolar II have major depression with hypomanic symptoms
Which category of medication would not be given to a patient with bipolar disorder?
A. Stimulant
B. Antidepressant
C. Antipsychotic
D. Anti-anxiety
A. Stimulant
What is cyclothymic disorder?
A. A chronic mood disorder of at least 2 years
B. A one-time event of hypomania
C. A continuous stat of hypomania for 2 years
D. A chronic depression for 2 years
A. A chronic mood disorder of at least 2 years
_____ is defined as self-inflicted death, with evidence that the person intended to die.
Suicide
Suicide is the ____ leading cause of death in the United States.
10th
What are some warning signs of suicide?
Verbal suicide threats, 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
What are some other noticeable warning signs?
Noticeable improvement in mood occurs, person starts giving away personal items, person starts talking about death and suicide or becomes preoccupied with learning about things
A nursing intervention that is appropriate for a patient who is suicidal is:
A. Report the patient to the police
B. Ignore the patient's suicidal comments, considering them "attention getting"
C. Tell the patient that he or she "has so much to live for!
D. Listen to the patient's concerns and worries
A person is more likely to commit suicide when he or she:
A. Is in deepest depression
B. Has a sudden lift from previous depressed mood
C. Is confused
D. Is feeling loved and appreciated
C. Is confused
Your patient tells you, "I am just a burden. Everyone would be better off if I was dead." Nurses are aware that:
A. Suicide talk is just an attention-getting device
B. Suicide is an impulsive act; it is not thought out
C. Suicidal talk or ideation can lea
A. Suicide talk is just an attention-getting device
Mr. P is brought to the hospital by his wife. She states that he has been treated for depression recently, but that tonight he said, "You and the kids don't need me messing up your lives." Mr. P tells you he has been thinking about suicide for some time n
D. Potential for violence, self-directed, as evidence by stating suicidal thoughts
Your charge nurse tells you that Mr. P must be placed on suicide precautions. The first intervention you begin is:
A. Place Mr. P in a locked unit
B. Begin one-on-one observation at least every 15 minutes
C. Call the security code over the public address
B. Begin one-on-one observation at least every 15 minutes
Further discussion with Mr. P reveals he is of a religious sect that believes there is honor in dying for one's religion. He does not understand why everyone is so afraid to die in this country. As his nurse, you:
A. Document the discussion and remove the
C. Document the discussion but tell him that the suicide precautions remain in effect
Which of the following people is at highest risk for suicide based on the information provided?
A. Nancy is a 33 year old mother of two who just lost her mother in a motor vehicle accident
B. Jim is a 68 year old man who is recent widower and has a long h
B. Jim is a 68 year old man who is a recent widower and has a long history of alcohol abuse
Susan is 27 years old and has been admitted from the ED with an overdose of an antidepressant. She tells you, "My boyfriend broke up with me and I can't live without him." What is your best response?
A. "You are young. You will find someone else."
B. "For
D. "You must have been feeling very sad when he told you.
The next day, Susan tells you that she has another plan to "finish the job when I get out of here. Please don't tell anyone." What would be your best response?
A. "You are safe here."
B. "What are you planning to do?"
C. "I won't tell anyone if you promis
B. "What are you planning to do?
The fact that Susan is telling you she has another plan indicates what?
A. She is reaching out for help and is ambivalent about wanting to die.
B. She is committed to her suicide plan
C. She is psychotic
D. She need antidepressants started right away
A. She is reaching out for help and is ambivalent about wanting to die